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Upper Endoscopy

Upper endoscopy, also known as esophagogastroduodenoscopy or EGD, is a diagnostic procedure used to visually examine and diagnose certain conditions of the upper gastrointestinal, or digestive tract. The upper gastrointestinal tract includes the esophagus, stomach, and duodenum, or upper part of the small intestine. Upper endoscopy is performed using a flexible tube with an attached light and camera, called an endoscope. It is inserted through the mouth and guided along to thoroughly examine the upper gastrointestinal tract.

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Colonoscopy is a diagnostic procedure performed to examine the inner lining of the colon, also known as the large intestine, and the rectum. The colonoscopy procedure can aid in determining the cause of changes in bowel activity, abdominal pain, and rectal bleeding, as well as detect early possible signs of cancer, such as colon polyps. A colonoscopy procedure is performed with a tool called a colonoscope, which has a small camera attached to a flexible tube that can reach the entire length of the colon. During a colonoscopy, tissue samples may be collected for a biopsy, and abnormal growths may be removed.

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Hydrogen Breath Testing

Hydrogen breath tests are used to diagnose small intestinal bacterial overgrowth and/or dietary carbohydrate intolerance such as lactose, fructose or sucrose intolerance. Lactose intolerance is an inability to properly digest the sugar in dairy products.

Anorectal Manometry

Anorectal manometry is a diagnostic test to evaluate patients who have chronic constipation or fecal incontinence (inability to control bowel movements causing loss of stool). This procedure measures anal sphincter muscle pressure and rectal sensation. This test also assess nerve reflexes that are needed for normal anal rectal function.

Capsule Endoscopy

A capsule endoscopy is a procedure that uses a pill-sized wireless camera to visually examine the inside lining of the three portions of the small intestine, which includes the duodenum, jejunum, and ileum. The camera will take a series of photographs as it passes through the gastrointestinal tract. These photographs are sent wirelessly to a small recording device that is worn on the body. The photographs are then downloaded to a computer about 24 hours after the procedure. The capsule will then be passed through the digestive tract by the patient. While portions of the intestine can be seen during a colonoscopy or upper endoscopy procedure, these procedures are unable to provide a complete view of the small intestine. The capsule endoscopy is able to provide a view of the small intestine and is helpful in detecting some of the following conditions: intestinal bleeding, polyps, inflammatory bowel disease, tumor, or celiac disease.

Hemorrhoid Banding

Hemorrhoid banding, also called rubber band ligation, is a treatment method for hemorrhoids that do not respond to home treatments. It's a minimally invasive technique that involves tying the base of the hemorrhoid with a rubber band to stop blood flow to the hemorrhoid.

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Fecal Transplantation

Fecal microbiome transplantation is also known as a “stool transplant”. Fecal transplantation involves transplanting donor stool from a healthy individual to a sick patient. Fecal transplantation is used to treat patients with recurrent Clostridium difficile infection. C. difficile infection is a type of gut infection that causes diarrhea, sometimes very severe. C. difficile occurs when healthy normal human gut bacteria are reduced in number such as during antibiotic therapy, allowing selective colonization of the gut with C. difficile. During fecal transplantation, healthy donor stool is delivered during a colonoscopy examination to a sick patients’ colon and has been shown to be highly effective.

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Dalia Ibrahim M.D. is a board certified gastroenterologist ensuring premium and personalized medical care for all of your digestive health needs.