Search results for "Irritable bowel syndrome"
Beyond counting sheep, helping patients sleep
This issue covers sleep hygiene, abdominal pain, and women's health.
https://immattersacp.org/archives/2017/09/beyond-counting-sheep-helping-patients-sleep.htm
1 Sep 2017
High-value management of patients with GI symptoms
Gastroesophageal reflux disease, rectal bleeding, and chronic diarrhea can be controlled better by applying high-value care.
https://immattersacp.org/archives/2017/06/gastro.htm
1 Jun 2017
Warning on IBS drug for patients without gallbladders
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/05/fda.htm
1 May 2017
Managing food poisoning's aftermath in ambulatory care
Internal medicine staff can be the starting point for acute cases of food poisoning, starting the screening process on the telephone and helping determine which patients should be sent right to the ED. But they can also help patients afterward, as they manage potentially long-term complications.
https://immattersacp.org/archives/2016/10/food-poisoning.htm
1 Oct 2016
MKSAP Quiz: Evaluating a 1-year history of loose stools
A 67-year-old woman is evaluated for a 1-year history of loose stools. She reports approximately four episodes per day without abdominal pain. She has not had nausea, vomiting, weight loss, bright red blood per rectum, or melena. After a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/07/14/3.htm
14 Jul 2015
Gluten not a bread-and-butter diagnosis
Internists have to sort through the symptoms of gluten sensitivity to confirm a diagnosis. Excluding celiac disease and wheat allergy is essential, as is managing the patient's expectations and lifestyle.
https://immattersacp.org/archives/2014/09/gluten.htm
1 Sep 2014
Managing gluten sensitivity can mean managing patient expectations
This issue covers topics including clinical research on gluten sensitivity, proper preoperative assessments, and how to effectively prescribe methadone.
https://immattersacp.org/archives/2014/09/editors.htm
1 Sep 2014
MKSAP Quiz: 8-month history of crampy abdominal pain, loose bowel movements
A 42-year-old woman is evaluated for an 8-month history of crampy abdominal pain and three loose bowel movements per day. The pain is relieved by a bowel movement. There are no nocturnal bowel movements, and there is no blood or dark tarry material in the stool. She has not had fever, night sweats, or weight loss. She has a history of Hashimoto disease and is treated with levothyroxine. Following a physical exam, rectal exam, and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/08/26/3.htm
26 Aug 2014
PERSPECTIVES 4 ACP Internist Gluten-free diets have gotten a ...
be causing a patient’s GI symptoms, including wheat allergy, celiac dis-ease, and irritable bowel syndrome. ... its blockade of COX5) Small bowel AVMs cause you to do this6) NaHCO3, Al(OH)3, CaCO3, or Mg(OH)2,.
https://immattersacp.org/archives/2014/09/acpi-201409-puzzle_t1.pdf
20 Aug 2014
California San Diego School of Medicine.Dr. Crowe also serves ...
ty, or irritable bowel syndrome, he noted.The last of those 3 possibilities, like glutensensitivity, is only diagnosed by excludingother possibilities, and there is no biomark-er to test for, he ... said. “There are many who believe that it[nonceliac gluten sensitivity] is simply asubset of patients with irritable bowel, andcertainly the symptoms can be quite simi-lar.
https://immattersacp.org/archives/2014/09/acpi-201409-gluten_t1.pdf
20 Aug 2014