Our Gastroenterology Blog

Posts for category: Gastroenterology

By Forest Hills Gastroenterology
October 20, 2020
Category: Gastroenterology

Weight loss is difficult for many and sometimes diet and exercise aren't doing it. Fortunately, Dr. Azeem Khan provides his Forest Hill, New York, patients a solution: gastric balloon. He helps patients begin their weight loss journey at Forest Hills Gastroenterology by performing this non-invasive procedure, but here's more information.

More About Gastric Balloon

Gastric balloons (intragastric balloons) are a temporary solution to help people lose weight. The gastric balloon limits the amount of food a person can hold because it's placed in the stomach. Patients feel fuller quickly, eat less and lose weight.

Because gastric balloons are temporary, removed within six months, it's usually used to help jump-start people's weight loss journey, which usually consists of healthy eating and exercise. People also use gastric balloons aid people who have undergone aggressive weight-loss surgeries, like gastric bypass.

Note, losing weight before getting a gastric balloon reduces the risk of surgical complications.

If you're interested in the procedure, here are a few health benefits to consider:

  • Weight loss
  • A decrease in conditions, like:
    • diabetes
    • high cholesterol
    • high blood pressure
    • bone or joint disease

Gastric Balloon Procedure at Forest Hills in New York

The outpatient procedure takes about 30 minutes. The balloon is placed in your stomach through your mouth, so there is no actual surgery or incision. A saline solution or air is then placed in the balloon.

Aftercare and recovery

You can go home the same day of the procedure and resume normal daily activities. You should stick to only fluids for a few days, then progress to soft foods until it's safe to ingest solid foods.

Your doctor will discuss dietary and exercise changes you need to make until you reach your desired weight. Once Dr. Khan removes the gastric balloon, your stomach will return to its original size.

Remember to maintain your new diet and lifestyle habits, and continue visiting your doctor for regular appointments.

Speak With a Doctor

If you are interested in getting a gastric balloon, the gastroenterology team at Forest Hills Gastroenterology in Forest Hills, New York, can help. For more information call Dr. Azeem Khan at (718) 268-0418.

By Forest Hills Gastroenterology
August 19, 2020
Category: Gastroenterology
Tags: Orbera  

Are you tired of yo-yo dieting? Are you concerned about long-term complications related to obesity? At Forest Hills Gastroenterology in Forest Hills, NY, Dr. Azeem Khan helps qualified weight-loss patients with the innovative Orbera gastric balloon. FDA-approved for people wishing to lose 30 to 50 pounds or more, Orbera really works. Maybe it's right for you, too.

The problem of obesity

The World Health Organization (WHO) reports that globally, the problem of obesity--or being more than twenty percent over ideal body weight--has tripled globally since 1975. In the United States, health problems such as diabetes, stroke and even cancer spring from carrying too much body weight, and just as the global statistics show, Americans are getting heavier and heavier.

Unfortunately, some people are yo-yo dieters. Wanting to be thinner and healthier, they crash diet, gain weight, crash diet again, and the cycle continues. It's frustrating and frankly, not good physiologically.

Enter: the Orbera gastric balloon

Orbera gastric balloon is a sterile gastric balloon inserted via a thin lighted scope into the stomach. Once at its destination, Dr. Khan inflates the balloon (or sometimes two balloons) with sterile saline, making it about the size of an orange. The rationale is simple: with Orbera in place, the patient cannot eat large portions of food, and sticking with a healthy diet is much easier.

Also, the procedure is comfortable and quick, performed under sedation and taking about 20 to 30 minutes. You go home after the procedure and resume your normal activities the next day. Many patients start with a liquid or soft diet and advance to regular foods as tolerated. Side effects of the Orbera gastric balloon are a feeling of fullness and possible reflux, nausea and vomiting.

Overall, however, the device is well-tolerated and does its job. People do lose a significant amount and weight and keep it off. The team at Forest Hills Gastroenterology supports their weight loss patients every step of the way. In six months, Dr. Khan removes the Orbera balloon(s).

Do you qualify?

If you have a BMI of 30 to 40 and want relief from that extra weight, why not call for a consultation with Dr. Azeem Khan at Forest Hills Gastroenterology. Orbera works well for many Forest Hills, NY, patients. Maybe the next one is you. Contact the office at (718) 268-0418.

By Forest Hills Gastroenterology
July 06, 2020
Category: Gastroenterology
Tags: Polyp  

What Exactly Is a Polyp?

A polyp is a cluster of cells that develop inside the body, such as in the colon. Some polyps can become cancerous (malignant), while others remain benign. Usually, polyps are diagnosed after a routine colonoscopy. Dr. Azeem Kahn of Forest Hills Gastroenterology, New York is a board-certified gastroenterologist who is an expert at diagnosing and treating polyps and performing colonoscopy.

Types of Colon Polyps

The most common types of polyps that can develop in your colon are adenomas.

  • Adenoma: This form of polyp looks like the lining of your colon and can be difficult to distinguish. A biopsy will reveal if the tissue is an adenoma. In some cases, adenomas can become cancerous. Adenoma has three categories of growth pattern: tubular and villous and a combination of the two, which is known as tubulovillous. Typically, an adenoma is around 1/2 inch or smaller. When they become larger, it is often because they are cancerous. Villous adenomas are more likely to be malignant. Regular colonoscopies can prevent polyps from developing cancer.
  • Sessile: When a polyp is described as sessile it means that the tissue has a broad, flattened shape.
  • Serrated: Serrated adenomas have the appearance of a saw blade when examined under the microscope.

Although these types of polyps are non-cancerous, they are pre-cancerous. This means that they can become cancerous at any time.

Symptoms of Colon Polyps

In many cases, polyps do not cause signs and symptoms. When they do, they may include:

  • Bloody stools
  • Black stools
  • Fatigue
  • Dizziness and lightheadedness
  • Pasty skin
  • Fainting

Polyps in the colon are typically diagnosed using colonoscopy, endoscopy, or flexible sigmoidoscopy. They are usually removed using endoscopy, though in some cases, surgery may be necessary.

If you live in New York City and you want to make an appointment for a colonoscopy, call Dr. Khan on New York, (718) 268-0418

By Forest Hills Gastroenterology
May 22, 2020
Category: Gastroenterology
Tags: Colonoscopy  

A colonoscopy allows a gastroenterologist to examine the lining of the large intestine, which is known as the colon. A colonoscopy can reveal the presence of polyps and other abnormalities that could be an indication of colorectal cancer or other gastrointestinal problems. At Forest Hills Gastroenterology in New York City, colonoscopies are performed by our skilled gastroenterologist, Dr. Azeem Khan—read on to learn more.

When to Undergo a Colonoscopy

The recommendation of the American Cancer Society is that all healthy adults undergo their first colonoscopy between the ages of 45 and 50 years old. However, individuals who have a family history of colorectal cancer should schedule a colonoscopy sooner. Additionally, anyone experiencing persistent gastrointestinal problems should talk to a gastroenterologist about having a colonoscopy. Gastrointestinal issues could be an indication of ulcerative colitis, Crohn’s disease, or a similar condition.

The Colonoscopy Procedure

During a colonoscopy procedure, the gastroenterologist examines the interior of the colon to look for abnormalities, such as polyps. The procedure is performed by inserting a thin flexible tube called a colonoscope into the anus and slowly moving it into the rectum and colon. The colonoscope contains a small lens and light that records images that the gastroenterologist can immediately view on a video monitor during the procedure.

At our New York City practice, the colonoscopy is usually performed as an outpatient procedure with most patients returning home the same day. The colonoscopy takes about one hour to complete unless polyps are discovered and removed during the procedure. In such cases, the colonoscopy will take longer. In total, the time needed to prep for the colonoscopy, perform the procedure, and recover is about three hours.

Preparing for a Colonoscopy

Prior to undergoing a colonoscopy, patients are given instructions to prepare for the procedure. The colon needs to be completely clean so the gastroenterologist can readily spot potential concerns. In order to cleanse the colon, certain dietary restrictions will be required. For example, patients should limit their diet to clear liquids the day before the colonoscopy. Additionally, patients are given oral laxatives or a special cleansing solution to fully clear the colon. Being well-rested before the procedure is also helpful.

If you are approaching age 50, are experiencing gastrointestinal issues, or have a family history of colorectal cancer, you should speak to a gastroenterologist about scheduling a colonoscopy. Dr. Khan can determine if you need a colonoscopy for any of the reasons mentioned. To learn more about scheduling a colonoscopy, call Forest Hills Gastroenterology in New York City at (718) 268-0418.

By Forest Hills Gastroenterology
December 19, 2019
Category: Gastroenterology

Are you wondering whether the gastric balloon could finally help you lose weight?

If you struggle with obesity and are having trouble losing weight despite eating right and exercising, our New York City gastroenterologist, Dr. Azeem Khan, can help your issue with the help of gastric balloon treatment. A gastric balloon is a non-surgical weight loss procedure that can assist patients with obesity to finally see the results they want. Of course, there are some things you should know about this procedure to find out if it’s the right to help jumpstart your weight loss journey.

The gastric balloon is placed non-surgically

The procedure is fast, often taking only 15 minutes to complete. Prior to placing the balloon, your New York City GI doctor will numb your throat before inserting the balloon into the stomach using a very small catheter. Once the balloon is placed, it will be inflated with air or a special solution before the catheter is removed.

The purpose of the gastric balloon is to take up space within the stomach so that the patient feels fuller faster, which then results in eating less. This procedure makes it possible to help those who have obesity lose weight without having to turn to surgery.

A gastric balloon is only right for those who have severe obesity

A gastric balloon isn’t right for everyone. You may be right for a gastric balloon if you’ve been having trouble losing weight despite a healthy diet and regular exercise or if you are dealing with other health problems as a result of your obesity (e.g. diabetes). An ideal patient will also have a body mass index (BMI) between 30 and 40.

There are no restricted foods with the balloon

Certain meal plans and weight loss programs often nix certain foods, making it difficult and restrictive to adhere to for long periods of time; however, instead of restricting any foods, your gastroenterologist will focus on portion control and moderation, which includes eating healthy with the occasional treat (because we all need to treat ourselves at times).

This is not a permanent solution

A gastric balloon is only left in the stomach for six months before it is removed. Of course, your gastroenterologist will also be working with you the entire time to ensure that you are maintaining a balanced diet and leading a healthy lifestyle. While the balloon can provide amazing results, it’s these doctor-supervised support programs and long-term lifestyle modifications that go a long way to motivating patients and helping them reach their long-term weight loss goals.

You will continue to receive support from your doctor even once the balloon is removed to help you maintain your results and to support your continual weight loss efforts.

Call us

If you have obesity and want to find out if the gastric balloon is the right way to help you successfully lose weight, then call Forest Hills Gastroenterology in New York City today at (718) 268-0418 to schedule an appointment.

By Forest Hills Gastroenterology
November 18, 2019
Category: Gastroenterology
Tags: Orbera  

Available from our office in New York City, this treatment could be the key to your weight loss!

Losing and keeping off a significant amount of weight in the long term is a constant and often overwhelming struggle for millions of Americans. According to the Centers for Disease Control and Prevention (CDC), almost 40% of American adults over age 20 are considered obese. When you include the number of American adults that are overweight but not necessarily obese, the number rises to over 70% of U.S. adults over the age of 20.

In addition to the negative impact that being overweight or obese can have on a person's self-esteem and quality of life, there is also a number of short and long term health risks to worry about as well. Furthermore, in many cases, diet and exercise alone will only go so far to alleviate the issue. Fortunately, your gastroenterologist, Dr. Azeem Khan, and his team here at Forest Hills Gastroenterology offer Orbera to help patients achieve safe and lasting weight loss results. Read on to learn what this treatment option can do for you!

What Obera Treatment from Our Office in New York City Can Do for You

Orbera is an intragastric balloon designed to help adults with a BMI (body mass index) between 30 to 40. The balloon is inserted into the stomach via a non-surgical endoscopic procedure, and filled with saline to take up room in the stomach and encourage portion control by making you feel fuller. While Orbera is not a substitute for a healthy diet and exercise, it was developed to help supplement weight loss efforts in addition to diet and exercise.

After six months, the balloon is removed. Since the procedure is non-surgical, it is performed on an outpatient basis under a mild sedative, thus allowing patients to go home on the same day of the 20-30 minute procedure. While the results vary from person to person, many Orbera users report losing a significant amount of weight within the first month of the procedure.

Contact us

For more information about Orbera and the weight loss programs and treatments available to you, contact Forest Hills Gastroenterology by dialing (718) 459-8460. Schedule a consultation with your New York City gastroenterologist, Dr. Azeem Khan, today!

By Forest Hills Gastroenterology
October 29, 2019
Category: Gastroenterology
Tags: weight loss  

Losing weight can be a challenge, and even discouraging if you've tried different diets and exercise programs with little to no results. For Weightmany people, a weight loss balloon can be a helpful way to lose weight and keep it off. Read on to learn how this amazing little device can have a big impact on your health and appearance, and contact the team here at Forest Hills Gastroenterology in New York City to set up an appointment!


What is a weight loss balloon?

Weight loss balloons, also called intragastric balloons, take up space in your stomach to limit your food intake. To install one, your New York City gastroenterologist will use a thin tube called an endoscope to insert the deflated balloon into your stomach through your esophagus (food tube) and fill it with saline, a solution made of salt and water. Placement of the balloon is a short outpatient procedure, meaning that you will go home the same day. However, since you'll need to be sedated for the placement, you'll need someone to drive you home.


How can a weight loss balloon help me?

Weight loss balloons are designed to help people reduce the amount of food they eat in a sitting, thereby cutting calories and changing the hormones that affect appetite. In turn, losing weight can help to reduce the effects of health problems that often accompany obesity, including sleep apnea, diabetes, and high blood pressure. This gives you more energy to maintain a safe and beneficial exercise program.


Is a weight loss balloon right for me?

Typically, patients with a body mass index (BMI) of 30 to 40 with no prior stomach-related surgeries are the best candidates, especially if they've made unsuccessful efforts in the past to lose weight. Your mindset will also determine if a weight loss balloon is right for you. After all, you must be willing to make permanent changes to your diet and exercise routine in order for this procedure to be successful. During a visit to our New York City office, your gastroenterologist will do a full examination and consultation to see if you could benefit from this treatment.


Interested? Give us a call

If you'd like more information about weight loss balloons, contact Forest Hills Gastroenterology in New York City for a consultation with Dr. Azeem Kahn or hid physician's assistants, Adelina Aranova or Zara Hassan. Our office can be reached by dialing (718) 268-0418.

By Forest Hills Gastroenterology
September 12, 2019
Category: Gastroenterology

Reaching and maintaining a stable and healthy weight will not just make you feel good and have more energy to enjoy your favorite Weight-Loss-activities and time with friends and family; it is also an important factor in your overall health and wellness. If you have a significant amount of weight to lose, the key to do so safely and for the long term is to work with a medical professional to find the best solution for your lifestyle and circumstances. Dr. Azeem Khan, a gastroenterologist in New York City offers a number of medical weight loss options to help you reach your weight and health goals.


Reach Your Goal Weight with the Weight Loss Balloon in New York City

The weight loss balloon helps severely overweight patients manage their appetite by taking up room in the stomach, which helps you to feel full with smaller meals. Unlike gastric bypass and other medical weight loss procedures, the weight loss balloon is a temporary, non-surgical procedure.

The balloon is placed in the stomach through the mouth using an endoscope, so there is no surgery and no incisions. Depending on your weight loss goals, the gastroenterologist may recommend two balloons for maximum results. Each balloon is then filled with either saline or gas and inflated, effectively making the stomach smaller so that you feel fuller faster, eating less at each meal and gradually losing weight over time. After six months, the balloons are removed.


What to Expect with the Weight Loss Balloon

Like with any weight loss plan, there is no silver bullet. The weight loss balloon works as part of a comprehensive weight-loss and management plan that includes regular exercise and a healthy balanced diet while the weight loss balloon is in place, and after it is removed.


Find a Gastroenterologist in New York City

For more information about the weight loss balloon and other medical weight-loss treatment options in New York City, contact Forest Hills Gastroenterology by calling (718) 268-0418 to schedule an appointment with Dr. Khan and his team today.

By Forest Hills Gastroenterology
May 02, 2019
Category: Gastroenterology
Tags: Colonoscopies  

According to reports from the CDC, colon cancer takes 50,000 lives annually in the United States alone. Given this grave number, you may Colonoscopybe thinking, "how do I avoid developing this condition as well?" As an answer to your concern, Dr. Azeem Khan of Forest Hills Gastroenterology in New York City performs routine colonoscopy screenings on patients ages 50 and older in order to protect them from becoming a part of this dire statistic. Here's some important information about this vital test:


Just what is a colonoscopy?

It's a minimally invasive diagnostic test which visualizes the lower GI tract. Performed with the benefit of twilight sedation (oral conscious sedation), a colonoscopy shows the gastroenterologist the internal structures of the rectum and bowel.

By introducing a lighted tube into the anus, Dr. Khan can look for cancers, polyps (benign growths which can become cancerous), ulcers, bleeding and more. Using this thin scope, he can take real-time images and videos of the colon, as well as remove polyps and other tissues for biopsy.

A colonoscopy at our New York City office takes only about 45 minutes from start to finish. During the entire procedure, you'll lie comfortably on your left side or back, and although you may feel some mild pressure, there is no pain or discomfort. When the procedure has finished, you will remain in a recovery area for an hour. Dr. Khan will review your results with you, and you'll be driven home by an adult friend or relative.

Truly, the most difficult part of this screening test is the day-before preparation. You'll have to drink only clear liquids such as broth or apple juice, and in the evening, you'll consume copious amounts of liquid cathartics to clear the intestine completely. This "clean out" allows Dr. Khan to have an unobstructed view of your bowel.


What are the common symptoms of colon cancer?

Some people experience weight loss or a dramatic change in bowel habits (i.e. diarrhea, constipation, etc.). However, a vast number of people have no symptoms whatsoever, which is why routine cancer screenings are so important. Most physicians recommend an initial screening at 50 unless there is a familial history of colon cancer, in which case tests should begin an earlier age.


Take control of your colon health

To arrange your screening, call our New York City office at (718) 268-0418.

By Forest Hills Gastroenterology
March 07, 2019
Category: Gastroenterology
Tags: Colonoscopies  

Patients who have never had a colonoscopy sometimes find the thought of undergoing one to be intimidating. Although there is nothing toColonoscopy be nervous about given the safety of the procedure, it can nevertheless be helpful to have a better understanding of colonoscopies. Read below to learn the answers to some common questions, and contact Forest Hills Gastroenterology's New York City office to schedule a colonoscopy with Dr. Azeem Khan!


What is a colonoscopy?

A colonoscopy is typically an outpatient procedure performed by a gastroenterologist in order to examine the interior of the colon. The procedure allows the gastroenterologist to check for any abnormalities along the colon wall and to identify possible signs of colon cancer or other gastrointestinal problems.


Who should have a colonoscopy?

The American Cancer Society recommends that most healthy adults have their first colonoscopy between the ages of 45-50. Individuals with a family history of colon cancer could also benefit from having their first colonoscopy at an earlier age. Patients with Crohn’s disease, ulcerative colitis, or gastrointestinal problems should have their first colonoscopy at an earlier age, as well. If you have concerns, Dr. Khan can also definitively determine if you need a colonoscopy.


How is a colonoscopy performed?

During a colonoscopy procedure at our New York City office, a colonoscope is used to examine the colon. The colonoscope is a thin, flexible tube with a tiny video camera on the end that allows the gastroenterologist to view images of the colon’s interior on a video monitor during the procedure. The colonoscope is gently passed throughout the rectum and into the colon.


How do I prepare for a colonoscopy?

Prior to your colonoscopy, a cleansing routine will be prescribed to help you prepare for the procedure. The cleansing routine can include oral laxatives, a special cleansing solution, and dietary restrictions. Cleansing prior to the procedure helps clean out the colon so that the doctor can better view it’s interior during the colonoscopy.


Does a colonoscopy hurt?

Most patients tolerate colonoscopies quite well and do not experience any significant pain, although some patients do experience minor discomfort. To combat discomfort, sedatives and painkillers are typically used to help patients relax during the procedure.


How long does the procedure take?

Colonoscopy procedures usually take up to one hour to complete. In some cases, the procedure can take a bit longer if polyps are found and removed at the same time. The average length of time it takes to prep, undergo, and recover from a colonoscopy is about three hours total. Most patients return home the same day.

Every adult should have a colonoscopy by age 50, although a gastroenterologist, such as Dr. Khan, can determine if you would benefit from a colonoscopy at an earlier age. To schedule a colonoscopy in New York City with Dr. Khan, contact Forest Hills Gastroenterology at (718) 268-0418.

By Forest Hills Gastroenterology
December 24, 2018
Category: Gastroenterology
Tags: Colonoscopies  

The best way to avoid colon cancer is by visiting your New York City area, gastroenterologist, Dr. UAzeem Khan, for a colonoscopy starting at the age of 50.

Stomach PainMore About Colonoscopy

A colonoscopy is when your doctor examines the lining of your intestines. They check for abnormalities, like polyps, using a thin flexible tube that's inserted into the anus. The instrument allows your doctor to see on a monitor what's in the lining.

A routine visit to your doctor for a colonoscopy is how most people detect cancer during its earliest stages. Board-certified physicians want their patients to schedule an appointment for a colonoscopy, or a flexible sigmoidoscopy, as soon as possible.

Adults aged 50 to 75 are recommended to visit their gastroenterologist on a regular basis, according to the CDC. Colorectal cancer usually begins as a small polyp in the colon.

At first, the polyps aren't cancerous but they may develop cancer over time. If you take the proper precautions of screening and keeping an eye out for symptoms, however, cancer can be treated or prevented.

Colon Cancer

Colon cancer affects thousands of Americans. According to the American Cancer Society's statistics, more than 95,000 people were diagnosed with colon cancer in 2016 alone.

Symptoms aren't always obvious, so keep an eye out for the following:

  • Changes in Bowel Habits: If you are suffering from constipation or diarrhea for more than four weeks, that may be a sign of cancer.
  • Bloody Stool: Hemorrhoids are usually accompanied by blood in stool, but the blood may also be a sign of a more serious condition like cancer.

Need a consultation? Give our New York City Area Office a Call Today!

If you would like more information on colonoscopies and screening procedures, you can contact the doctors at Forest Hills Gastroenterology. If you are in Forest Hills, NY, call your gastroenterologist, Dr. Azeem Khan, to schedule an appointment today! We are proud to serve residents of the New York City area.

By Forest Hills Gastroenterology
October 24, 2018
Category: Gastroenterology
Tags: Colonoscopies  

Find out why a colonoscopy is the best way to observe your intestinal health.

While the health of your colon might not be something you’d discuss with friends at a dinner party, it is important that you do discuss it with our New York City gastroenterologist Dr. Azeem Khan. Remember, you don’t have to be experiencing symptoms to benefit from a colonoscopy. In fact, once you turn 50 years old it’s time to schedule your first colonoscopy. Why?

Well, a colonoscopy is the best way to be able to truly check the health of your colon and rectum. It’s also ideal for detecting the earliest warning signs of colorectal cancer. When caught early on, colorectal cancer can more easily be treated; however, since symptoms often don’t manifest until cancer has spread, often times the only way for our NYC GI doctor to detect cancerous growths within the colon is through a colonoscopy.

Both men and women are susceptible to colorectal cancer, so once you reach 50 years old it’s time to schedule an appointment with us. While some people may feel a little nervous about their first colonoscopy, there is really nothing to worry about. You will be placed under conscious sedation so most patients fall asleep during the procedure and don’t remember a thing. A colonoscopy usually takes about 30 minutes.

Once the sedation has taken effect, we will guide the scope through your rectum and into the colon so we can examine the lining through the camera at the end of the scope. If we do find cancerous or precancerous polyps during your colonoscopy we can also remove them during your procedure. This is a quick, easy outpatient procedure.

Of course, a colonoscopy may also be required if you are experiencing gastrointestinal symptoms such as:

  • Recurrent or severe diarrhea or constipation
  • Changes in bowel habits
  • Abdominal pain
  • Unexpected weight loss
  • Blood in the stool

If you have risk factors that could increase your chances of getting colorectal cancer you may also want to talk to our New York City gastroenterologist about whether you should be screened before 50 years old.

If it’s time to schedule your first colonoscopy or you are experiencing gastrointestinal problems that aren’t going away don’t hesitate to contact the GI experts at Forest Hills Gastroenterology in Forest Hills, NY.

By Forest Hills Gastroenterology
August 24, 2018
Category: Gastroenterology

Orbera Weight Loss ResultsTheoretically, losing weight should be as simple as eating right and exercising. However, for many people, those last few stubborn pounds sometimes seem as though they will never go away. Luckily, your gastroenterologist can help you lose the weight you want with Orbera, a new and effective weight loss procedure. Find out more about Orbera and what it can do for you with Dr. Azeem Khan at Forest Hills Gastroenterology in Forest Hills, NY.

What is Orbera? 
Orbera is a non-surgical weight loss treatment which can help you maintain a healthy lifestyle to reach your goal weight. Unlike other weight loss treatment options, Orbera uses a balloon placed inside the stomach to minimize the amount of space inside, allowing you to feel fuller faster and eat less to feel satisfied. The balloon remains in the stomach for six months, allowing you to easier control your portion sizes and learn how to maintain a healthy diet while your body adapts to the new changes.

Am I a candidate for Orbera? 
A good candidate for Orbera wants to change their lifestyle to maintain their goal weight and understands that the treatment only gets them started, but they must keep the weight off themselves after the removal of the balloon. Additionally, good candidates should be adults with a body mass index (BMI) of 30-40. Your doctor can help you weigh the pros and cons of this procedure and ensure that it is the best weight loss treatment for you and your body.

What can I expect from Orbera? 
Orbera consists of a balloon which your doctor inserts through the mouth while deflated via an endoscopic procedure. Once inside the stomach, your doctor fills the balloon with a saline solution to inflate it. The balloon then takes up about as much room as a grapefruit and moves within the stomach. The Orbera experience also includes a support team which may consist of your doctor, a dietician, and a mental health care professional to ensure that your lifestyle changes along with your weight in order to maintain your goals.

Orbera Weight Loss Balloon in Forest Hills, NY
For more information on Orbera, please contact Dr. Khan at Forest Hills Gastroenterology in Forest Hills, NY. Call (718) 459-8460 to schedule your appointment for an Orbera consultation today!

By Forest Hills Gastroenterology
July 23, 2018
Category: Gastroenterology
Tags: weight loss   Orbera  

What your gastroenterologist in Forest Hills and New York City wants you to knowweight loss

Trying to lose excess weight can be difficult and frustrating. If you’ve tried dieting, and exercise doesn’t seem to help, it’s time to think differently about weight loss. It’s time to discover the benefits of the non-surgical weight loss balloon system from Orbera.

Dr. Azeem Khan at Forest Hills Gastroenterology wants to share the facts about this revolutionary method of weight loss. He proudly serves residents of Forest Hills and New York City, NY, and he can help you too.

The Orbera balloon system for weight loss uses a deflated balloon, which is inserted into your stomach and filled with saline solution. This makes you feel full, so that you eat less, consuming fewer calories. At the end of 6 months, the balloon is deflated and removed from your stomach.

There are many reasons why people choose Orbera compared to other weight loss methods. When you choose Orbera, you can count on:

  • Rapid treatment, because the procedure only takes about 20-30 minutes
  • Quick results, because the balloon is only in place for 6 months
  • Cost savings, because there is no hospital stay required with Orbera
  • Comfortable treatment, because Orbera treatment is performed with only a mild sedative
  • Continuous support, because you will be seen by a professional dietician throughout treatment

Orbera treatment is recommended if you are an adult and have a BMI of 30 to 40. You also have to be able to participate in a medically supervised program of weight loss.

Orbera is a safe way to lose excess weight. Over the last 20 years, thousands of people have lost weight. Orbera is FDA approved, safe and effective, and has been used in over 80 countries worldwide.

To view informative videos and find out more about Orbera, please visit the Orbera page on the Forest Hills Gastroenterology website at http://www.foresthillsgastroenterology.com/orbera.html

Weight loss can be challenging, but now there is safe, effective help to lose weight and regain your health. You don’t need to count on diet and exercise alone. Get some help from your gastroenterologist by calling Dr. Khan at Forest Hills Gastroenterology, serving residents of Forest Hills and New York City, NY. Call now!

By Forest Hills Gastroenterology
May 08, 2018
Category: Gastroenterology
Tags: weight loss   Gastric Balloon   Orbera  

If you are having trouble losing weight, find out how this non-surgical solution might help.gastric balloon

Losing weight isn’t always as easy as it might seem. Perhaps you’ve tried everything from the keto diet to intermittent fasting. Maybe you feel like your second home is the gym and yet you still aren’t seeing the results you want. Our Forest Hills and New York City, NY, area gastroenterologist understands how frustrating it can be to work so hard and still feel disappointed with the lack of results; however, here at Forest Hills Gastroenterology we offer an effective non-surgical way to lose that stubborn fat.

What is Orbera?

One issue many people have when it comes to their diet is portion control. Many people confuse boredom or thirst for hunger. Sometimes you may eat so quickly that you don’t realize you were actually full halfway through. These are issues that over time can lead to the excess weight you don’t want. Luckily, the Orbera balloon system can help you from overeating.

This silicone balloon is temporarily inflated within the stomach where it will greatly reduce how much food you can consume before feeling full. According to Orbera’s official site, this weight loss balloon has been able to help patients lose up to 3 times the weight as compared to diet and exercise alone.

What should I expect from the procedure?

What makes this procedure ideal is that it doesn’t require incisions, stitches, or surgery. Prior to balloon placement, our Forest Hills and New York City gastrointestinal doctor will need to perform an endoscopy to check the health of the esophagus and stomach and make sure there are no issues that could affect getting the Orbera system.

Once we’ve deemed you an ideal candidate we will carefully guide the deflated gastric balloon down the esophagus until we reach the stomach. We will then fill the balloon with saline solution. Once the balloon has been fully inflated, we will remove the endoscope. The procedure only takes about 30 minutes to complete.

When is Orbera removed?

This balloon system will eventually need to be removed after about six months. During those six months, you should notice a significant change in your diet, eating habits, and weight. Of course, it’s also important that this system is used as a tool to help you reach your goal. You should still be eating a healthy, balanced diet, exercising regularly, and leading a healthy lifestyle. Even once the gastric balloon has been removed you’ll want to maintain the same habits you adopted while you had the Orbera balloon system.

If you are ready to get the body you want before summer hits then the gastroenterology team at Forest Hills Gastroenterology in Forest Hills and New York City, NY, is ready to help. Schedule your free consultation with us today.

By Forest Hills Gastroenterology
February 22, 2018
Category: Gastroenterology
Tags: Colonoscopy  

Find out why everyone should get routine colonoscopies once they reach 50 years old.colonoscopy

While no one wants to believe that colorectal cancer can happen to them, colorectal cancer is the third most diagnosed cancer in both men and women in the US; however, there is good news! We’ve seen a decrease in mortality rates over the last few decades and this might be due to an increase in patient education, as well as an increase in people turning to screening tests like colonoscopies for early detection.

Our Forest Hills and New York City, NY, area gastroenterologist, Dr. Azeem Khan, is here to tell you more about this procedure and why it’s performed.

What is a colonoscopy?

As you can probably imagine, it’s rather difficult to be able to know what’s going on inside the body without being able to see it for yourself. Luckily, doctors have a lot of medical tools and advanced technologies to help them safely see every organ of the body for diagnostic and treatment purposes. A colonoscopy is no different. This small flexible tube is inserted into the rectum and guided through the lower intestines to check the health of the colon and rectum.

Why is a colonoscopy performed?

A colonoscopy is a great screening, diagnostic and even treatment tool for our Forest Hills and New York City GI doctor. This in-office procedure can help us determine the cause of rectal bleeding, changes in bowel movement, unexplained weight loss or even abdominal pain.

A colonoscopy is also a common screening tool to detect early signs of colorectal cancer. In fact, it is the most effective screening tool at our disposal and it’s important that every man and woman, no matter their risk factors, receive routine colonoscopies by the time they turn 50 years old.

What are the risk factors associated with colorectal cancer?

Risk factors for colorectal cancer include:

  • Age (most people diagnosed with colorectal cancer are over 50 years old)
  • Being diagnosed with inflammatory bowel disease (IBD)
  • A family history of colorectal cancer or colorectal polyps
  • A sedentary lifestyle
  • A diet high in processed, fatty foods and low in fiber
  • Tobacco usage
  • Heavy alcohol use

How often should I get a routine colonoscopy?

If you just turned 50 years old, this is the right time to schedule your first colonoscopy. If results come back normal then you won’t need another colonoscopy for about 10 years, unless you are at an increased risk for developing colorectal cancer. If we find a colon polyp then you may need to have a colonoscopy every five years.

Whether you just turned 50 years old or you are dealing with gastrointestinal symptoms that are concerning to you, the expert at Forest Hills Gastroenterology in Forest Hills, NY and serving the New York City area is always here to help. Call our office today and let us know what’s going on. We would be happy to get you the next available appointment.

By Forest Hills Gastroenterology
December 06, 2017
Category: Gastroenterology

Trying to lose weight can be a frustrating experience. Sometimes, it's difficult to drop those extra pounds even if you follow a low-calorie weight lossdiet and exercise regularly in New York City parks. If you're worried about the effects of obesity on your health, but have been unsuccessful in losing weight, you may benefit from a weight loss balloon. Dr. Azeem Khan, of Forest Hills Gastroenterology in Forest Hills and Hollis, NY, explains how weight loss balloons work.

What are weight loss balloons?

Weight loss balloons are placed in your stomach, reducing the amount of space that can hold food. As a result, you'll feel fuller faster and will be much less likely to overeat.

Does placing the weight loss balloon require surgery?

Unlike other weight loss interventions, there's no surgery involved if you choose to shed extra pounds with weight loss balloons. A small deflated balloon attached to the end of an endoscope is passed through your esophagus into your stomach at the beginning of the procedure. Once the balloon is in place, it's filled with saline. Filled balloons are about as big as grapefruits. Depending on your weight loss goals, one or two balloons may be placed in your stomach.

Will the weight loss balloons remain in place permanently?

Weight loss balloons are a temporary measure that can help you learn better portion control. They're left in place for six months, then removed during another endoscopic procedure. Although weight loss balloons naturally make you feel less hungry, you may still need a little help to change the way you think about food and portion sizes.

During the period that the balloons are in your stomach, and even after they're removed, you'll receive information about the best foods to eats to maintain a healthy weight, realistic portion sizes and effective exercises. Thanks to the support you get from the team in the New York City area, you'll be able to make good choices about foods long after your balloons have been removed.

If you live in the New York City area and are looking for a safe, effective way to lose weight, make an appointment with Forest Hills Gastroenterology. Call Dr. Azeem Khan at (718) 268-0418 to schedule a visit in the Forest Hills, NY, office or (718) 206-2505 to make an appointment for the Hollis, NY, office.

By Forest Hills Gastroenterology
October 03, 2017
Category: Gastroenterology
Tags: Colonoscopy  

Colonoscopies offer an important way to protect your gastrointestinal health. New York City, NY, gastroenterologist Dr. Azeem Khan of colonoscopyForest Hills Gastroenterology discusses the test and explains what doctors look for during a colonoscopy.

What is a colonoscopy?

Colonoscopy offers a minimally invasive way to examine the lining of your colon. During the procedure, a thin probe called a colonoscope is passed into your colon and the lower part of your small intestine via your anus. The lighted colonoscope contains a miniaturized fiber optic camera that transmits images of the lining of your colon to a digital screen. As your gastroenterologist passes the scope through your colon, he'll be able to see every inch of the lining on the screen.

What problems can be detected during a colonoscopy?

Colonoscopy is often used to:

  • Screen for Colon Cancer: More than 135,000 people in the U.S. are expected to be diagnosed this year with colon cancer, the fourth most common type of cancer, according to the National Cancer Institute. Because your risk of colon cancer rises as you grow older, initial colonoscopies are recommended for both men and women at age 50. If the initial colonoscopy doesn't reveal cancer or other health issues, you probably won't need another colonoscopy for 10 years. During the test, your gastroenterologist looks for polyps, lesions, bleeding or other signs that could indicate that you have cancer.
  • Remove Polyps: Polyps, small growths that form in the lining of the colon, can be benign, pre-cancerous or cancerous. The only way to tell if a polyp is cancerous is to remove it during a colonoscopy and send it to a laboratory for analysis. Polyp removal can be done during your colonoscopy and involves inserting a small instrument into your anus and colon.
  • Diagnose Diseases and Conditions: A colonoscopy can be a valuable diagnostic tool if you have chronic diarrhea or constipation, abdominal pain, unexplained weight loss, rectal bleeding, changes in bowel movements or bleeding. The procedure can help your gastroenterologist determine the cause of your symptoms. In some cases, problems can even be treated during a New York City colonoscopy. For example, bleeding can be treated with injected medications or tools that seal off leaking blood vessels with heat.

Protect your gastrointestinal health with a colonoscopy. Call New York City, NY, gastroenterologist Dr. Azeem Khan of Forest Hills Gastroenterology at (718) 268-0418 to schedule an appointment.

By Forest Hills Gastroenterology
August 14, 2017
Category: Gastroenterology
Tags: weight loss   Orbera  

Achieving a healthy weight can be a struggle, especially when you're having trouble regulating your portions. At Forest Hills orbera, weight lossGastroenterology in New York City, Dr. Azeem Khan offers Orbera, a revolutionary weight loss management system to his patients who have experienced difficulty on their weight loss journey. Learn more about this non-surgical, low-maintenance weight loss program that may be exactly what you need!

What is Orbera?

Orbera is an amazing new way to keep your meal portions in check. It is a silicone balloon that stays in your stomach and helps you feel fuller for longer durations, so you can reduce the size of your food intake and develop healthy eating habits. Unlike gastric bypass, Orbera is non-surgical, so there's no heavy sedation and no downtime after the procedure at your gastroenterologist's office.

How is Orbera placed?

Your Orbera treatment will start with your New York City gastroenterologist, Dr. Khan, placing the deflated balloon in your stomach through your esophagus in an endoscopic procedure (for which you will be mildly sedated). The balloon is then filled with a saline solution, inflating it to approximately the size of a grapefruit. After the sedative has worn off, your procedure is finished! You will continue to work with the staff at Forest Hills Gastroenterology to monitor your dietary and weight loss progress over a period of 12 months, at which time the balloon will be removed and you can maintain your new eating habits.

Who is a candidate for Orbera?

Adults who have a BMI - Body Mass Index - of 30 to 40 are typically excellent candidates for Orbera. Your gastroenterologist will perform a thorough examination to determine if it will work for you.

If you're ready to see real results from a safe and easy weight loss system, it's time to contact Forest Hills Gastroenterology in New York City to schedule a consultation with Dr. Khan.

By Forest Hills Gastroenterology
June 16, 2017
Category: Gastroenterology

Find out if a gastric balloon is the best way to help you lose weight.gastric balloon

No matter what diet you try or exercise regimen you take on, you are still finding it nearly impossible to lose the weight and keep it off. Despite your best efforts, sometimes you just need a little extra help to lose weight, and that’s okay. Of course, there are so many weight loss strategies to consider that it can sometimes be difficult to know which one is the best choice. Our New York City gastroenterologist, Dr. Azeem Khan, provides a little more information about what goes into getting a gastric balloon to help you decide whether it could meet your weight loss goals.

What is involved in getting a gastric balloon?

This non-surgical procedure is always performed while under the effects of sedation so you won’t feel anything. During this procedure, we will use an endoscope— a thin flexible tube—to guide a balloon down the esophagus into the stomach. Once inside the stomach, our NYC doctor will fill the balloon with saline. Once the balloon is full of the solution, we will remove the endoscope. This procedure takes around 30 minutes and you’ll be able to leave the office after it’s complete. The average recovery time is usually about three days.

What are the benefits of getting the gastric balloon?

When you have the gastric balloon you will notice that you feel full more quickly. Because of this, many patients report losing a significant amount of weight in the first six months after the procedure. Those who’ve experienced significant weight loss have also reported an improvement in conditions such as diabetes, as well as musculoskeletal and joint problems.

Does the gastric balloon have to be removed?

After having the balloon for six months, it will be removed. After that, we will provide you with a diet plan to follow to make sure that you continue to stick to your goals after having the gastric balloon. Having these regular one-on-one sessions with us is very important, as it can continue to help keep you motivated and focused on your weight loss.

If you are interested in this weight loss procedure, then it’s time to find out if you are the ideal candidate for treatment. Call Forest Hills Gastroenterology in NYC today to book your consultation. Let’s start your weight loss journey together.

By Forest Hills Gastroenterology
April 10, 2017
Category: Gastroenterology
Tags: Colonoscopy  

Find out if everyone, at some point in time, should get a colonoscopy.colonoscopy

While discussing who has had a colonoscopy probably won’t be the opener at your next cocktail party, it’s still an important part of your health that you should consider (even if you don’t want to discuss it publicly). It might be time to visit our NYC area, board-certified gastroenterologist Dr. Azeem Khan for a colonoscopy if:

  • You are a man or woman over the age of 50
  • You have a personal or family history of colorectal cancer or colorectal polyps
  • You are a smoker or heavy drinker
  • You have Crohn’s disease, colitis or other inflammatory bowel disorders
  • You are obese
  • You are dealing with rectal bleeding

Why should I get a colonoscopy?

This is the easiest and most reliable way to check for signs of colorectal cancer. While there are other procedures such as a flexible sigmoidoscopy that could be used, no other test has been proven to be as accurate for detecting colon cancer than a colonoscopy. Of course, if other tests suggest that you might have colorectal cancer or precancerous polyps, then a colonoscopy will need to be performed.

What does a colonoscopy entail?

During the procedure, our NYC area GI doctor carefully and gently places a thin, flexible tube with a camera at the end into the rectum. As the scope is slowly guided through the lower intestines, this camera will help our doctor see every area of the colon to check for polyps or other signs of cancer. A colonoscopy is typically performed under IV sedation, where you are asleep but able to still fully breathe on your own. Most patients don’t even remember their procedure when they wake up.

If polyps are found during the colonoscopy they can easily be removed and sent away for testing. We may also biopsy certain suspicious areas, if necessary. In most instances, a colonoscopy only takes about 30 to 45 minutes, depending on whether polyps need to be removed or not. If everything comes back normal and you don’t have any risk factors then you may not need to get another test for 10 years.

Forest Hills Gastroenterology in the New York City area is dedicated to providing everything from routine to diagnostic gastrointestinal services to meet your ever-changing needs. If you need to schedule your colonoscopy or if you have questions about symptoms you are experiencing, don’t hesitate to call us today.

By Forest Hills Gastroenterology
February 03, 2017
Category: Gastroenterology

If you are having problems losing weight, then a weight loss balloon might be able to help. Severely overweight individuals who have weight lossbeen unable to lose weight on their own can finally lose weight with the help of a weight loss balloon. In Forest Hills, NY, also serving New York City, the weight loss balloon is placed in the stomach by a gastroenterologist through a nonsurgical procedure. The balloon helps patients feel full sooner so they eat less. At Forest Hills Gastroenterology, Dr. Azeem Khan or Dr. Samantha Nazareth can help you decide if the weight loss balloon is right for you.

How Weight Loss Balloons Work

Weight loss balloons work to help patients lose weight by taking up space in the stomach. Since the balloon takes up part of the stomach, there is less room for food. The result is that patients with weight loss balloons feel full much more quickly when eating than they did before getting the balloon. Ultimately, patients end up eating less and are typically able to lose a moderate amount of weight in a relatively short period of time. Once the balloon is removed, weight loss can continue for patients who exercise and maintain a healthy diet.

Using a nonsurgical procedure, a gastroenterologist places the weight loss balloon into the stomach using an endoscope. The deflated balloon is attached to the endoscope and gently passed through the mouth. Once inside the stomach, the balloon is inflated and filled with either a saline solution or a gas. In some cases, two balloons are placed in the stomach simultaneously. Your New York City gastroenterologist, in Forest Hills, NY, believes weight loss balloons are only intended as a temporary weight loss aid and should be removed by the gastroenterologist within six months.

If you are having problems losing weight, a temporary weight loss balloon could be the solution. A gastroenterologist can help determine if one is right for you. In Forest Hills, the weight loss balloon procedure can be performed by the gastroenterologists at Forest Hills Gastroenterology, serving the New York City area. Call (718) 268-0418 to schedule a consultation with Dr. Khan or Dr. Nazareth.

By Forest Hills Gastroenterology
December 16, 2016
Category: Gastroenterology
Tags: Colonoscopy  

A colonoscopy helps find colon polyps, tumors, ulcers and areas of inflammation or bleeding. Dr. Samantha Nazareth and Dr. Azeem colonoscopyKhan at Forest Hills Gastroenterology, located in Forest Hills, NY, and serving the New York City area, offer appointments for colonoscopy services. Read on to find out when you should have a colonoscopy.

1. You are 50 years old or older.
Individuals who are at average risk for colon cancer should have a colonoscopy at the age of 50. Over 95 percent of all colon cancer deaths occur after age 50. Colonoscopy is an exam that uses a long tube with a camera and light to look inside your colon and rectum.

2. Colon cancer runs in your family.
You should get your colonoscopy if you have colon cancer in your family history. A colonoscopy allows your doctor in the New York City area to search for polyps, cancer or other diseases. Colon cancer starts in either the rectum or the colon. Symptoms of colon cancer include stomach pain, rectal bleeding, weight loss, weakness and low red blood cells. A colonoscopy can diagnose cancer before the symptoms start.

3. You have health insurance.
Once an individual reaches 50 years old, most colonoscopies are covered with no copayment or co-insurance under the Patient Protection and Affordable Care Act. Remember that prevention is better than a cure. There are no financial implications, so there's no reason why everyone should not have one.

4. You want to live a long life. 
Colon cancer is the second leading cause of cancer death in the United States. The good news is that with a regular screening, the cancer is almost completely preventable. According to a recent study, colonoscopies can reduce the risk of dying from colon cancer by about 53 percent.

Don't take risks with your health. Your health is your most valuable possession. To schedule a colonoscopy appointment, call Forest Hills Gastroenterology in Forest Hills, NY, serving the New York City area at (718) 268-0418 today. A simple colonoscopy could save your life!

By Forest Hills Gastroenterology
August 24, 2016
Category: Gastroenterology
Tags: Endoscopy  

Boy with stomach painEndoscopy

An endoscopy is a nonsurgical procedure in which a gastroenterologist uses a device with a light attached to it for examining inside the human body. An endoscopy requires the use of an endoscope, which is used for different types of exams, including the following list (titled according to the area of the body):

  • Arthroscope – looks within the joints
  • Bronchoscope – looks within the airways and lungs
  • Cystoscope – looks inside the bladder
  • Laparoscope – looks inside the appendix, abdominal organs and ovaries

To examine the digestive tract, a gastroenterologist will use a gastrointestinal endoscope.

How does an endoscopy work?

According to MedlinePlus, an endoscope is passed through a natural body opening or small cut. Getting inside the digestive tract requires a gastroenterologist to pass the endoscope through the mouth or anus.

When should a patient get an endoscopy?

A doctor may recommend an endoscopy when a patient complains of the following symptoms:

  • Difficulty swallowing
  • Stomach pain
  • Constipation
  • Diarrhea

There may be other variables as well that will determine whether a endoscopy is needed.

How does a patient prepare for an endoscopy?

It depends on what the gastroenterologist is looking for. Typically, a patient may be instructed not to eat or drink before the procedure. Laxatives may also be used to help clear out the large intestine.

Preparation may vary depending on what the endoscopy is for. In some cases, a doctor may need to attach a small instrument to the endoscope for the ability to extract samples of abnormal tissues. An endoscope can also be paired with an ultrasound probe, which is formally called an endoscopic ultrasound.