We are the practice of Dr. Alan R. Plumer, MD. We diagnose and treat digestive and liver conditions for adults, and we perform procedures such as colonoscopy and upper endoscopy to find and treat the cause of symptoms.
What a gastroenterologist does
As gastroenterologists we evaluate symptoms that come from the digestive tract and the liver. That includes abdominal pain, persistent heartburn, chronic diarrhea or constipation, unexplained weight loss, rectal bleeding and abnormal liver tests. We use history, physical exam, laboratory testing and targeted procedures to reach a diagnosis. Common procedures we perform are colonoscopy for colorectal evaluation and screening, and upper endoscopy for problems in the esophagus, stomach and duodenum.
If you want detailed guidance on screening, see our page on colon cancer screening. For information about the procedure itself see our colonoscopy service page at Colonoscopy.
Benefits of gastroenterology care with our practice
- Comprehensive evaluation of digestive complaints including consultation, testing and procedures.
- Access to diagnostic procedures such as colonoscopy and upper endoscopy within a coordinated care setting.
- Targeted management for liver conditions including abnormal liver tests, fatty liver and viral hepatitis.
- Individualized treatment plans that explain options, tradeoffs and expected outcomes.
- Continuity of care with follow up and coordination with primary care and specialty teams.
Our process
- Referral and intake. We begin with a focused medical history and review of prior testing. We confirm the reason for referral and set goals for what the evaluation needs to achieve.
- Diagnostic testing. We order targeted tests such as blood work, stool tests and imaging when indicated. These tests help narrow causes such as infection, inflammation, bleeding or liver disease.
- Endoscopy and colonoscopy. When visual inspection or tissue sampling is needed, we perform upper endoscopy or colonoscopy. During these procedures we can diagnose and often treat problems such as ulcers, inflammation and polyps.
- Treatment plan. After diagnosis we discuss medical therapy, lifestyle changes and procedural options. We explain risks, benefits and reasonable expectations so you can make an informed decision.
- Follow up and coordination. We track progress, adjust treatment as needed and work with your primary care clinician and other specialists for comprehensive care.
Watch out: Certain medications and medical conditions affect procedure safety and timing. Tell us about blood thinners, heart or lung problems, and prior abdominal surgery so we can plan appropriately.
Frequently asked questions
What should I expect during an initial gastroenterology visit?
The first visit focuses on your symptoms and health history. We review prior tests, perform a focused examination and discuss which tests or procedures are needed next. The aim is a clear diagnostic plan and an explanation of options for testing and treatment.
When is a colonoscopy recommended?
Colonoscopy is recommended for colorectal cancer screening, for evaluation of bleeding, and for investigation of persistent changes in bowel habits or unexplained anemia. Screening recommendations vary by age and risk factors. See our material on colon cancer screening for context.
How do you evaluate abnormal liver tests?
We review medications, alcohol use, metabolic factors and viral risk. We may order liver function tests, imaging and targeted blood tests for viral hepatitis and autoimmune or metabolic liver disease. When indicated we offer referral for specialized liver care and follow accepted testing pathways.
Is an upper endoscopy painful?
Upper endoscopy is performed with sedation to minimize discomfort. Most patients tolerate the procedure well and go home the same day. We explain sedation options and recovery steps before the procedure.
Why choose our practice
We combine clinical experience with clear communication. We explain why a test or procedure is recommended, what alternatives exist and what good results look like. We are licensed and insured and coordinate care with primary care clinicians and other specialists in the Goshen area.
Pros
- Procedural capability for diagnosis and treatment in one practice.
- Care that covers digestive symptoms and liver disease.
Cons
- Some diagnoses require repeat testing or referral to subspecialty centers for advanced therapy.
Service area
We are based in Goshen New York and serve patients from neighboring communities who need digestive or liver care. For details about office locations and directions see our locations page.
Related services and topics
We offer a range of related services that support digestive health and liver care. Useful pages include our service page for Colonoscopy and our topic pages on colonoscopy preparation and upper endoscopy. To see an overview of services use our Services hub.
Find out more about our practice
Read patient reviews and get directions on our Google Business Profile, or explore related topics and services on this site to learn what to expect.