Category Archive: GI

MKSAP: 54-year-old man with dysphagia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 54-year-old man is evaluated for a 4-month history of intermittent, nonprogressive solid-food dysphagia. He has a long-standing history of heartburn that has been well controlled with once-daily proton-pump inhibitor (PPI) therapy for the past 5 years. Results of a screening […]

How to prepare your baby for the perfect poo

An excerpt from Looking Out for Number Two: A Slightly Irreverent Guide to Poo, Gas, and Other Things That Come Out of Your Baby. Early bowel patterns | What’s normal As we learned, the poo patterns of new babies don’t settle in until a week or two after birth. And beyond the evolution of the early […]

Physicians are under no professional obligation to provide care that is futile

I was covering for my partner over the weekend and saw his patient with end-stage liver disease, a consequence of decades of alcohol abuse.| He was one of the most deeply jaundiced individuals I have ever seen. His mental status was still preserved. He could converse and responded appropriately to my routine inquiries, although he […]

Baby boomer? Why aren’t you getting tested for hep C?

Are you a baby boomer? Have you been tested for hepatitis C virus (HCV)? Do you know why you should be tested for hepatitis C? Do you even know what hepatitis C is? According to research published by my colleagues from the American Cancer Society in the American Journal of Preventive Medicine, the odds are overwhelming […]

When should you introduce gluten to your baby?

Infants with a first-degree relative (parent or sibling) with celiac disease, and who carry an at-risk (DQ2 or DQ8) gene, have a higher risk of developing the autoimmune disorder triggered by gluten-containing foods. Many parents, especially those with a family history of celiac disease, are understandably nervous about introducing gluten into their child’s diet. They […]

This 2-minute video shows you why you need a colonoscopy

March is colon cancer awareness month. Created by gastroenterologist Amit Sachdev, this video was selected by the American Society of Gastrointestinal Endoscopy as part of their colorectal cancer screening campaign.  Enjoy. Image credit: Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.

Help your IBS symptoms with a low FODMAP diet

FODMAP what? Have you heard? It’s the new dietary approach for the bloating and belly cramps seen with irritable bowel syndrome (IBS). IBS affects one in seven Americans. It’s a gut condition which affects the flora in the bowels and causes abdominal pain, cramping, diarrhea or constipation, bloating, gas and overall discomfort and misery. It can […]

Do patients with celiac disease need probiotics?

One of the most common questions that I receive from patients diagnosed with celiac disease is if they should take a probiotic. The only available treatment for celiac disease, an autoimmune disease characterized by destruction of the absorptive surface of the small intestine which develops in genetically compatible individuals, is a gluten free diet. However, […]

A young child’s diagnosis of celiac disease. And her mother’s reaction.

“Do you think she’ll have it?” My husband and I lay in bed the night before Kol Nidre, cocooned by darkness. In the adjacent room, my son muttered as he dreamed. Further away, my daughter slept silently. During the Days of Awe, I should have been thinking about repentance, and being inscribed in the Book […]

MKSAP: 29-year-old man with ulcerative colitis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this […]

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