Care program · Doral, Florida
Viva Digestive & Liver Health
Viva Digestive & Liver Health is a primary-care program in Doral for adults with common stomach, bowel, and liver concerns. We see heartburn, reflux, constipation, irritable bowel symptoms, bloating, and hemorrhoid symptoms.
About this program
We also review abnormal liver tests, including fatty liver found on blood work or imaging. To start, book a visit online or by phone. Some follow-up visits can be done by video when you do not need an exam.
At the first visit, a provider asks about your symptoms, meals, bowel habits, medicines, and alcohol use. Together you build a first-line plan. It may include food and fiber changes, daily habits, and medicine classes that fit your health.
Confirm test availability, sampling location, assay suitability, and cost before nonurgent testing; outside laboratory coordination may be needed. Liver tests are coordinated with an outside laboratory. This program does not do endoscopy or colonoscopy.
When you need those tests or a stomach or liver specialist, your provider sets up the referral and follows up on the results with you. Bleeding, trouble swallowing, or weight loss you cannot explain need prompt care. Please bring your medicine list and any past results to your visit.
What we treat, assess, and coordinate
What we treat
- heartburn and reflux care plans
- constipation and bowel-habit plans
- irritable bowel symptom plans
- bloating and gas guidance
- conservative hemorrhoid symptom care
- fatty liver risk-factor follow-up
What we assess
- abnormal liver test results
- recurring stomach or bowel complaints
- rectal bleeding (never assumed to be hemorrhoids)
- medicine and alcohol review
- metabolic risk review
What we coordinate
- endoscopy and colonoscopy referrals
- gastroenterology and liver specialist referrals
- abdominal and liver imaging
- hemorrhoid procedures with a surgical specialist
- results tracking after referral
Conditions in this program
What the first visit includes
We begin with your questions, history, available records, and shared next steps.
Learn about evaluation →Treatment options
Your provider discusses practical options and follow-up that fit your situation.
Explore treatment planning →Clinical team
Meet the team →Appointments, insurance, and location
10560 NW 27th St, Suite 101, Doral, FL 33172 · +1-305-209-0001
Hours: Mon–Fri 08:30–16:30; Sat 09:00–13:00.
Insurance informationSee how to bookFrequently asked questions
Can I get help for heartburn and reflux without seeing a specialist first?
Yes. Many people with reflux start in primary care. Your provider reviews your symptoms, meals, sleep position, and medicines, then suggests first-line steps such as food timing, weight goals, and acid-reducing medicine classes when they fit. If symptoms continue, or warning signs appear, your provider coordinates further testing or a referral.
Do you do endoscopy or colonoscopy at the Doral clinic?
No. This program does not perform endoscopy or colonoscopy. When one of these tests is needed, for example for trouble swallowing, bleeding, or screening, your provider coordinates the referral with an outside specialist and follows up with you on the results so your care plan stays in one place.
My blood work showed high liver enzymes. What happens next?
Your provider looks at the full picture: your other lab results, medicines and supplements, alcohol use, weight, blood sugar, and cholesterol. Repeat or added liver tests are coordinated with an outside laboratory. Imaging or a liver scarring check may be arranged with an outside center, and a liver specialist is involved when results call for it.
What is fatty liver, and can it be managed in primary care?
Fatty liver means extra fat has built up in the liver, often linked to weight, blood sugar, and cholesterol. Many people have no symptoms. In primary care, your provider reviews those risk factors, sets a follow-up plan, and checks for signs of scarring. Suspected advanced scarring is referred to a liver specialist. Heavy alcohol use is a separate cause of fat in the liver and is reviewed at the visit.
I have constipation, bloating, or belly cramps that come and go. Is that something you see?
Yes. These are common reasons for a visit. Your provider asks about your bowel habits, food, fluids, activity, stress, and medicines, and checks for warning signs. The plan may include fiber and fluid changes, a symptom diary, and medicine classes when appropriate, with a follow-up to see what is working.
I think I have hemorrhoids. Should I still book a visit?
Yes. A provider can assess anorectal symptoms and suggest conservative care, such as fiber, fluids, and bowel-habit changes. Bleeding should never be assumed to come from hemorrhoids, so your provider decides whether more testing is needed. Office procedures for hemorrhoids are coordinated with an outside surgical specialist when needed. Bleeding from the rectum should be checked promptly. Do not wait to see if it stops.
Urgent symptoms
- vomiting blood or material that looks like coffee grounds
- black, tarry stools or heavy rectal bleeding
- severe or sudden belly pain
- food stuck in the throat or being unable to swallow
- yellow skin or eyes with confusion or extreme sleepiness
- If any of these happen, call 911 or go to the nearest emergency room.
Call 911 for a life-threatening emergency.
Urgent guidance →When we refer
This is primary care, not a gastroenterology or endoscopy practice. Bleeding, trouble swallowing, weight loss you cannot explain, suspected inflammatory bowel disease, or symptoms that persist without a clear cause lead to further testing or a specialist referral. Signs of advanced liver scarring, cirrhosis, or an unclear liver problem are referred to a liver specialist. Rectal bleeding is never assumed to come from hemorrhoids.
Sources
- GERD — MedlinePlus (NIH)
- Irritable Bowel Syndrome — MedlinePlus (NIH)
- Constipation — NIDDK (NIH)
- Hemorrhoids — NIDDK (NIH)
- Fatty liver disease (NAFLD and NASH) — NIDDK (NIH)
- Liver Function Tests — MedlinePlus (NIH)
- Hemorrhoids: symptoms and when to seek help — NIDDK (NIH)