Reflux Symptoms in Gastroparesis: Correlation With Gastroparesis Symptoms, Gastric Emptying, and Esophageal Function Testing

Goal: The goal of this study was to determine the relationship of reflux with gastroparesis (Gp), looking both at symptoms and objective testing. Background: Gp patients often experience gastroesophageal reflux symptoms. How the severity of reflux correlates with the severity of Gp is not known. Study: Patients referred to our academic center with symptoms of Gp completed the Patient Assessment of Upper Gastrointestinal Symptoms, Hospital Anxiety and Depression Scale, and Patient Health Questionnaire (PHQ)-15. They underwent 4-hour gastric emptying scintigraphy; and, if indicated, high-resolution esophageal manometry and esophageal pH impedance (EpHI). Results: Of 755 patients from July 2013 to May 2018, 432 had Gp with Gastroparesis Cardinal Symptom Index (GCSI) total score of 3.2±0.1 (mean±SEM) and heartburn/regurgitation subscore of 2.0±0.1. A fourth (27.1%) of all Gp patients had moderate to very severe heartburn/regurgitation symptoms. Heartburn/regurgitation subscore had strong correlation with GSCI total score (r=0.56, P
Source: Journal of Clinical Gastroenterology - Category: Gastroenterology Tags: ALIMENTARY TRACT: Original Articles Source Type: research

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Publication date: Available online 30 May 2020Source: Journal of Psychiatric ResearchAuthor(s): Jennifer H. Suor, Jagan Jimmy, Christopher S. Monk, K. Luan Phan, Katie L. Burkhouse
Source: Journal of Psychiatric Research - Category: Psychiatry Source Type: research
Hi there! My brother is a doctor and told me to not share my story about how I conquered social anxiety/panic disorder as ADCOMs would view this as potential risk for the future. I truly took the hard road and faced my panic disorder head on and dealing with this hardship is one of my greatest achievements as it is extremely difficult and proves my tenacity, but I don't even want to mention it if it is going to come off badly. I'm currently writing my personal statement for cycle #2 and... Talking about anxiety/panic disorder when applying
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pre-Medical - MD Source Type: forums
Abstract BackgroundFunctional dyspepsia (FD), a heterogeneous disorder, involves multiple pathogenetic mechanisms. Developing treatments for FD has been challenging. We performed a randomized, placebo‐controlled, double‐blind clinical trial to determine the efficacy of rikkunshito, a Japanese herbal medicine, in FD patients. MethodsFD patients (n = 192) who met the Rome III criteria without Helicobacter pylori infection, predominant heartburn, and depression were enrolled at 56 hospitals in Japan. After 2 weeks of single‐blind placebo treatment, 128 patients with continuous symptoms were randomly assig...
Source: Neurogastroenterology and Motility - Category: Gastroenterology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Persisting gastroesophageal reflux disease (GERD) symptoms affect mental state and social activities and mental disorders likewise play a crucial role on GERD symptoms. The aim of this study was to analyze the data of Symptom Checklist by 90-Revised (SCL-90-R) questionnaire in patients with persisting GERD symptom and to explore the impact of psychological factors on them. The patients accepted SCL-90-R questionnaire survey, following endoscopy, high-resolution manometry (HRM) and ambulatory impedance-pH monitoring. Based on these results, we divided patients into different groups. The result of SCL-90-R was also compared...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Diagnostic Accuracy Study Source Type: research
You're reading Your Guide To Better Sleep Habits, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Nothing can be more frustrating than laying on bed at night and waiting for sleep that won't come. There are many reasons why you're having a hard time dozing off. You may be suffering from insomnia, experiencing immense stress or practicing unhealthy lifestyle habits. It's also possible that you have an underlying medical condition that affects your ability to get good sleep. According to the sleep experts at National Slee...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: featured health and fitness self improvement good habits good sleep health benefits of sleep pickthebrain sleep habit Source Type: blogs
I’ve heard this many times over the years: “I allow myself one cheat day a week.” Or “I allow myself a cheat every Friday night.” Or “I have a couple of slices of pizza every Saturday.” Or the comments from naysayers such as “A little bit can’t hurt” or “Everything in moderation.” I urge everyone to never cheat on the Wheat Belly Lifestyle. – Tweet this! It’s not because I’m a control freak or because I like to make arbitrary rules. There are many reasons to never allow yourself such a cheat. This has nothing to do with the few calori...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Diabetes Dr. Davis Grain Free Lifestyle Grains Inflammation News & Updates Wheat Belly Wheat Belly Total Health Wheat-Free Lifestyle Weight Loss Source Type: blogs
I’ve heard this many times over the years: “I allow myself one cheat day a week.” Or “I allow myself a cheat every Friday night.” Or “I have a couple of slices of pizza every Saturday.” Or the comments from naysayers such as “A little bit can’t hurt” or “Everything in moderation.” I urge everyone to never cheat. On the Wheat Belly Lifestyle. – Tweet this! It’s not because I’m a control freak or because I like to make arbitrary rules. There are many reasons to never allow yourself such a cheat. This has nothing to do with the few calor...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: News & Updates Source Type: blogs
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Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Director chair, film slate and load horn. Here’s a proposal for you: If, by following the Wheat Belly lifestyle, a long list of conditions are reduced or reversed at no risk, almost no cost, reversing even chronic and potentially fatal conditions . . . does that mean that the notion of self-directed health might be on the horizon, i.e., putting control over health back in our own hands? I think it does. No, we will never implant our own defibrillators or take out our own gallbladders. But so many chronic health conditions afflicting modern humans recede that I believe that it is entirely reasonable to start talking a...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Wheat Belly Lifestyle arthritis autoimmune diabetes eating disorder gluten grains Inflammation joint Weight Loss Source Type: blogs
When you have eliminated wheat and grains from your life, odd things happen when you get re-exposed. First of all, you’ve lost the partial–partial, never total–tolerance to some of the adverse effects of wheat and grains, and they come back with a vengeance upon re-exposure. And it’s not just due to the “gluten.” Those of you hanging around here understand that there is far more to wheat and grains than gluten, such as reactions to the bowel toxicity of wheat germ agglutinin, or the mind “fog” of gliadin-derived opiate peptides, or allergic reactions to alpha amylase inhibito...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Wheat Belly Lifestyle abdominal pain anxiety bloating Depression diarrhea gluten grains joint pain rash re-exposure seizure vomiting Source Type: blogs
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