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WNIJ's summary of news items around our state.

Digestive Issues: When Should You Utilize Telemedicine?

If you have a stomachache, telemedicine might be right for you. Telemedicine is the practice of clinical medicine using technology to deliver care from afar. It's a safe way to receive medical attention during the pandemic. 

But many people with digestive issues aren't sure when they should contact their provider. Dr. Matthew Stier is a gastroenterologist with Rockford Gastroenterology Associates. He said any symptom that would have required a regular office visit pre-coronavirus should now prompt a telemedicine visit. He listed a range of issues that may require attention.

Credit Photo provided by Rockford Gastroenterology Associates
Dr. Matthew Stier is a gastroenterologist with Rockford Gastroenterology Associates.

"Symptoms," he said, "can include abdominal pain, change in bowel habits such as constipation or diarrhea, nausea or heartburn, and acid reflux."

Serious symptoms, he said, could be a sign of significant pathology. Those include severe abdominal pain, vomiting, inability to eat, rectal bleeding, or unexpected weight loss.

When it comes to severe symptoms, Stier said, "It's never a bad idea to call your primary care physician or gastroenterologist, but any significant GI [gastrointestinal tract] bleeding, severe abdominal pain or intractable vomiting should certainly warrant an emergency visit."

The doctor said not to wait on seeking help via telemedicine. 

"Do not ignore your symptoms or delay care," he emphasized. "Telemedicine is being offered to nearly all health care systems. It's a great way to have an expert evaluate your symptoms." 

Not only that, Stier said, insurance providers including Medicare, Medicaid, and many private payers have expanded their coverage for telemedicine services. If you are unsure about your insurance coverage, the doctor recommends calling the number on the back of your insurance card.

Stier acknowledged that it may be difficult or embarrassing for a person to talk about digestive issues. He said, "There's a big stigma around talking about bowel habits and some of the more personal things in front of someone you've just met or have never met." But once you make a telemedicine appointment, Stier said, "Be honest and open and relax. Know that we're used to hearing about these complaints and we're ready to help."

As for the future of telemedicine, Stier said he is hopeful that there will be regulations in place that will allow health care providers to continue to offer and even expand telemedicine services. He said, "A lot of patients really get a benefit out of telemedicine, including safety and convenience." 

Stier said there are multiple options for making a virtual appointment. Most practices can be reached through a website as well as by phone.