Yes. Dr. Alan R. Plumer MD provides comprehensive gastrointestinal care for adults in Big Island, New York, including colonoscopy, evaluation and treatment for acid reflux and management of liver and other digestive disorders. We are based in Goshen and serve patients across Orange County, bringing specialist diagnostics and patient education to this community.

Care we provide in Big Island

We deliver the same core services in Big Island that we provide from our Goshen practice, focused on clear diagnostics and patient education. Common services for local patients include:

  • Gastroenterologist services, including evaluation of chronic abdominal pain and troublesome symptoms.
  • Colonoscopy for screening, surveillance and polyp removal.
  • Stomach and reflux care for persistent heartburn and suspected GERD.
  • Hepatology services for liver function concerns and follow up of abnormal liver tests.
  • Ongoing care for chronic conditions such as IBS and inflammatory bowel disease, with referrals when advanced therapies or surgery are needed.

Why Big Island patients see us

Residents of Big Island come to our practice for careful diagnostics, clear explanations and coordinated care with primary doctors in Orange County. Many patients are looking for routine screening like colon cancer prevention, or help managing chronic reflux, persistent stomach symptoms or liver test abnormalities.

We emphasize listening, reviewing previous test results, and explaining options in plain language. When a condition is outside our scope, we make timely referrals to the appropriate specialist.

Local conditions that affect gastrointestinal care

Big Island is close to Goshen and many patients travel between the communities for specialty care. Local factors that commonly shape treatment and planning include transportation needs for procedure day, access to nearby primary care providers, and patient expectations for clear prep and follow up instructions.

Watch out: For procedures such as colonoscopy, patients need safe transportation and someone available to help after sedation. If arranging a ride is difficult, discuss options with your primary doctor or our office before the procedure date.

Typical concerns and how we address them

Below are the common reasons Big Island patients seek us, and how we approach each problem.

  • Colorectal cancer screening. We recommend screening based on age and risk. For people who need a procedure we explain preparation clearly, perform high quality colonoscopy and discuss findings and next steps. Learn more about our approach to screening on our Colon Cancer Screening page: Colon Cancer Screening.
  • Chronic reflux and heartburn. We evaluate symptoms, review medications and testing, and offer evidence based options for management through lifestyle changes, testing for Helicobacter pylori when appropriate, and referral for advanced therapy when needed.
  • Abnormal liver tests. Our hepatology assessment looks at common causes, orders appropriate noninvasive testing, and coordinates care for patients with fatty liver, viral hepatitis concerns or other liver disorders.
  • Persistent diarrhea or constipation. We use targeted testing to distinguish functional conditions from inflammatory or infectious causes, and we partner with primary care providers for longer term management.

How we coordinate with local providers

We work closely with family doctors and specialists around Big Island and Goshen to avoid duplicate testing and to build a clear plan. Typical coordination includes review of prior labs and imaging, pre procedure communication with referring clinicians, and clear discharge instructions after procedures. This teamwork helps patients move from diagnosis to treatment without unnecessary delays.

If your primary care doctor has referred you, we will review the referral and previous records before the visit to make the consultation efficient and focused on next steps.

Preparing for your visit and procedures

We aim to make visits straightforward. Before a procedure we provide specific preparation instructions and explain what to expect the day of the procedure and during recovery. For routine clinic visits bring a current medication list, any recent test results you have, and notes about key symptoms.

Bring to your appointment

  • List of current medications and doses.
  • Results or reports from recent labs, imaging or endoscopy if available.
  • Names and contact information for your primary care doctor and other treating clinicians.

Neighborhoods and nearby communities we serve

We serve adults from Big Island and surrounding Orange County communities. Patients commonly travel from Goshen and nearby neighborhoods to access specialist care and procedures. For convenience we also coordinate with local clinics and primary care offices across the region. For a broader view of our locations see our Locations hub: Locations hub.

Key takeaway

Dr. Alan R. Plumer MD provides colonoscopy, reflux care, hepatology services and general gastroenterology to adults in Big Island, with an emphasis on careful diagnostics, clear patient education and coordination with local providers.

Frequently asked questions

Do you perform colonoscopies for screening and polyp removal?

Yes. We perform colonoscopy for screening, surveillance and polyp removal. A colonoscopy combines inspection of the colon with the ability to remove polyps when found, which reduces the long term risk of colorectal cancer. If you have questions about preparation, see our Colonoscopy service page: Colonoscopy.

Will you evaluate persistent heartburn or suspected GERD?

Yes, we evaluate chronic reflux symptoms. Evaluation can include reviewing medications and prior testing, testing for H pylori when indicated, and recommending management options or additional testing. Our Stomach Doctor services explain the typical diagnostic pathway: Stomach Doctor.

How do you manage abnormal liver tests?

We assess abnormal liver tests with a structured approach to identify common causes, order appropriate imaging and blood tests, and provide hepatology follow up when needed. Our hepatology services cover fatty liver, viral hepatitis evaluation and other liver disorders: Hepatologist.

Do you accept referrals from local primary care doctors?

Yes. We coordinate closely with referring clinicians in Big Island and Goshen. If your primary care doctor refers you, we request prior records and test results to make the consultation efficient and focused on diagnosis and next steps.

What should I expect after a colonoscopy?

After a colonoscopy most patients recover quickly from sedation, but they need a responsible adult to bring them home and stay with them for a short period. We provide clear written instructions for post procedure care and follow up plans, and we discuss findings before you leave when possible. For more on colon cancer prevention and screening, see our topic page on Colon Cancer Screening: Colon Cancer Screening.

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