Conditions We Treat

The liver, pancreas, and gallbladder play important roles in the digestion and absorption of nutrients. Nutrition therapy is part of the treatment for these accessory organs and our expert dietitian team can help manage nutrition-related complications that may exist.

Conditions we treat:

• Diseases of the bile ducts
• Diseases of the gallbladder
• Diseases of the liver
• Diseases of the pancreas

Gluten-associated disorders include celiac disease, non-celiac gluten sensitivity, fructan intolerance, wheat allergy, and some eosinophilic GI disorders. The gluten-free diet is used to treat gluten-associated disorders by reducing or eliminating symptoms and prevent ongoing harm to health. Nutrition counseling also includes navigating food ingredient labels, dining out, and enjoying favorite foods with family and friends.

Conditions we treat:

• Celiac disease
• Gluten (wheat, rye, or barley) allergy 
• Non-celiac gluten sensitivity

Many people struggle with both a gastrointestinal condition and disordered eating and can benefit from a customized approach to nutrition therapy that addresses both conditions. The discomfort, pain, body weight changes, and necessary diet changes that occur with gastrointestinal conditions can challenge anyone’s relationship with food and their body. For others with disordered eating behaviors like restriction, binge-eating, and purging, there can be a significant impact on gut functioning and sensitivity. Nutrition for these conditions supports the patient’s individual goals for improving both relationship with food and gut symptoms without putting mental health at risk.

Co-existing conditions we treat alongside GI disorders:

• Anorexia nervosa (AN)
• Avoidant restrictive food intake disorder (ARFID)
• Binge eating disorder (BEN)
• Bulimia nervosa (BN)
• Orthorexia
• Other specified feeding or eating disorders (OSFED)

All people need food to live. Sometimes a person cannot eat any or enough food because of an illness. Others may have a decreased appetite, difficulties in swallowing, or some type of surgery that interferes with eating. When this occurs, and one is unable to eat, nutrition must be supplied in a different way. 

Enteral nutrition

Tube feeding, also known as enteral nutrition (EN), is a technique used to provide nourishment to individuals who have difficulty eating but their digestive tract that works normally.  It involves delivering a nutritionally balanced liquid formula directly into the digestive tract through a tube that is inserted into the stomach or small intestine. 

Some conditions that may benefit from EN:

• Bowel obstructions in the upper digestive tract
• Cancer or other conditions that make it difficult to swallow
• Delayed gastric emptying (gastroparesis)
• Injuries to the upper digestive tract
• Neurological problems

Parenteral nutrition

Parenteral nutrition (PN) is a method of providing nutrients to the body through intravenous (IV) administration, bypassing the gastrointestinal tract. This form of nutrition is used when a person cannot adequately absorb nutrients through their digestive system or is unable to eat and drink normally due to medical conditions, surgery, or other factors. 

Some conditions that may require PN:

• Fistula (an abnormal connection between two organs)
• Bowel obstruction
• Severe Crohn's disease
• Some gastrointestinal cancers
• Intestinal failure
• Complications from GI surgeries

Conditions that affect the esophagus and stomach can lead to many symptoms including feeling full quickly at meals, nausea, vomiting, acid reflux, and bloating.  Working with a GI expert dietitian can help you not only manage these symptoms but give you a better understanding of why these symptoms occurring.

Conditions we treat:

• Acid reflux and gastroesophageal reflux disease (GERD)
• Belching disorders
• Dysphagia (we help implement diet based on swallow studies)
• Eosinophilic esophagitis (EoE)
• Esophagitis
• Scleroderma

Our dietitians are well-versed in general digestive disorders, and each has a sub-specialty interest within gastroenterology.

This includes, but is not limited, to the following:

• Accessory digestive organs 
• Belching 
• Chronic constipation
• Colorectal cancer/short bowel syndrome/ostomies
• Diarrhea   
• Diverticular disease
• Dyspepsia
• Enteral and parenteral nutrition (tube feeding and IV nutrition)
• Eosinophilic disorders 
• Esophageal cancer 
• Disorders of gut-brain Interaction/Functional gut disorders 
• Gas, bloating, and distension
• Gastritis
• Gastroesophageal reflux disease (GERD)
• Gastroparesis 
• GI resections and malabsorption 
• Inflammatory bowel diseases (IBD) including Crohn's disease and ulcerative colitis 
• Irritable bowel syndrome (IBS)
• Liver disorders 
• Small bowel disorders
• Small intestine bacterial overgrowth (SIBO) and intestinal methanogen overgrowth (IMO)

Irritable bowel syndrome (IBS) and small intestinal bacteria overgrowth (SIBO) can cause abdominal pain, bloating, gas, and changes in bowel habits. Our team of dietitians will give you the tools you need to feel confident eating foods you love while managing the discomfort associated with these conditions.

Conditions we treat:

• Chronic abdominal pain
• Chronic bloating and distention
• Chronic constipation
• Chronic diarrhea
• Cyclic vomiting syndrome
• Functional dyspepsia
• Irritable bowel syndrome (IBS)
• Small intestine bacterial overgrowth (SIBO) and intestinal methanogen overgrowth (IMO)

Inflammatory bowel disease (IBD) describes disorders involving chronic inflammation of tissues in your digestive tract. GI dietitians play a crucial role in supporting IBD by providing specialized nutritional guidance tailored to patients' specific needs and symptoms. Dietitians help patients manage their condition by optimizing their diet, identifying trigger foods, and ensuring adequate nutrient intake to reduce symptoms. and improve quality of life.

Conditions we treat:

• Crohn's disease
• Microscopic colitis
  • Collagenous colitis
  • Lymphocytic colitis
• Ulcerative colitis

Motility, as it pertains to the digestive system, means movement of food from the mouth through the rest of the GI tract and eventually out of the body. When motility is not working properly it can lead to all sorts of symptoms including bowel changes, bloating, and abdominal pain. Nutrition can play a key role in helping to manage symptoms related to and improve digestive motility. 

Conditions we treat:

• Acid reflux or gastroesophageal reflux disease (GERD)
• Constipation
• Dumping syndrome
• Fecal incontinence
• Gastroparesis
• Intestinal dysmotility
• Parkinson's disease
• Pseudo-obstructions
• Scleroderma

There are many medical conditions that can overlap with gastrointestinal (GI) conditions, either due to shared symptoms or underlying factors. GI dietitians can play a crucial role in helping individuals with these conditions  by providing specialized dietary guidance and support. 

Conditions we treat:

• Amyotrophic lateral sclerosis (ALS)
• Dysautonomia
• Food allergies, intolerances, sensitivities
• Ehlers-Danlos
• Mast Cell Activation Syndrome