Overview

Cirrhosis is a condition in which the liver malfunctions due to chronic injury, and scar tissue replaces healthy liver tissue.

There are multiple possible causes of cirrhosis. Examples include alcohol-related liver disease, hepatitis C, nonalcoholic fatty liver disease (NAFLD), hepatitis, and some inherited diseases.

Many people with cirrhosis have no early symptoms. As the disease progresses, symptoms may include weakness, fatigue, nausea, and abdominal pain.

Cirrhosis treatments try to stop the progression of scar tissue and further complications. Treatments may include the avoidance of alcohol and drugs, and nutrition therapy.

 

Applicable Procedures

Liver Biopsy

 

Does Barrett’s Esophagus Mean I Will Develop Cancer?

There are multiple causes of cirrhosis of the liver. These include long term alcohol abuse, viral hepatitis, iron buildup in the body, nonalcoholic fatty liver disease, immune conditions, issues with bile ducts, genetic disorders, infections, and certain medications. Chronic hepatitis is a risk factor for cirrhosis, and it is actually one of the top causes of liver disease. Being obese and consuming excessive amounts of alcohol also increase your risk of cirrhosis.

 

How is cirrhosis of the liver treated?

The aim of treatment for cirrhosis is to slow the progression of the condition and treat complications of the disease. If caught early, treating underlying causes can prevent further damage to the liver. For example, treatment for alcohol abuse can reduce toxic effects on the liver. Those who are overweight can improve their liver health by following a healthier diet to control weight and reduce the effects of nonalcoholic fatty liver disease. Some people may also need medications to treat underlying health conditions, like hepatitis, to reduce the risk of further liver damage. Others may require medications to treat infections, fluid buildup, or accumulation of toxins. In advanced stages of cirrhosis, the only treatment option is a liver transplant from a healthy donor.

 

What are the complications of cirrhosis?

Cirrhosis can lead to a variety of complications, including portal hypertension, which is high blood pressure in veins responsible for supplying blood to the liver. Portal hypertension can cause swelling in the legs and stomach, enlarged spleen, and severe bleeding. Other complications of cirrhosis include infections, malnutrition, bone disease, increased cancer risk, and a condition called jaundice, which causes eyes and skin to appear yellow. In some cases, a liver that is damaged by cirrhosis cannot clear toxins effectively, which causes them to build up in the brain, leading to confusion, concentration problems, and even coma.

 

Common Symptoms

  • “I started to feel extremely tired, and I noticed that I was bruising easily and had no appetite.”
  • “I noticed changes to my appearance, such as yellowing of my skin, spider like blood vessels, redness on my palms, and swelling in my legs. I was also itchy all the time.”
  • “In addition to losing my appetite and dropping weight, I felt nauseous, and my stomach was swollen.”

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What They Are Saying

Center For Digestive Health, Rochester Hills
Excellent
4.8
Based on 4284 reviews
review us on
s AINT 1.
Pleasant,Polite & friendly atmosphere. had no issues at all! Very thorough & professional, helpful staff .
Mark C.
Very efficient once I was taken back to the room for vitals and IV placementFront desk was not as friendly for sureNeeds to be a little more pleasantPeople are all ready never up be cause of the colonoscopy
Lynne W.
Very Clean facility. Everyone was very kind and courteous!
Winnie C.
Debbie went out of her way to help me get an appointment with Dr. Abadir set up. All of the staff we encountered were pleasant, helpful, and competent. Dr. Abadir listened and provided a plan to address my husband's issues.
Cheryl B.
Dr Bakkan addressed all my questions and concerns satisfactorily and ordered a series of tests to address the issues discussed. She knows her stuff!
margaret M.
Staff is top of the line, I love Dr. Bologna!!
Dvorah N.
First time at this facility in Macomb. I always go to the center in Troy. The staff was very friendly and knowledgeable. I was taken in a very timely manner for the procedure. Everyone was accommodating with my concerns and questions prior and following the procedure. It was an unexpected pleasant experience overall.
Carletta H.
My experience with Nicollet was very important information that was explained to me that made perfect sense that the others did not thank you, Nicollet, for connecting the dots for me
John K.
All the nurses are very informative and kind, would recommend this facility to everyone.
Lolita M.
It was a calm and peaceful experience.
Susan W.
Dr Nandi is outstanding and so is his entire staff. I’ve had 3 procedures done at this location and every time I’ve felt the same. Honestly, the prep is worse than the procedure.
Debbie C.
This is a very well run practice.Staff is kind and thorough!
Martin D.
All the staff is very compassionate, and considerate. They make you feel at ease, even when you’re feeling nervous and overwhelmed
Cat C.
I had a visit with Noel, she made me feel very comfortable, and was able to address all my issues. I felt she was very knowledgeable about how to help me. She was able to come up with a plan, and explained it to ensure I understood completely. Noel was very friendly and professional. Excellent experience!
Gerald L.
Dr. Willie was awesome. Professional and thorough and my procedure was done in 20 mins.
Kathleen E.
I had Dr Megan and I would like to say thank you she was very sweet and so was all the help in the office I wish you a Merry Christmas and a Happy New Year
Brenda N.
The staff and Dr. Bologna were wonderful! I refer everyone to him!
Michael P.
Excellent experience for something that usually is less than desirable.From scheduling, to prescriptions, to prep, to arrival and procedure the team made it easy to understand, were polite and easy to work with.Dr. Bologna was professional and explained the process and the results clearly and efficiently.I believe the team helped reduce anxiety around the procedure and made it as quick and easy as possible. Would recommend using the Center for Digestive Health Macomb Endoscopy Center to anyone.
chris L.
Everyone was nice and friendly
Gary G.
Absolutely the best customer care I’ve ever enjoyed. This began the moment I walked into the office and signed in. I was greeted continuously throughout the prep, procedure and recovery by cheerful staff who used my first name and seemed very concerned with my well being. This extended to the Dr (Donat) who was personable before and after procedure. I’m still stunned by the high level of customer care!
Charles M.
I always get scheduled in December and all the staff are in a great Christmas mood last time we sang Christmas carols while they wheeled me in everyone was friendly and helpful
Elisabeth H.
Very professional from beginning to end!
Anquinette M.
Just a kind and welcoming environment.👏🏽👏🏽👏🏽👏🏽👏🏽🔥🌞Preparing for a colonoscopy, especially for the first time, can understandably evoke a great deal of anxiety. However, I want to share my experience, which was surprisingly reassuring. From my initial interaction with the receptionist to the compassionate care provided by Nurse Allison, who prepared me for the procedure, I felt genuinely comfortable and valued throughout the entire process.The professionalism and kindness exhibited by all the staff, culminating in the expertise of Dr. Donat, who performed my procedure, made a significant difference in my experience. If I ever find myself needing to undergo this procedure again, or if anyone else is facing it, I wholeheartedly recommend the Surgical Centers of Michigan. It is essential for me to be treated with kindness and dignity, and I felt that in abundance during my visit.
John P.
Always professional and accommodating
Don M.
Very professional staff that is very polite and a real concern for the patient
Sam
Dr Saeed listened to me and she’s so sweet and kind I highly recommend her
Lori L.
Excellent! This staff was very helpful. I highly recommend this medical team!
Jeanie R
Every person there is top notch, kind, professional and friendly. I wouldn’t go anywhere else.
Cindy
Dr. Wille is a very caring, compassionate doctor! He looks you in the eye instead of typing on his computer while you talk, that is so important to me, it shows me that he is LISTENING to me and cares what I have to say. To get an appointment to see him in the office takes awhile, that's how popular he must be. I can see why. That is my only negative that I have encountered. He was timely once it was my appointment time to see him. I appreciated that since so many doctor's have you sit for awhile in the exam room waiting for the doctor to walk in. I would recommend Dr. Wille to anyone looking for a knowledgeable, caring, and compassionate gastroenterologist. Thank you Dr. Wille!
Tim L.
All the staff were very pleasant. They got me in on time. Didn't have to wait long to see Dr Donat. everything went really smooth and the visit was a good one.
Laura I.
Friendly and helpful staffProfessional and caringExtremely efficient
Larry B.
Always a wonderful experience. Kind and considerate.
Michelle S.
The staff were welcoming and professional. Dr. John Weber was very helpful and knowledgeable. My husband and I feel that we are going to do well under Dr. Webers care.
Wendy B.
Everyone was very friendly and even though the office was full of people I was in and out very quickly. Staff and Dr Donat were great!
Sam F.
Excellent communication about concerns, Dr and staff friendly, patient, and takes the time to listen to offer alternate treatment.
Bernie F.
Dr. Donat was great, in fact the entire operation was top notch. Arrived at 11am, had my procedure and was out of there a little after noon and had the results online in 1-2 days. Highly recommend this practice.
John D.
Every one was very friendly, I was seen on time and doctor Saeed was well prepared. This was my first visit and she had researched my record and was able to discuss my problem intelligently and was very pleasant .
Mary L.
The Physician's Assistant, Noelle, was incredibly personable and knowledgeable and took the time to answer all my questions. I would highly recommend Troy Gastroenterology,
UAWmom
All the staff are so helpful especially Sarah R.
David T.
Waiting time was fantastic. They took me in before i could finsh my paperwork. Dr. Saeed os magnificent
John C.
Fast on time and efficient
S M B.
Great staff and thorough doctor. They were able to find an appointment on short notice as well.
JUDY T.
Everyone is so friendly and helpful. Dr. Willie is the greatest. He is so kind and concerned about your issues. I would recommend him to anyone.
Dawn L.
Everyone is always friendly. Able to make an appt quickly. Very efficient. I've never waited for more than 5 to 10 minutes to be seen. Nicolette is very thorough and takes her time to explain things. I've never felt rushed. I've only ever seen Dr. Wille for my colonoscopy and he's always been very pleasant and answers all of my questions without feeling rushed. I highly recommend this office.
Linda M.
Dr Wille & his staff are the best! Dr Wille always listens to my health questions & together we come up with a good plan.
Dianna J.
Everyone was very congenial. All were very caring.A+++
Linda M.
My visit was very easy and efficient.
Barbara D.
Appointment started on time and was completed in 15 minutes. Was very satisfied with my talk with the Dr. Wille. 👍😊
samir B.
Thanks all staff. They did excellent job. Thank you all so much 🙏👍
K M
Great experience. Very efficient process other reasonable wait times. Exceeding friendly staff!
Veronica
Very pleased with my medical visit. Very professional and friendly.
Grace S.
Everyone was very professional when I had my procedure. I felt I was in good hands throughout the whole experience.
Dan J.
The staff were very courteous and professional. I think Dr. Toco is an excellent doctor.
Suzanne G.
My first experience having a colonoscopy was a positive one. I’ve heard horror stories and seen my mother suffer through the prep first hand. Dr. Willie and his team were phenomenal. The whole experience took under 2 hours from check in to release. Entire staff was pleasant and supportive. I highly recommend Dr. Willie if you need his services.
Kirk S.
Dr. Dunot is a great Dr. He is always very concerned about the way that you feel .
Eric I.
Great service
Amy P.
My experience at CDH was very good. I waited about 10 minutes to be called back for my EGD procedure. Almost everyone was kind and pleasant. I was on my way home 1.5 hours after my scheduled appointment!
bob S.
The team was very professional and did a great job. Dr. Willie talked to wife to let her know everything went well and also talked with me to review my results. I had absolutely no discomfort.I was on my way home in less than two hours.
Charity D.
Dr. Khan is so knowledgable and caring.
Geraldine K.
Dr Bakker was very attentive. She listened to me and was very gentle with her examination. She made me feel very relaxed.
Judith H.
Doctor was on time and staff was proficient..
Patricia G.
Happy to have met her and she will be my new Dr
Gene D.
Great coming back for sure
charles SCHWAB (.
Very friendly and efficient staff.. I was in and out quickly ...
Edward J.
Dr Bologna and his staff are great. When I was called back to get prepped everyone made me feel good and relaxed. Dr Bologna popped in to check on me and explained what he was going to do. As soon as I was ready the Anesthesiologist come in and wheeled me to the surgical room while making me feel comfortable. Dr Bologna and his team were ready for me. After my procedure I woke up back in my private recovery room. Amy, my nurse, made sure I was comfortable as she got me ready to leave. The doctor came in and we had a nice chat about what he discovered and next steps.I give the whole experience a 5 out 5.
Doreen P.
Everyone was very kind and professional.
Lois W.
The employees of the center for digestive health in Troy Michigan are very professional and very friendly. I was made to feel very at ease, I was a new patient and I left there feeling absolutely great. I appreciate everyone’s friendliness and professionalism.
Joseph N.
I hold the highest regard for the best Dr and Gastro med office. Best people- best results. Dr Willie is as genuine as they come. Professional thorough and relatable care we all desire.
Robert S.
Everything went great, I was seen quickly upon arriving, staff is great making you feel comfortable, overall a great visit!
Ardin M.
Quick check in. I didn't have to wait to be seen by the doctor. It was a thorough exam and all of my questions answered.
Erik H.
Colonoscopies are probably one of the more intimate procedures one could experience and the entire team at CDH manage the process with excellence. I am happy to recommend the staff and especially the crew I worked with, from Dr. Quallich to the admitting staff, professionalism and a caring nature will be the result, as I have witnessed.
Gary K.
Prep for the procedure was and always is laborious and grueling. But once I arrived for the actual procedure, the staff and doctor were professional, efficient and very personable. Negligible after-effects of sedation. Very pleased with the outcome.
Tim S.
Very helpful.
Gary Z.
Dr Willie and the team was exceptional, efficient, and caring. I was treated as if I was the most important patient they had that day. True professionals in every way.
Scott P
Great experience. Very caring people with good bed side manners. Made an uncomfortable appoinrment rather painless.
Kathy O.
I had a great office visit with Dr Willi’s NP today. She was very thorough, explained everything to me, and she was very patient with my multiple questions.
Leanna N.
Dr. John Weber is an outstanding doctor. I've had 4 colonoscopies at this center and his friendly professional personality makes you feel relaxed and comfortable. His staff follows his lead and are excellent as well. You are in good hands with Dr. Weber at the Center for digestive Health.
Findley D.
Professional, Courteous staffOn timeWell organized
Y V.
We have been patients of Dr. Donat for the past 10 years. He has performed colonoscopies on my family and friends. He is awesome - always professional with great bedside manners!
grant O.
So totally professional and supportive from start to finish. State of the Artre colonoscopy procedure et al..
Ralph P.
Well organized office. No wait and taken care of quickly . All members of the team were professional and caring. Exceeded expectations in all areas.
Thomas O.
No issuesGreat place nice staff
Susan C.
Very pleasant and professional experience. Wouldn’t go anywhere else.
Mia D.
Dr Richard Wille is very knowledgeable, kind, and caring. He has been my doctor for over 12 years. I trust him completely with my gastrointestinal issues for treatment. He is the best!
Mary B.
Dr. Wille was clear in informing me about the procedure he would perform. Moreover, he was attentive to my description of my recent medical issues in mouth and esophagus which are relevant to his work. His answers were clear and reassuring.
Patty G.
Just had my colonoscopy done at this location. Everyone was very nice and helpful. I was able to get in and out in 1 hr and 15mins. Great staff!! Very easy!
Carol R.
Everyone is so kind and helpful. Wonderful care.
Doug M.
The whole office and doctor is amazing you'll feel totally comfortable while being there and it's a breeze
Joel G.
I was treated with care and concern. I felt confident I was in the best place
Leeann P.
Been seeing Dr Bologna for several years of my colonoscopies and GERD. He is very nice and explains everything .
Diane S.
I can't say enough good things about the staff and patient care there. They provided great patient care and were truly compassionate. I would recommend your facility and staff to anyone who needs your services.
Guy M.
The most organized and efficient medical facility that I have experienced and it was the same 10 years ago on my first visit. Everyone was exceptionally friendly.
Djura S.
Went in for Colonoscopy with Dr. Wille, very satisfied. The whole team was very professional, caring, and with a smile. Definitely would recommend!!!
Mike D.
Everyone there was attentive and supportive. They left me with a great confidence in their purpose and ability.Thank you,
Lisa C.
Love the girls at the WellPoint center
James W.
I love Dr. Donat. He is so friendly, nice and professional. He is an excellent Doctor. I had a great overall experience. I would refer a friend.
Lavaughn C.
Dr Abadir is a great dr. Listens to you and decides the course of treatment. Very happy with him and this office
50Sha8des Of Life P.
The team kept me informed, allowed me to ask 100 questions about my procedure and the experience was way better than I imagined. I was not groggy, heard and felt nothing! I had a great consultation post procedure by Dr. Barret and team was very delightful. Not to mention the fun music they also played and my husband was very satisfied - amazed by their speed too! Highly recommend this team!
Ezekiel A.
The service of everyone from the receptionist to the doctor (Partha Nandi) was excellent. On a day where the procedure prep took the wind out of me so to speak, I could not have asked for a better place to have my colonoscopy.
gust L.
Very polite and comfortable atmosphere and knowledgeable professional doctors ❤️
Caitlin K.
The whole visit was great. The team was efficient and kind. They explained what they were doing throughout and did a great job!
Barbara L.
My husband saw a physician assistant, Jennifer, who was enormously helpful and understanding. Some of the issues we were having, she referred to Patricia Brown, who phoned us almost as soon as we got home. As my husband said, “they are really on top of their game.”
Lani W.
Friendly staff and my doctor is easy to talk to about my GI health.
Susan B.
Very prompt. My appointment was 4.15pm and I was in the examining room by 4.10 and talking with the doctor by 4.15pm. Scheduling for an upcoming procedure was quickly completed. The entire staff from receptionist, medical assistant and procedure scheduler were great: Pleasant, thorough and efficient. Dr. Donat was very caring and explained everything to my complete satisfaction.
Stephen K.
A completely exceptional visit,everyone was awesome!!
Johnny G.
Well run office, professional and conscientious Dr & staff
Eric A.
Just wanted to thank Dr Weber and the entire staff at the macomb endoscopy center where my procedure was performed for always being both caring and so professional With minimal wait time . Thank you all for what you do!!
William S.
Every person I believe 7 was very friendly and professional.What set them apart was the personable treatment and making you feel at home.You could not ask for any better.
Elinor S.
Dr. Wille and his staff are great! Taken in on time, given time with Dr to discuss my problem and treated with the utmost courtesy. Always my go to GI place!!
Rosemary P.
Dr. Wille and his staff are always kind and welcoming.
Gayle
Dr. Willie and his staff are exceptional! Thank you!
Thomas F.
Dr. Weber is terrific! I feel very confident and comfortable with him as my G.I. specialist. His assistants, Debbie and Jamie, are very helpful, accommodating and pleasant.
elaine S.
Appointment on time and assistant was very efficient and pleasant.
Jason R.
Was very nervous, entire staff was friendly and professional. They got me in and out extremely fast.
L H.
My visit to Dr. Donat was excellent. We discussed my issues and recommendations were made. Very satisfied.
DeLano H.
Staff is A-1. Very helpful, explained everything about my procedure. It was my first time and I was nervous. Everyone reassured me these the hardest part was already over. You know what? They were right!! Great job👏🏽👏🏽👏🏽👏🏽👏🏽👌🏽✌🏽
Romee M.
Great experience with Dr. Wille. A great listener. Amazing doctor. The stafff were too good too. Thanks.
Richard K.
Friendly, competent, helpful service. Answered all my questions and modified care accordingly. Clerical service also helped me.
Robert T.
The staff as with Doctor Bologna leadership is a fine tuned instrument . This staff is able to deal with any surprise providing work around solutions for any. Emergency
Dominic A.
First,we seen the doctor on our appointment time.Second very friendly atmosphere n Third the doctor very open honest and professional.
PETER C.
Very good center, and I would recommend them to any one who needs a good Dr 👌
Katrina P.
The office staff and medical staff were exceptionally kind and knowledgeable, they listened to my concerns and did their best to accommodate me. I wanted the IV to be on my hand and not in the inside of my left elbow, I tend to bruise something awful there. Dr. Nandi was making sure I was comfortable and came in afterwards to go over the exam. I am grateful to everyone there making it a good experience. Thank you 😊
Leland T.
The sraff were professional but friendly.My appointment was prompt.Dr KahnWas great and was easy to talk with.Very good experience.
Jeanette M.
Saw Dr Willie NP and she was very professional and addressed my concerns. I would recommend Dr Willie and his staff
David O.
Minimal wait time both in lobby and exam room. Dr. Wille and staff are great!
Mary T.
Everyone was so nice. Everything was explained from prep through procedure very clearly. Highly recommend!
Becky R.
DR WILLI AND HIS STAFF MADE ME FEEL VERY COMFORTABLE DURING MY OFFICE VISIT.
Marti L.
Wonderful staff and service. Dr. Nandi is amazing.
Sandra T.
First time at this location. Very nice office. When I asked questions Nicolle was very pleasant and explained everything thoroughly.Thank you, Noelle
Yvonne G.
Dr. Bakker let me read off a list of items of concern and she responded to each item on the list.
Andrzej S.
Dr Bologna and his staff are friendly and professional. They listen are knowledgable and caring. Would highly recommend
Carolyn G.
Dr.Donat and his medical staff are cordial, professional and efficient. I have always had a positive experience there.
Christopher V.
Great office everyone very helpful and polite.I will recommend to everyone.
greg B.
Excellent process and staff
John Van O.
The whole staff are very professional. I was impressed by the number of patients being seen. They were still able to provide care that felt personal.
Connie S.
The appt was on time & I felt my Doctor listened attentively & responded with applicable recommendations for me.
성낙준
This facility is very up-to-date and the professionalism of the staff is very high. They are very kind to patients and care them as their family. I will recommend this center to my acquaintances.
Barbara B.
Dr. Khan is a person who knows her what she is doing. She's fast and passionate on people's needs.
steve G.
Over the past 20 years I have had 6 colonoscopies. Same place and all with Dr. Nandi. Every one was on time, staff had their ducks in a row and the doctor was great’
Darla M.
Very friendly and efficient staff.
Dawn P.
Always have a great experience tge staff is considerate,professional & they all care. I see Noelle she's the best!!
Susan L.
Dr. Saeed did not seem rushed. I have a 30 yr history and recent health problems affecting my previous treatment.She listened to my concerns, can up with a plan of care, includinh my input/concerns. I feel confident in her ability to help me maintain control of my Chron's disease. Her office staff is also very pleasant and thorough. All in all very pleased with my first visit. Thank you.
Tom V.
Nicolette was very easy to talk to and was very knowledgeable in this field. I was able to get an appointment for a procedure a week later.
Thomas R.
I was in and out for a biopsy of the pancreas in 1 hour, 15 minute wait time, 15 minute procedure, 30 minute recovery. Very professional !!
Robert Shefferly (.
Office staff if very friendly and professional. My appointment was on time with Dr. Willie who is down to earth and take this time with you.
Henry R.
Dr. Wille is the best. Very knowledgeable and personable. Takes time to explain everything and answer all my questions. Thanks!
Richard R.
The nurses and the front desk are very pleasant that makes this procedure so much easier. Dr. Conat and has his team work well together, you can tell that they have great chemistry. Procedure is on time and your out before you know it. I was sent home with what to expect from the Procedure and other information.
William M.
The staff and Dr Bologna was great and very helpful.
Gjon D.
Dr.Donat is a pro. He listens and cares.Hard to find. Keep up the good work.
Irma D.
Great office staff very helpful
K K
Great experience with staff and Dr. Bakken.I usually see Nicolette VanMaldeghem in between visits with Dr. Bakken and she is excellent as well. I have nothing but good things to say about this practice.
Dennis C.
From start to finish, everyone was so helpful and very prompt. Very tentative to your needs and the whole experience went very well.
Greg W.
Was checked in on time and the entire procedure took just over an hourI was very pleased with the doctor and the entire staff
David K.
Center for Digestive Health is an outstanding medical office! They are thorough, knowledgeable and empathetic.
Karen M.
From the time I made my appointment, I began receiving emails from The Patient Advisor with what I needed to do and buy or order as well as a phone number if I had questions. As the procedure got closer, I received reminders of what to do and everything I could expect. When I arrived, they got me checked in and once again told me what to expect. Everything went smoothly from pre-op to post-op and I would recommend Dr. Quallich, his staff and the Surgical Centers of Michigan!
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4.8
Based on 4289 reviews
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Lori L.
Lori L.
Excellent! This staff was very helpful. I highly recommend this medical team!
Robert Shefferly (.
Robert Shefferly (.
Office staff if very friendly and professional. My appointment was on time with Dr. Willie who is down to earth and take this time with you.
Romee M.
Romee M.
Great experience with Dr. Wille. A great listener. Amazing doctor. The stafff were too good too. Thanks.
Lisa C.
Lisa C.
Love the girls at the WellPoint center
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Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Leonard G. Quallich III MD

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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