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A gastroenterologist is a doctor who specializes in preventing,

diagnosing and treating disorders of the gastrointestinal tract.

When you eat, food is broken down and nutrients are absorbed.

Problems with any one of your digestive organs can interfere

with this process. Conditions gastroenterologists address include

gastroesophageal reflux disease (GERD), hepatitis, stomach ulcers,

celiac disease, diverticulitis, nutritional problems, inflammatory

bowel disease, cirrhosis, pancreatitis and cancer.

Some of these conditions may require surgery, which

gastroenterologists don’t perform. Procedures gastroenterologists

commonly perform include:

Colonoscopy.

This involves a long flexible tube with a light and

camera (see “Don’t skip this test,” at right).

Endoscopy.

This procedure involves instruments similar to

those used for colonoscopy. But they’re used to examine and treat

the esophagus, stomach and other organs.

If your doctor has referred you to a gastroenterologist, the

doctors of Digestive Diseases Center of South Texas are available

for appointments at Specialty Clinic 2 everyWednesday afternoon.

Digestive Diseases Center of South Texas has provided 30 years

of superior quality gastroenterology services to San Antonio,

Jourdanton, Floresville and the South Texas region and are thrilled

to add Hondo to their list of service areas.

Medina Healthcare CEO Janice Simons says, “We are pleased

to offer the services of these highly skilled specialists to our

community. Dr. Ravi Botla and Dr. Amit Goyal have extensive

training and experience in digestive diseases and disorders, and

they will be an asset to the services we can provide at Medina

Regional Hospital.”

Ravi Botla, MD, did his Internal Medicine residency at Grant

Hospital, Chicago, a Rush–Presbyterian University affiliate. He

did two years of research and training

in hepatology at the Mayo Clinic and the

University of Southern California. He

completed his gastroenterology fellowship

at the University of Texas Health Sciences

Center at San Antonio (UTHSCSA) in

1997 and then received further training in

advanced endoscopy and liver transplant.

Dr. Botla is a part-time faculty at the

UTHSCSA Gastroenterology/Nutrition

Department. He is board-certified in

internal medicine and gastroenterology

and enjoys practicing in South Texas.

Amit Goyal, MD, graduated from All

India Institute of Medical Sciences in

New Delhi. He did his internal medicine

residency at Albert Einstein Medical

Center in New York and his fellowship

in gastroenterology at the University of

Arkansas. He held academic positions at

the University of Colorado, Denver, for six years before moving

to private practice in San Antonio.

Dr. Goyal was the acting chief of gastroenterology and director

of motility disorders at the Denver VA medical center. He was

closely involved in teaching all aspects of gastroenterology and

endoscopic procedures. He focused on gastroesophageal reflux

and motility disorders during his tenure in addition to general

gastroenterology. He is skilled at elective and emergent endoscopic

procedures. Dr. Goyal is board-certified in gastroenterology.

To schedule an appointment with one of our gastroenterologists,

please call

210-253-3422

.

COLONOSCOPY

Don’t skip

this test

It’s a test many people dread, but it has the

potential to save lives. We’re talking about

a colonoscopy, which is used to screen for

colorectal cancer, one of the top causes of

cancer deaths in the U.S.

If you’ve been avoiding this test, here are

some things to know that may convince you

to give it a try:

● 

Colonoscopy can find cancer—or the

polyps (abnormal growths) that may

become cancer—early, when treatment

is often most successful. It also gives

your doctor immediate access to polyps

so they can be removed right away. That’s

not true with other colon cancer screening

methods, which all require a follow-up

colonoscopy if polyps or other problems

are found.

● 

Screening for people at average risk

of colorectal cancer starts at age 50.

People at higher risk, including people

with ulcerative colitis, Crohn’s disease or

a strong family history of colon cancer,

should start earlier. Talk with your doctor

about your individual screening plan.

Sources: American Cancer Society; National Cancer Institute

Being outdoors is often a choice and at other times a necessity,

whether you’re enjoying a walk in the neighborhood or doing

yard work.

If you spend time outside, consider this a must-do: Defend

yourself against the sun’s dangerous rays.

Skin cancer is the most common type of cancer. But the

good news is that there are simple things you can do to help

prevent skin cancer or detect it early enough so that it can

be effectively treated.

To help protect your skin, the American Academy of

Dermatology and other experts advise that you:

● 

Make sunscreen a habit. Choose a broad-spectrum one

with a sun protection factor (SPF) of 30 or higher. Apply it

generously and often.

● 

Try to seek shade between 10 a.m. and 4 p.m., when the

sun’s rays are strongest.

● 

Avoid tanning beds and deliberately tanning.

● 

Wear wide-brimmed hats, long-sleeved shirts, pants and

sunglasses when outdoors.

● 

Examine your skin from head to toe at least once a month.

Report any suspicious or problem spots to your doctor.

● 

Ask your doctor how often you should have a skin exam.

By taking these steps, you can enjoy the outdoors and

lower your risk of getting skin cancer.

Get that mole checked

MedinaHealthcare

System welcomes Nicole Owens, MD,

a board-certified Dermatologist, to its

Specialty Clinic 2 at 610 31st St. in Hondo.

Dr. Owens is available for appointments

in Hondo on the first Thursday of each

month. To schedule your visit, please call

210-836-7586

.

SK IN CANCER

Play

defense

Protect your

skin from

the sun

Nicole Owens, MD

Ravi Botla, MD

Amit Goyal, MD

What is a gastroenterologist?

Fall into fitness

Get ready, get set for

Medina Healthcare

System’s 5K run/walk

When:

Wednesday, Oct. 21, at 6 p.m.

Where:

Medina Regional Hospital

Learn more:

For information about

registration or to volunteer, please contact

Jennifer at

830-426-7483

or

jgomez@

medinahospital.net

.

F A L L 2 0 1 5

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N E W S , V I E W S & T I P S

H E A L T H T A L K