Medical Services

Maintain a healthy colon with regular screenings

Have the entirety of your colon and rectum examined by professionals. We will find any abnormalities. Colonoscopy is the procedure of choice for the screening of colon cancer.
The examination involves the insertion of a colonoscope- relatively thin,  flexible tube the circumference of a human finger- into your rectum. A tiny camera on the end will allow Dr. Nuako to view the colon. The tube may be removed early if a polyp or abnormal tissue is found. A tissue sample of the polyp may be taken to determine if surgery is necessary.
If the results are negative, then you may be able to wait several years for your next colonoscopy. If the results are positive and reveal adenomatous polyps, then you may need a more rigorous screening schedule. If your colon isn’t completely empty of stool, then you may have to get screened again soon.


Expect to need to do the following before your colonoscopy:

Cease taking iron pills and medications containing iron for five days prior to the procedure. Take laxatives and possibly enemas prescribed by your doctor. Avoid solid foods and opaque liquids. Drink only clear, nonalcoholic liquids and eat only soft food, such as Jell-O. Consume nothing red. Take 5-minute walks every 10 minutes near a bathroom while you’re taking the laxatives.

You must fast on exam day. Expect to have different procedures if you are diabetic or take blood thinners, such as pain relievers. Ask Dr. Nuako about these factors at least 7 days before your procedure.

You can expect to receive a sedative for the procedure. Expect to lie on your left side. A thoroughly disinfected colonoscope will be inserted. It can pump air into your colon so that the doctor can get a better look. You may feel cramping or pressure. The doctor may insert instruments through the channel to take tissue samples, inject solutions, or cauterize tissues.

Important points:
1. It must be clear of stool and fluids that obscure the view of the colon and rectal lining.

2. To prepare your colon, you’ll likely be asked to do the following during the 24 hours before the exam.

3. A colonoscopy is relatively painless when performed by an experienced practitioner.

4. He or she might take a biopsy or advise surgical removal, depending on the size of the mass.

5. A colonoscopy exam usually takes about 20 minutes to an hour.

6. Frequency of follow-up exams depends on the findings as well as the quality of the exam performed and should be discussed with your doctor. If a polyp or abnormal tissue was found during your colonoscopy that couldn’t be removed, Dr. Nuako may recommend subsequent surgery.

Important Notes for After Your Procedure

You’ll recover from the sedative in less than an hour after the procedure. However, you will need someone to take you home as the sedatives will not have completely worn off. Don’t drive or sign legal documents. Rest.

If you pass gas or feel bloated after the procedure, that’s normal. Walking may help. If the pain is persistent, then tell your doctor. You may also see blood in your first bowel movements. This is normal, but if you continue to pass blood, have persistent abdominal pain, or a fever of 100 F or higher, then see your doctor.

These can all be caused by a biopsy. Rarely, these are caused by perforation of the colon wall. Be alert for signs that you need medical attention.

An endoscopy will give an inside view of your GI tract

For a capsule endoscopy, you will swallow a vitamin-sized pill with a camera inside. This will allow the doctor to see inside your gastrointestinal (GI) tract.

The GI tract extends from your mouth to your anus as a tube. It is where food is digested by muscle movements. Your physician will be able to see what’s the matter at any part throughout this tube via the PillCam. The procedure is painless and gives an effective inspection throughout your body.

The PillCam will be transported smoothly through your GI tract by the natural peristalsis of the body. It transmits images of different parts of your body, such as the small intestine and the esophagus.

Non-invasive procedure from a medical specialist

Trust in this proven technique.
Capsule endoscopy gives a direct view of your GI tract and it’s the least invasive method for doing so. There have been hundreds of clinical studies confirming that the PillCam is indispensable to gastroenterologists.

Diagnose any problems.
Get an effective and thorough examination of your GI tract. You can be diagnosed for anything wrong with your GI tract through this painless procedure. Come in and make certain that your body is healthy today.

Trust a medical specialist.
Your gastroenterologist serves as the best broadly trained specialist involved in internal medicine. They take special training in order to properly diagnose and treat diseases involving the digestive system. Check up on your digestive system today.

Try infrared coagulation for hemorrhoids

Infrared coagulation (IRC) was introduced 20 years ago. It is now the leading office treatment for hemorrhoids. It is a fast and nonsurgical procedure. It is also tolerated with ease by most and it’s astoundingly complication-free.

IRC involves the placement of a small probe just above the hemorrhoid. This applies a few short bursts of infrared light. The vessels quickly coagulate and cease providing blood to the hemorrhoid. The hemorrhoids then shrink and recede.

It may take a few weeks for full effect, but there are no major after-effects. You can return to your normal lifestyle the same day. Don’t strain yourself, and expect small amounts of bleeding a few days later.


Be cautious.
You should avoid heavy lifting and taking of aspirin for a few days after your treatment. You may need multiple treatments. The number of treatments varies based on the severity of your symptoms, where the hemorrhoid is located, and on your individual response.

Live a healthy lifestyle.
Treated hemorrhoids rarely reoccur. However, the occurrence of hemorrhoids depends on your diet, amount of exercise, and your bowel habits. Maintaining a healthy lifestyle will help prevent you from needing further treatments.

Live comfortably.
IRC has been proven highly reliable. Millions of patients have received this treatment. If you address your hemorrhoid and live a healthy lifestyle, you can expect to become hemorrhoid-free. Our expert physicians, equipped with state-of-the-art procedures, are here to help you make sure of it.

Have the top portion of your GI tract examined

Esophagogastroduodenoscopy, or EGD, is used to examine your upper GI tract. It is the procedure of choice for evaluating the lining of these organs. Have your entire esophagus, stomach, and duodenum examined for abnormalities.

The duodenum is the ྄rst portion of the small intestine. An endoscope will be inserted through your mouth for this exam. The endoscope has a tiny camera on it. During EGD, the doctor may remove a polyp or abnormal tissue.

Sometimes polyps will need lab testing. The doctor will advise you on whether you will need surgery or not. The doctor will also let you know if you need a follow-up exam.

Preparations and procedures

For a proper endoscopy, you will need an empty stomach. You must not consume any food for eight hours leading up to your procedure. Your medical history will be reviewed and you will be noti྄ced about any medications that you need to hold on the morning of the exam. Diabetes and blood thinners change the preparations required.

Expect to be administered a sedative intravenously to minimize discomfort. With an experienced practitioner, the procedure should be relatively painless.

You will likely need to lie on your left side for the procedure. The doctor may insert instruments to remove polyps, take tissue samples, inject solutions, or cauterize tissues. You may be advised to undergo surgical removal of a polyp. Upper GI endoscopy exams usually take less than 20 minutes total.

After the procedure, make sure someone can take you home. Rest, don’t drive, and don’t sign legal documents for at least a full day. If you have any persistent pains, contact your doctor.

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