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Fish contains less fat than meat | GI North

Salmon is a good source of protein and contains heart-healthy omega-3’s and less fat than meat.

Protein is a prerequisite for optimum health. You need it to maintain healthy bones, muscle and blood. Rendering the University of Maryland Medical Center (UMMC), proteins are even more important during puberty, childhood and pregnancy. But how much protein does the average person require in order to stay healthy?

Many experts agree that the recommended dietary allowance (RDA) of proteins is in direct correlation with age and gender. It also depends upon certain life stages such as puberty. In addition, some specialists believe that a higher-protein diet may help you maintain a healthy weight and also support strong muscles with aging. However, some researchers suggest that too many proteins may cause weight gain, intestinal irritation, increased liver enzymes and other health issues. Unquestionably, most experts agree that selecting the right type of proteins is vital to health.

For instance, a diet high in red meat can be detrimental to your health and lead to certain problems like cancer. A great write-up on the subject: Red Meat and Colorectal Cancer: Understanding the Relationship

Composition and Recommendations

Proteins consist of amino acids. Essential amino acids are the amino acids your body cannot make itself. There are 20 different amino acids in the food you eat. But your body can only make 11 amino acids. The nine essential amino acids must be obtained from the diet. Therefore, it is imperative that your diet contain the proper amounts of complete proteins. In fact, 10 and 35 percent of your daily calories should come from high quality proteins.

RDA Recommendations

The RDA for children varies with age and certain life changes:

  • Ages 1 to 3 years – 13 grams
  • Ages 4 to 8 years – 19 grams
  • Ages 9 to 13 years – 34 grams
  • Girls ages 14 to 18 – 46 grams
  • Boys ages 14 to 18 – 52 grams


As well, the RDA for adults can vary with age:

  • Adult women ages 19 to 70+ years – 46 grams
  • Adult men ages 19 to 70+ years – 56 grams

Good Sources of Proteins

The type of proteins you eat plays a big factor in your overall health. As research suggests, consuming large qualities of processed meats like sausages and deli meats have been linked to the increase of cardiovascular disease, colorectal cancer and type 2 diabetes. For a healthy diet, you should limit your consumption of red meat and avoid processed meats completely. Best protein sources include the following:

  • Fish: Contains heart-healthy omega-3’s and less fat than meat
  • Poultry: High in protein. Reduce most of the saturated fat by removing skin.
  • Nuts: One ounce of walnuts has 7 grams of protein. This is almost as much protein as one ounce of broiled rib eye steak.
  • Legumes: High in protein and fiber to help keep you full for hours.
  • Whole grains: One slice of whole wheat bread contains 3 grams of protein, plus valuable fiber.

A Healthier Approach

If you often feel tired even with the daily recommended amounts of proteins, there may be an imbalance in your system such as a digestive disorder or other issues. If you have any concerns or worries, it is best to visit a gastroenterologist.

For a healthier approach to your dietary needs visit GI North located in Cumming, GA. At GI North, gastroenterologist Simon R. Cofrancesco, M.D. and Sergio Quijano, M.D. have extensive knowledge and experience in treating diseases of the digestive system. In addition, Dr. Quijano is fluent in Spanish. GI North also services the surrounding areas Alpharetta, Roswell, Canton, and Suwanee.

© 2015 GI North Gastroenterology Services. All rights reserved.

photo of a family eating a Thanksgiving meal

With a little preparation Thanksgiving and other holiday meals can be enjoyed by most people that suffer from Irritable Bowel Syndrome (IBS).

IBS, which is short for Irritable Bowel Syndrome, causes thousands of Americans discomfort when using the bathroom. Since it is a gastrointestinal condition, your diet and eating habits play a huge role in either causing or preventing IBS flare-ups.

Your Diet and IBS

No one likes to have their diet restricted. If you suffer from IBS, then unfortunately you don’t have much of a choice. There are certain types of food that will irritate your condition, and you should work on eliminating them completely. Here are a few examples.

1. Gluten

Gluten is a type of protein found in grains. It was always know that celiac disease was an allergy to gluten, but scientists have only recently began to understand the widespread prevalence of gluten sensitivity among the American public.

Luckily, the food market has responded in kind with a plethora of gluten-free alternatives to popular products.

2. Fruit and vegetable skins

Now don’t stop eating your fruits and veggies, but you may want to peel them if you suffer from IBS. The insoluble fiber in the skins of fruits and vegetables can cause mayhem in the digestive tract.

3. Caffeine

Caffeine is a diuretic, which means that it makes you go to the bathroom. If going to the bathroom is causing you discomfort, then it’s only logical to cut back on everything that makes you go to the bathroom.

4. Spicy and Fried Foods

The reason you have to give up spicy and fried foods is the same reason you have to give up caffeine: they make you go to the bathroom. Try to keep the fried and spicy foods to a special occasion rather than a daily or weekly occurrence.

5. Dairy

IBS is similar to lactose intolerance in that dairy of all kinds acts as a trigger. When it comes to milk, there are plenty of alternatives. Almond milk and soy milk are two choices that taste great and give you plenty of nutrients.

Eating Habits and IBS

When it comes to IBS flare-ups, how you eat can matter just as much as what you eat. Here are a couple of eating habits you can use to minimize flare-ups.

1. Don’t eat right before bed

Eating before bed causes your digestive system to be active while you’re horizontal and sedentary. This works against how the system is designed to work, which is simply asking for discomfort in the middle of the night.

2. Plan your meals ahead of time

Take time every Sunday to plan your meals for the week. Often times, the fried food we eat comes from a fast-food restaurant on the days we don’t feel like preparing a meal. Having a plan will keep you from giving into these impulses and will keep your digestive system in check.

Are you located in the Cumming, GA area and suffering from IBS? Schedule an appointment at GI North with Dr. Cofrancesco or Dr. Quijano to discuss treatment options. They service patients in Alpharetta, Roswell, Canton, and Suwanee, and Dr. Quijano is fluent in Spanish. By going to GI North you will get on a track that will calm your bowels and give you the comfort you deserve.

© 2015 GI North Gastroenterology Services. All rights reserved.

photo of red meat | GI NorthAn international panel of experts convention organized by the World Health Organization (WHO) concluded on October 26th, 2015 stated that consumption of processed meat such as bacon, hotdogs, and ham increases the risk of colon cancer and that eating other red meats “probably” increases this risk as well. This panel did not provide any specific guidelines on the consumption of red meat. However, its conclusions support recommendations given by other scientific organizations such as the dietary guidelines advisory committee that has for long discouraged the consumption of red and processed meat. This report may also influence other health organizations such as the European Food Safety Commission.

Nonetheless, the conclusions of this panel sparked strong responses, with remarkable resistance from meat industries, while some environmental groups asked that labels be placed on meat. But, what component in these foods can lead to cancer? The staffs at GI North would like to let you know that many studies have been carried out on this subject.

Burnt or Charred Meat?

There is a common notion that burnt or charred food, especially meat, can cause colorectal cancer (CRC). Some evidence points to this end. However, there are some possible explanations why this is not the major factor. The chemicals produced when red and white meat is burnt are the same, but white meat is not associated with bowel cancer. There are great variations in the way meat is prepared around the world. But, the link between red meat is somehow universal. Again, although the chemicals involved in charring meat are known to cause DNA damage in the lab, this cannot be proof of carcinogenicity in the real world.

Fat

The link between being overweight and developing colon cancer is well known. But, there is a big variation between being fat and eating fat. Overweight people are more susceptible to certain kinds of cancer, including CRC. But studies show that people who eat less fat, rather than “skinny” people, have a reduced CRC risk. In fact, a Swedish study showed that women who ate the highest quantity of fatty foods had lower CRC risk regardless of their weight. Thus, it is unlikely for the fat contained in the red meat to cause CRC.

Nitrite and Nitrate Preservatives

Proof suggests that processed meats such as pate, ham, sausages, and bacon, and tinned meat such as Spam are more strongly associated with CRC than red meat. Processed foods often have nitrogen-based preservatives to prevent them from spoilage during transport and storage. This evidence is patchy, but cannot be ruled out completely. A 2006 study in Sweden showed that women who consumed high levels of foods containing nitro-based preservatives had higher rates of CRC.

Haem

Haem is the pigment contained in hemoglobin, the protein that transports oxygen around our bodies and makes our blood red. It is also responsible for making red meat “red.” Scientists found that haem is broken down in the gut to form N-nitroso compounds. These have been shown to cause damage to the DNA of cells in the digestive system lining. And the damage to the DNA is the first step towards cancer. A complication then occurs; when the gut lining senses damage, it signals to the existing cells to divide faster to facilitate the production of new cells. This expedited cell division may also increase the risk of developing cancer because, as the cell divides, it has an increased risk of making a copy error in its DNA.

Considering all the evidence, it seems the haem breakdown is responsible for the increased risk for CRC in red meat eaters. This is the main reason many scientific and health organizations discourage people from eating excess amounts of red meat. If you suspect that you are suffering from colorectal cancer, or have any complications in your gastrointestinal system, consult the specialists at GI North where Dr. Cofrancesco and Dr. Quijano will attend to you. GI North serves the residents of Cumming, GA area as well as Alpharetta, Roswell, Canton, and Suwanee. Dr. Quijano also speaks fluent Spanish, and will be of great benefit to all the Spanish-speaking patients in these areas.

© 2015 GI North Gastroenterology Services. All rights reserved.

photo of a calendar with a colonoscopy appointment on it

If you have colorectal cancer in your family, getting a colonoscopy done at the recommended ages is the key to an early diagnosis and getting proper treatment.

5 to 10 percent of all colorectal cancer cases are triggered by a heritable mutation (genetic alteration that can be passed on from a parent to the child). There are two major subtypes of hereditary colon cancer:

• Familial adenomatous polyposis (FAP)
• Lynch syndrome, commonly referred to as hereditary nonpolyposis colorectal cancer (HNPCC)

Besides, some rare conditions such as attenuated familial adenomatous polyposis (AFAP) and MUTYH-associated polyposis have been linked to an inherited risk of colorectal cancer. Also, there are other additional and unusual hereditary colorectal cancer causes that your physician will discuss with you if your family or personal history indicates that these symptoms might be present.

Some families have a strong history of colorectal cancer though no known mutations have been detected. Scientists don’t understand whether the susceptibility of these families to disease occurs randomly, or due to hereditary mutations that are yet to be identified.

Types of Hereditary Colorectal Cancer

The following are the different types of hereditary colon cancer.

1. Lynch Syndrome

Lynch Syndrome, also known as HNPCC, accounts for 2-3 percent of all diagnosed cases of colorectal cancer. Patients with this condition have an 80 percent risk of developing colorectal cancer as well as certain other types of cancer including tumors of the urinary tract, small intestines, pancreas, stomach, biliary system, ovary, and uterus.

Families with Lynch syndrome usually have:

• Three or more related members of the family diagnosed with colon cancer
• Affected members of the family in two or more generations
• At least one family member diagnosed with colorectal cancer before the age of 50

The mutations causing Lynch syndrome occur in the genes that take part in the DNA mismatch repair (a process that helps a cell to correct errors in the genetic code). These errors may arise randomly during cell division, or when the DNA is damaged. These mutations may trigger the accumulation of DNA errors in the cells, causing an increased risk of cancer.

2. Familial Adenomatous Polyposis

Familial adenomatous polyposis is rare, and it contributes to less than one percent of colorectal cancer. It is characterized by polyposis (the production of thousands of polyps in the colon) usually at a young age. Most often, untreated FAP causes the development of colorectal cancer at around the age of 40. In some cases, FAP can cause the development of stomach cancer or polyps in the upper gastrointestinal tract. Individuals diagnosed with FAP are strongly advised to seek medical help at specialized treatment centers such as GI North. A mutation in a gene called APC is responsible for FAP. People with the APC mutation have a 50 percent risk of passing this mutation on to a child.

3. Attenuated Familial Adenomatous Polyposis

Attenuated adenomatous polyposis (AFAP) is a milder form of FAP. People suffering from AFAP develop fewer polyps, usually between 30 and 100. If left untreated, AFAP can cause colorectal cancer by the time the individual reaches the age of 55. It can also cause stomach cancer or polyps in the upper gastrointestinal tract.

4. MUTYH-Associated Polyps

Researchers have discovered that mutations in a gene known as MUTYH may cause polyps that resemble those seen in AFAP. This condition is referred to as MUTYH-associated polyposis (MAP). It can be passed on from a parent to a child in an autosomal recessive manner. That is, a person needs to inherit two mutated genes —one from each parent— to produce cancer.

Genetic Testing for Colon Cancer

Several genetic tests can determine whether an individual has a genetic mutation that predisposes him or her to colon cancer. They include tests for MUTYH, MLH1, PMS2, MSH2, APC, and MSH6.

If you have a family history of colon cancer, you are highly encouraged to speak with a colonoscopy expert at GI North. Dr. Quijano and Dr. Cofrancesco serve the residents of Cumming, GA, as well as the surrounding areas of Canton, Roswell, Suwanee, Johns Creek, Dawsonville, and Alpharetta. Dr. Quijano also speaks fluent Spanish, and this is of great benefit to all Spanish-speaking people visiting GI North. Give GI North a call today at (404) 446-0600 for more information or to make an appointment.

© 2015 GI North Gastroenterology Services. All rights reserved.

digaram explaining what gastroenterology is | GI NorthAmong the seemingly endless medical specialties, gastroenterology may sound like just another long, confusing name. If referred to a gastroenterologist, there’s no need to be in the dark. Learn what it takes to become a gastroenterologist, what conditions they treat and procedures they perform, and why a patient might be referred to one.

Requirements

In order to become a specialist in gastroenterology, a lot of study and preparation is required. Requirements include:

  • A bachelor’s degree, often in a scientific field.
  • Attendance at a medical school, which includes study, instruction, and clinical rotations in most specialties
  • Achieving a license to practice medicine
  • Certification from the American Board of Internal Medicine

Optionally:

  • A fellowship in gastroenterology
  • Certification from the American Board of Colon and Rectal Surgery(1)


These qualifications require many years, a lot of money, and a desire to help heal.

The Field of Gastroenterology

Gastroenterology involves treating conditions of the esophagus, stomach, small intestine, colon, rectum, pancreas, gall bladder, bile ducts, and liver.(2) While that may seem like a lot of body parts, they all relate to the digestive system.

Conditions Treated and Procedures Performed

Common conditions like heartburn, irritable bowel syndrome, gall stones, and ulcers fall under the purview of gastroenterology. Less common conditions such as biliary tract disorders or rare nutritional diseases are also treated by gastroenterologists.

Procedures performed include colonoscopies, barium swallows, CT scans, gastric bypass surgeries, and biopsies. Many gastroenterology procedures are simple and allow a patient to return home the same day.

Patient Referral

If a doctor suspects a gastrointestinal issue, or has unsuccessfully attempted treatment of such a condition, a patient may be referred to a gastroenterology practice. A referral does not necessarily mean that a serious condition is present, only that the symptoms or conditions are beyond the scope of the referring doctor.

If a gastroenterology visit is needed, residents of the North Atlanta area are fortunate to have GI North and doctors Confrancesco and Quijano. Spanish speakers are welcome, as Dr. Quijano is a fluent in Spanish. Patients coming from Alpharetta, Roswell, Canton, Suwanee and beyond can be assured that they will receive the top in gastroenterological care at GI North in a comfortable, professional setting.

Sources:

1) How to Become a Gastroenterologist
2) What is a Gastroenterologist?

© 2015 GI North Gastroenterology Services. All rights reserved.

One of the quotes you probably have been repeating you’re entire life is “An aspirin a day, keeps the doctor away.” Well, now there’s even more proof showing this to be true. Not only does it help prevent strokes and heart disease but it can also help prevent colon and esophageal cancer.

aspirin | prevent colon cancer | Atlanta, GAThere have been new guidelines issued this week (September 15, 2015) from the US Preventative Services Task Force that states a daily low dose of aspirin should be given to people in their 50’s to help provide protection against colon cancer as well as heart attack or stroke. The US Preventative Services Task Force is an independent panel of experts who review the evidence for preventative medicines.

The guidelines suggest that lose dose aspirin has the most benefit for helping prevent colon and esophageal cancer for those in their 50’s. Once people reach their 60’s, they can expect smaller benefits and should be guided by their doctor as to the draw backs or benefits of starting an aspirin regime.

The doctors at GI-North located in Cumming, GA are happy that a low dose aspirin a day could help prevent colon and esophageal cancer but don’t want people to mistake this as a reason not to have a colonoscopy during their 50’s and 60’s. For some more at risk patients, the procedure should be performed at an even earlier age.

The increased awareness of the benefits of having a colonoscopy has been the leading cause of decrease in colorectal cancer of the past 5 to 10 years. While the evidence shown that aspirin can reduce incidence of colorectal neoplasia, it should not be used as a reason to pass on having the procedure.

As in starting a new medication regime, you should discuss with your doctor first. For many patients, aspirin is not tolerated well and can cause bleeding in the stomach, intestinal track and even in the brain. Dr. Simon Cofrancesco and Dr. Sergio Quijano are specialist when it comes to diagnosing and treating any conditions concerning gastrointestinal concerns. They are located in the Northside Forsyth campus in Cumming, GA. They treat patients from all over the north Atlanta metro area.

For more information on the details of the studies conducted refer to this abstract published in the US National Library of Medicine+ or the Daily Mail/Health+

© 2015 GI North Gastroenterology Services. All rights reserved.

Colonoscopy is important for your health because it prevents colorectal cancer. There was a study done that was published in the New England Journal in 2012, that showed, that removal of polyps can prevent death from colorectal cancer; which is a big finding, because prior to that it wasn’t really known whether it did prevent deaths or not. Now we have the data that shows that doing colonoscopies and finding polyps can prevent you from dying from cancer.

It’s imperative to screen patients for colorectal cancer through a colonoscopy, and now we have better bowel preps that are low volume and now we recommend splitting the dose, meaning that you don’t drink the whole prep at one time, you would drink half the prep the night before, and the other half the early morning of the day of the procedure, so that you can get a better quality study, and find more polyps.

So, during a colonoscopy, what we look for are polyps, angiectasia, diverticulosis, and cancer. Given the fact that there are new techniques, there are new bowel prep agents, and the fact that now we know that colonoscopies prevent death from colorectal cancer, it is more imperative to get screened for colon cancer through a colonoscopy. About 60-70% of the population who are above the age of 50 are getting screened, but we’re still missing about 20-30%. Getting screened late can put you at risk for finding an advanced polyp, or even cancer, which could have been prevented if you were screened earlier.

If you need a colonoscopy and live in the north Atlanta area, Dr. Quijano is at GI North which is located in Cumming, GA. GI North also serves residents in the surrounding areas such as Suwanee, Johns Creek, Alpharetta, Canton, and Duluth. Call (404) 446-0600 for an appointment today.

© 2015 GI North Gastroenterology Services. All rights reserved.

cartoon illustration of a stomach frowningWhether it is during a meeting, at the library, or in a waiting room, your stomach seems to know when to embarrass you. But those growls and grumblings do not only happen when it is quiet or when you are hungry that is just when you notice them.

Growls are a normal part of the digestive system.

Your digestive system moves food and drink through your body absorbing what you need and excreting the remainder. The muscles in your digestive system contract moving the contents downward and churn the contents up. When gas or air mixes with the digestive content, your stomach or small intestine seems to growl during the contractions as the air is compressed.

Your digestive system works continuously.

The contractions occur whether there are contents in your system or not. Therefore, when you are full the growls are less noticeable as they are muffled by the contents, and when your system is empty, it can sound like a bear is in your stomach.

Ways to quiet the grumbles.

It is possible to quiet these natural noises a bit if they become a nuisance or embarrass you often. Try eating smaller more frequent meals, avoiding gaseous foods, eating slower, and refraining from talking and exercising while eating. Occasionally a virus causes growls or eating something disagreeable, so pay attention to your body’s clues and note any food or drink that sounds your alarm.

Excessive growling should be evaluated.

While occasional noises are a normal function of the digestive system, if you have excessive noises, you should visit a gastroenterologist. The grumbles may indicate poor absorption of nutrients in the small intestine, which could mean lactose intolerance or other food sensitivities. The growls could also be symptomatic of a more serious condition such as irritable bowel syndrome.

GI North, located in Cumming, GA, and serves patients in Cumming, Alpharetta, Roswell, Canton, Suwanee, and beyond, is a convenient and informed resource for all your gastroenterology needs. Dr. Quijano, who speaks fluent Spanish, and Dr. Cofrancesco are qualified gastroenterology specialists, who can help you discern the cause of those embarrassing grumbles. The professionals at GI North are here to help you, so contact our office by calling (404) 446-0600 with any questions or concerns.

© 2015 GI North Gastroenterology Services. All rights reserved.

Dr. Sergio Quijano from GI North in Cumming, GA explains the difference between acid reflux and indigestion. Sometimes acid reflux and indigestion can be confused. What we call acid reflux is called G.E.R.D., and indigestion is called Dyspepsia, and they can run hand in hand. Usually it’s caused by a hyper-secretion of acid that can reflux up into your esophagus, that’s called GERD. Or it just sits in your stomach and causes abdominal pain, bloating, feeling like your abdomen is distended, what we call indigestion.

Usually, if you are young with no alarm symptoms, and that means, you’re not losing weight, there’s no family history of gastric cancer, you’re not throwing up blood, you have no problems with swallowing or pain when you swallow, then most of the times what we do is what we call test and treat.

What that means is we usually check for a bacteria called Helicobacter Pylori. This bacteria is commonly found in a lot of people, and most of the time causes no symptoms. But there is a certain population where it can cause the feelings of indigestion. And so we try to look for the bacteria either through a breath test, a stool test, and sometimes through blood. And if you have this bacteria, we treat it with antibiotics.

Sometimes, if you don’t have it, then the treatment would be usually what we call a proton pump inhibitor, which is an acid reducing medicine, like Nexium, Prylosec, which you can find over the counter.

Reflux disease can sometimes present as having some damage in your esophagus, but actually most of the time when we do an endoscopy in patients with acid reflux, the esophagus looks normal. But that doesn’t mean that you don’t have reflux disease. It just means that you don’t have damage. And the population where we find damage is actually not that often.

GI North is located in Cumming, GA and also serves residents in the surrounding areas such as Alpharetta, Johns Creek, Suwannee, and Duluth Dr. Cofrancesco and Dr. Quijano are ready to help you with your digestive issues. Call (404) 446-0600 for an appointment today.

© 2015 GI North Gastroenterology Services. All rights reserved.

photo of stressed woman with hands on stomach having bad achesThe causes of the irritable bowel syndrome also referred to as spastic colon, are unclear. Thus, the aim of treatment is to relieve the symptoms of the disease so that you can live as normally as possible.

Most often, you can successfully control the mild signs and symptoms of this disease by changing your diet and lifestyle and learning to manage stress. Also, drink lots of fluids, get enough exercise and get enough sleep.

If your problems range from moderate to severe, you may require more than lifestyle changes. Your doctor may also suggest medications.

Dietary Changes

Some of the dietary changes recommended by the staff at GI North include:

Eliminating high-gas foods. If you are passing high amounts of gas or are experiencing bothersome bloating, your doctor may suggest eliminating items such as vegetables— especially cabbage, cauliflower, and broccoli— carbonated beverages, and raw fruits.

Eliminating gluten. Studies show that some people with a spastic colon report a reduction in the diarrhea symptoms if they cut out on gluten (rye, wheat, and barley). This recommendation is, however, controversial and there is not much evidence to support it.

Eliminating FODMAPs. Some people show a higher sensitivity to certain types of carbohydrates such as lactose, fructose, fructans, and others, often referred to as FODMAPs (fermentable, oligo-, di-, monosaccharides, and polyols). FODMAPs are usually found in certain vegetables, grains, dairy products, and fruits. You may get relief from spastic colon symptoms by adhering to a strict low-FODMAP diet, and then reintroducing other foods as time goes.

Medications for Irritable Bowel Syndrome

Currently, two drugs have been approved for treating spastic colon.

Alosetron (Lotronex). Alosetron has been specially designed to relax the colon and slow down the movement of waste products of digestion through the lower bowel. However, this drug may only be prescribed by doctors who are enrolled in a special program, and it is supposed to be used for severe diarrhea-predominant IBS in women who have not responded to other forms of treatment. However, it has not approved for use by men. This drug should only be considered when other forms of treatment have failed because it is linked with rare but significant side effects.

Lubiprostone (Amitiza). Lubiprostone functions by increasing the secretion of fluids in your small intestines to help in the passage of fluids. It is approved for use by women aged 18 and above who have spastic colon with constipation. So far, it has not been proved to be effective in men. Besides, its long-term safety has not been determined. This drug may cause side effects that include diarrhea, nausea, and abdominal pain. Lubiprostone is prescribed for women suffering from IBS with severe constipation in cases where other forms of treatment haven’t been successful.

If you are in pain due to irritable bowel syndrome or other liver problems, visit or contact GI North to speak with a professional. Dr. Cofrancesco and Dr. Quijano of GI North are more than ready to attend to your needs and they serve the residents of Cumming, GA, as well as the surrounding areas of Alpharetta, Roswell, Canton, and Suwanee. Dr. Quijano also speaks fluent Spanish, which is an added advantage for all Spanish-speaking people.

© 2015 GI North Gastroenterology Services. All rights reserved.

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