- With Mayo Clinic gastroenterologist
Michael Picco, M.D.
read biographyclose windowBiography of
Michael Picco, M.D.
Michael Picco, M.D.
Dr. Michael F. Picco has been with Mayo Clinic since 1999. He is board certified in internal medicine and gastroenterology. Dr. Picco is an assistant professor of medicine at Mayo Clinic College of Medicine and a consultant in gastroenterology at Mayo Clinic in Florida.
He has authored numerous publications in the area of gastroenterology, including original research, editorials and textbook chapters. He works with a team of gastroenterologists that takes care of complex gastrointestinal conditions and has a particular interest in diarrheal illnesses and inflammatory bowel diseases (ulcerative colitis and Crohn's disease). He is also active in medical education in training new gastroenterologist and internists.
"MayoClinic.com is an invaluable resource for patients and their families," Dr. Picco said. "Informed patients are better able to participate in their own health care. A patient's participation is vital to the treatment of his or her disease. I hope to assist in helping patients understand their digestive problems and current treatments that are offered. This will allow for better communication between patients, their physicians and other health care professionals."
Dr. Picco serves as a reviewer of new research for several medical journals in the area of gastroenterology and is an active member of the American Gastroenterological Association, American College of Gastroenterology and the Crohn's & Colitis Foundation of America. He serves on numerous committees that address physician training, research and clinical practice in gastroenterology, both at Mayo Clinic and at the national level.
"Patients need to know about their disease, what to expect, the latest treatments and side effects so that they can make informed decisions about their health care. Gastrointestinal disease affects not only patients but also their families. My goal is to assure that our Web site provides accurate, reliable information and resources for patients. We must always provide the latest, most cutting-edge information to assist patients in dealing with their medical problems," Dr. Picco said.
More answers
- Food poisoning: How long can you safely keep leftovers?
- Water softeners: How much sodium do they add?
- Olive oil: What are the health benefits?
- Fat grams, calories or percentages: Which are more important?
- Moldy cheese: Is it unsafe to eat?
- Phenylalanine in diet soda: Is it harmful?
- White whole-wheat bread: Is it nutritious?
- Canned food: How long can you safely keep it?
- Microwaving plastic: Does it release dioxins?
- Stevia: Is it available in the United States?
- Vitamin D: How much is too much?
- Calcium supplements: Do men need them too?
- What is BPA? Should I be worried about it?
- Calcium supplements: Which type is best?
- Thanksgiving turkey: Can you cook it frozen?
- High-fructose corn syrup: What are the concerns?
- Diverticulitis diet: Can certain foods trigger an attack?
- Vitamin D: How much do I need?
- Multivitamins: Do young children need them?
- Buying beef? A guide to choosing the leanest cuts
- Calcium supplements: Should they be taken with meals?
- Low-sodium diet: Why is processed food so salty?
- Taurine in energy drinks: What is it?
- High-protein diets: Are they safe?
- Calories in sushi: What are the low-cal options?
- Vegetable juice: As good as whole vegetables?
- Butter vs. margarine: Which is better for my heart?
- Acai berry products: What are the health benefits?
- Percent Daily Value: What does it mean?
- Coffee and health: What does the research say?
- Detox diets: Do they offer any health benefits?
- Freezing meat: Does it kill harmful bacteria?
- Chocolate: Does it impair calcium absorption?
- Energy drinks: Do they really give me energy?
- Vitamin C: Can too much be harmful?
- Alkaline water: Does it have health benefits?
- Canola oil: Does it contain toxins?
- Dietary supplements vs. food: Which is better?
- E. coli: How can I tell if food is contaminated?
- Roasting nuts: Lower fat by roasting in the shell?
- Yerba mate: Is it safe to drink?
- Water after meals: Does it disturb digestion?
- Ground flaxseed: Better than whole?
- Diverticulitis diet: Should I avoid nuts and seeds?
- Monosodium glutamate (MSG): Is it harmful?
- Canned pumpkin: Better than fresh?
- Smart Balance: Are cholesterol-lowering products safe for everyone?
- Vitamin water: Better than plain water?
- Diet soda: Is it bad for you?
- Microwave popcorn: Is it linked to lung disease?
- Too skinny? How to add pounds safely
- Sea salt vs. table salt: Which is better?
- Caffeine: Is it dehydrating or not?
- Prenatal vitamins: OK for women who aren't pregnant?
- Grape juice: Same heart benefits as wine?
- Diverticulitis diet: What should I eat after an attack?
- Lentils: How do I cook with them?
- see all
Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get Started
Mayo Clinic Housecall
Stay up to date on the latest health information.
What you get
- Free weekly e-newsletter
- Mayo Clinic expertise
- Recipes, tools and other helpful information
- We do not share your e-mail address
Question
Fiber supplements: Are they safe to take every day?
I need more fiber in my diet, but I find it difficult to eat the required amounts of fruits and vegetables. Is there any harm in taking a fiber supplement every day instead?
Answer
from Michael Picco, M.D.
There's no evidence that long-term use of fiber supplements — such as Metamucil, Konsyl or Citrucel — is harmful. Doctors often recommend daily fiber supplements for people with certain digestive disorders, such as irritable bowel or chronic constipation.
Fiber supplements make stool soft, which can ease constipation. If you take fiber supplements, be sure to drink plenty of water or other fluids every day. Otherwise fiber supplements can actually make your constipation worse. Also, add fiber to your diet slowly to avoid problems with gas.
If you have intestinal problems, consult your doctor before adding a fiber supplement to your diet. Also, ask your doctor or a pharmacist whether a fiber supplement may interact with any medications you take. Fiber supplements can decrease the absorption of certain medications, such as aspirin, warfarin and carbamazepine. Fiber supplements can also reduce blood sugar levels, which may require an adjustment in your insulin dosage if you have diabetes.
Next questionFood poisoning: How long can you safely keep leftovers?
- Patel SM, et al. Constipation. In: Feldman M, et al. Sleisinger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2006. http://www.mdconsult.com/das/book/body/127102294-3/0/1389/0.html. Accessed March 20, 2009.
- Hogenauer C, et al. Maldigestion and malabsorption. In: Feldman M, et al. Sleisinger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2006. http://www.mdconsult.com/das/book/body/127102294-3/0/1389/0.html. Accessed March 20, 2009.
- Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. March 31, 2009.
