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Gastroenterology

Mixing NSAIDs with antiplatelet therapy

Carl Sherman March 01, 2010

Combining these agents may compound GI complications. New guidelines help primary-care clinicians identify and protect patients most at risk.

Irritable bowel syndrome made simple

Carl Sherman January 29, 2010

The authors place particular emphasis on the IBS's status as a true disease as opposed to a figment of the patient's imagination.

C. difficile on the rise in outpatient settings

January 27, 2010

A patient's diarrhea or abdominal cramps could be the result of infection with Clostridium difficile.

Practical guidelines for managing GERD

Carl Sherman November 30, 2009

Start with antisecretory drugs, i.e., proton-pump inhibitors, then make medication, dosage, and lifestyle changes to suit the individual patient.

Celiac disease now more widespread

Myra Dembrow September 09, 2009

The number of cases of celiac disease has increased more than fourfold in the past 50 years.

Concomitant proton-pump inhibitors and clopidogrel associated with adverse cardiovascular events

Alan Ehrlich, MD August 13, 2009

Colorectal cancer rising in younger patients

August 12, 2009

Colorectal cancer (CRC) rates have dropped steadily for more than a decade, but younger patients are bucking the trend.

Earlier colorectal cancer screening for African Americans advised

May 15, 2009

African American patients should begin screening for colorectal cancer at age 45 years rather than age 50.

PPI for esophagitis and nonerosive GERD

May 07, 2009

Kapidex is designed to provide two separate releases of medication.

Fatigue and dizziness in an iron-deficient patient

April 20, 2009

Early recognition of atypical celiac disease

Carl Sherman April 01, 2009

Celiac disease doesn't look the way you might expect. A new position statement and technical review from the American Gastroenterological Association provide updated guidelines.

H. pylori in the stool vs. the blood

February 18, 2009

Methylnaltrexone may relieve opioid-induced constipation

Brian S. Alper, MD, MSPH December 18, 2008

Compared with placebo, methylnaltrexone yielded a higher rate of bowel movement without laxative within four hours of first dose, within four hours after two or more of the first four doses, within four hours after four or more of the first seven doses, and after one or more of seven doses.

Salmonella symptoms with negative stool culture?

November 10, 2008

Gallbladder wall polyp plus abdominal pain

November 03, 2008

Biliary dyskinesia

November 03, 2008

Speeding through history

Ann W. Latner, JD August 28, 2008

Mr. B, a 34-year-old physician assistant, was having another frenetic day in the gastroenterology clinic, and he was not happy. When he had taken the job a year ago, he had hoped it would...

Injection to relieve Crohn's symptoms

July 24, 2008

Cimzia

Anemia in a patient previously treated for renal insufficiency

Case and analysis by Shuvendu Sen, MD, MS July 20, 2008

Two months after moving to the United States from Egypt, 67-year-old Mr. A presented to the emergency department with moderate shortness of breath that worsened on...