Uma Pisharody
Uma Pisharody, MD, FAAP

Uma Pisharody, MD, FAAP

Uma Pisharody, MD, FAAP
Specialty

Pediatric Gastroenterology

Clinical Interests / Special Procedures Performed

Anorectal Disease, Anorectal Manometry, Bleeding Internal, Chronic Abdominal Pain, Colonoscopy, Constipation, Crohn's Disease, Diarrhea, Chronic, Fecal Incontinence & Constipation, Flexible Sigmoidoscopy, Food Allergies, Gallstone Dx, Gastroenterology, Gastro-Esophageal Junction, Gastro-Esophageal Reflux, Gastrointestinal, Gastrointestinal Endoscopy, Gastroscopy, GI Motility Disorders, Growth Problems, Hepatitis, Hepatitis C, Hepatobiliary, Hepatology, Inflammatory Bowel Disease, Intestinal Motility Disorders, Intestinal Pseudo Obstruction, Irritable Bowel Syndrome, Liver, Liver Disease, Liver Dx, Nutrition, Obesity, Pancreatabiliary Systems, Pancreatic Dx, Pancreatitis, Parasitic Infections, Ped/Adol Gastroenterology, Pediatric Gastroenterology, Peg Tube Insertion, Polypectomy, Sclerosing Cholangitis, Swallowing Disorders, Ulcerative Colitis, Viral Hepatitis

  • Accepting Children: Yes
  • Accepting New Patients: Yes
  • Accepting Medicare: Yes
  • Accepting Medicaid/DSHS: Yes
Payment Methods Accepted:

Medicare, Medicaid/DSHS, Bill Insurance, VISA, Master Card, Cash, Check, American Express, Discover Card

Insurance Accepted:

Contact this office for accepted insurance plans.

Additional Information:

Dr. Pisharody was recognized in Seattle Metroplitan magazine’s annual Top Doctors and Nurse Practitioners feature. (2013, 2014)

News Release

Dr. Pisharody was voted "Top Doctors" in Seattle Magazine (2013)

Surveys were mailed to physicians in King, Pierce, Snohomish and Kitsap counties. The survey asked physicians to name the provider they would seek out or recommend to loved ones.

News Release

Philosophy of Care

Approach each patient and family with the sincere intent to listen carefully and empathetically. Strive to make diagnoses based on clinical judgement and experience, using diagnostic tests wisely, as a complementary adjunct. Tailor treatment approaches to meet each child's individual needs.

Personal Interests

Music, travel, reading, vegetarian cooking

Medical School

Kasturba Medical College, Mangalore

Residency

Jersey Shore University Medical Center

Fellowship(s)

Louisiana State University Health Sciences Center, New Orleans

Board Certifications

Pediatrics, Pediatric Gastroenterology

Languages:

English, Malayalam

Professional Associations:

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition, American Gastroenterological Association, American Academy of Pediatrics, American Society for Parenteral and Enteral Nutrition, Crohns and Colitis Foundation

Additional Information:

Dr. Pisharody was recognized in Seattle Metroplitan magazine’s annual Top Doctors and Nurse Practitioners feature. (2013, 2014)

News Release

Dr. Pisharody was voted "Top Doctors" in Seattle Magazine (2013)

Surveys were mailed to physicians in King, Pierce, Snohomish and Kitsap counties. The survey asked physicians to name the provider they would seek out or recommend to loved ones.

News Release

Dr. Pisharody is one of the designated Principal Investigators (PI) for an international research study which collects data on children with Inflammatory Bowel Disease. The name of the study is:  DEVELOPTM An Inflammatory Bowel DisEase Multicenter, ProspectiVELOng-term Registry of Pediatric Patients.

She is also one of the PIs for "A Long-Term Non-Interventional Registry to Assess Safety and Effectiveness of Humira (Adalimumab) in Pediatric Patients wtih Moderately to Severely Active Crohn's Disease (CD)"

Public Comment Period on Food Label Changes Ending Soon

Time is running out if you want your opinion to be heard when it comes to the FDA’s proposed changes to the iconic food label that we’ve all come to rely on when buying packaged foods. 

This is a big deal.  For those of you who haven’t heard, highlighted below are the key proposed changes:

  • Require information about the amount of “added sugars”.  A review of this was discussed in Dr. Thekke Karumathil’s blog a few months ago.

  • Remove the “calories from fat” label

  • Update serving size requirements

  • Present “dual-column” labels to differentiate “per-serving” and “per-package” calorie and nutrition information

  • Only require the declaration of amounts of 4 nutrients (vit D, calcium, iron, and potassium).  No longer will nutrients like Vitamin A and C be required, although manufacturers may declare them voluntarily.

  • Refresh the format to emphasize calories, serving sizes, and percent daily value.

Here's what these changes would look like:

New Washington State Law to Help Children with Food Allergies

It is with great happiness that I update an earlier blog posted several months ago with the news that patients with food allergies now have a law that helps them afford their treatment.  On Friday March 28th, Governor Jay Inslee signed a law that makes Washington the most recent state in the country to set a mandate for medical coverage of elemental formulas in the treatment of Eosinophilic GI disorders (EGIDs).  EGIDs are a severe form of gastrointestinal inflammation that results from food allergy. 


FDA finally defines gluten free

On August 5th, 2013, the U.S. Food and Drug Administration (FDA) at long last published a formal rule regulating the use of the term "gluten free" on foods and beverages.  Even though this came with a big sigh of relief to the millions of people with celiac disease living in the US, consumers should be aware that the law gives manufacturers one year to be in full compliance (and goes into effect August 5, 2014).

As we head into the final months before the law’s final compliance date, I thought I’d highlight a few other key points about this brand new law:

1. No symbols needed.  The law does not require or recommend manufacturers use any particular symbol or food label, but if a label should include any of the following phrases, compliance must be ensured:
    •    “Gluten-free”
    •    “Free of gluten”
    •    “No gluten”
    •    “Without gluten”

2.  It’s voluntary.  A manufacturer may produce gluten-free foods, but just choose not to label them as such.   

3.  “Gluten-free” does not mean “zero gluten”. The new law defines "gluten-free" to mean that a food contains less than 20 parts per million (20 ppm) of gluten.  (This tiny amount can be visualized as less than a tenth of a grain of salt on a slice of bread, and is acceptable as the standard for people with celiac disease).

4.  As with any rule, there are exceptions.  Although ...

Infants with Milk Allergy

A 4 week-old infant and his mother came to my office last week.  The mother had started seeing small flecks of blood and stringy mucous in the infant’s diapers a week prior.  The baby was fine in every other way, breast feeding normally, and looked quite healthy when I examined him.

I diagnosed the infant as having cow’s milk protein-induced proctocolitis, the term referring to allergic inflammation of the lower gastrointestinal tract from exposure to cow’s milk. 

This is a diagnosis I make often. Here's what you should know about infants with milk allergies:

  1. It’s more common than you think. 2-3% of infants in the U.S. are allergic to cow’s milk protein. It is even more common in infants with eczema or who have parents or siblings with allergies.
  2. It’s seen in breast fed babies.  Over 50% of infants with this condition are breast milk-fed infants.  But remember, the babies are allergic to the dairy in their moms’ diets, not to their mothers’ breast milk per se!
  3. Switching to soy or goat’s milk doesn’t work.  Over two-thirds of infants with cow’s milk protein allergy “cross-react” to soy protein (which means that they may not be truly allergic to soy protein, but their immune systems are just too “immature” to know the difference between the two).  Similarly, if a mother switches from drinking cow’s milk to goat’s milk, it won’t help, because the source is still a “different species”; the infant’s immune system will still respond to the “foreign” protein.
  4. Treatment takes time. The inflammation resolves when all traces of cow’s milk (and soy), are  removed from the infant’s diet.  In the case of formula-fed infants, we switch to special hypoallergenic formulas.  Typically after a successful switch, the bleeding stops within a week.  However, with breast fed infants, the improvement can be a little slower.  Since it can take up to 2 weeks for the dairy in a mother’s diet to circulate into her breast milk, the full effects may not been seen for up to a couple weeks.
  5. Allergy testing is not recommended.  The type of allergy that ...

Dirt is good for kids

I remember one day during my pediatric gastroenterology fellowship, a mother and child were walking in front of my professor and me, as we made our daily rounds in the hospital.  When the pacifier fell out of the toddler’s mouth and the mother picked it up and put it right back into the child's mouth, my professor remarked to me, "mark my words....that child will never get Crohn’s disease!"   My professor was referring to the theory of the "Hygiene Hypothesis".  This theory  is thought to explain (at least in part) why so many more people in developed nations become afflicted with autoimmune diseases such as Inflammatory Bowel Disease (IBD - Crohn's disease and Ulcerative Colitis) as well as food allergies, compared to people in non-developed nations. 

In non-developed countries, where children are...

Beware: Magnets May Be Hazardous To Health!

Magnets, a common household object with which we are all familiar, can be surprisingly dangerous, especially to children.  If this statement is startling to you, here’s what you need to know. 

Beginning in the 1970s and 80s, scientists discovered a new type of magnet, the so-called “rare-earth magnet”.  Made from some of the “rare earth” metals of the periodic table such as “Neodymium”, these new magnets are not only the strongest, most powerful magnets known to man (magnetic forces up to ten times that of other magnets), they are also permanent and relatively inexpensive to manufacture.  These properties revolutionized the production of many household products, even toys.  Basically, magnets we find in everyday items today are no longer made using old-fashioned magnets from a generation ago!

As a pediatric gastroenterologist, I am writing this blog to warn you of the dangers, should these powerful magnets be accidentally swallowed.  If more than one magnet is swallowed, or if a magnet is ingested along with another metallic object, the formidable strength of these magnets can attract 2 pieces of bowel to stick together with such great strength, it results in serious injury, even death.

This video ...

Advocating for Children with Severe Food Allergies

Eosinophilic Gastrointestinal Disorders (“EGIDs”) are a severe form of gastrointestinal inflammation that results from food allergy.  Children and adults in the U.S. are increasingly being diagnosed with this condition that unfortunately requires strict elimination diets, and many times, a life-long inability to eat foods that most of us take for granted each day, including dairy, wheat, soy, and eggs. 

For children requiring such restrictive diets, pediatric gastroenterologists like me work hard to find adequate alternate sources of nutrition.  For my patients with EGIDs, I often prescribe special “elemental formulas” as a treatment to both heal the intestinal inflammation and prevent further harm.  These formulas are completely allergen-free while meeting 100% of a child’s nutritional needs. 

However, in the state of Washington, most ....

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