Dale Prokupek, MD

Dale Prokupek, MD is a board-certified Internist and Gastroenterologist who runs a private practice based in Los Angeles, California. Dr. Prokupek is also a staff physician at Cedars-Sinai Medical Center and an associate clinical professor of medicine at the Geffen School of Medicine at the University of California, Los Angeles (UCLA). Dr. Prokupek has over 30 years of medical experience and specializes in the diagnosis and treatment of diseases of the liver, stomach, and colon, including chronic hepatitis C, colon cancer, hemorrhoids, anal condyloma, and digestive diseases related to chronic immune deficiency. He holds a BS in Zoology from the University of Wisconsin – Madison and an MD from the Medical College of Wisconsin. He completed an internal medicine residency at Cedars-Sinai Medical Center and a gastroenterology fellowship at the UCLA Geffen School of Medicine.

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Q&A Comments (43)

How do I prepare for a colonoscopy?
So, the most important part of a colonoscopy is to make sure your colon is completely clean. If there's still food left in your colon, the doctor is not going to be able to see the walls and therefore could miss something important. A week before the procedure, decrease the amount of fiber in your diet so that the bulk of the volume of your stool will be much less when you begin the actual preparation. Also, eat foods that will get your bowels moving, like berries or prune juice, so that when you take the actual prep, things will just go much, much easier. Then on the day of the prep, you want to eat only clear liquids. Then you begin a prep which is a prescription medication that you drink and you wash it down with lots of water. It's a very, very strong cathartic or laxative, and the purpose of it is to clear all this fecal matter out of your colon. So if you do those things before that prep, you'll be very successful in having an excellent prep and therefore a high-quality colonoscopy results
What are some exercises I can do for a healthy gut?
Exercise, in general, is imperative for a healthy gut because when we exercise, the motility of our GI tract increases. In other words, people who don't exercise get very constipated because not exercising and leading a sedentary lifestyle paralyzes your GI tract. So, it's very important for people that are constipated to exercise because it'll stimulate their colon It also can be very healthy for your GI tract to do certain yoga poses (for example, a lot of the twisting poses in yoga stimulate forward propulsion of your GI tract which the goal is to clear out your colon every 48 hours or so, and those twisting types of yoga poses will help you do that).
What to eat if you have IBS with diarrhea?
The first thing you want to do is make sure you consume foods that have lots of good bacteria in them, called probiotics. The next thing you want to do is to make sure you eat lots of foods that have a high fiber content, because the fiber in your food will normalize the activity of your GI tract. The third thing you want to do is avoid eating foods that naturally produce gas in your intestines such as beans, vegetables like broccoli or cauliflower, what we call cruciferous vegetables, cabbage. You also do not want to drink carbonated beverages.
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