Search results for "Irritable bowel syndrome"
MKSAP Quiz: Evaluation for constipation
A 35-year-old woman is evaluated for constipation. She reports passage of hard stool every 3 to 4 days and associated bloating. Her symptoms have been present for more than 10 years and have progressed gradually. On physical examination, vital signs and other findings are normal. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/01/15/3.htm
15 Jan 2019
Rethinking SIBO in the microbiome era
Small intestinal bacterial overgrowth is thought of as very rare, but in an era of booming microbiome research, gastroenterologists and other physicians are starting to become more aware of SIBO in the general population and provide effective treatment
https://immattersacp.org/archives/2019/05/rethinking-sibo-in-the-microbiome-era.htm
1 May 2019
MKSAP Quiz: 2-year history of bloating and abdominal cramping
This week's quiz asks readers to evaluate a 25-year-old woman for a 2-year history of almost daily bloating and lower abdominal cramping.
https://immattersacp.org/weekly/archives/2012/07/03/3.htm
3 Jul 2012
Increasing nutrition education in medicine
Diet-related diseases, including hypertension, diabetes, and obesity, comprise a large portion of primary care visits in the U.S.
https://immattersacp.org/archives/2020/01/increasing-nutrition-education-in-medicine.htm
1 Jan 2020
MKSAP Quiz: 8-month history of crampy abdominal pain, loose bowel movements
A 42-year-old woman is evaluated for an 8-month history of crampy abdominal pain and three loose bowel movements per day. The pain is relieved by a bowel movement. There are no nocturnal bowel movements, and there is no blood or dark tarry material in the stool. She has not had fever, night sweats, or weight loss. She has a history of Hashimoto disease and is treated with levothyroxine. Following a physical exam, rectal exam, and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/08/26/3.htm
26 Aug 2014
Addressing the gut-brain connection in IBS
While psychotherapies are effective treatments for some digestive disorders, stigma around both functional gut disorders and mental health diagnoses limits uptake, both for physicians and patients.
https://immattersacp.org/archives/2019/09/addressing-the-gut-brain-connection-in-ibs.htm
1 Sep 2019
MKSAP Quiz: Evaluating a 1-year history of loose stools
A 67-year-old woman is evaluated for a 1-year history of loose stools. She reports approximately four episodes per day without abdominal pain. She has not had nausea, vomiting, weight loss, bright red blood per rectum, or melena. After a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/07/14/3.htm
14 Jul 2015
Intimate partner violence: An epidemic hiding in plain sight
Despite a recommendation to screen for intimate partner violence and the many tools available to physicians, barriers to implementation remain.
https://immattersacp.org/archives/2022/11/intimate-partner-violence-an-epidemic-hiding-in-plain-sight.htm
1 Nov 2022
IOM links Gulf War service to several illnesses
MKSAP Quiz: worsening dysmenorrhea with pain
https://immattersacp.org/weekly/archives/2010/04/13/2.htm
13 Apr 2010
Functional gut disorders become clearer as models emerge
One major finding is that irritable bowel syndrome and functional dyspepsia are connected.
https://immattersacp.org/archives/2019/01/functional-gut-disorders-become-clearer-as-models-emerge.htm
1 Jan 2019