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Gastroenterologists

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About All Island Gastroenterology & Liver Associates

All Island Gastroenterology (AIG), founded in 1995, is a Long Island-based practice, specializing in the screening, prevention, diagnosis and treatment of all gastrointestinal, liver and nutritional disorders in a professional, private, and caring environment.

We combine state-of-the-art medicine with cutting-edge technology (typically seen at elite hospitals). We provide some of the highest-level care for gastrointestinal, liver disease and colorectal cancer prevention, detection and screening in the Long Island area. At the same time, we stay committed to providing professional, personal and compassionate care while obtaining complete patient satisfaction and comfort during the patient’s visit.

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Colonoscopy

A colonoscopy is now the gold standard used to detect or prevent individuals from getting colon cancer. Adults starting at age 45 years are strongly recommended to have a colonoscopy or some other test to screen for colon cancer.

Capsule Endoscopy

During the procedure, a patient swallows a vitamin-sized pill with a camera inside (pill camera). Transported smoothly and painlessly through the GI tract by the body’s own natural peristalsis, the video pill capsule transmits images of different parts of your intestine, such as the small intestine and the esophagus.

ERCP

An endoscopic retrograde cholangiopancreatography, more commonly known as ERCP, is an endoscopic procedure that is also combined with X-rays. ERCP is very much like a typical upper GI endoscopy; however, your gastroenterologist will inject a dye during the procedure, which highlights problems in certain digestive organs through X-ray technology.

Flexible Sigmoidoscopy

A sigmoidoscopy is an internal exam of the lower part of the large intestine (colon) using a short, thin, flexible, lighted tube with a camera at the tip. This procedure helps determine the cause of abdominal pain, rectal bleeding, changes in bowel habits, chronic diarrhea, and other intestinal problems.

Hemorrhoid Treatments

Two of the most common treatments for hemorrhoid removal are hemorrhoid banding, which cuts off blood flow to the hemorrhoid, and infrared coagulation (IRC) therapy, which uses infrared light to shrink and shrivel hemorrhoids. The treatment method depends highly upon whether the hemorrhoids are external (around the anus) or internal (in the rectum).

Upper Endoscopy

An endoscopy is a very common and safe procedure that is used to examine the esophagus, stomach, and upper part of the small intestine, known as the duodenum, to get a closer look at what may be causing symptoms.

Celiac Disease

Celiac disease is an autoimmune disease where a patient’s immune system abnormally responds to the ingestion of gluten. It is estimated that 1 in 100 people worldwide is affected by celiac disease. However, up to 2.5 million people in the United States may have celiac disease and not know it, as the symptoms range from mild to severe.

Constipation

Constipation is defined as having a bowel movement fewer than three times per week. With constipation, stools are usually hard, dry, small in size, and difficult to eliminate. Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel.

GERD

Gastroesophageal reflux disease (GERD) is a more serious form of gastroesophageal reflux (GER) which is common. GER occurs when the lower esophageal sphincter (LES) opens spontaneously, for varying periods of time, or does not close properly, and stomach contents rise up into the esophagus.

Hemorrhoids

Hemorrhoids are swollen veins in the anal canal. This common problem can be painful and can be caused by too much pressure on the veins in the pelvic rectal area. Normally, tissue inside the anus fills with blood to help control bowel movements, but if you strain or sit on the toilet a long time to move stool, the increased pressure causes the veins in this tissue to swell and stretch.

Inflammatory Bowel Disease + Crohn's Disease & Ulcerative Colitis

Inflammatory bowel disease (IBD) encompasses a set of gastrointestinal diseases where parts of the digestive tract are chronically inflamed by a dysfunctional interaction immune system. Hereditary factors and an abnormal interaction between microorganisms and the immune system are felt to play a role.

Irritable Bowel Syndrome

It is estimated that 10 to 15 percent of Americans have Irritable Bowel Syndrome (IBS). IBS is a functional GI disorder that refers to a group of symptoms that affect the digestive tract, often resulting in abdominal pain, bloating, or cramping. However, some people with IBS have no symptoms at all.

Diet & Nutrition

Nutrition plays a paramount role in gastroenterology as it directly influences the health and functioning of the digestive system. We have nutritional resources available to help understand the role adequate nutrition plays in preventing and managing various digestive disorders.

What Our Patients Say About Us

The staff are amazing and very polite. Dr. Lipsky is a wonderful doctor he made me feel so comfortable with speaking with him and accepting his services. I didn't feel judged at all. I will definitely continue to be a patient of his.

Chrissy

Dr. David Schwarzbaum is absolutely incredible and I would recommend him to absolutely anyone who needs a GI doctor.

Ash

Consults are thorough and professional. Dr. Lipsky has a calm, pleasant demeanor. The building where the colonoscopy procedure is done is lovely and relaxing. Wonderful nursing staff. Highly recommended.

Sara

Dr. Lipsky and his Rockville Centre office staff are professional and caring. There is not a long wait in his office and he takes time to listen to your concerns. His colonoscopy suite in Westbury is managed precisely. Good parking and comfortable waiting room.

Rosalyn

I have been seeing Dr Lipsky for over 30 years He has treated me for several serious issues throughout the years. He has always treated me to the point that I always felt better. I trust him and just as important I like Dr Lipsky He also treats my wife. I highly recommend Dr Lipsky if you suffer from digestive issues.

Joe

Dr. Lipsky is one of the best drs.he always takes a good care off me with respect and he is very concern about my time to be check again and he is on top on the results of a test.He call you right away to let you know the results love this dr.I highly recommend him.

Adela

Hemorrhoids

How Long do Hemorrhoids Last?

While hemorrhoids are common and often resolve on their own, severe cases may require medical attention to alleviate symptoms and prevent complications.

January 23, 2025

Celiac Disease

Can You Develop Celiac Disease Later in Life?

Individuals who previously tolerated gluten without issues may suddenly experience symptoms like abdominal pain, diarrhea, fatigue, or unexplained weight loss.

January 16, 2025

Uncategorized

Total Wellness: The Risks of Ignoring Your Lactose Intolerance

Ignoring your lactose intolerance can lead to various uncomfortable symptoms and health complications. It’s important to understand the causes, symptoms, and management strategies of lactose intolerance to promote overall wellness

January 2, 2025

IBS

IBS and Pregnancy: Managing Symptoms During and After Pregnancy

Pregnant individuals with IBS should work closely with their healthcare providers to tailor their dietary and lifestyle strategies, ensuring both maternal and fetal health while minimizing discomfort.

December 19, 2024

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October 14, 2022 by brandon

October 27, 2022 by brandon

April 30, 2024 by Eli Heeter

September 12, 2022 by

As part of a regular healthy diet, it is recommended that of the total calories eaten, no more than 30% should come from fat. However, certain diseases and medical conditions can make it difficult for the body to tolerate even that much fat, and a low-fat diet may be recommended.

Following a low-fat diet can be helpful for many different diseases such as gallbladder disease, delayed stomach emptying (gastroparesis), diarrhea, and fatty liver disease.

In general, it is advised that all visible fat be trimmed from meats. All foods, including meat and fish, should be baked, steamed, or broiled rather than fried.

Low Fat Diet

Group	Recommend	Avoid
Sweets & Desserts (servings depend on caloric needs)	Sherbet made with skim milk, non-fat frozen yogurt, fruit ice, gelatin, angel food cake, vanilla wafers, ginger snaps, graham crackers, meringues, puddings made with skim milk, tapioca, fat-free cakes and cookies, fruit whips made with gelatin or egg whites, hard candy, jelly beans, jams, marmalades, maple syrup	Ice cream, pastries, cakes, cookies, pies, doughnuts, pudding made with whole milk, cream puffs, turnovers, chocolate
Fats & Oils (3 servings daily, each listed is one serving)	Avocado 2 Tbsp or 1/8 medium, margarine 1 tsp, diet margarine 2 tsp, salad dressing 1 tbsp, diet salad dressing 2 Tbsp, vegetable oils 1 tsp, nuts (raw or dry roasted): almonds 6, peanuts 20 small or 10 large, whole walnuts 2, whole pistachios 18, sesame seeds 1 tbsp, sunflower seeds 1 Tbsp, saturated fats: bacon 1 strip, butter 1 tsp, dried coconut 2 Tbsp, cream cheese 1 Tbsp, sour cream 2 Tbsp, other fats: olive oil 1 tsp, peanut oil 1 tsp, large olives 10, peanut butter 2 tsp	Any fat in excess
Milk & milk products (2 or more servings daily)	Skim milk, evaporated skim milk, skim buttermilk, nonfat sour cream, yogurt made with skim milk (3 gms fat or less/oz, maximum of 3 oz/day), fat-free cheeses, low-fat cottage cheese, part-skim mozzarella cheese, part skim or skim ricotta cheese	Whole milk, cream, sour cream, non-dairy creamers, whole milk cheese, cheese spreads
Bread & grains (4 or more servings daily)	Whole grain and enriched breads, cold cereal, whole grain cereals (except granola), saltines, soda crackers, low-fat snack crackers, rice cakes, unbuttered popcorn, low-fat muffins, plain pasta, barley, oatmeal, home-made pancakes without fat, French toast made with egg substitute and skim milk	Breads containing egg, cheese, or made with fat, biscuits, sweet rolls, pancakes, French toast, doughnuts., waffles, fritters, muffins, granola type cereals, snack crackers, potato chips, packaged stuffing, fried rice, chow mein noodles
Vegetable (3 or more servings daily)	All vegetables (steamed, raw, boiled, or baked (without added fat)	Fried vegetables or those in ice cream, cheese, butter sauces, dips
Fruits (2 or more servings daily)	All other fruits	Avocado
Meat & meat substiture (5 to 6 oz daily)	Poultry (without skin), veal, lean ground beef trimmed of fat (USDA good or choice cuts of round sirloin, flank, and tenderloin), fresh, canned, cured, or boiled ham, Canadian bacon, lean port (tenderloin, chops, cutlet), fish (fresh, frozen, canned in water), eggs (boiled, scrambled without added fat), luncheon meat at least 95% fat free	Any fried, fatty, or heavily marbled meat, fish, or poultry, beef (USDA prime cuts, ribs, ground beef, corned beef), pork (spareribs, ham hocks), fish (canned in oil), eggs (fried in butter, oil, or margarine), luncheon meat less than 95% fat free
Beverages (4 to 6 cups or more daily)	Decaffeinated or regular coffee or tea, cocoa made with skim milk, fruit juices, soft drinks, water	Beverages made with high fat dairy products
Soups	Fat-free broths, consommés, bouillon, soups made with fat-free broth, skim milk, evaporated skim milk	Cream soups, soups with added oils or meat fats, soups made from stocks containing meat fat

August 29, 2022 by

Although your body needs cholesterol, having too much cholesterol can lead to serious health issues, including coronary artery disease and other heart diseases. One of the remedies for lowering high cholesterol is following a low cholesterol diet. This includes limiting your diet to 30% of calories from fat and consuming less than 300mg/day of cholesterol. Place close attention to the number of mg found in animal products as many are found to contain high amounts of cholesterol, including egg yolks, shrimp, whole milk dairy products, and liver and other organ meats.

How to help lower your cholesterol:

Limit foods with cholesterol
Eat plenty of soluble fiber (whole grain cereals such as oatmeal, fruit, and legumes)
Eat lots of fruits and vegetables.
Eat fish that are high in omega-3 fatty acids.
Limit salt
Limit alcohol

Low Cholesterol Diet

Type of Food	Foods Allowed	Foods to Avoid
Milk & Cheese	Skim or 1% milk (liquid, dry, or evaporated), nonfat or low-fat yogurt, low-fat cottage cheese (1-2%), low-fat cheese (labeled no more than 6g fat per ounce).	Whole milk, regular evaporated condensed or chocolate milk, whole milk yogurt, imitation products, most non-dairy creamers, whipped toppings.
Fish, Meat & Poultry	Fish, tuna packed in water, poultry without skin, baked, boiled, broiled, or roasted. LEAN, well-trimmed beef, lamb, port or veal.	Fatty meats, organ meats, spareribs, regular cold cuts, sausage, hot dogs, bacon.
Eggs	Whites (2 whites = 1 whole egg in recipes), cholesterol-free egg substitutes.	Egg yolks, try not to have more than 3-4 a week, including what is used in recipes.
Breads & Cereals	Homemade baked goods using vegetable oils sparingly, and no egg yolks or whole milk. Whole-grain breads, pasta, rice, hominy grits.	Commercial baked goods; pies, cakes, doughnuts, pastries, croissants, muffins, biscuits, high-fat crackers, and cookies.
Vegetables & Fruits	Any fresh, frozen, canned, or dried fruits and vegetables.	Vegetables prepared in butter, cream, or other sauces.
Fats & Oils	Baking cocoa, unsaturated vegetable oils such as olive, rapeseed (canola), corn, sesame, soybean, sunflower. Margarines made from one of the oils listed above. Mayonnaise or salad dressing made with one of the oils listed above, seeds, nuts.	Chocolate! Butter, coconut oil, palm oil, palm kernel oil, lard, bacon fat.
Desserts	Fruit ices, sherbert, angel food cake, Jello, frozen low-fat yogurt, and cakes, cookies, and muffins made with fat and cholesterol-modifying recipes.	Pastries, ice cream, cookies, cheesecake.
Snacks	Graham crackers, rye crisp, soda crackers, melba toast, bagels, fruit, English muffins, ready-to-eat cereals, air-popped popcorn, pretzels.	Snack crackers, corn chips, potato chips, tortilla chips, cheese puffs, French fries.

Your Trusted Team of
Gastroenterologists