Dr. Paul Dominic Mullins – Gastroenterologist | Prince George, BC

Dr. Paul Dominic Mullins 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 a reputable gastroenterology clinic or hospital department in Prince George, BC, he is a key member of the local medical community. Dr. Mullins adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring that patients receive safe, effective, and compassionate digestive health care. His practice focuses on providing comprehensive care for a broad spectrum of digestive conditions, utilizing both advanced diagnostic tools and therapeutic endoscopy to improve patient outcomes.

He graduated with a Bachelor of Medicine, Bachelor of Surgery (MB BS) from the University of London in the United Kingdom and holds specialty certification as a Gastroenterologist recognized by relevant certifying bodies. Dr. Mullins also maintains additional certifications including those recognized by the College Registration Committee, demonstrating his commitment to ongoing professional development and excellence in clinical practice.

Dr. Mullins is committed to evidence-based digestive health care, emphasizing patient education on gastrointestinal conditions and lifestyle modifications to promote long-term wellness. He prioritizes early and accurate diagnosis through the use of state-of-the-art procedures and provides personalized treatment plans tailored to each patient's unique needs. Fluent in English, he is dedicated to building trusting relationships with his patients in Prince George, ensuring they are well-informed and actively involved in their care journey.

Dr. Paul Mullins diagnoses and treats a wide range of digestive system disorders, including:

Functional Gastrointestinal & Motility Disorders

• Cyclic Vomiting Syndrome: A disorder characterized by recurrent, stereotypical episodes of intense nausea and vomiting lasting for hours or days, with symptom-free intervals in between.
• Functional Dyspepsia & Epigastric Pain Syndrome: Persistent or recurrent pain or discomfort centered in the upper abdomen (dyspepsia) or specifically in the epigastric region, without an identifiable structural cause after investigation.

Esophageal, Stomach & Upper GI Disorders

• 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).
• Peptic Ulcer Disease (Gastric, Duodenal, H. pylori-related, NSAID-induced): Open sores that develop on the inside lining of the stomach (gastric ulcer) and the upper portion of the small intestine (duodenal ulcer), commonly caused by H. pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Small & Large Intestine (Colorectal) Disorders

• Ischemic Colitis: Inflammation and injury of the large intestine that results from inadequate blood flow.
• Celiac Disease & Gluten Sensitivity: Celiac disease is an autoimmune disorder triggered by gluten ingestion, damaging the small intestine. Non-celiac gluten sensitivity involves GI symptoms related to gluten without the autoimmune damage.
• 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.

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

• Management of Common & Chronic Digestive Symptoms: Investigating and treating common but potentially disruptive digestive symptoms such as heartburn, acid reflux, bloating, abdominal pain, cramping, excessive gas, constipation, diarrhea, difficulty swallowing (dysphagia), and unexplained weight loss.
• 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.
• 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.
• 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.
• 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.
• 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).
• Helicobacter pylori (H. pylori) Testing & Eradication Therapy: Diagnosis of H. pylori infection using breath tests, stool tests, or endoscopic biopsies, and providing appropriate antibiotic regimens for eradication to treat ulcers and gastritis.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Mullins 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.

Dr. Mullins practices within a well-equipped gastroenterology clinic located in the heart of Downtown Prince George, in the Central neighborhood. The facility is conveniently situated along a major arterial route, ensuring easy access for patients coming from various parts of the city and surrounding areas. Public transit options are available through the Prince George Transit System (BC Transit), making it accessible for those relying on bus services. The clinic is fully wheelchair accessible, accommodating patients with mobility concerns. Parking is available at or near the facility, providing convenient options for those arriving by private vehicle. The location offers a welcoming environment dedicated to comprehensive digestive health care, with modern amenities and a patient-centered approach.

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

Medically necessary consultations with a licensed Gastroenterologist like Dr. Mullins, 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. Mullins'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. Mullins, 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. Mullins 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.

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

Yes, a Gastroenterologist like Dr. Mullins 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.

How does a Gastroenterologist like Dr. Mullins approach the management of Inflammatory Bowel Disease (IBD)?

The management of IBD (Crohn's disease and ulcerative colitis) by a Gastroenterologist like Dr. Mullins is a highly individualized and long-term process. The primary goals are to induce and then maintain remission (control inflammation), alleviate symptoms, prevent complications, and improve the patient's overall quality of life. Treatment strategies often involve a combination of medications, which can include aminosalicylates (5-ASAs), corticosteroids (for acute flare-ups), immunomodulators (e.g., azathioprine, methotrexate), and increasingly, biologic therapies or small molecule drugs that target specific inflammatory pathways. Regular monitoring through clinical assessment, blood tests, stool tests (like fecal calprotectin), and endoscopic procedures is crucial to track disease activity and adjust treatment as needed. Nutritional counseling and lifestyle advice are also integral parts of comprehensive IBD care.

Are there significant risks associated with procedures like gastroscopy or colonoscopy?

Gastroscopy (upper endoscopy) and colonoscopy are generally very safe procedures, especially when performed by an experienced Gastroenterologist like Dr. Mullins. Complications are uncommon. Potential risks can include bleeding, particularly if polyps are removed or biopsies are taken; perforation (a tear in the wall of the digestive tract); infection (rare); or adverse reactions to the sedative medication used. Before your procedure, Dr. Mullins will thoroughly discuss the specific potential risks and benefits based on your individual health and the reason for the procedure, allowing you to make an informed decision.

What exactly does a Gastroenterologist like Dr. Mullins specialize in?

A Gastroenterologist, often called a GI specialist, is a medical doctor who has undergone extensive specialized training beyond medical school and internal medicine residency to diagnose, treat, and manage diseases of the entire digestive or gastrointestinal (GI) system. This includes the esophagus, stomach, small intestine, colon (large intestine), rectum, anus, as well as associated organs like the liver, gallbladder, bile ducts, and pancreas. He is a Gastroenterologist specializing in the comprehensive medical and procedural management of digestive system disorders. Dr. Mullins is skilled in performing endoscopic procedures (like gastroscopy and colonoscopy) for both diagnosis and treatment, interpreting complex diagnostic tests, and developing comprehensive management plans for a wide variety of acute and chronic digestive health issues.

1569 6 Ave, Cottage Clinic
Prince George, BC V2L 3N4

Phone: (250) 612-0001 | Fax: (250) 612-0003

The facility is wheelchair accessible.

Dr. Mullins 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. Mullins 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/343894/Mullins%2CPaul