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Dr. Ann Alexander Abraham, MD is a pediatric gastroenterologist in Spokane, WA specializing in pediatric gastroenterology and pediatric hepatology (liver disease). Dr. Ann Alexander Abraham, MD is affiliated with Providence and Providence Pediatric Digestive Health & Nutritional Support - Spokane.
Autoimmune Diseases
An autoimmune disorder happens when the immune system mistakenly attacks the tissues of its own body, causing symptoms of illness. There are more than 80 different types of autoimmune disorders. While some are very rare, others are fairly common. Combined, autoimmune disorders are one of the leading causes of death and disability in the United States, affecting approximately 24 million people.
A properly working immune system identifies foreign substances in the body that might cause illness, such as bacteria and viruses. The immune system then creates antibodies which attack the foreign substances, neutralizing them and keeping the body safe. In people with autoimmune disorders, something goes wrong with this process. For reasons that are not fully understand, the immune system creates antibodies to attack the patient's own tissues.
Symptoms of an autoimmune disorder depend on which tissue is being attacked by the immune system, but common symptoms of autoimmune disease include fever, fatigue, and a general feeling of just not being well. Autoimmune disorders are more common in women than in men, and they may run in families. Autoimmune disorders can affect various parts of the body such as blood vessels, connective tissue, endocrine glands, joints, muscles, red blood cells, skin, and many others.
It is common to have more than one autoimmune disorder at a time. Most are chronic, or life-long illnesses, although they may come and go in flares. Treatment for autoimmune disorders depends on which part of the body is being attacked. For example:
Many autoimmune disorders of all kinds are treated with immune-suppressing medications, such as corticosteroids (e.g. prednisone) to reduce the effect of the immune system.
Colonoscopy
Colonoscopy is the use of a special tool called a colonoscope (a thin, flexible tube with a camera on the end) to examine the inside of the colon and rectum. The tube is typically inserted anally, and it allows the physician to examine the large intestine from the inside. It may be done at any time to diagnose bowel problems, but routine colonoscopies are advised after the age of 50 to screen for colon cancer.
A colonoscopy may be performed to diagnose:
Patients may be asked to drink only liquids in the days before a colonoscopy, or they may be given an enema to remove residual fecal matter. Before the exam, patients are given medication to help them relax, and then lay on their side on a table. The scope is inserted into the anus and gently moved all the way through the large intestine. Air may be pumped into the intestine to improve the view for the physician. Any polyps that are found will be removed. Then the colonoscope will be withdrawn. A colonoscopy is not usually painful, but patients may feel some bloating or have some cramps right afterward. If patients have polyps removed, they might experience a small amount of bleeding. Any side effects should go away within a few hours.
Gastrointestinal Problems (Digestive Disorders)
The gastrointestinal system, or GI tract, is the name given to a collection of organs that work together to digest food. These organs fit together in a long tube, running from the mouth to the anus, and include the esophagus, stomach, and intestines, among others. With so many parts working together, complicated by today's busy lifestyles and diets, digestive problems are common. As many as 1 in 3 Americans have a digestive or GI disorder. There are a huge variety of digestive problems, but the most common are IBS, constipation, GERD, hemorrhoids, and ulcers.
IBS, or irritable bowel syndrome, happens when the muscles surrounding the colon contract too easily or frequently. The result is abdominal pain, cramps, diarrhea or constipation, gas and bloating. IBS attacks can often be brought on by specific triggers, so a key part of treatment is learning which foods trigger IBS attacks and avoiding them. Treatment also includes exercise, avoiding stress, and medications if needed.
Constipation, or large, hard, or infrequent stools, happens to everyone at some point. It can be caused by a disruption in routine or food, or by eating a diet without many fresh fruits and vegetables. Although it is uncomfortable, constipation is common and usually not serious, but it can sometimes become chronic. Adding fiber to the diet, exercising, and taking medications may help.
GERD, or gastroesophageal reflux disease, is a severe form of chronic heartburn where stomach acid spills back up into the esophagus. Left untreated, the acid may even eat away at the esophagus and cause serious damage. Treatment includes changing the diet to avoid trigger foods, losing weight if needed, medications, or even surgery.
Hemorrhoids are blood vessels around the rectum that become irritated, swollen or torn while straining during a bowel movement. They are most often caused by constipation, but can also be caused by pregnancy, diarrhea, or simply a genetic predisposition towards hemorrhoids. Treatment involves first treating any constipation issues, then keeping the area clean and soothed until it has healed. If these measures are ineffective, surgery is sometimes used.
Peptic ulcers are sores or spots of inflammation in the lining of the stomach or close to the stomach in the small intestine. Usually this area is coated with a protective lining that shields the tissue from the strong stomach acid, but a break in the lining can let acid in, causing the sores. It used to be thought that stress caused ulcers, but now it is known that is not the case. Most often, they are caused by an infection by H. pylori bacteria, but ulcers can also be caused by alcohol abuse or overuse of aspirin, ibuprofen, naproxen, or other NSAIDS. The symptoms of an ulcer are pain, hunger, nausea, and fatigue.
Gastrointestinal problems, perhaps more than any other area, are markedly affected by lifestyle. Many disorders can be prevented or treated at least in part by eating a healthy diet high in fiber, exercising regularly, drinking enough water, and limiting alcohol intake. Still, the frequency of digestive disorders means that even the healthiest person can be affected by them. Anyone who notices blood in their stool, experiences abdominal pain, unexplained weight loss, or any significant change in bowel movements should see a doctor.
She is certified by the American Board of Pediatrics, Pediatrics and has a state license in Maryland.
Board Certification: American Board of Pediatrics, Pediatrics
Licensed In: Maryland
Dr. Ann Alexander Abraham, MD is associated with these hospitals and organizations:
Dr. Ann Alexander Abraham, MD appears to accept the following insurance providers: Humana PPO, Aetna Medicare Advantage HMO/PPO, Cigna PPO, Wellcare Medicare Advantage-HMO, Regence Blue Shield Of Idaho Medicare Advantage PPO, Cigna Medicare Advantage HMO/PPO, Asuris Northwest Health TRIWEST, United Healthcare Medicaid, United Behavioral Health PPO, Humana HMO, United Healthcare, Blue Cross Of Idaho Health Service Medicaid, Humana, Molina Medicare Advantage, Pacific Medical Center TRICARE, HealthSmart (Interplan) PPO, Providence Health Plan Medicare Advantage-HMO, First Health-Coventry PPO, Aetna PPO, Wellpoint Medicaid, Kaiser, Interwest Health PPO, Regence BlueShield Of Washington PPO, Premera, First Choice PPO, State Of Washington Department Of Corrections, Pacific Source Health PPO, Ferry County Jail, Blue Cross Of Idaho Health Service PPO, Naphcare, Evernorth PPO, Asuris Northwest Health PPO, Stevens County Sheriff'S Office, Interplan PPO, Cigna, Blue Cross of Idaho Health Service PPO, Regence BlueShield of Washington PPO, Stevens County SheriffS Office and State of Washington Department of Corrections.
According to our sources, Dr. Ann Alexander Abraham, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Ann Alexander Abraham, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$301
Livmarli $301 |
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$60
GATTEX $60 |
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$51
PROCUITY $51 |
| $412 |
Dr. Ann Abraham is a specialist in pediatric gastroenterology in Spokane, WA. She usually is in-network for Blue California, HealthSmart, and Coventry, as well as other insurance carriers. Her practice in Spokane, WA is open to new patients as reported by Yext.
