Dr. Richard Milgrim, MD

Dr. Richard Milgrim, MD is a Gastroenterologist practicing at his clinic in Delray Beach, FL, dedicated to empowering patients with proactive, comprehensive Gastrointestinal care. He is registered with The Florida Board of Medicine and practices under the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice). Your gastroenterologist is your primary partner in lifelong digestive health, creating personalized plans for prevention, coordinating crucial screenings, and managing the wellness of your entire digestive system—from esophagus to liver—to keep you feeling your best for years to come. He serves all ages and is currently welcoming new patients to begin their proactive health journey. Call (561) 496-0808 to schedule.

Dr. Richard Milgrim, MD is a gastroenterologist in Delray Beach, FL. He is affiliated with medical facilities such as West Boca Medical Center and Delray Medical Center. He is accepting new patients and telehealth appointments. Dr. Milgrim completed rigorous medical training from recognized institutions, and further specialized with fellowship training in Long Island College Hospital (graduated 1983). He is Board Certified in Internal Medicine by the American Board of Internal Medicine. His approach to care is deeply rooted in collaborative, evidence-based medicine, creating a supportive environment where patients feel empowered to take an active role in their long-term health. Dr. Milgrim offers consultations in Spanish.

A key part of the WePrevent mission is building your personalized prevention roadmap. Dr. Richard Milgrim is a vital partner in this journey, focusing on proactive strategies to protect and enhance your long-term health.

By working together, you and Dr. Richard Milgrim can create a clear, actionable plan to address your unique risk factors and health goals.

A proactive approach to health involves understanding and managing potential risks. Dr. Richard Milgrim provides expert care for a range of conditions, focusing on early detection and effective management to support your long-term wellness. Common areas of focus include:

• Intestinal Ulcer: Don't wait for symptoms to appear—proactive steps like regular screenings and maintaining a healthy lifestyle are crucial for preventing the development of intestinal ulcers and promoting long-term digestive health.
• Diaphragmatic and Hiatal Hernia: Understanding the risk factors associated with diaphragmatic and hiatal hernias, such as smoking and pregnancy, allows for proactive steps to minimize your chances of developing this condition and its associated complications.
• Irritable Bowel Syndrome: Early recognition of IBS symptoms and seeking medical advice can prevent long-term complications like severe abdominal pain and malnutrition.
• Esophageal Achalasia and Cardiospasm: Protecting your digestive health includes being aware of the signs of esophageal achalasia and cardiospasm – difficulty swallowing, chest pain – as early diagnosis and management are vital in preventing severe problems down the line.
• Nausea: Preventative strategies for digestive health include recognizing that recurrent nausea can signal a serious condition and seeking timely medical evaluation.
• Abdominal Pain: Even seemingly minor abdominal pain warrants attention as it can signal digestive problems that are better addressed early to prevent long-term health issues.
• Diffuse Esophageal Spasm: Diffuse esophageal spasm is a condition causing painful chest pain and difficulty swallowing, and early detection through regular checkups can help prevent serious complications.
• Proctoptosis: Preventing complications from proctoptosis involves maintaining good bowel habits and seeking medical attention if you experience rectal prolapse symptoms, reducing the risk of severe issues and the need for surgery.
• Anal or Rectal Pain: Experiencing anal or rectal pain? Don't ignore it – early detection of issues like hemorrhoids or fissures can prevent more serious complications and discomfort.
• Ascites: Addressing the root cause of ascites, such as liver damage or heart failure, is key to preventing further complications and improving your overall digestive health.
• Noninfectious Gastroenteritis and Colitis: Regular screenings and proactive lifestyle changes can be essential in mitigating the risk and managing the impact of noninfectious gastroenteritis and colitis, ensuring a healthier digestive system.
• Familial Adenomatous Polyposis: Familial adenomatous polyposis (FAP) is a genetic condition that significantly increases your risk of colorectal cancer, making regular screenings crucial for early detection and prevention.

This list highlights some common health concerns and is for informational purposes only. The best way to understand your personal health and create a prevention plan is to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Taking proactive steps is central to long-term health. Dr. Richard Milgrim offers a range of key preventive screenings and services designed to provide crucial insights into your health and support your well-being:

• Manometry: For a comprehensive assessment of your digestive health, consider manometry. This test helps detect motility disorders, ensuring that any issues affecting your ability to swallow, digest food, or move waste are identified and treated promptly, preventing potentially severe consequences.
• Colonoscopy: Taking charge of your gut health starts with a colonoscopy: it's a vital screening test that detects abnormalities in your large intestine early, often before symptoms appear.
• Colon Cancer Screening: Take charge of your gut health with a colon cancer screening: it's a proactive step to detect and prevent this serious disease.
• Flexible Sigmoidoscopy: Protecting your digestive health starts with early detection. A flexible sigmoidoscopy screens for polyps and other problems in your lower bowel, enabling prompt treatment.
• Colorectal Cancer Screening: Take charge of your digestive health: colorectal cancer screening proactively identifies potential issues before they become serious problems.
• Wireless pH Testing: Wireless pH testing is a simple procedure that helps detect acid reflux and GERD early, allowing for timely treatment and preventing long-term damage to your esophagus.
• Liver Biopsy: A liver biopsy is a small procedure that helps doctors diagnose and monitor liver conditions early, allowing for timely treatment and better health outcomes.
• Rigid Proctosigmoidoscopy: Taking a proactive step towards better gut health, a rigid proctosigmoidoscopy provides a visual examination of your rectum and sigmoid colon, enabling early detection of potential issues and preventing more serious problems.
• Endoscopy: An endoscopy is a powerful diagnostic tool that allows for early detection of diseases within your digestive system, improving your chances of successful treatment and potentially saving your life.
• pH Probe: A pH probe helps your doctor measure the acid levels in your esophagus to detect and prevent conditions like GERD and Barrett's esophagus.
• Duodenal Polypectomy: Duodenal polypectomy is a procedure to remove polyps from your duodenum, a part of your small intestine, helping prevent potential complications and enabling early detection of cancerous or precancerous growths.
• Liver Function Test: Early detection is vital for liver health. A liver function test provides valuable insights into your liver's function, facilitating early diagnosis and treatment of potential issues.

Service availability can change, and not all services listed may be appropriate for every patient. For a comprehensive understanding of all available services and to create your personalized screening plan, please schedule a consultation.

All medical services are provided in accordance with the standard scope of practice for Gastroenterology in Florida.

Dr. Richard Milgrim is dedicated to partnering with Caregivers to achieve their unique health objectives. The following examples illustrate how a proactive approach can make a tangible difference in a Patient's life:

• By following a personalized plan for regular screenings and adopting a healthy diet, a patient significantly reduced their risk of developing intestinal ulcers, gaining peace of mind about their digestive health.
• By understanding the risk factors associated with diaphragmatic and hiatal hernias, a patient proactively implemented lifestyle changes, significantly reducing their likelihood of developing the condition and its associated complications. This proactive approach empowered them to maintain a healthy lifestyle and peace of mind.
• By recognizing early symptoms of Irritable Bowel Syndrome and following a personalized treatment plan, a patient experienced significant relief from debilitating abdominal pain, improving their quality of life and preventing long-term complications.

These scenarios are illustrative examples of positive health outcomes. Individual results may vary and depend on many factors specific to each patient. He will work with you to define and achieve your personal health goals.

Here are answers to some common questions about proactive Gastrointestinal care with Dr. Richard Milgrim:

What is a Gastroenterologist?

A gastroenterologist is a specialist physician trained to diagnose and treat conditions of the digestive system, including the esophagus, stomach, intestines, colon, liver, gallbladder, and pancreas. They are experts in preventive screenings, such as colonoscopies, and provide comprehensive care for digestive health.

When should I get my first screening colonoscopy?

For average-risk individuals, routine screening colonoscopies are now recommended to begin at age 45. However, individuals with a family history of colon cancer or other risk factors may need to start earlier. Dr. Milgrim will determine the best, personalized screening schedule for you.

What are some common signs of liver problems I should watch for?

Common signs of liver problems include jaundice (yellowing of the skin or eyes), persistent fatigue, abdominal swelling, and unexplained dark urine. If you experience any of these symptoms, please schedule a consultation with Dr. Richard Milgrim for a thorough evaluation.

Are there non-colonoscopy options for colon cancer screening?

Yes, there are alternative screening options like at-home stool-based tests. However, if these tests are positive, a colonoscopy is still necessary to fully evaluate and remove any suspicious growths. Colonoscopy remains the gold standard for both detecting and preventing colon cancer.

What is a capsule endoscopy?

Capsule endoscopy is a modern, non-invasive way to examine the small intestine, an area difficult to reach with traditional scopes. A small pill-sized camera is swallowed, taking thousands of pictures as it travels through the digestive tract. This allows us to diagnose issues in the small intestine.

What is 'fatty liver disease' and is it serious?

Non-alcoholic fatty liver disease (NAFLD) is a very common condition often linked to metabolic health issues like obesity and diabetes. Fortunately, in its early stages, it can often be reversed with lifestyle changes. However, managing NAFLD is crucial to prevent progression to more serious liver damage, such as cirrhosis.

What is Celiac Disease?

Celiac disease is an autoimmune disorder where consuming gluten, a protein found in wheat, triggers damage to the small intestine. While gluten sensitivity may cause similar symptoms, a proper diagnosis from a gastroenterologist is crucial before starting a gluten-free diet to ensure the correct treatment plan.

What is the role of diet in managing IBS?

Diet is a cornerstone of IBS management. Dr. Milgrim can help identify trigger foods and may recommend specific dietary approaches, such as the low FODMAP diet, to significantly reduce symptoms like bloating, gas, and abdominal pain.

4675 Linton Blvd Ste 204
Delray Beach FL 33445
Phone: (561) 496-0808

Dr. Richard Milgrim, MD is regulated by the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice) in Florida and is licensed by The Florida Board of Medicine.

National Provider Identifier (NPI): 1063447449

Registration can typically be verified through The Florida Board of Medicine website or by direct inquiry.

The information on this profile, provided by weprevent.org, is for general informational purposes and to help you connect with preventive health partners. It does not constitute direct medical advice from the physician named. Gastroenterology like Dr. Richard Milgrim are skilled in helping patients create proactive health plans. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your gastroenterology about all aspects of your health and your personalized prevention plan.