Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
After the visit to the doctor, do not expect an instant cure or immediate diagnosis, and
Multiple office visits and tests (blood tests, radiographic studies, or
endoscopic procedures) are often necessary to establish the diagnosis and/or
to exclude serious illnesses.
Doctors may start you on a medication before a firm diagnosis is made.
Your response (or lack of response) to that medication sometimes may provide
your doctor with valuable clues as to the cause of your abdominal pain.
Therefore, it is important for you to take the medication that is
Notify your doctor if your symptoms are getting worse, if medications are
not working, or if you think you are having side effects from the
Call your doctor for test results. Never assume that "the test must be
fine since my doctor never called."
Do not self medicate (including herbs, supplements) without discussing
with your doctor.
Even the best physician never bats 1000. Do not hesitate to openly discuss with
your doctor referrals for second or third opinions if the diagnosis cannot be
firmly established and the pain persists.
Self education is important, but make sure what you read came from