Dr. Richard Alexander Schreiber – Gastroenterologist | Vancouver, BC

Dr. Richard Alexander Schreiber 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 within a hospital department in Vancouver, BC, he is a key member of the local medical community committed to providing comprehensive digestive health care. His practice emphasizes patient-centered approaches, utilizing advanced diagnostic and therapeutic endoscopic techniques to address conditions affecting the esophagus, stomach, intestines, liver, and pancreas. Dr. Schreiber ensures that every patient receives tailored care in a supportive environment, focusing on early diagnosis and effective management of digestive disorders.

He graduated with an MD CM from McGill University (Canada) and holds specialty certification as a Gastroenterologist. His credentials include certifications from the Royal College of Physicians and Surgeons of Canada, affirming his expertise and adherence to high standards of medical practice. Throughout his career, Dr. Schreiber has dedicated himself to continuous learning and applying evidence-based methods in digestive health care, ensuring that his patients benefit from the latest advancements and best practices in the field.

With a compassionate and patient-focused philosophy, Dr. Richard Schreiber emphasizes thorough patient education about gastrointestinal conditions and lifestyle modifications that support long-term health. His approach involves early and accurate diagnosis through state-of-the-art procedures, followed by personalized treatment plans designed to optimize outcomes. Fluent in English, he is committed to guiding Vancouver’s community of patients through their digestive health journeys with empathy and professionalism.

Dr. Richard Schreiber diagnoses and treats a wide range of digestive system disorders, including:

Esophageal, Stomach & Upper GI Disorders

• Dysphagia (Difficulty Swallowing) & Odynophagia (Painful Swallowing): Symptoms requiring investigation to determine underlying causes, which can range from structural abnormalities and motility disorders to inflammatory conditions or tumors.
• Esophageal Motility Disorders (e.g., Achalasia, Esophageal Spasms, Nutcracker Esophagus): Disorders affecting the coordinated muscle movements of the esophagus required for swallowing, leading to symptoms like dysphagia (difficulty swallowing), chest pain, and regurgitation.
• Gastritis (Inflammation of Stomach Lining) & Duodenitis: Inflammation of the stomach lining (gastritis) or the first part of the small intestine/duodenum (duodenitis), which can be acute or chronic and caused by various factors including infection, irritants, or autoimmune processes.

Inflammatory Bowel Disease (IBD) Focus

• Crohn's Disease (Ileal, Colonic, Ileocolonic, Perianal): A chronic inflammatory condition that can affect any part of the digestive tract from mouth to anus, causing transmural (full-thickness) inflammation, pain, diarrhea, weight loss, and potential complications like strictures or fistulas.
• 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.

Functional Gastrointestinal & Motility Disorders

• Chronic Idiopathic Constipation (CIC) & Opioid-Induced Constipation (OIC): Persistent constipation that does not have an identifiable underlying cause (CIC) or is a side effect of opioid medications (OIC).
• 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.

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

• 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.
• 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).
• 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.
• Biofeedback Therapy Coordination for Pelvic Floor Dysfunction & Fecal Incontinence: Evaluation for defecatory disorders and fecal incontinence, with coordination of biofeedback therapy and other interventions to improve pelvic floor muscle function.
• Endoscopic Ultrasound (EUS) with Fine Needle Aspiration/Biopsy (FNA/FNB): Procedure combining endoscopy with ultrasound to obtain high-resolution images and tissue samples (FNA/FNB) of the digestive tract wall, surrounding organs (pancreas, liver, adrenal glands, gallbladder), and lymph nodes for staging cancers or diagnosing lesions.
• 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.
• Irritable Bowel Syndrome (IBS) Comprehensive Diagnosis & Management (including subtypes IBS-D, IBS-C, IBS-M): Multifaceted approach to managing IBS symptoms (abdominal pain, bloating, diarrhea, constipation, mixed pattern) including thorough exclusion of other conditions, dietary modifications (e.g., low FODMAP diet), lifestyle changes, stress management, and targeted medications.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Schreiber 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. Schreiber practices at a specialized gastroenterology unit within a hospital in Vancouver's Shaughnessy, Arbutus Ridge South neighborhood. The facility is situated in a prominent medical complex near Robson Square, accessible via multiple public transit options including TransLink's SkyTrain Expo, Millennium, and Canada Lines, as well as bus, SeaBus, and West Coast Express services at Waterfront station. The clinic is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located nearby, providing flexible parking solutions for visitors. This location serves as a key medical facility for advanced digestive care, offering a comfortable and well-equipped environment for diagnostic and therapeutic procedures.

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

Medically necessary consultations with a licensed Gastroenterologist like Dr. Schreiber, 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. Schreiber'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. Schreiber, 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. Schreiber 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. Schreiber diagnose and treat both?

Yes, a Gastroenterologist like Dr. Schreiber 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 Dr. Schreiber 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. Schreiber 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). He will work with you to find the most effective combination of strategies.

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. Schreiber. 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. Schreiber 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.

4480 Oak St, Pediatrics/Gastroenterology - K4-183, BC Children's Hospital, ACB
Vancouver, BC V6H 3V4

Phone: (604) 875-2332 | Fax: (604) 875-3244

The facility is wheelchair accessible.

Dr. Schreiber 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. Schreiber 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/313371/Schreiber%2CRichard