Dr. Félix Trottier-Tellier – Gastroenterologist | Lévis, QC

Dr. Félix Trottier-Tellier is a dedicated Gastroenterologist specializing in the diagnosis and treatment of a wide array of disorders affecting the digestive system in adult patients, and may also see older adolescents for certain conditions. Practicing at Hôtel-Dieu de Lévis in Lévis, QC, he is a key member of the local medical community. He provides comprehensive care for a wide range of digestive system disorders, including conditions affecting the esophagus, stomach, intestines, liver, and pancreas, utilizing diagnostic and therapeutic endoscopy. His approach is centered on delivering patient-focused digestive health care in a supportive and advanced clinical environment.

Dr. Trottier-Tellier holds a Medical Degree from a recognized institution and has accumulated over 7 years of experience as a Gastroenterologist since 2017. He has completed extensive post-graduate training in digestive health care and holds the necessary certifications to practice Gastroenterology (Comprehensive Care for Digestive System Disorders) in QC, ensuring adherence to the standards set by the Collège des médecins du Québec (CMQ).

His clinical philosophy emphasizes evidence-based digestive health care, patient education on GI conditions and lifestyle modifications, early and accurate diagnosis through advanced procedures, and personalized treatment plans tailored to each patient. Dr. Félix Trottier-Tellier is committed to providing exceptional care to his patients in Lévis, speaking primarily in French, and ensuring they are well-informed and comfortable throughout their diagnostic and treatment journeys.

Dr. Félix Trottier-Tellier diagnoses and treats a wide range of digestive system disorders, including:

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Autoimmune Liver Diseases (Autoimmune Hepatitis, PBC, PSC): Conditions where the body's immune system mistakenly attacks liver cells (Autoimmune Hepatitis), bile ducts within the liver (Primary Biliary Cholangitis), or larger bile ducts inside and outside the liver (Primary Sclerosing Cholangitis).
• Pancreatitis (Acute Recurrent & Chronic): Inflammation of the pancreas that can be sudden and severe (acute), recurrent, or long-lasting (chronic), causing significant abdominal pain and digestive enzyme deficiencies.

Small & Large Intestine (Colorectal) Disorders

• Diverticular Disease (Diverticulosis, Diverticulitis, Diverticular Bleeding): Diverticulosis is the presence of small pouches (diverticula) in the colon wall. Diverticulitis is inflammation or infection of these pouches. Diverticular bleeding can also occur.
• Microscopic Colitis (Lymphocytic & Collagenous Colitis): Inflammation of the colon that is only visible under a microscope when biopsies are examined, a common cause of chronic watery diarrhea, particularly in older adults.
• Colorectal Polyps (Adenomatous, Serrated) & Colorectal Cancer Prevention/Screening: Abnormal growths in the colon or rectum that can be precursors to colorectal cancer. Screening (e.g., colonoscopy, FIT) is vital for removal of polyps, prevention, and early detection of cancer.

Inflammatory Bowel Disease (IBD) Focus

• Ulcerative Colitis (Proctitis, Left-sided Colitis, Pancolitis): A chronic inflammatory condition that causes inflammation and ulcers primarily in the lining of the large intestine (colon and rectum), typically presenting with bloody diarrhea, urgency, and abdominal pain.
• Microscopic Colitis (often considered alongside IBD for chronic diarrhea): Though distinct from classic IBD, it's an inflammatory condition of the colon diagnosed by biopsy, causing chronic watery diarrhea.
• Indeterminate Colitis & IBD-Unclassified (IBD-U): Cases of IBD, particularly early in the disease course, where it is difficult to definitively distinguish between Crohn's disease and ulcerative colitis based on clinical, endoscopic, and histological features.

This list is not exhaustive. For personalized advice regarding your specific digestive condition, please consult with Dr. Félix Trottier-Tellier.

• Comprehensive Gastroenterology Consultation & Digestive Health Assessment: In-depth assessment of digestive system disorders, including detailed review of medical history, family history, lifestyle factors, physical examination, symptom analysis, and development of a personalized diagnostic and treatment strategy.
• ERCP (Endoscopic Retrograde Cholangiopancreatography) - Diagnostic & Therapeutic: Specialized procedure combining upper endoscopy and X-rays to diagnose and treat problems of the bile and pancreatic ducts, such as gallstone removal from bile duct, stent placement for strictures or leaks, and sphincterotomy.
• Enteroscopy (e.g., Double-Balloon, Single-Balloon, Spiral Enteroscopy): Advanced endoscopic techniques allowing deep visualization, biopsy, and therapy within the small intestine, beyond the reach of standard endoscopes, for conditions like obscure bleeding or small bowel tumors.
• Endoscopic Dilation of Gastrointestinal Strictures (Esophageal, Pyloric, Colonic): Procedure to stretch narrowed areas (strictures) in the esophagus (e.g., due to reflux, EoE), stomach outlet (pylorus), small intestine, or colon using balloons or Savary-Gilliard dilators passed through an endoscope.
• Second Opinion Consultations for Complex Digestive Diseases: Providing expert second opinions on challenging or rare gastrointestinal diagnoses, unclear test results, and proposed complex treatment plans, including for IBD, liver disease, and pancreatic disorders.
• Personalized Nutritional Assessment & Medical Dietary Therapy for GI Conditions: Evaluation of nutritional status and provision of evidence-based dietary advice and medical nutrition therapy tailored to specific gastrointestinal disorders like IBD, IBS, celiac disease, eosinophilic esophagitis, gastroparesis, or food intolerances, often in collaboration with registered dietitians.
• Flexible Sigmoidoscopy with Biopsy: Examination of the lower part of the colon (sigmoid colon and rectum) using a flexible sigmoidoscope, often for evaluation of rectal bleeding, diarrhea, or as part of some screening protocols.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Trottier-Tellier for care relevant to your specific condition.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant gastroenterological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Hôtel-Dieu de Lévis is situated in Lévis's Lévis Centre, Lauzon neighbourhood, within the vibrant Les Galeries Chagnon shopping complex. The facility is easily accessible via public transit, with services provided by the Société de transport de Lévis (STLévis), making it convenient for patients from various parts of the city and surrounding areas. The hospital is fully wheelchair accessible, ensuring ease of access for all patients. Ample parking options are available, including metered street parking and nearby parking lots, facilitating a hassle-free visit for patients and visitors alike.

Are consultations and procedures like endoscopies with Dr. Trottier-Tellier, a Gastroenterologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Gastroenterologist like Dr. Trottier-Tellier, as well as most diagnostic procedures (e.g., endoscopies for investigating symptoms, biopsies for medical reasons) and treatments for provincially insured digestive conditions (e.g., IBD, celiac disease, screening colonoscopies as per provincial guidelines, liver disease management), are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Procedures considered purely for screening outside of guidelines, or for non-medical reasons, and some advanced technologies or specific drug therapies might have different coverage. It's crucial to discuss coverage specifics for any proposed treatment or procedure with Dr. Trottier-Tellier's office, the hospital/clinic's financial services, or Régie de l'assurance maladie du Québec (RAMQ) beforehand.

Do I need a referral from my family doctor to see Dr. Trottier-Tellier, a Gastroenterologist?

Yes, in nearly all cases, a referral from your family physician or another specialist (such as an internist or surgeon) is required to schedule an appointment with a Gastroenterologist like Dr. Trottier-Tellier for services covered by the provincial health plan. Gastroenterological issues often require initial assessment and preliminary investigations by your primary care provider. The referral ensures that a specialist consultation is appropriate, helps with prioritizing appointments, and facilitates coordinated care, including the transfer of relevant medical information.

Will I be asleep for my endoscopy or colonoscopy with Dr. Trottier-Tellier?

For most endoscopic procedures like upper endoscopy (gastroscopy) and colonoscopy, patients are typically given sedation to help them relax and be comfortable. This is often called 'conscious sedation' or 'moderate sedation,' meaning you'll be drowsy and may not remember much of the procedure, but you won't be under general anesthesia (completely unconscious with a breathing tube). The specific type and level of sedation can vary and will be discussed with you by Dr. Trottier-Tellier or the anesthesia provider beforehand. Because of the sedation, you will need to have someone accompany you to drive you home after the procedure.

What is generally involved in preparing for a colonoscopy procedure?

Preparing for a colonoscopy is a critical step to ensure the procedure is effective and safe. Dr. Trottier-Tellier's office will provide very specific instructions, which must be followed closely. Typically, preparation involves dietary changes for a few days beforehand (e.g., low-residue diet), followed by a clear liquid diet for the 24 hours prior to the exam. The most important part is the bowel cleansing process, which involves drinking a prescribed laxative solution designed to completely empty and clean your colon. This usually starts the evening before and may continue the morning of the procedure. You'll also need to arrange for transportation home, as sedation is commonly used.

What's the difference between Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD)? Can Dr. Trottier-Tellier diagnose and treat both?

Yes, a Gastroenterologist like Dr. Trottier-Tellier can diagnose and treat both IBS and IBD, but they are very different conditions. IBD, which includes Crohn's disease and ulcerative colitis, is characterized by chronic inflammation and physical damage (like ulcers and strictures) to the digestive tract, visible during endoscopy and on biopsies. It's an autoimmune-related condition. IBS, on the other hand, is a functional gut disorder, meaning the GI tract doesn't work correctly, but there's no visible inflammation or damage on standard tests. IBS causes symptoms like abdominal pain, bloating, and altered bowel habits. While IBS can significantly impact quality of life, it doesn't cause the destructive inflammation seen in IBD. Diagnosis involves different criteria and investigations for each.

Hôtel-Dieu de Lévis
143 rue Wolfe
Lévis, QC G6V 3Z1

Phone: (418) 835-7121

The facility is wheelchair accessible.

Dr. Trottier-Tellier is a licensed Gastroenterologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Trottier-Tellier for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17053