About Dr Schneider
Meet Dr Schneider
- Mb. Ch.B University of Pretoria 1972
- Fellow of College of Physicians 1980
- Registered gastroenterologist.
- Fellow of American Gastroenterology Association
- Past President South African Gastroenterology Society
- Past President of African Middle East Association of Gastroenterology
I have been in private gastroenterology practice since 1981. My practice is located at the Milpark Hospital, Parktown, Johannesburg.
About Our Clinic
We are located at the Millpark Hospital, Parktown, Johannesburg.
Services offered include consultation, and endoscopy procedures, including gastroscopy, colonoscopy and video capsule endoscopy.
My practice has a fully equipped “in rooms” endoscopy suite. Patients are thus offered a choice of having their procedure in the rooms, or being admitted to the clinic.
Treatments & Procedures
Colo-Rectal Cancer Screening and Prevention
It is recommended that all persons at average risk of colorectal cancer should first get screened for cancer when they are 50 years of age. The American Cancer Society has recently recommended screening from age 45, because of colorectal cancer occurring in younger individuals.
If you have a family history of colon cancer, you may need to get screened earlier. This screening should occur 5 years younger than the age of the affected family member.
Besides individuals with a family history of colon cancer, others that are considered at risk of the condition include those with a medical history of polyps and inflammatory bowel disease.
After your first screening, you are also expected to have subsequent screenings in 5-10 year intervals, depending on your risk profile.
You may also be scheduled to have an earlier screening depending on what your doctor found during the first screening.
The screening we have been mentioning here is a colonoscopy. This screening is not regarded as the “gold standard” procedure for the prevention of colon cancer, but is the only procedure that can both diagnose and remove the pre-malignant polyps.
Through colonoscopy, a gastroenterologist is able to see precancerous polyps in your colon and remove them thus preventing colorectal cancer.
Alternative tests include faecal occult blood test, sigmoidoscopy and virtual colonoscopy. If polyps are discovered on these tests, you will need to undergo a colonoscopy for polyp removal.
These are some conditions of the gastrointestinal system that can also increase your risk of colon cancer such as inflammatory bowel disease – ulcerative colitis and Crohn’s disease.
When you are diagnosed with colonic polyps your doctor may want you to have more frequent screening to monitor your condition and prevent colon cancer.
Gastro-Oesophageal Reflux Disease.
Gastroesophageal reflux, also known as acid reflux, occurs when the stomach contents reflux or back up into the oesophagus and or mouth. Reflux is a normal process that occurs in healthy infants, children, and adults. Most episodes are brief and do not cause bothersome symptoms or complications.
In contrast, people with gastroesophageal reflux disease (GORD) experience bothersome symptoms as a result of the reflux. Symptoms can include heartburn, regurgitation, vomiting, and difficulty or pain with swallowing. The reflux of stomach acid can adversely affect the vocal cords causing hoarseness or even be inhaled into the lungs (called aspiration).
GORD may be caused by relaxation of the lower oesophageal sphincter or valve, allowing stomach content to enter the oeosphagus. People with a hiatal hernia tend to suffer more severe reflux.
Inflammatory Bowel Disease (IBD)
Inflammatory bowel disease is the collective name of a group of inflammatory conditions of the colon and small intestines. IBD comprises ulcerative colitis and Crohn’s disease. The symptoms are fairly diverse, at times delaying accurate diagnosis.
Early diagnosis is important, as the prognosis is improved with prompt and effective treatment. Both conditions are life-long disorders, requiring expert management.
The principal types of the condition include Cohn’s disease that affects the small and large intestine, as well as the mouth, esophagus, stomach, and anus; and ulcerative colitis that is restricted to the colon and the rectum.
IBD is majorly caused by an interaction of environmental and genetic factors. It is also associated with diet, alteration in the microbiota, and breach of intestinal barrier.
There are different treatment options that can be used in the management of IBD, including medication, surgery, medical therapies, nutritional and dietetic therapies, and alternative therapy.
Functional Gastrointestinal Disorders
Functional gastrointestinal disorders such as irritable bowel syndrome (IBS), functional diarrhoea or constipation and functional dyspepsia are the most common conditions seen in gastroenterology practice. The diagnosis can usually be established with a thorough history and careful physical examination. Expensive endoscopic and laboratory tests are infrequently needed. A good dietary history may reveal food triggers.
Small Intestinal Disorders
The small intestine is not often the source of major pathology. Most common are vascular abnormalities resulting in anaemia, small bowel polyps, coeliac disease and tumours. Problems may include
Celiac disease, Crohn's disease Infections, Intestinal cancer, Irritable bowel syndrome Peptic Ulcers etc.
Treatment depends on the cause.
Small bowel video capsule endoscopy is invaluable in assessing the small intestine in a non-invasive manner.
Liver and Biliary Disorders
Conditions affecting the liver, gallbladder, and pancreas are fairly common. Most are amenable to effective treatment. Treatment of chronic hepatitis may prevent subsequent conditions such as cirrhosis and liver cancer.
Clinical Trials in Gastroenterology
This practice has for many years been involved in clinical trials, giving suitable patients the opportunity to benefit from state of the art medication.
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© Dr. H Schneider, Registered Gastroenterologist, GI Doc Johannesburg
Our website information is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a doctor about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment.