Gastrointestinal diseases are very common in different populations, and many physicians spend a great deal of time and energy to treat these disorders carefully worldwide (Pasalar). Dyspepsia consists of a heterogeneous group of symp¬toms that are localized in the epigastric region, and can be broadly defined as pain or discomfort that is centered in the upper abdomen (particularly the epigastrium) (nature). Functional dyspepsia, a relapsing and remitting disorder, is the most common cause of these symptoms (nejm).
Dyspepsia can be functional (dysmotility like) or structural (ulcer like). Although clinical evaluation is required to determine whether dyspepsia in an individual is functional or structural, endoscopic studies have shown that
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Symptoms must be chronic, occurring at least weekly and over a period of at least 6 months, in the absence of an organic explanation(nejm). The rome III criteria has divided functional dyspepsia into two subgroups: postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS). Patients with PDS typically report postprandial fullness and early satiation. Whereas those with EPS are more likely to experience epigastric pain and burning differently (nature). Functional dyspepsia may be confused with other gastrointestinal conditions outside the gastroduodenal region including other functional disorders such as GERD or Irritable bowel syndrome but there are some symptoms which helps the physician to discriminate between these diseases (nejm). Patients who report alarm symptoms should be referred urgently for upper GI endoscopy. For patients with simple dyspepsia who do not have alarm symptoms the requirement for any further diagnostic test depends on the background prevalence of helicobacter pylori infection
Irritable bowel syndrome (IBS) is sometimes called a functional disorder because there is no sign of disease in the colon.
Healthy digestive system is needed to have a proper elimination. This family suffered from chronic constipation, irregular bowl patterns, gas and heart burns. High stress and taking multiple over the counter medications contributed to this families altered elimination patterns. Their diet consists of foods that have low fiber, high starch and high fat, resulting in the constipation. Father suffered from prostate problems, which made him wake up multiple times middle of the night to urinate.
This condition is characterized by symptoms and complications that result from reflux or back of gastric content into the esophagus that extent also into the oral cavity or even the lungs. Common signs and symptoms of this condition include heartburn( burning/stinging), and does note that radiates to the back such as in the case of Peptic Ulcer Disease (PUD). Furthermore, other symptoms patients may experience are a chronic cough, bronchospasm, chest pain not related to a cardiomyopathy, hoarseness, early satiety, abdominal fullness, bloating with belching. Complications related to this disorder are closely linked to esophageal ulceration, hematemesis, melena, stricture development(Dains, Baumann, & Scheibel,
patient tested positive for H. pylori and wakes up at night due to cramping pain with bloating, so it is assumed to be peptic ulcer and the status of his condition is uncontrolled. Her symptoms were not improved with over the counter medication, Tums. Therefore, it is not GRED. However, Patient does not need a referral for endoscopy this time around because she does not hat the symptoms vomiting, nausea or dizziness.
Gastrointestinal. Client denies any loss of appetite, indigestion, any gastroesophageal reflux disease, any nausea, vomiting, diarrhea, constipation, hemorrhoids, or weight changes. She 's not had
Irritable Bowel Syndrome (IBS) is a long-term or recurrent medical disorder of gastrointestinal functioning. IBS usually affects both the small intestine and large intestine, as well as the motor function and sensation of the bowel. Disturbances in these areas of the body cause symptoms such as intermittent abdominal discomfort or pain, a change in bowel habits, bloating, and a sense of gaseousness.
A functional disorder is a medical condition that impairs the normal function, but without major organic cause such as irritation or inflammation and where the organ or part of the body looks completely normal under medical examination. The accumulation of abnormalities that limit body functions is a major risk factor for patients with irritable bowel syndrome (IBS), defined as a gastrointestinal disorder with abdominal pain or discomfort that is associated with a change in bowel habit. Often, this disorder is accompanied by the concomitant decline in cognitive or motor performance. Pain that in some patients is out of proportion to identifiable pathology is the most immediate and dramatic consequence of IBS and is responsible for a highly
PUD is not as common in pediatric patients when compared to adult incidences. The most common cause of PUD in pediatrics is due to Helicobacter pylori (H.pylori) infection (Guariso & Gasparetto, 2012). Primitive ulcers, due to H. pylori, cause changes in the gastric or duodenal mucosa and alter gastric function such as overproduction of HCl and pepsin, resulting in ulcer-forming lesions (Guariso & Gasparetto, 2012). NSAIDs, stress and other extra-gastric pathogenic events cause secondary ulcers within the stomach. The underlying pathology of PUD is due to the reduction of prostaglandins that serve as a protective mechanism on the gastric mucosa. Patients most commonly present with dull stomach ache or pain usually after a meal. Gas, bloating, nausea and vomiting are some less common symptoms. PUD, although rare when compared to adults, is reported worldwide in children and most commonly identified as initiated by H. pylori infection and the use of NSAIDs occurring in the second decade of life. Other events such as stress, shock, or major trauma can trigger acute ulcers in children but there is a hereditary family history component that increases acid output and accelerates gastric emptying in more than 20% of patients (Guariso & Gasparetto, 2012). Although H. pylori infection is the more common cause of PUD, the use of NSAIDs increases the risk of acquiring PUD (Guariso & Gasparetto, 2012).
Irritable bowel syndrome (IBS) is one of the most common gastrointestinal conditions. IBS is a chronic disorder characterized by abdominal pain and alteration of bowel function without an organic cause. It is more common in younger people, and more frequently occurs to women. IBS is seen in patients under the age of 45 (Mayo Clinic, 2018). The disruption of bowel function may originate from the GI tract or central nervous system. Stress does not cause IBS, but it can trigger symptoms or make symptoms worse (IFFGD,2016).
Irritable bowel syndrome is described as a chronic illness that affects about one out of every five Americans. It is characterized as an ailment of the large intestine that causes cramping, abdominal pain, bloating, gas, and diarrhea, or constipation; sometimes both. There are different types of IBS, however, both affect the abdominal area. However, only a small number of people have extremely severe symptoms. Many people are able to manage/ control their symptoms through changes in diet, stress, and lifestyle. In more extreme cases, medication as well as counseling is used. .
Mr. A.M, a 62 year old man presented at the outpatient clinic with a two month history of epigastric pain. He also reported that the pain was strongly correlated to meals. He also felt that his appetite has decreased, however he did not lose any weight. He has a history of gastroesophageal reflux disease (GERD), which dates back 5 years ago, which he took proton pump inhibitors for one month. He is smoking for the last 40 years around one package a day, and does not consume any alcohol. He had an appendectomy when he was 12 years old. Mr. A.M is married and just retired six months ago from his former job as an accountant. He is currently on an ACE inhibitor for the control of his hypertension.
Dysphagia affects each person a little differently. Some of the common symptoms of dysphagia include:
I went to SPA with two goals, including: To know the criteria for type of anesthesia for each procedure, and to know the most commonly performed procedure and whether any research had been conducted to uncover the disease condition that warrants this procedure. According Dr. Chopra, Kathryn, RN, and Katie, Charge nurse, severity of patient’s problem and whether the procedure will involve major tissues are some of the criteria used to decide on the type anesthesia for each procedure. In addition, the charge nurse in person of Katie reported that esophagogastroduodenoscopy (EGD) ranks highest among many procedures performed at SPA. I was told that EGD is both diagnostic and therapeutic procedure, which makes it to be commonly performed,
My condition deteriorated with the addition of a new symptom each day hence, visiting a physician was inevitable. I had finally stopped pretending and detailed my conditions precisely. Sigmoidoscopy and colonoscopy seem some charming words but they were no way near such definitions when I had to get myself tested. Similarly, both these test required an initial stage of fasting that is when I realized I might end up with diarrhea. My entire colon was examined for any illness as I the physician opted for colonoscopy. Diarrhea also seemed another fancy word but I had heard it several times previously and was not completely blank in this matter. Lack of knowledge, for the first time, seemed favorable as I was not fully aware of its devastating effects and took it very calmly when the doctor claimed I was infected. However, the
One of the many digestive system diseases is Dysphagia. Symptoms include difficulty or pain in swallowing which is caused by lesions or stricture of the upper digestive tract, obstruction of the upper digestive tract by tumors, or disturbances in the nervous or muscular control of swallowing. Obstruction of the esophagus is the most common cause of dysphagia. People with dysphagia may experience a feeling where it feels like the food or liquid is lodged in the throat. The cause of dysphagia may be treated with medication or surgery. Patients may also benefit from speech