CONSULT WITH DR. SALT OF IBS AND GUT MICROBIOME SOLUTIONS IN COLUMBUS, OHIO.
The practice opened May 9, 2016. While a personal primary care health care professional is preferred, consultation can be requested without referral by calling (614.427.3161), our Contact Page here, or through referral via fax (877.883.5012).
It is important to understand the following regarding consultation:
Dr. Salt's IBS & Gut Microbiome Solutions is a direct care/pay gastroenterology practice; insurance is not accepted.
This means that insurance, Medicaid, and Medicare are not accepted and Dr. Salt will be considered "out of network." Payment by credit card, debit card, check, or cash can be made at the time of the visit. Review the Home Page for charges and policy.
Dr. Salt of IBS & Gut Microbiome Solutions specializes in care of those suffering with enteropathy, IBS, and SIBO.
Enteropathy refers to disease, disorders, or dysfunction involving the small intestine, colon, or both. The symptoms of enteropathy include abdominal pain/discomfort, gas (abdominal bloating, distention, and/or flatulence), and bowel dysfunction (constipation, diarrhea, or both). The two most common enteropathy diagnoses include irritable bowel syndrome (IBS) and frequently associated dysfunction of the gut microbiome (resident flora) called, small intestinal bacterial overgrowth (SIBO).
Patients suffering with related functional GI disorders, or FGIDs are welcome. Examples include functional heartburn that does not respond to strong acid reducer treatment, functional dyspepsia/epigastric pain, and functional abdominal pain. Visit RomeCriteria.org to learn more about FGIDs.
Patients suffering with inflammatory bowel disease (Crohn's disease and ulcerative colitis) are welcome since many respond to management directed to enteropathy, IBS, and SIBO. However, they should understand that another gastroenterologist may need to be involved in their care.
Dr. Salt of IBS & Gut Microbiome Solutions does not perform procedures any longer, such as endoscopy and colonoscopy.
However, he can refer to any gastroenterologist requested by the patient if procedures are needed, including the gastroenterology group that he helped to found (Ohio Gastroenterology Group).
here's what to expect consulting with dr. Salt of ibs & Gut microbiome solutions:
Record Review Prior to Consultation
You will arrange to have all relevant medical records either faxed (877.883.5012) or sent at least 1 week prior to the consultation.
Dr. Salt uses a state of the art electronic medical record system called, Practice Fusion. You can access him and IBS & Microbiome Solutions through Patient Fusion by searching for his name or by clicking here: https://www.patientfusion.com/doctor/william-salt-ii-md-95070. Prospective patients do not require referral by a health care professional, but it's best to have one, with whom Dr. Salt can collaborate. Return to the Home Page for details on scheduling a consultation or follow up appointment.
Patient Intake Form
You will complete a comprehensive Patient Intake Form, which is custom-designed by Dr. Salt. It includes questions based upon sophisticated research by the NIH (National Institutes of Health) intended to help patients express and health care professionals understand gastrointestinal symptoms (patient history). The Patient Intake Form will be emailed to you as a Word attachment. After completing the form, you can return it by email. This NIH research shows that there are 8 main groups of symptoms patients have who consult with gastroenterologists. If you have an iPhone, you can download the remarkable new MyGIHealth app prior to your visit, which is based upon this research. The report can be printed and brought to the consultation and/or copied and pasted into the patient portal.
Collaborative Shared Decision-Making
At the conclusion of the consultation, you and Dr. Salt will agree upon predominant symptoms, working diagnosis, differential diagnosis, and your Care Plan, which will be accessible to you through the Patient Portal within PatientFusion.
- PREDOMINANT SYMPTOMS
The eight symptom complexes or domains identified by the NIH research described above include belly pain, gas/bloating/flatulence, nausea/vomiting, diarrhea, constipation, bowel incontinence/soilage, heartburn/reflux, and disrupted swallowing. The MyGIHealth Mobile App available free in the Apple App store for the iPhone (and soon as a web-based app on the My GI Health website) helps patients to explain and health care professionals to understand symptoms.
- WORKING DIAGNOSIS
This is the most likely explanation for your symptom. This can either be one or more diagnoses, each with an associated ICD-10 code, such as irritable bowel syndrome (IBS) (K58.0), or symptom-based, such as periumbilical abdominal pain (R10.33).
- DIFFERENTIAL DIAGNOSIS
This includes the diseases and disorders that must be considered. For example, if the working diagnosis is IBS, the differential diagnoses may include celiac disease and Crohn's disease.
- CARE PLAN
This is the mutually agreed-upon plan to arrive at a final diagnosis by testing if necessary and the patient educational assignments (see following discussion for details) and followup appointment, either in person or by phone.
The Practice Fusion Patient Portal enables you to schedule appointments, access your Care Plan, testing results, and medical records. It's also a way that we can communicate with one another.
It will be important for you to become your own expert. That way, "Together, we will find your gut solutions."
- DR. SALT'S EBOOK
in most cases, you will commit to read Dr. Salt's ebook: IBS Irritable Bowel Syndrome A Gastroenterologist Answers Your Questions, which is available free on IBSAnswersForYou.com by clicking BOOKS/RELEASES on the menu bar (here is the low-resolution PDF) but is also available in all online book stores, including Amazon, Apple, and Barnes & Noble.
- ADDITIONAL EDUCATIONAL MATERIALS WILL BE AVAILABLE ON THE WEBSITE SOON
All educational materials offered to the public for purchase here will be available to you without charge
Dr. Salt will do all he can to ensure that your gastroenterology care plan is acceptable to your other doctors, and assist in your gastroenterology coordination of care.
Your final diagnosis can usually be accurately made by:
- Including your active participation in education and shared decision-making
- Clear understanding of your history, facilitated with a remarkable new free app (MyGIHealth)
- Assuring absence of "red flags," which are symptoms or findings that could indicate presence of a disease mimicking IBS and/or SIBO. The most important red flags are new onset of symptoms after the age of 50, symptoms becoming increasingly severe over time, unintentional weight loss, vomiting, nocturnal diarrhea, blood in the stool, and family history involving first degree relatives of GI cancer, celiac disease, and/or inflammatory bowel disease
- Conducting basic blood tests if needed, including:
CMP (Comprehensive Metabolic Profile)
CBC (Complete Blood Count)
CRP (C-Reactive Protein, which is an inflammatory marker)
- Conducting basic stool tests if needed, including:
Qualitative fecal fat (assesses for fat malabsorption)
Fecal pancreatic elastase (assesses for a pancreatic cause of fat malabsorption, if present)
Fecal calprotectin (which is an inflammatory marker)
Fecal occult blood
- Hydrogen/methane breath test (evaluates for small intestinal bacterial overgrowth, or SIBO)
- The new IBSchek blood test (when postitive, a diagnosis of post-infectious IBS is essentially confirmed)
Scopes and x-rays are usually not necessary, unless indicated by presence of "red flags" or abnormal testing results.
If further testing is advised, and since Dr. Salt does not conduct scopes and special testing such as high resolution esophageal or anorectal manometry, you will be referred to the Ohio Gastroenterology Group, unless you prefer going elsewhere (this is Dr. Salt's former GI group).
Your management and treatment is dependent upon your active participation in education and shared decision-making and will likely include considerations of:
- Customized diet (Dr. Salt refers most of his patients an excellent GI RD, Paula Gallagher (The Gutsy RD) who has special expertise in IBS and SIBO).
- Healthy lifestyle strategies
- Dietary supplements
- Medical foods, including the remarkable prescription-requiring medical food, Enteragam.
- New drugs
- Integrative and functional medicine treatment
* IBS and SIBO are the most common "enteropathies," which are disorders or diseases of the small intestine, colon, or both. Other examples of enteropathies are celiac disease, Crohn's disease, and colitis. A remarkable new prescription-requiring medical food,Enteragam is an example of the revolution in treatment of IBS of which very few doctors and patients are aware.