Jenny Askew
Taylor Moree
EA Stewart
Inflammatory Bowel Disease
What is inflammatory bowel disease? Inflammatory bowel disease (IBD) is characterized by chronic irritation and ulcers in the gastrointestinal tract; Crohn’s disease and ulcerative colitis are the most common disorders. The disorders can develop in any age group but are usually diagnosed between the ages of 15 and 30. What is Crohn’s disease? The digestive […]
162 – Gastrointestinal Motility Disorders of the Small Intestine, Large Intestine, Rectum, and Pelvic Floor
The gastrointestinal tract is divided into four distinct parts that are separated by sphincter muscles; these four regions have distinctly different functions to perform and different patterns of motility (contractions). Abnormal motility or abnormal sensitivity in any part of the gastrointestinal tract can cause characteristic symptoms: food sticking, pain, or heartburn in the esophagus; nausea and vomiting in the stomach; pain and bloating in the small intestine; and pain, constipation, diarrhea, and incontinence in the colon and rectum.
126- Inflammatory Bowel Disease (IBD) – An Update
Nearly two million people are affected with IBD [e.g., Crohn’s disease and ulcerative colitis] in the U.S. These inflammatory conditions are a group of several distinct disorders which probably explains the diversity of extent and activity of inflammation within the gastrointestinal (GI) tract. The age of onset is usually in the 20s and 30s, although there is a slight second peak in incidence in the 50s to 60s. Men and women are equally affected in IBD as opposed to IBS, which is female predominant. Revised and updated 2009.
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.
231 – Can Intense Exercise Lead to GI Symptoms?
Can exercise be linked to GI symptoms such as diarrhea or heartburn? This article will help you understand how exercise and associated factors can influence the GI tract.
206 -Health Reporting in the Media: What to Believe?
Most people learn of medical progress through the media. Yet this news is often unhelpful. Exaggerated cures, contradictions, and plainly misleading information can do harm. The problem is not science, but how journalists report it, and how the public interprets it. This essay aims to help readers make sense of health news. Reviewed 2009.
Choosing Apps for Managing Chronic GI Illness
In this episode of Exploring Gut Topics, we speak with William Chey, MD, Satish Rao, MD, and Amanda Lynett, RDN, to discuss apps designed to help patients manage chronic gastrointestinal illnesses and monitor GI motility. IFFGD does not endorse any of the apps listed below; however, we want patients to know what apps are available […]
