A gastroenterologist has a particular interest in diseases of the digestive tract. To become proficient in the treatment and management of these conditions, a gastroenterologist must undergo training in both internal medicine and advanced training in problems of the digestive tract. 
  
Training: 
  
A gastroenterologist must first complete a 4-year college degree followed by 4 years of medical school at which time they receive a medical degree. The next step is a 3-year residency in internal medicine. At that time a physician may elect to continue on to a specialty in gastroenterology. 
  
A gastroenterology fellowship is 2 to 3 years during which a physician learns to evaluate and manage digestive diseases. This training encompasses conditions that may be seen in an office or in a hospital setting and instruction in how to perform diagnostic endoscopy procedures, such as colonoscopy. In all, a gastroenterologist has undergone a minimum of 13 years of formal classroom education and practical training before becoming a certified gastroenterologist. 
  
Expertise: 
  
A gastroenterologist that is certified by the American Board of Colon and Rectal Surgery must have proficiency in diagnosing and treating the following conditions: 
  
Anorectal conditions 
  
Hemorrhoids 
  
Colonic neoplasms 
  
Cancer 
  
Polyps 
  
Diverticulosis 
  
Esophageal reflux 
  
Gastritis 
  
Gastroesophageal Reflux Disease (GERD) 
  
Hepatitis 
  
Hiatal Hernia 
  
Inflammatory bowel disease 
  
Ulcerative colitis 
  
Crohn's disease 
  
Irritable bowel syndrome 
  
Ulcers 
  
A gastroenterologist must also be proficient in treating and managing the following signs and symptoms: 
  
Abdominal pain 
  
Abnormal x-ray findings 
  
Constipation 
  
Diarrhea 
  
Difficulty swallowing 
  
Heartburn 
  
Indigestion 
  
Jaundice 
  
Liver Disease 
  
Malabsorption 
  
Nausea 
  
Post-operative colon tests 
  
Rectal bleeding 
  
Unexplained weight loss 
  
Vomiting 
  
And in performing the following tests: 
  
Diagnostic testing 
  
Colon screening exams 
  
Esophageal and intestinal dilation 
  
Hemostasis 
  
Polypectomy 
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