Dr. Karen Diana Papay – Gastroenterologist | Penticton, BC

Dr. Karen Diana Papay 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 Penticton Regional Hospital in Penticton, BC, she is a key member of the local medical community. She 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. Her practice is committed to delivering patient-focused digestive health care, emphasizing compassion, evidence-based medicine, and advanced technological approaches to diagnosis and treatment.

Dr. Papay graduated with a Medical Degree from the University of Western Ontario in Canada. She holds specialty certification as a Gastroenterologist from the Royal College of Physicians and Surgeons of Canada. Her training and certifications ensure she is well-equipped to provide expert care in all aspects of digestive health, adhering strictly to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC).

With a clinical philosophy rooted in a commitment to evidence-based digestive health care, Dr. Papay emphasizes patient education on GI conditions and lifestyle modifications. She strives to achieve early and accurate diagnoses through the use of state-of-the-art diagnostic procedures and provides personalized treatment plans tailored to each patient's unique needs. Her approach focuses on building trusting relationships with her patients in Penticton, ensuring they feel supported and well-informed throughout their care journey. She offers consultation and treatment in English, dedicated to improving her patients' quality of life through compassionate and comprehensive digestive health services.

Dr. Karen Papay diagnoses and treats a wide range of digestive system disorders, including:

Esophageal, Stomach & Upper GI Disorders

• Gastroesophageal Reflux Disease (GERD) / Acid Reflux / Heartburn: Chronic condition where stomach acid frequently flows back into the esophagus, causing heartburn, regurgitation, chest pain, and potential complications like esophagitis.
• Barrett's Esophagus & Dysplasia Monitoring: A precancerous condition in which the normal lining of the esophagus is replaced with tissue similar to the intestinal lining, often due to chronic GERD, requiring regular surveillance for dysplasia (abnormal cells).

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• 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.
• Gallstone Disease (Cholelithiasis), Cholecystitis & Choledocholithiasis: Formation of hardened deposits (gallstones) in the gallbladder. Cholecystitis is gallbladder inflammation. Choledocholithiasis refers to gallstones in the common bile duct.

Small & Large Intestine (Colorectal) Disorders

• 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.
• Small Intestinal Bacterial Overgrowth (SIBO) & Intestinal Methanogen Overgrowth (IMO): An abnormal increase in the bacterial population in the small intestine, or an overgrowth of methane-producing archaea, leading to symptoms like bloating, gas, abdominal pain, and altered bowel habits.
• 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.

This list is not exhaustive. For personalized advice regarding your specific digestive condition, please consult with Dr. Karen Papay.

• 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.
• Interpretation & Correlation of Advanced Digestive Health Diagnostic Tests: Expert analysis and clinical correlation of results from endoscopies, biopsies, imaging studies (CT, MRI, MRCP, ultrasound), breath tests (e.g., for H. pylori, SIBO, lactose intolerance), stool tests (e.g., calprotectin, FIT), motility studies, and genetic testing for GI conditions.
• 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.
• Endoscopic Hemostasis for Acute & Chronic GI Bleeding: Various endoscopic techniques (e.g., injection therapy, thermal coagulation/APC, mechanical clips, hemostatic sprays) used to stop acute or recurrent bleeding from ulcers, varices, angiodysplasias, or tumors in the GI tract.
• Upper Endoscopy (EGD - Esophagogastroduodenoscopy) with Biopsy & Interventions: Diagnostic and therapeutic procedure to examine the esophagus, stomach, and duodenum using a flexible tube with a camera. Allows for targeted biopsies, polyp removal (polypectomy), dilation of strictures, control of bleeding (hemostasis), and foreign body removal.
• Gastrointestinal Motility Disorder Evaluation & Management Coordination: Initial evaluation of symptoms suggestive of GI motility disorders (e.g., gastroparesis, achalasia, chronic intestinal pseudo-obstruction), with coordination for specialized testing like esophageal manometry, antroduodenal manometry, wireless motility capsule, or gastric emptying studies, and subsequent management strategies.
• Capsule Endoscopy (Small Bowel & Colon): Non-invasive procedure where the patient swallows a vitamin-pill sized camera that takes pictures of the small intestine (for obscure GI bleeding, Crohn's disease) or colon (as an alternative to colonoscopy in select cases).

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Papay 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 College of Physicians and Surgeons of British Columbia (CPSBC) and relevant gastroenterological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Penticton Regional Hospital is situated in the vibrant community of Penticton, within the Penticton Central, South End, Kaledon, Okanagan Falls, Naramata Bench (Rural South) neighborhood. The hospital serves as a vital medical facility, featuring a dedicated gastroenterology unit where Dr. Papay provides specialized digestive health services. The hospital is conveniently accessible via the South Okanagan-Similkameen Transit System (BC Transit), making it easy for patients to attend appointments. The facility is wheelchair accessible, ensuring equitable access for all patients. Paid parking options are conveniently located on-site, providing ease of parking for patients and visitors, with accessible options for those with mobility challenges. The hospital’s proximity to local attractions such as the SS Sicamous Museum adds to the community-oriented environment where Dr. Papay offers her expertise.

Are consultations and procedures like endoscopies with Dr. Papay, a Gastroenterologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Gastroenterologist like Dr. Papay, 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 Medical Services Plan (MSP) in BC 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. Papay's office, the hospital/clinic's financial services, or Medical Services Plan (MSP) beforehand.

Do I need a referral from my family doctor to see Dr. Papay, 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. Papay 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.

How does Dr. Papay approach treating functional GI disorders like IBS or functional dyspepsia?

Treating functional GI disorders like Irritable Bowel Syndrome (IBS) or functional dyspepsia often involves a multi-faceted approach tailored by Dr. Papay to your specific symptoms and triggers. Since these conditions don't have a structural cause seen on tests, management focuses on symptom relief and improving quality of life. This may include dietary modifications (like identifying trigger foods or trying a low FODMAP diet for IBS), lifestyle adjustments (stress management, regular exercise), fiber supplements, over-the-counter remedies, and prescription medications. Medications can target specific symptoms like pain (antispasmodics), diarrhea (anti-diarrheals), constipation (laxatives), or abnormal gut-brain interaction (neuromodulators in low doses). She will work with you to find the most effective combination of strategies.

What are some common procedures a Gastroenterologist like Dr. Papay typically performs?

Gastroenterologists like Dr. Papay are highly skilled in performing a range of endoscopic procedures. The most common are upper endoscopy (also called EGD or gastroscopy) to examine the esophagus, stomach, and duodenum, and colonoscopy to visualize the entire colon. During these procedures, She can take biopsies (small tissue samples for analysis), remove polyps (which can prevent colon cancer), dilate narrowed areas (strictures), control bleeding, and place feeding tubes. Other procedures may include flexible sigmoidoscopy (examining the lower colon), capsule endoscopy (swallowing a tiny camera to see the small intestine), and more specialized interventions like ERCP or EUS depending on their training and practice focus. Many also specialize in managing specific areas like hepatology (liver disease) or IBD.

Will I be asleep for my endoscopy or colonoscopy with Dr. Papay?

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. Papay or the anesthesia provider beforehand. Because of the sedation, you will need to have someone accompany you to drive you home after the procedure.

Penticton Regional Hospital
107-725 Carmi Ave, Carmi Medical Clinic
Penticton, BC V2A 3G8

Phone: (250) 493-0433 | Fax: (250) 492-3524

The facility is wheelchair accessible.

Dr. Papay is a licensed Gastroenterologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Papay for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/335192/Papay%2CKaren