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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

Blogs

Heartburn

Signs of Stomach Ulcers

Stomach ulcers are open sores that develop on the lining of the stomach or small intestine, but heartburn is caused when stomach acid flows back into the esophagus.

June 26, 2025

GERD

Health Complications Linked to GERD

If left untreated, GERD can lead to complications including esophagitis (inflammation of the esophagus), strictures (narrowing of the esophagus), or even Barrett’s esophagus, a condition that increases the risk of

June 12, 2025

Constipation

How to Prevent Constipation from IBS

IBS-C often requires a tailored approach that incorporates dietary changes, stress management, and sometimes prescribed medications to regulate bowel movements and reduce discomfort.

June 5, 2025

Hepatitis

How Hepatitis C Symptoms Differ for Women

Hepatitis C can affect women differently due to hormonal variations, immune system responses, and unique physiological factors

May 22, 2025

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September 12, 2022 by

Gluten is the protein part of wheat, rye, barley, and other related grains. Some people cannot tolerate gluten when it comes in contact with the small intestine. This condition is known as celiac disease. In patients with gluten sensitivity or celiac disease, gluten injures the lining of the small intestine. This injury can result in weight loss, bloating, diarrhea, gas, abdominal cramps, and/or vitamin and mineral deficiencies. When patients totally eliminate gluten from their diet, the lining of the intestine has a chance to heal, and their symptoms improve as a result. Removing gluten from the diet is not easy. There are many gluten-free alternatives available.

Gluten-Free Diet

Food Group	Do Not Contain Gluten	May Contain Gluten	Do Contain Gluten
Thickening agents	Gelatin, arrowroot starch, corn flour, germ or bran, potato flour, potato starch flour, rice bran and flour, rice polish, soy flour, tapioca, sago	None	Wheat starch, all flours containing wheat, oats, rye, malt, barley, or graham flour, all-purpose flour, white flour, wheat flour, bran, cracker meal, durham flour, wheat germ
Condiments	Gluten-free soy sauce, distilled white vinegar, olives, pickles, relish, ketchup	Flavoring syrups (for pancakes or ice cream), mayonnaise, horseradish, salad dressings, tomato sauces, meat sauce, mustards, taco sauce, soy cause, chip dips)	None
Seasonings	Salt, pepper, herbs, flavored extracts, food coloring, cloves, ginger, nutmeg, cinnamon, bicarbonate of soda, baking powder, cream of tartar, monosodium glutamate	Curry powder, seasoning mixes, meat extracts	Synthetic pepper, brewer’s yeast (unless prepared with a sugar molasses base), year extract (contains barley)
Prescription Products	None	All medicines, check with pharmacist or pharmaceutical company	None
Meat or meat substitutes	100% meats (no grain additives), seafood, poultry (breaded with pure cornmeal, potato flour or rice flour), peanut butter, eggs, dried beans or peas, pork	Meat patties, canned meat, sausages, cold cuts, bologna, hot dogs, stew, hamburger, chili, commercial omelets, soufflés, fondue, soy protein meat substitutes	Croquettes, breaded fish, chicken loaves made with bread or breadcrumbs, breaded or floured meats, meatloaf, meatballs, pizza, ravioli, any meat or meat substitute. Rye, barley, oats, gluten stabilizers
Breads & grains	Cream or rice, cornmeal, hominy, rice or wild rice, gluten-free noodles, rice wafers, pure corn tortillas, specially prepares breads, made with corn rice, potato, soybean, tapioca, arrowroot, carob, buckwheat, millet, amaranth and quinoa flour	Packaged rice mixes, ready-to-eat cereals containing malt flavorings, cornbread	Wheat, barley, rye
Fats & oils	Butter, margarine, vegetable oil, shortening, lard	Salad dressings, non-dairy creamers, mayonnaise	Gravy and cream sauces thickened with flour
Fruits	Plain, fresh, frozen, canned or dried fruit, all fruit juices	Pie fillings, thickened or prepared fruit, fruit fillings	None
Vegetables	Fresh, frozen or canned vegetables, white and sweet potatoes, yams	Vegetables with sauces, commercially prepared vegetables and salads, canned baked beans, pickles, marinated vegetables, commercially seasoned vegetables	Creamed or breaded vegetables, those prepared with wheat, rye, oats, barley, or gluten stabilizers
Snacks & Desserts	Brown and white sugar, rennet, fruit whips, gelatin, jelly, jam, honey, molasses, pure cocoa, fruit ice, carob	Custards, puddings, ice cream, ices, sherbet, pie fillings, candies, chocolate, chewing gum, cocoa, potato chips, popcorn	Cakes, cookies, doughnuts, pastries, dumplings, ice cream cones, pies, prepared cake and cookie mixes, pretzels, bread pudding
Beverages	Tea, carbonated beverages (except root beer), fruit juices, mineral and carbonated waters, wines, instant or ground coffee	Cocoa mixes, root beer, chocolate drinks, nutritional supplements, beverage mixes	Postum, ‘Ovaltine’, malt-containing drinks, cocomalt, beer, ale
Soups	Those made with allowed ingredients	Commercially prepared soups, broths, soup mixes, bouillon cubes	Soups thickened with wheat flour or gluten-containing grains, soup containing barley, pasta, or noodles

December 19, 2022 by alyssa

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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

September 12, 2022 by

A low fiber or low residue diet limits the consumption of dietary fiber, oftentimes by placing restrictions on foods found to have high amounts, including certain fruits, vegetables, dairy, and whole-grain products. This diet reduces stool size and frequency, particularly helping those suffering from flare-ups caused by Inflammatory Bowel Disease as it relieves the intestines from working as hard.

Low Fiber-Low Residue Diet (4-10 Grams Fiber)

Dietary fiber is the undigestible part of plants that maintains the structure of the plant. Dietary fiber includes cellulose, hemicellulose, polysaccharides, pectins, gums, mucilages, and lignins. Although they are chemically unrelated, they all resist digestion by the human body. It is this resistance that makes these fibers important in both the normal functioning and in disorders of the large intestine or colon.

In certain medical conditions, it is important to restrict fiber. These include acute or subacute diverticulitis and the acute phases of certain inflammatory conditions of the bowel-ulcerative colitis or Crohn’s disease. After some types of intestinal surgery, a low fiber, low residue diet may be used as a transition to a regular diet. A low-fiber diet may also be used for a period of time after a colostomy or ileostomy is performed.

Nutrition Facts

Depending upon individual food selection, the Low Fiber, Low Residue Diet is adequate in all nutrients (National Research Council’s Recommended Dietary Allowance). If the diet must be strict and followed over a long period of time, the intake of fruits and vegetables may not be adequate, and/or on a low residue diet, there may not be enough calcium included. In these cases, a multivitamin supplement or liquid nutritional supplement may be needed.

Special Considerations

If a low fiber or low residue diet results in abdominal cramps or discomfort, notify the dietitian or physician immediately.

Low Fiber Diet

Group	Recommend	Avoid
Milk & milk products (2 or more cups daily)	all milk products	Low Residue Diet only 2 cups daily of all milk products
Vegetables (2 servings daily) 1 serving = 1/2 cup	vegetable juice without pulp; the following cooked vegetables: yellow squash (without seeds), green beans, wax beans, spinach, pumpkin, eggplant, potatoes without skin, asparagus, beets, carrots; tomato sauce and paste	vegetable juices with pulp, raw vegetables, cooked vegetables not on Recommend list
Fruits (2-3 servings daily) 1 serving = 1/2 cup	fruit-juices without pulp, canned fruit except pineapple, ripe bananas, melons, peeled and cooked apples, orange and grapefruit without the membrane	fruit-juices with pulp, canned pineapple, fresh fruit except those on Recommend list, prunes, prune juice, dried fruit, jam, marmalade
Starches-Bread & Grains (4 or more servings daily)	bread and cereals mode from refined flours, pasta, white rice, saltines, tapioca	whole-grain breads, cereals, rice, pasta; bran cereal; oatmeal
Meat & meat substitutes (5 to 6 oz daily)	meat, poultry, eggs, seafood, cottage cheese, other mildly flavored cheeses	chunky peanut butter, nuts, seeds, dried beans, dried peas, tough gristly meats, hot dogs, sausage, sardines, fried meats, strongly flavored cheeses
Fats & oils	all oils, margarine, butter	coconut, fats used for deep frying
Sweets & desserts (servings depend on caloric needs)	all not on avoid list	desserts containing nuts, coconut, raisins, seeds
Miscellaneous	all not on avoid list	popcorn, pickles, horseradish, relish

Your Trusted Team of
Gastroenterologists