Gastroenterology Information Center Feature Archive
A 64-year-old man presents to the emergency department with abdominal pain and distention, as well as constipation of 8 days' duration.
A woman who is in generally good health presents with a visibly enlarged abdomen with left-sided dominance and increased pelvic pressure that had worsened.
A congenital condition is found in an infant with respiratory and gastrointestinal symptoms.
A patient comes to her yearly nutrition check-up 11 years after undergoing gastric bypass surgery with reports of loose stools with significant odor several times per day.
A condition prone to recurrence, Crohn disease has a complicated presentation and pathophysiology, but multiple treatment options are available.
Probiotics may be beneficial for antibiotic-associated diarrhea, digestive symptoms, necrotizing enterocolitis, respiratory tract infections, and other health conditions.
A wide array of OTC and herbal products can help treat patients with GI issues.
The leaves and roots of the marshmallow plant can be used as an antitussive and for sore throat relief.
Anal fissures can be confused with hemorrhoids in everyday primary practice but require their own treatment protocol.
A child presents to the emergency department with a seven-inch live worm in his stool.
Clinicians might need to consider an uncommon array of causes when faced with a pediatric patient suffering from abdominal ailments.
When diagnosing the cause of chronic abdominal pain, a more specific history and a broad consideration of causes can help with diagnosis.
Clinicians missed several opportunities to advocate for their patient, leading to the loss of a leg.
Extensive food allergy testing revealed that a patient's difficulty swallowing was caused by foods common in her diet.
More than 80,000 children undergo appendectomies each year.
No difference in hypotension between low-, high-dose steroids for IBD patients undergoing major colorectal surgery.
Children with this condition develop an insatiable appetite that leads to obesity, diabetes, hypertension, and behavioral problems when not treated.
Are there any studies that support eliminating foods like sugar, milk and wheat to improve Hashimoto disease symptoms?
Consider unusual causes of chronic or recurrent ear pain.
A young man presents with constant periumbilical pain, extreme weakness, anorexia, nausea, constipation, and orthostasis.
Medicinal properties of marigold-derived compounds include antiviral, anti-inflammatory and antitumor effects.
An approach involving primary-care clinicians, and specialists — including allergists, gastroenterologists, nutritionists and counselors — is crucial.
Advising patients to take OTC antidiarrheal medications at specific times in relation to when they eat their meals can help reduce the number of bowel movements.
Nonalcoholic fatty liver disease (NAFLD) is rapidly emerging as one of the most common "incidental findings" identified with radiographic testing. One in four adults is found to have the condition when undergoing abdominal ultrasound.
Is there any indication that taking too much fish oil — particularly green-lipped mussel oil — can cause stomach problems in a person with a history of gastroesophageal reflux disease?
Could a liver infarct be the cause of a patient's dull, intermittent pain in the right-upper-quadrant? Or is something else to blame?
What treatment options are available for chronic esophageal reflux? Is surgery ever preferable to long-term treatment with a proton-pump inhibitor?
Esophagogastroduodenoscopy, colonoscopy, complement fixation, celiac, sonogram, gynecologic workup and routine labs have all been negative in a teen with a three-year history of recurrent chronic abdominal pain and diarrhea. What steps should be taken next?
A gastroenterologist and surgeon have recommended cholecystectomy for a patient with recurrent biliary colic and a 3% biliary ejection fraction on CCK-HIDA scan. Is this advisable?
What is the likelihood of acid-reflux rebound in a patient stopping a proton-pump inhibitor (PPI) (pantoprazole [Protonix]) after taking the medication for one month or more?
How do I know which radiologic tests to choose when evaluating abdominal pain?
Is there a connection between celiac disease (CD) and inflammation?
Can patients be weaned from proton pump inhibitors without causing a reflux flare?
Should a man with a positive fecal occult blood test and a normal colonscopy without GI symptoms be referred to a gastroenterologist?
When should a menstruating woman with iron-deficiency anemia be referred for GI workup?
As this condition becomes more prevalent in primary care, clinicians need to emphasize the importance of lifelong adherence to a gluten-free diet.
A white woman aged 53 years has had several episodes of syncope that start with nausea, abdominal cramping, and, often, an urge to defecate.
What treatment would you recommend for this patient at high risk for a recurrent cardiac event?
Language barriers and financial concerns could have had fatal results, but an insistent nurse prevailed.
Was the clinician negligent for allowing a patient with recurrent diarrhea to delay his follow-up appointment?
Each of the three primary modalities—plain films, diagnostic ultrasound, and CT scan—must be weighed against their strengths and weaknesses.
How reliable are antigliadin serology tests?
Is there a limit to how long a patient with GERD symptoms can be treated with a proton pump inhibitor?
Where can I find find a liquid bifidobacteria supplement?
Tolerability is often confused with long-term safety.
Combining these agents may compound GI complications. New guidelines help primary-care clinicians identify and protect patients most at risk.
The authors place particular emphasis on the IBS's status as a true disease as opposed to a figment of the patient's imagination.
Start with antisecretory drugs, i.e., proton-pump inhibitors, then make medication, dosage, and lifestyle changes to suit the individual patient.
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.
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.
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...
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...
There are five to select from, and each has its advantages and drawbacks. Two physician specialist help you sort through the options