Is the low histamine diet right for everyone? Amanda Igel MS, RD, LD, a registered dietician at Cleveland Clinic, joins Dr. Steele on Butts & Guts to share more about what histamine is, how an intolerance impacts the digestive system, and the importance of working with a registered dietician to develop a personalized nutrition plan.

On this episode of Butts & Guts, Dr. Steele sits down with Dr. Brian Chen from the Cleveland Clinic's Sleep Disorder Center to explore the intriguing link between sleep and digestive health. They discuss the critical role sleep plays in overall wellness and how inadequate rest can negatively impact gut function. Join them as they uncover the latest research and practical insights on how sleep affects our digestive system.

On this episode of Butts & Guts, Dr. Steele is joined by Dr. Jessica Caldwell, Director of the Women’s Alzheimer's Movement Prevention and Research Center at Cleveland Clinic, to explore the intriguing connection between gut health and brain health. Discover how the gut-brain axis influences Alzheimer’s disease, the impact of lifestyle and diet on cognitive function, and what current research reveals about managing and preventing neurodegenerative conditions. Tune in to learn how caring for your gut may be the key to safeguarding your brain.

Abdominal pain, nausea, vomiting, diarrhea, and constipation are only a few of the side effects patients undergoing cancer treatment may experience. Dr. Renato Samala, a physician within the Department of Palliative and Supportive Care at the Cleveland Clinic, joins this episode of Butts & Guts to share more about why these side effects occur, the impact on the digestive system, and how palliative care goes beyond symptom control to address the physical, emotional and psychological effects of cancer treatment.

Bret Lashner, MD, a gastroenterologist in the Center for Inflammatory Bowel Disease at Cleveland Clinic, joins Butts & Guts this week to discuss fecal transplants. This cutting-edge procedure is used to combat severe gut infections, repair the gut microbiome, and restore the quality of life for patients battling a range of conditions. Listen to learn more about how the procedure has evolved and advancements on the horizon.

This week on Butts & Guts, we welcome back Dr. Mike Leonis of Cleveland Clinic Children's to discuss the latest updates in the diagnosis and treatment of acute liver failure (ALF). Listen to learn everything you need to know about ALF in children, including the symptoms, diagnosis, and how treatment of this life-threatening condition continues to evolve.

Dr. Choon H David Kwon, Director of Minimally Invasive Liver Surgery at Cleveland Clinic, joins the Butts & Guts podcast to discuss histotripsy, a non-invasive liver tumor treatment recently approved by the FDA. Listen to learn more about how this technology works, who is a candidate, and the future of non-invasive liver tumor treatment.

Dr. Lynn Woo, Center Director for Pediatric Urology, and pediatric surgeon Dr. Anthony DeRoss, join Butts & Guts this week to discuss the new Pediatric Colorectal & Pelvic Center at Cleveland Clinic, which offers multidisciplinary care for children with colorectal and pelvic disorders. Listen to learn more about how the center provides various treatments for chronic conditions and aims to streamline care for patients and their families. 

According to the Administration for Community Living, the population of Americans aged 85 and older is projected to more than double from 6.6 million in 2019 to 14.4 million in 2040. On this episode of Butts & Guts, Dr. Mark Horattas, Chairman of the Department of Surgery at Cleveland Clinic Akron General, and Kelly Bahr, RN, Geriatric Surgery Coordinator in the Department of General Surgery at Cleveland Clinic Akron General, join Dr. Steele to discuss how surgical care evolves as we age. Listen to hear more about how older individuals and their families can address potential risk factors before surgery and how care teams can advocate for this vulnerable patient population from pre-op to recovery.

Madison Simons, PsyD, is a gastrointestinal (GI) psychologist in the Department of Gastroenterology, Hepatology, and Nutrition at Cleveland Clinic. She joins this episode of the Butts & Guts podcast to discuss the psychological effects that patients with GI disorders often experience. Listen to learn more about the gut-brain connection and treatment options available to those with motility disorders.

On this episode of Butts & Guts, Dr. Lauren Kopicky, a breast surgeon at Cleveland Clinic shares more about the goldilocks mastectomy surgery, an alternative breast reconstruction option for cancer patients who do not desire a traditional approach. Listen to learn more about this surgery, who may be a candidate, and the importance of exploring all options with your doctor.

Patients who undergo surgery for rectal cancer are often faced with a "new normal." Colorectal Surgeon Dr. Marylise Boutros of Cleveland Clinic Florida joins Butts & Guts to discuss Low Anterior Resection Syndrome (LARS), a group of symptoms patients may experience after treatment. Listen to learn more about how to recognize triggers and take control of symptoms.

On this episode of Butts & Guts, Colorectal Surgeon Dr. Anna Spivak and Urogynecologist Dr. Shannon Wallace discuss the complexities of multicompartment pelvic organ prolapse. Listen to learn more about how their multidisciplinary team works to restore the quality of life of patients experiencing prolapse. 

The use of weight loss medications like Ozempic and Mounjaro has become a hot topic. Dr. W. Scott Butsch, Director of Obesity Medicine in the Bariatric and Metabolic Institute at Cleveland Clinic joins the podcast to break down how these medications work and the overall impact of how we care for and talk about the disease of obesity.

On this episode of the Butts & Guts podcast, Dr. Amit Bhatt, a gastroenterologist and Co-Director of the Endoluminal Surgery Center at Cleveland Clinic shares more about endoscopic submucosal dissection. Listen to learn more about this cutting-edge procedure used to remove tumors from the gastrointestinal (GI) tract.

Dr. Ryan Berglund, a Urologist and member of the Urologic Oncology team at the Cleveland Clinic joins the Butts & Guts podcast to discuss advancements in the screening, diagnosis, and treatment of prostate cancer. Listen to learn more.

World-renowned Gastroenterologist in the Department of Gastroenterology, Hepatology, and Nutrition at Cleveland Clinic and Section Head of the Sanford R. Weiss MD Center for Hereditary Colorectal Neoplasia, Dr. Carol Burke joins Butts & Guts for Colorectal Cancer Awareness Month to share the latest updates in screening methods. From cutting-edge technologies to evolving trends, listen to learn more about how these advances are reshaping early detection and prevention of colorectal cancer.

On this episode of the Butts & Guts podcast, Anne Banas, MSN, SPRN-CNP, Diane Cowles, RN, and Christine Arnica, MSSA, LISW join Dr. Steele to highlight the work being done at the Cleveland Clinic Pediatric Center for Airway, Voice and Swallowing Disorders. Listen to learn more about the multidisciplinary care they provide to children with aerodigestive challenges.

Dr. Shirley Paski joins the Butts & Guts podcast this week to discuss short bowel syndrome. Listen to learn more about this condition and how best to manage this unique diagnosis.

Dietician Julia Zumpano joins the Butts & Guts podcast once again, this time to discuss snacking. Listen to learn more about what foods the reasons for why people snack, how snacking effects our weight, and the benefits of having a healthy relationship with snacking. Listen to learn more.

Dr. Jessica Barry joins the Butts & Guts podcast this week to discuss small bowel enteroscopy/therapeutics in pediatric endoscopy at Cleveland Clinic Children's. Listen to learn more about this procedure and how it can help young patients.

Dr. Kristen Ban joins the Butts & Guts podcast this week to discuss everything you need to know about Enhanced Recovery After Surgery (ERAS). Listen to learn about who qualifies for ERAS, how it can help patients after a surgery, and more.

Dr. Petar Bajic joins the Butts and Guts podcast once again, this time to discuss low-intensity shockwave therapy treatment for erectile dysfunction (ED). Listen to learn more about how this type of therapy is being used to treat ED.

Taylor Stephens, PhD, is a pediatric psychologist in the Center for Pediatric Behavioral Health at Cleveland Clinic Children's. She joins this episode of the Butts & Guts podcast to discuss the mental health of pediatric diabetic patients. Listen to learn more about why mental health care is important for pediatric diabetic patients and the services available at Cleveland Clinic.

Dietician Julia Zumpano joins the Butts and Guts podcast once again, this time to discuss saturated fats. Listen to learn more about what foods high in saturated fats are okay to consume, as well as ones to avoid, along with how they can impact your health.

Dr. Kathleen Ashton is a board-certified Clinical Health Psychologist in the Breast Center of the Digestive Disease Institute at Cleveland Clinic. She joins this episode of the Butts and Guts podcast to discuss mental health and breast cancer. Listen to learn more about the importance of mindfulness for breast cancer patients, as well as the mental health services and resources available at Cleveland Clinic (such as the Breast Cancer Podcasts for Relaxation).

Dr. Anna Chichura is a breast surgeon oncologist and benign gynecologist in the Department of General Surgery at Cleveland Clinic. She joins this episode of the Butts and Guts podcast to discuss disparities in breast cancer. Listen to learn more about how race, ethnicity, socioeconomic status, and access to healthcare can affect breast cancer diagnosis and treatment, along with what is being done to better diagnose patients.

Dr. David Liska is a leading colorectal surgeon at Cleveland Clinic. He is the Section Head of Colorectal Cancer Oncology and the Director of the Sanford R. Weiss, MD Center for Hereditary Colorectal Neoplasia. He also leads the Center for Young-Onset Colorectal Cancer and is the James Church and Edward DeBartolo, Jr. Family Endowed Chair. Dr. Liska discusses hereditary colon cancer in this episode of Butts & Guts. Listen to learn more about this type of cancer and the treatment advancements being made at Cleveland Clinic.

Diana Schnee is a registered dietician in the Pediatric Gastroenterology, Hepatology, and Nutrition Department at Cleveland Clinic Children's. She joins this episode of the Butts and Guts podcast to discuss common pediatric nutrition issues. Listen to learn more about the signs of a potential nutrition issue in your child, along with when to seek care for them.

Dr. Deborah Goldman joins the Butts and Guts podcast once again, this time to discuss celiac disease in pediatric patients. Listen to learn more about the symptoms parents/legal guardians need to be on the lookout for as potential signs of celiac disease in their child, along with other important information about this disease.

Dr. Sandra Hong is the Chair of the Allergy and Immunology Department at Cleveland Clinic. She joins this episode of the Butts and Guts podcast to discuss food allergies and the digestive system. Listen to learn more about the differences between food allergies and food intolerance, as well as the advancements being made to help people living with food allergies.

Dr. Charles Miller is a liver surgeon and the Enterprise Director of Transplantation at Cleveland Clinic. He joins this episode of the Butts and Guts podcast to discuss what you need to know about organ donations and transplantations, as well as perfusion, and how organ availability can be improved.

Dr. Scott Lundy is a Staff Urologist and a Surgical Scientist in the Department of Urology at the Cleveland Clinic. He joins this episode of the Butts and Guts podcast to discuss everything you need to know about low testosterone (also known as "low t"). Listen to learn more about this condition and how to safely seek treatment.

Dr. Tracy Hull is the Section Chief of Inflammatory Bowel Disease in the Department of Colorectal Surgery at Cleveland Clinic. Dr. Hull also holds the Thomas and Sandra Sullivan Family Endowed Chair in Inflammatory Bowel Disease. She joins this episode of the Butts and Guts podcast to share updates in inflammatory bowel disease (IBD) treatment and what you need to know about the disease.

Dr. Ly Hoang Roberts is an Associate Staff in the Department of Urology at Cleveland Clinic. She joins this episode of the Butts and Guts podcast to discuss everything you need to know about pelvic pain. Listen to learn more about what and where this type of pain can occur, along with how best to treat it.

Dr. George Thomas is a staff nephrologist and Director of the Center for Blood Pressure Disorders in the Department of Kidney Medicine at Cleveland Clinic. He joins this episode of the Butts and Guts podcast to discuss everything you need to know about hypertension. Listen to learn more about high blood pressure, along with how your gut health can impact your blood pressure and what readings are considered too high and also too low.

On this episode of the Butts and Guts podcast, Michael Rosen, MD, shares everything you need to know about hernia surgeries, along with the basics of abdominal core health. Listen to learn more about these topics from Dr. Rosen, who is a professor of surgery, the Section Head of the Abdominal Wall Reconstruction Team, and the DDSI Surgical Operations Vice Chair in the Department of General Surgery, all at Cleveland Clinic.

The Be Well Kids Clinic brings together a comprehensive team of physicians, researchers and healthcare professionals at Cleveland Clinic Children’s with expert knowledge in childhood obesity. Joining this episode of the Butts and Guts podcast from the team is Dr. Jennifer Brubaker. She is a Certified Nurse Practitioner and has been on the staff of the Be Well Kids Clinic for the past eight years. Listen to learn more about this program and how the team can assist children and their families in the prevention and treatment of childhood obesity.

Dietician Julia Zumpano joins the Butts and Guts podcast once again, this time to discuss a low-purine diet. Listen to learn more about how this diet works and how it can help those with gout or kidney stones.

Dr. Taha Qazi is a gastroenterologist at Cleveland Clinic. He joins this episode of the Butts and Guts podcast to discuss how to manage pouch inflammation. Listen to learn more about this disease and how it can be treated.

On this episode of Butts and Guts, Dr. Daniel Joyce joins the podcast to discuss gastrointestinal stromal tumors (GISTs) and other sarcomas of the digestive system. Listen to learn about where sarcomas can appear in the digestive system, what causes them to form, the treatment options available, and more.

Dr. Sandra Kim, the new Chair of Gastroenterology, Hepatology, and Nutrition at Cleveland Clinic Children's, joins this episode of the Butts and Guts podcast to discuss inflammatory bowel disease (IBD) in children. Listen to learn about what symptoms to be on the lookout for in a child who potentially may have IBD, what treatment looks like for this disease at Cleveland Clinic Children’s, and more.

Dr. Petar Bajic, the new Director of the Center for Men’s Health at Cleveland Clinic, joins the Butts & Guts podcast once again, this time to discuss the rise in direct-to-consumer men's healthcare. Listen to learn more about the risks men face when seeking treatment from standalone clinics or online platforms for conditions like low testosterone (low-T) and erectile dysfunction (ED), along with why it’s important for men to inform their urologist about these complications versus seeking care elsewhere.

Dr. Michelle Kim is Chair of Cleveland Clinic’s Department of Gastroenterology, Hepatology, and Nutrition. She joins this episode of Butts & Guts to discuss neuroendocrine tumors. Listen to learn more about what causes neuroendocrine tumors, how they are diagnosed and treated, and other important information about this disease.

Dr. Shreya Sengupta joins this episode of the Butts and Guts podcast to discuss alcohol-associated hepatitis. Listen to learn more about this disease and how your alcohol consumption can impact your liver.

Prof Prasanna (PS) Sooriakumaran is the Lead for Urology at Cleveland Clinic London and becomes the first guest to join the Butts and Guts podcast from “across the pond.” Listen to this episode to learn more about robotic surgery, as well as the advancements being made in this field at Cleveland Clinic London.

The Patient Perspectives series returns to Butts and Guts, this time highlighting gastric sleeve surgery. Paul, a Cleveland Clinic patient, joins this episode to share his story about traveling to Ohio for heart care and having a sleeve gastrectomy to qualify for a heart transplant. Two important caregivers in Paul’s journey also join this discussion: Karen Schulz, CNS, and Diane Harris, a patient navigator. Listen for a glimpse into the specialized care offered at the Bariatric and Metabolic Institute at Cleveland Clinic.

Dr. Ehsan Balagamwala joins this episode of Butts and Guts during National Colorectal Cancer Awareness Month to discuss everything you need to know about how stereotactic body radiotherapy (SBRT) can be used to treat colorectal cancer. Listen to learn more about this type of treatment, how it differs from other radiation therapies, and who qualifies to receive it.

Dr. Arielle Kanters joins the Butts and Guts podcast during National Colorectal Cancer Awareness Month to discuss everything you need to know about colorectal cancer surgery. Listen to learn more about this type of cancer, its stages, and the surgical treatment options available at Cleveland Clinic.

Duodenal switch surgery is a weight-loss procedure that is regarded as the most effective type of bariatric surgery. Dr. Jesse Gutnick joins the Butts and Guts podcast to discuss this operation in detail and shares how it compares to other weight-loss surgeries.

Dr. Ali Aminian is the Director of the Bariatric and Metabolic Institute at Cleveland Clinic. He joins the Butts & Guts podcast this week to discuss new guidelines in bariatric surgery. Listen to learn more about the different types of bariatric surgeries offered at Cleveland Clinic, recent updates regarding these procedures, and the positive impact they can have on the lives of patients.

Did you know that more than 500,000 men elect to have a vasectomy each year in the US? Dr. Sarah Vij joins the Butts and Guts podcast to discuss everything you need to know about this procedure, which is the only FDA-approved form of male contraception or option to prevent a pregnancy for men.

Pelvic floor disorders are more common than you might think. Dr. Anna Spivak joins the Butts and Guts podcast to share updates in pelvic surgery that can help patients control their bowels. She also discusses why it is important to bring up symptoms of any pelvic floor disorder right away with your primary care provider.

Dr. Ben Freiberg joins the Butts and Guts podcast once again, this time to discuss constipation and other common GI problems in children. Listen to learn about the symptoms of constipation in children, when to notify your child’s pediatrician about any symptoms, the available treatment options, and more.

Looking to eat healthier in the new year? Dietician Julia Zumpano joins the Butts and Guts podcast once again, this time to share tips for staying on track with any diet or nutrition goals you have set for 2023. Listen and learn how to better your chances of dieting over a long period of time, the difference between being vegan and vegetarian, and more.

Acute liver failure (ALF), though rare in both kids and adults, is when your liver suddenly begins to not function properly. Dr. Mike Leonis of Cleveland Clinic Children's joins this episode of Butts and Guts to discuss everything you need to know about ALF in children, including the symptoms, diagnosis and treatment of this life-threatening condition.

Laparoscopic liver cancer surgeon, Dr. David Kwon, joins the Butts and Guts podcast to discuss everything you need to know about liver cancer. Listen to learn about the symptoms of this disease, the latest treatment options available including minimally invasive approaches, ways to reduce the risk of liver cancer, and more.

Dietician Julia Zumpano joins the Butts & Guts podcast once again, this time to discuss staying healthy during the holiday season. She shares beneficial eating and activity tips that will help keep you on track with your nutrition goals while still enjoying the holidays.

Dr. Chirag Shah is the Director of Clinical Research and Breast Radiation Oncology in the Department of Radiation Oncology at the Cleveland Clinic. He joins the Butts & Guts podcast to discuss recurrent breast cancer. Listen to learn more about the symptoms of breast cancer recurrence, when to seek medical attention, available treatment options, and other important information to know about this disease.

Dr. Sophia Patel is a pediatric gastroenterologist at Cleveland Clinic Children's. She joins the Butts & Guts podcast for the first time to discuss a procedure called transnasal endoscopy. Listen to learn more about this approach and how it can help patients (such as those with eosinophilic esophagitis) be evaluated without sedation.

On this episode of Butts & Guts, two guests join the podcast to talk about ostomies and an organization that supports ostomy patients: the United Ostomy Associations of America (UOAA). Danielle Gulden is a former Cleveland Clinic ostomy patient, current UOAA member, and social media influencer on “Double Baggin' It.” Keagan Lynggard is an ostomy advocate, activist, and patient, as well as current UOAA member. Listen to learn more about the ostomy care and educational opportunities available at the Cleveland Clinic, the resources available through the UOAA, the meaning behind Ostomy Awareness Day, and tips for being an ostomy patient.

This episode of Butts & Guts features Dr. Xiangling Wang, a Staff Physician in Cleveland Clinic's Genomic Medicine Institute in the Department of Kidney Medicine. She discusses genetic testing and kidney disease management with the podcast's host, Dr. Scott Steele. Listen and learn more about genetic testing, who should consider having a genetic evaluation for kidney disease, and the type of care you can expect from Dr. Wang and the renal genetics program team at Cleveland Clinic.

Stress incontinence and overactive bladder are at the center of this Butts & Guts episode. Dr. Howard Goldman, a urologist in Cleveland Clinic's Glickman Urologic and Kidney Institute, shares the difference between these two conditions, the symptoms that may occur, when to seek medical attention, and more. He also discusses the advancements being made at the Cleveland Clinic to help treat individuals experiencing either condition.

Dr. Deborah Goldman is a pediatric gastroenterologist at Cleveland Clinic Children's and joins this episode of Butts & Guts to discuss everything you need to know about hereditary pancreatitis. Listen and learn about what symptoms to look for, how and when to seek treatment, and other facts to be aware of related to this condition.

Dr. Zeyad Schwen joins the Butts & Guts podcast and shares key information about a procedure known as transperineal biopsy. Learn about this safe, more precise way to diagnose prostate cancer, as well as other innovative treatment options, during this episode.

Two special guests from the Cleveland Clinic are featured on this episode of Butts & Guts: Dr. Jacob Kurowski and Dr. Jessica Philpott. Dr. Kurowski is a pediatric gastroenterologist at Cleveland Clinic Children's, and Dr. Philpott is an adult care gastroenterologist. Learn how the two work together to ease young patients who experience Inflammatory Bowel Disease (IBD) from pediatric to adult-centered care in what is know as Cleveland Clinic's Pediatric Inflammatory Bowel Disease Program.

Children can face certain struggles as their digestive muscles develop, such as difficulty swallowing or constipation. Dr. Ben Freiberg joins this episode of Butts & Guts to discuss these and other possible digestive conditions that kids may experience and shares how they can be treated.

Fecal (Bowl) Incontinence is more common than people might think. Rebecca Gunter, MD, joins this episode of Butts & Guts and shares insight into this disease, how it can be treated, and offers words of encouragement for bringing it up with a medical professional.

Petar Bajic, MD, is a urologist in the Center for Men’s Health at the Cleveland Clinic's Glickman Urological and Kidney Institute, specializing in men's health and sexual medicine. He joins the Butts & Guts podcast as the special guest on this episode to discuss how certain diet and lifestyle changes can help men who experience Erectile Dysfunction (ED).

Stephanie Norman, CNP, is the special guest on this episode of Butts & Guts. She is a certified nurse practitioner in Cleveland Clinic's Department of Colorectal Surgery. Listen as she discusses the role of advanced practice providers (APPs) in surgical treatment and what type of care they can provide to patients.

Cristiano Quintini, MD, is the Program Director and Surgical Director of Cleveland Clinic's Liver Transplantation Program. In this episode of Butts and Guts, Dr. Quintini provides insight into what information is considered prior to a liver transplant and also discusses several strategies that be implemented when performing this type of surgery.

Amy Lightner, MD joins Butts & Guts to discuss Inflammatory Bowel Disease (IBD) and innovative treatments using stem cell therapy at Cleveland Clinic's Center for Regenerative Medicine & Surgery. Dr. Lightner also gives an update on the 2022 Sherman Prize and how you can submit a nomination.

The body’s cells need a steady supply of fuel (known as glucose) in order to properly function. Kadakkal Radhakrishnan, MD, Director of Nutrition and Intestinal Rehabilitation at Cleveland Clinic Children's, discuss what happens when the body isn't able to use glucose the right way, also known as glycogen storage disease.

Listen to this week's Butts & Guts to learn more about Inflammatory Bowel Disease (IBD).Tracy Hull, MD, Vice Chair of Cleveland Clinic's Department of Colorectal Surgery, also shares fertility considerations that are part of a patient's treatment plan.

Colorectal surgeon Joshua Sommovilla, MD joins Butts & Guts to discuss common procedures performed on older adults and considerations taken to ensure optimal recovery time. Dr. Sommovilla also provides an update on minimally invasive surgical research that will further benefit patients.

Butts & Guts kicks off Colorectal Cancer Awareness Month with Patricia Ajayi-Fox, MD, a gastroenterologist in Cleveland Clinic's Digestive Disease & Surgery Institute. Listen as she discusses the importance of getting screened for colorectal cancer, and the concerning disparities in the Black community regarding screening and outcomes.

Returning guest Darrell Cass, MD joins Butts & Guts to discuss Cleveland Clinic's recent fetal surgery, only the 2nd of its kind in the world. Listen as Dr. Cass shares how a multidisciplinary surgical team removed a tumor growing on baby Rylan's heart while he was a 26-week-old fetus.

Obesity is a complex chronic disease that has reached pandemic levels and requires long-term, multispecialty management. Roberto Simons-Linares, MD, Director of Bariatric Endoscopy at Cleveland Clinic, joins Butts & Guts to discuss treatment options and the personalized care provided in our Bariatric Endoscopy Program.

Typically, organs for transplantation are obtained from deceased donors. Unfortunately, there are not enough deceased donor organs available for everyone who needs a transplant and, as a result, the number of patients on the transplant waiting list continues to grow. Koji Hashimoto, MD, PhD joins Butts & Guts to discuss living donor liver transplants and the benefits of this option.

Shubha Bhat, PharmD joins the Butts & Guts podcast to discuss Cleveland Clinic's unique inflammatory bowel disease (IBD) patient-centered medical home and how a clinical pharmacist collaborates with a team of gastroenterologists, surgeons, nutritionists, dietitians, nurses, nurse practitioners and psychologists to capture the needs of a patient dealing with this condition.

Listen to this week's Butts & Guts as Hannah Kerr, MD discusses kidney transplants, a new topic for the podcast. Learn answers to common questions on kidney transplants, and how innovations in surgical techniques provide a better quality of life for patients undergoing the procedure.

Angelika Erwin, MD, PhD and Rabi Hanna, MD join Butts & Guts to discuss the unique topic of lysosomal storage diseases. While rare, these diseases can affect organs throughout the body and even lead to death if untreated. Listen as Dr. Erwin and Dr. Hanna share common symptoms, how these are diagnosed, and how Cleveland Clinic Children's treats young patients with these diseases.

Dietician Julia Zumpano joins Butts & Guts for a special episode of Dr. Steele's favorite game, Truth or Myth. With the holidays coming up, learn more about common questions on topics like dieting, superfoods, coffee, vitamins and more to help you maintain a healthy lifestyle.

The Patient Perspectives series returns to Butts & Guts with Brittney, a patient of Dr. Steele's who fought young-onset colorectal cancer. Listen as Brittney shares her patient journey from symptoms to diagnosis to treatment, and how her family and faith helped her through those challenging times.

Butts & Guts continues our Breast Cancer Awareness Month series with Julie Lang, MD and Stephanie Valente, MD discussing lymphovenous bypass surgery and its connection to breast cancer. Learn more about this procedure and the advances being made in breast surgery at Cleveland Clinic.

Radiologist Laura Dean, MD joins Butts & Guts for Breast Cancer Awareness Month to discuss commonly asked questions about screening for this disease. Topics include the recommended age for a mammogram, 2D vs. 3D screenings, breast cancer in men, and more.

Emre Gorgun, MD joins Butts & Guts for a third time to give listeners a refresher on the differences between rectal cancer and colon cancer, as well as share an exciting update on new surgical approaches that leave patients with an improved quality of life post-treatment.

September is Prostate Cancer Awareness Month. Eric Klein, MD, Chairman of Cleveland Clinic's Glickman Urological & Kidney Institute, joins this special episode of Butts & Guts to discuss unique breakthroughs - from screening to diagnosis to treatment - that will improve prostate cancer care for men everywhere.

Dysphagia (also known as difficulty swallowing) is a symptom of many different medical conditions. Cleveland Clinic Florida gastroenterologist Alison Schneider, MD joins Butts & Guts to discuss swallowing disorders as well as treatment and therapies that can improve quality of life for those suffering with these issues.

While colonoscopy is the gold standard of colorectal cancer screenings, it's certainly not the only method to detect this disease. Cleveland Clinic Florida gastroenterologist Brenda Jimenez, MD, joins Butts & Guts to discuss how flexible sigmoidoscopies, FIT tests, and other screenings compare to a colonoscopy.

In 2020, Cleveland Clinic was the first hospital in the world to use a recently FDA-approved ablation technology that can destroy large liver tumors. Eren Berber, MD, Director of Cleveland Clinic’s Surgical Liver Tumor Ablation Program, joins Butts & Guts to discuss liver tumors, treatment options, and this innovative ablation procedure.

Michael Cline, DO, Director of Cleveland Clinic’s Gastroparesis Clinic, joins Butts & Guts to give a refresher on gastroparesis (partial paralysis of the stomach). Dr. Cline also gives an update on new research on the connection between certain autoimmune disorders and this disease.

Like with other organs, the need for liver donations outweighs the supply of available donors. Cristiano Quintini, MD, Program Director and Surgical Director of Cleveland Clinic’s Liver Transplantation Program joins Butts & Guts to discuss the importance of this surgery, common questions and misconceptions, and innovations taking place with living donor liver transplants.

Colorectal cancer is one of the leading cancer diagnoses for both men and women in the United States. As of May 2021, the U.S. Preventative Services Task Force recommends that screenings for colorectal cancer start at age 45, as compared to the prior recommendation of age 50. Listen in as Butts & Guts host Scott Steele, MD shares his thoughts on this change.

In recent years there's been a rapid increase of fatty liver disease diagnoses. Dr. Jamile Wakim-Fleming, Director of Cleveland Clinic's Fatty Liver Disease Program, joins Butts & Guts to discuss this disease along with dietary and lifestyle changes that can improve the condition.

You may know someone (or maybe it's happened to you!) who has either had problems with gallstones or had their gallbladder removed. Diya Alaedeen, MD, Section Chief for the Department of General Surgery at Cleveland Clinic Fairview Hospital joins Butts & Guts to discuss this common issue, how gallstones form, and how they're treated.

Hard to detect, pancreatic cancer is usually not found until advanced stages which leads to increased mortality. Listen as Robert Simon, MD joins Butts & Guts to discuss signs and symptoms you should know, as well as innovative surgical procedures that can remove affected tissue.

April is Donate Life Month, and Butts & Guts is excited to have Charles Miller, MD, Cleveland Clinic's Enterprise Director of Transplantation, join to discuss the important topic of organ donation. Learn about common questions and misconceptions about becoming a donor, and the innovative ways Cleveland Clinic's Transplant Center is providing better outcomes and quality of life for donors and recipients.

Each year, lives are saved and transformed because of innovative transplant expertise. Anil Vaidya, MD, Director of Cleveland Clinic's Intestinal Transplant Program, discusses incidence rates and types of intestinal transplants, when they are needed, and what's on the horizon for improving quality of life post-transplant.

Sarah Vogler, MD joins Butts & Guts to wrap up Colorectal Cancer Awareness Month 2021. Listen as she discusses colorectal cancer symptoms to watch out for, as well as updates in screening guidelines and colonoscopy prep.

The 4th Angel Mentoring Program is an innovative, interactive approach to cancer support in which patients and caregivers are matched with trained volunteers. Matches are primarily made based on similar age and cancer experiences to best empower caregivers and patients with knowledge, awareness, hope and a helping hand. Listen as coordinator Mary Jones joins Butts & Guts to discuss this uplifting program.

March is Colorectal Cancer Awareness Month. Colorectal cancer is one of the leading causes of cancer deaths in the United States, but advances in early detection and treatment make it one of the most preventable and treatable forms of cancer. David Liska, MD, Director of Cleveland Clinic's Weiss Center, joins Butts & Guts to discuss the hereditary aspect of colorectal cancer. Listen as he discusses some common questions, syndromes, treatment options, and genetic testing opportunities that align with this disease.

Pediatric surgeon David Magnuson, MD, and oncologist Stacey Zahler, DO, join Butts & Guts to share their unique perspectives on hepatoblastomas, rare liver tumors most commonly found in children ages 3 and younger.

There's been a rapidly evolving paradigm shift in cancer treatment, and immunotherapy has been on the leading edge. While this practice has been around for a long time, new studies and trials have lead to a better understanding about how to best attack cancers. Oncologist Alok Khorana, MD joins Butts & Guts to dive into immunotherapy and how it's been applied to colorectal cancer treatment.

With advances in pediatric cancer treatment now allowing more than 80 percent of children to survive at least five years (and hopefully many more) after diagnosis, addressing the long-term negative consequences of treatment is increasingly important. Infertility is a top concern, and pediatric oncologist Seth Rotz, MD joins Butts & Guts to discuss fertility preservation options.

The holidays are over, and many are thinking about losing some weight as we begin the new year. When a large amount of weight loss is being considered, bariatric surgery could be an option. Jesse Gutnick, MD joins Butts & Guts to discuss this procedure, obesity, BMI, and criteria for bariatric surgery candidates. Plus, learn what patients can expect when they come to Cleveland Clinic for this surgery and what the recovery process entails.

Radiation therapy is a treatment that uses X-rays to kill cancer cells. Join radiation oncologist Sudha Amarnath, MD as she discusses how this therapy can be used to treat colon and rectal cancer, the different types of radiation therapy, and what a patient can expect during these sessions.

Butts & Guts continues our Patient Perspectives series with a focus on Crohn's Disease. Katie was living the typical, active college life when she began to experience some uncomfortable symptoms. Listen as she tells the story of her Crohn's diagnosis, coming to Cleveland Clinic and meeting Dr. Amy Lightner, and how she's managed this condition for the past several years.

While melanoma makes up less than 2 percent of all skin cancers, it is responsible for the majority of skin cancer-related deaths. Brian Gastman, MD, the Medical and Surgical Director of the Melanoma and High-risk Skin Cancer Program at Cleveland Clinic Cancer Center, shares the signs and symptoms to look for and how treatment of this disease has drastically improved in recent years.

Butts & Guts is excited to announce our new Patient Perspectives series, where from time to time Cleveland Clinic patients will join Dr. Steele to discuss the treatment and management of their GI disorder. Today's episode features Mikayla, who shares her story of living with ulcerative colitis and being an advocate to other patients.

The average risk of a woman in the United States developing breast cancer sometime in her life is about 13%, a 1 in 8 chance. With a better understanding of symptoms to be on the lookout for and advances in early detection and treatment, there fortunately is a better chance of survival than ever before. Cleveland Clinic radiologist Dr. Laura Shepardson joins Butts & Guts to discuss.

As one of most common cancers among women in the United States, it's vital to receive annual breast cancer screenings and necessary treatment, even during a global pandemic. Halle Moore, MD, Director of Breast Medical Oncology and Co-Director of the Comprehensive Breast Cancer Program at Cleveland Clinic Cancer Center, joins Butts & Guts to discuss how Cleveland Clinic has adapted its breast cancer program to maintain care for patients during COVID-19.

Dr. Vera Hupertz joins Butts & Guts to give listeners a tour of Cleveland Clinic's Pediatric Liver Transplant Program, providing insight into common symptoms and diseases that can lead to these transplants in children and teenagers. Dr. Hupertz also discusses the different types of liver transplants and what families can expect when meeting with the program specialists.

There are several digestive conditions where robotic surgery may be recommended and provide better outcomes and recovery times. Brad Sklow, MD joins Butts & Guts to discuss these procedures, the benefits of robotic surgery, and what's on the horizon regarding future innovations of this practice.

John DiFiore, MD returns to Butts & Guts to discuss cryoablation, a new, innovative technique that has improved patient recovery times and pain control after pectus excavatum surgery.

The impact of stress due to the Coronavirus pandemic has been substantial, even in healthy people. For those with GI disorders, this can exacerbate already uncomfortable ailments. Stephen Lupe, PsyD, joins Butts & Guts to discuss behavioral medicine tips and treatment options for managing stress during these uncertain times.

Returning guest Darrell Cass, MD joins Butts & Guts to give an update on Cleveland Clinic's fetal surgery program, one of the few in the United States to provide services for high-risk maternal and fetal conditions in pregnancy, labor and delivery. Learn about new, innovative methods to treat lung malformations and other fetal issues, as well as what's on the horizon in the growing practice of fetal surgery.

Returning guest Darrell Cass, MD joins Butts & Guts to give an update on Cleveland Clinic's fetal surgery program, one of the few in the United States to provide services for high-risk maternal and fetal conditions in pregnancy, labor and delivery. Learn about new, innovative methods to treat lung malformations and other fetal issues, as well as what's on the horizon in the growing practice of fetal surgery.

Colorectal cancer diagnoses have been rapidly increasing in younger individuals, even those in their 20s and 30s. While there's no clear answer as to why this is occurring, there are multiple factors to weigh. David Liska, MD joins Butts & Guts to discuss these considerations and how Cleveland Clinic is treating younger patients with this disease. Also, listen in for an update on this year's virtual VeloSano program, as well as insight into a new clinical trial made possible by funds raised through this annual event.

Butts & Guts continues our COVID-19 series with Miguel Regueiro, MD returning to discuss best practices for patients to help manage their chronic conditions like IBD while also dealing with Coronavirus concerns.

Michael Valente, MD joins Butts & Guts as a returning guest to provide insight into diverticular disease, a common disorder in the lining of the bowel. Learn the symptoms to watch for, available treatments, and the best dietary choices to help prevent this condition.

Every day, we learn more about the symptoms of COVID-19. While the primary symptoms are fever, cough and respiratory difficulty, gastrointestinal issues may be present as well. Dr. Miguel Regueiro joins Butts & Guts to discuss these GI symptoms and the importance of seeking care during this unique time.

COVID-19 is a rapidly evolving situation. In this episode of Butts & Guts, Conor Delaney, MD - Cleveland Clinic's Chairman of the Digestive Disease & Surgery Institute - joins to discuss patient care and surgical procedures during this pandemic. Topics include the steps Cleveland Clinic is taking to ensure our hospitals are safe for patients and caregivers, as well as the future of medical treatment in a post-Coronavirus world.

Chronic groin pain is an unfortunate potential side effect of having an inguinal hernia repair. This can often be debilitating for patients and impact all aspects of their life, including work, daily activities, and social interactions. David Krpata, MD joins Butts & Guts to discuss hernias, chronic groin pain, and treatment options that can bring relief to patients.

Viral hepatitis. Fatty liver. Cirrhosis. At Cleveland Clinic, patients with these conditions are treated at the Mikati Center for Liver Diseases, which was established to sustain and improve the lives of those with liver diseases through advances in research, innovation, and education. Christina Lindenmeyer, MD joins Butts & Guts to discuss symptoms and treatment plans for these and other liver diseases.

Cleveland Clinic is a leading center in the United States for innovative cancer treatment methods. In this third and final episode of the 2020 Colorectal Cancer Awareness Month series, Dana Sands, MD joins Butts & Guts to discuss Transanal Mesorectal Total Excision (TaTME), an evolving procedure that is performed to treat rectal cancer.

In addition to surgical treatment for certain cancers, options like chemotherapy, immunotherapy and radiation are available based on a patient's disease condition. In this second episode of the 2020 Colorectal Cancer Awareness Month series, Smitha Krishnamurthi, MD joins Butts & Guts to share background into a patient's journey that includes a chemotherapy treatment path.

March is Colorectal Cancer Awareness Month. Colorectal Cancer is one of the leading causes of cancer deaths in the United States, but advances in early detection and treatment make it one of the most preventable and treatable forms of cancer. Gautam Mankaney, MD joins Butts & Guts to discuss recommended screening guidelines and methods.

Anxiety and stress add complications to medical disorders that are already difficult to manage on their own. Dr. Judith Scheman joins Butts & Guts to share the benefits of using behavioral medicine to help patients with gastrointestinal disorders improve their quality of life.

Celiac disease is a digestive and autoimmune disorder with symptoms that include digestive problems, anemia, skin rash, joint and bone pain. Listen as Alberto Rubio Tapia, MD joins Butts & Guts to share insight into this disease and provide recommendations for managing it on a daily basis.

When bowel disorders are present in childhood, young patients may eventually need an adult surgeon. Anthony DeRoss, MD, and Jeremy Lipman, MD, discuss their multidisciplinary approach to lifelong diseases that ensures patients receive the best care from diagnosis through adulthood.

Although the appendix has no known function, it can cause serious trouble if it gets inflamed. Diya Alaedeen, MD, joins Butts & Guts to discuss common appendicitis symptoms and treatment options to address this condition.

Each year, more than 30,000 colon and rectal resections for non-cancerous lesions and polyps are performed nationwide. To meet the need for this growing trend of minimally invasive surgery, Amit Bhatt, MD, and Emre Gorgun, MD, established Cleveland Clinic's Endoluminal Surgery Center. Listen and learn about the innovative, multidisciplinary, and world-class procedures now taking place at Cleveland Clinic.

Each year, more than 30,000 colon and rectal resections for non-cancerous lesions and polyps are performed nationwide. To meet the need for this growing trend of minimally invasive surgery, Amit Bhatt, MD, and Emre Gorgun, MD, established Cleveland Clinic's Endoluminal Surgery Center. Listen and learn about the innovative, multidisciplinary, and world-class procedures now taking place at Cleveland Clinic.

The perioperative period is the time before, during and after an operation. Dietitian Amanda Igel shares her recommendations on how to best manage nutritional debt during the surgical journey, as well as choice foods that can provide optimal recovery.

Prolapse. Fecal incontinence. Constipation. While these issues may be uncomfortable to discuss with friends and family, listen as Sarah Vogler, MD provides insight into these disorders, discusses treatment options, and shares what's on the horizon for pelvic floor care.

Endoscopic procedures have undergone a multitude of innovations over the past several decades. Jeffrey Ponsky, MD shares the history of these surgeries and how everything from balloons to video capsules are now being used to treat complex GI disorders.

It's a fact that screening mammography can help save lives. But when should you start? What type of mammography is right for you? What happens if they find something? Join Laura Dean, MD and get the answers to these questions and more.

Listen to John Rodriguez, MD as he discusses the benefits of bariatric surgery, common barriers and misconceptions, and the criteria for bariatric surgery candidates. Plus, learn about the types of surgical procedures used for weight loss and the support offered to bariatric surgery patients at Cleveland Clinic.

Recurring guest Dr. Michael Valente provides insight into HIPEC, an alternative and innovative method of delivering chemotherapy used to treat cancers that have spread to the lining of the abdominal cavity. Unlike traditional chemotherapy that is delivered intravenously, HIPEC delivers chemotherapy directly into the abdomen. Listen to learn how the process works and when HIPEC is a recommended treatment option.

Colorectal cancer can affect other parts of the body, including the liver. Join recurring guest Dr. Federico Aucejo as he discusses this connection as well as Cleveland Clinic's historic new liver transplant protocol.

What is obesity and what causes it? How is obesity treated? Join Scott Butsch, MD and get the answers to these questions and more. Plus, dive into the stigma associated with obesity.

Learn about the growing practice of fetal surgery from Darrell Cass, MD and how he led Cleveland Clinic's first in utero fetal surgery that repaired a spina bifida birth defect in a nearly 23-week-old fetus.

Just about everybody at one point or another will experience abdominal pain. Learn about the causes and symptoms, including those that you shouldn't ignore.

Join expert Choon Hyuck Kwon, MD, PhD as he dives into the use of laparoscopic liver resection. In what cases is a liver resection required? What types of tests are used to help determine issues impacting the liver? What is the recovery like following laparoscopic liver resection? Find the answers to these questions and more.

Join experts Anthony DeRoss, MD and John DiFiore, MD as they explain the difference between pectus excavatum and carinatum, symptoms, diagnosis, and when to seek treatment. Plus, understand the long-term outlook and prognosis of the condition.

Join radiation oncologist Sudha Amarnath, MD, as she discusses the different treatment options for cancer and specifically radiation therapy. Learn what radiation is, common side effects, and possible lasting long-term impacts.

Pancreatitis is inflammation in the pancreas. Join returning guest, Prabhleen Chahal, MD, as she describes the role of the pancreas, when to see a doctor, and possible complications relating to pancreatitis.

Join Holly Pederson, MD, as she explores the increasing popularity of home kits for genetic testing and specifically for genetic mutations associated with breast cancer. Learn how the tests are administered, plus the benefits, downsides, and accuracy.

How common is ovarian cancer and how do symptoms typically present? What are the risk factors? How is ovarian cancer diagnosed and treated? Join Chad Michener, MD as he answers these questions and many more.

Regenerative medicine utilizes a patient own cells to restore health, without the use of drugs or surgery. Join expert Amy Lightner, MD as she explains how the process works, identifies current conditions being treated using these techniques and discusses what's on the horizon for regenerative medicine.

Join Gail Cresci, PhD, RD, as she discusses the link between diet and many medical conditions, the composition of the gut microbiome and ways to maintain a healthy balance, the role of inflammation, and much more.

What are the risk factors of pancreatic cancer and how is it diagnosed? Join Matthew Walsh, MD, as he discusses the common symptoms, treatments, and survival rates for the disease. Plus, learn what's on the horizon for the future of pancreatic cancer care.

What is the role of a clinical psychologist and the benefits of seeking care with one? Join Karen Hurley, PhD, as she discusses psychology as it relates to a diagnosis of colorectal cancer or another colon disorder. In addition to discovering warnings signs and defense mechanisms, learn the types of resources and support services offered to patients following treatment.

Managing patients with inflammatory bowel disease (IBD) can be challenging due to the complex nature of the disease. Listen to learn how an integrated approach to IBD care is improving patient outcomes and transforming the future care model.

: Join surgeon, Ajita Prahbu, MD, as she discusses hernia symptoms, severity, and when to seek medical attention. Plus, learn about larger and more complex hernias of the abdominal wall and how they are treated and repaired.

Prabhleen Chahal, gastroenterologist and leading advanced endoscopy expert, discusses the increasing prevalence of minimally invasive procedures used to manage complex gastrointestinal, pancreatic, liver disorders and more. Listen to learn the different techniques and what they are used to treat.

What is liver cancer and what typically causes it? What treatment options are available and what is on the forefront of liver cancer treatment today? How much of your liver can you live without? Federico Aucejo, MD, explores these questions and many more in the latest episode.

Gastroenterologist Christine Lee, MD, explains what irritable bowel syndrome (IBS) is and how common it is compared with other disorders affecting the GI tract. While the cause of IBS isn’t well understood, Dr. Lee discusses the symptoms that lead to diagnosis and measures that can be taken to control the condition.

Join colorectal surgeon David Liska, MD, for a discussion of anal fistulas and infections around the anus. Learn how they’re diagnosed, the different treatment options available ― and who’s most at risk for developing them.

What is DCIS and what role does a mammogram play in diagnosing it? Learn more about this form of early stage breast, including common myths and misconceptions, from Cleveland Clinic breast surgeon Stephanie Valente, MD.

Research proves a multidisciplinary team approach to rectal cancer care provides better patient outcomes. Steven Wexner, MD, Director of the Digestive Disease Center and Chairman of the Department of Colorectal Surgery at Cleveland Clinic Florida, discusses the road to new national accreditation ― called the National Accreditation Program for Rectal Cancer (NAPRC) ― and what this means for patients.

What is the pelvic floor and what group of conditions are classified as pelvic floor dysfunctions? What causes pelvic floor disorders and is there anything you can do to prevent them? Colorectal surgeon Massarat Zutshi, MD, provides all you need to know ― from symptoms, to diagnosis, to treatment.

What is gastroesophageal reflux disease (GERD) exactly – and what tends to cause it? Join gastroenterology specialist Prashanthi Thota, MD, as she outlines everything from symptoms to treatments, as well as exploring Barrett's Esophagus, a rarer condition resulting from longtime exposure to GERD.

Matthew Kalady, MD, examines the increasing trend toward colon cancer in young patients, emphasizes the importance of understanding your family history, and not ignoring warning signs or symptoms.

Coleen Potts, a Wound, Ostomy and Continence (WOC) nurse, shares her own story, discussing how she was inspired to pursue a career in WOC nursing. Plus, she sheds light on the importance of WOC nursing and what kind of patients WOC nurses help every day.

What is Crohn’s disease and who’s at risk for developing it? Colorectal surgeon Stefan Holubar, MD, provides all you need to know ― from diagnosis to treatment, as well insight on the history of the disease.

What is perianal Crohn’s disease exactly – and how does it differ from Crohn’s disease? Colorectal surgeon Luca Stocchi, MD, provides all you need to know ― from diagnosis to treatment, as well as who’s most at risk and what complications may arise.

Exploring Gastroparesis with Dr. Michael Cline by Cleveland Clinic Digestive Disease & Surgery Institute

What's ulcerative colitis and who's at risk for developing it? Colorectal surgeon Jeremy Lipman, MD, discusses symptoms, diagnosis and treatment options — from medical to surgical — and how to live your best with UC.

Join colorectal surgeon Michael Valente, MD, for a candid discussion of what hemorrhoids are, how they develop and the best ways to treat them. Plus, you'll learn simple diet and lifestyle modifications you can make to avoid them in the first place.

What happens before, during and after surgery affects a patient’s outcome. Learn about proven strategies that make positive impacts from Conor Delaney, MD, Chairman of Cleveland Clinic’s Digestive Disease & Surgery Institute.

James Church, MD, a leading colon polyp expert, explains colon polyps, from the different types to what symptoms you may (or may not) have. Plus, he explains the role regular screening plays in the detection of colon polyps and prevention of cancer.

What is rectal cancer exactly ― and what causes it? How is it diagnosed? Emre Gorgun, MD, provides answers and discusses the importance of getting screened, what to expect during your first doctor’s visit and the latest treatment options.

Join host Scott Steele, MD in the journey to discover the role of medicine and surgery in the care and prevention of disease as he interviews experts in their field, conducts patient interviews and discusses the newest techniques and trends surrounding digestive disease and surgery.