421- Personal Daily Diary for All GI Disorders

Using a Personal Daily Symptom Diary for 2–4 weeks can help you learn more about how your body may be reacting to certain things in your life, such as diet, exercise, stress, and sleep. A Daily Diary aims to help you better understand your gastrointestinal (GI) illness. When you keep a detailed record of stool […]

581D-Triggers for Acute Hepatic Porphyria

Patients with acute hepatic porphyria (AHP) can have sudden (acute) symptoms that are severe and require them to go to the hospital. At times, these acute attacks can be triggered by stress, medications (drugs), diet, and environmental factors, among others. Avoiding or reducing exposure to known triggers is an important way to prevent acute AHP […]

581E- Acute Hepatic Porphyria and Cutaneous Porphyria

Porphyrias are a group of conditions where the body has problems making heme, which is an important part of hemoglobin. Hemoglobin is a protein in red blood cells that carries oxygen throughout the body. The two main classes of porphyrias are Acute Hepatic Porphyria (AHP) and cutaneous porphyria.

581C- Diagnosing and Treating Acute Hepatic Porphyria (AHP)

Acute hepatic porphyria (AHP) is a rare condition with symptoms that are similar with other more common conditions (e.g., irritable bowel syndrome, fibromyalgia, endometriosis). This causes some patients to go many years before the correct diagnosis is made. Irritable bowel syndrome (IBS) is a chronic and recurrent disorder of the GI tract usually accompanied by […]

581A- Understanding Acute Hepatic Porphyria

Acute hepatic porphyria (AHP) is a group of rare genetic conditions that can cause severe gastrointestinal (GI), neurologic, psychiatric, cardiovascular, and skin symptoms.

581 A-E: Acute Hepatic Porphyria? (Combined)

Acute hepatic porphyria (AHP) is a group of rare genetic conditions that can cause severe gastrointestinal (GI), neurologic, psychiatric, cardiovascular, and skin symptoms. There are four types of AHP which include: acute intermittent porphyria, variegate porphyria, hereditary coproporphyria, and ALAD-deficient porphyria.

411 How to Qualify for Social Security Benefits

Gastrointestinal (GI) disorders are more common than people think. Even though almost everyone has occasional bouts of GI issues, thousands of people have chronic and severe GI disorders that can make it impossible for them to work. If you have worked in the past but can’t work now because of a GI disorder that you expect to last a year or more, you can file a […]

116 – Doctor – Patient Communication

Functional GI disorders present a special challenge to the doctor-patient interaction for several reasons. First, functional GI disorders are characterized, in most cases, by vague symptoms of variable intensity. Many times, these symptoms involve the most intimate anatomic areas of the body. The sensitivity of these issues can complicate the task for the patient who needs to express them in terms that the physician can interpret to formulate a diagnosis. Secondly, the physician is hampered by the absence of obvious structural lesions that often lessens the likelihood of devising a specific medical intervention that is successful. In some cases, the physician’s own anxiety can be increased by the lack of a symptom complex that leads to well-understood disease entity, such as parasites or lactose intolerance. This deficiency, in turn, often leads both physician and patient to over-investigate the symptoms. So what are the ingredients that comprise successful doctor-patient communication about the functional GI disorders?

215- Problems with Doctors That Interfere with Treatment

The placebo effect can enhance therapy, and promote a successful relationship between healer and patient. However, a treatment administered by a healer may also have a bad effect. Any treatment may have a predictable risk, but a nocebo effect denotes worsening beyond the known risk – the adverse effect of a failed therapeutic relationship. This can result in sub-optimal health care. An examination of its causes and ways to avoid it are discussed.

221- The Medical History: How to Help Your Doctor Help You

The most important interaction between patient and doctor is the medical history. Through listening to the story of the patient’s illness and asking relevant questions, a physician may often make a diagnosis, or at least begin to understand the nature and location of the complaint. A few easy steps can help make this process more efficient leading to prompt, more precise diagnosis and treatment. Revised January 2012.

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