The surprising risks of long-term proton pump inhibitor use
A lot of my patients take proton pump inhibitors (PPIs). They generally work pretty well for their intended use. By limiting the secretion of gastric acid from the stomach, they can effectively blunt uncomfortable symptoms of erosive gastritis, gastroesophageal reflux disease, H. pylori infection, and peptic ulcers. However, without further evaluation, these medications are not
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The surprising risks of long-term proton pump inhibitor use originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 18, 2023 Category: General Medicine Authors: Christopher Medrano, MD Tags: Meds Gastroenterology Source Type: blogs
Rapid Diagnosis: Vomiting Blood
The dispatcher reports that the patient is vomiting blood. Hemataemesis if you want to be technical about it. It could be a whole bunch of things right? … Well yes it could. Before you e-mail me to say that you can’t believe I missed Bolivian Hemorrhagic Fever, here’s one web site that lists 113 possibilities.
But if you want to play the numbers, it’s going to be one of four things. And if you want to play “stump your partner” you can narrow it down quite a bit based on your patients age and disposition.
There are four things that tend to cause a person to vomit blood. Before you click on the little ...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs
A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?
Written by Pendell MeyersA man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. He had active chest pain at the time of triage at 0137 at night, with this triage ECG:I sent this ECG, without any text at all, to Dr. Smith, and he replied: " LAD OMI with low certainty. V3 is the one that is convincing. " After his response I sent him the baseline ECG (below), still with no context at all except that this was his prior ECG:Dr. Smith replied: " Now high certainty. By the way,...
Source: Dr. Smith's ECG Blog - October 5, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
6 all-natural sex tips for men
If you believe those upbeat, seductive advertisements, men only need to pop a pill to awaken their dormant sex life. Whether the problem is erectile dysfunction (ED) — the inability to maintain an erection for sex — or low libido, ED medications appear to be the quickest and easiest solution.
While these drugs work for most men, they are not right for everyone. ED drugs are relatively safe, but can cause possible side effects such as headaches, indigestion, and back pain. Plus, some men may not want their sex life dependent on regular medication, or simply can’t take them because of high or low blood pressure, or...
Source: Harvard Health Blog - September 15, 2020 Category: Consumer Health News Authors: Matthew Solan Tags: Dental Health Diet and Weight Loss Exercise and Fitness Men's Health Source Type: blogs
Funtabulously Frivolous Friday Five 301
Dr Neil Long Funtabulously Frivolous Friday Five 301
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 301 (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 13, 2019 Category: Emergency Medicine Authors: Dr Neil Long Tags: FFFF Acute phlegmonous gastritis amphetamines Andy Murray beatles BHCG doctor robert ectopic hyperthyroidism LSD Means-Lerman scratch PG Sarah Muirhead Allwood Source Type: blogs
Iron deficiency: Causes your doctor won ’ t tell you about
Very commonly, no cause for iron deficiency and iron deficiency anemia are found: no gastrointestinal bleeding, no excessive menstrual blood loss, no hemolysis (red blood cell destruction). Your doctor tells you that there is no identifiable cause and you are therefore resigned to taking iron supplements, prescription iron, injectable iron, or even blood transfusions while the anemia often does not respond or does so only temporarily.
Here are two situations in which iron deficiency develops that are rarely addressed by doctors, but YOU can:
The phytates of wheat and grains—Modern wheat, in particular, has been se...
Source: Wheat Belly Blog - July 4, 2019 Category: Cardiology Authors: Dr. Davis Tags: Iron deficiency anemia minerals phytates wheat belly Source Type: blogs
Is wheat really THAT bad?
Because it has become such a frequent item in everyday meals, suggesting that something so commonplace must be fine, people often ask: Is wheat really that bad?
Let’s therefore catalog the health conditions that are associated with wheat consumption.
Health conditions we know with 100% certainty are caused by consumption of wheat and related grains:
Celiac disease, dermatitis herpetiformis, cerebellar ataxia, “idiopathic” peripheral neuropathy, temporal lobe seizures, gluten encephalopathy, type 1 diabetes, rheumatoid arthritis, autoimmune hepatitis, autoimmune pancreatitis, tooth decay
Health conditions ...
Source: Wheat Belly Blog - March 2, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates autoimmune diabetes gluten-free grain-free grains wheat wheat belly Source Type: blogs
MKSAP: 60-year-old woman with H. pylori gastritis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old woman is evaluated 1 month after completing a 14-day course of Helicobacter pylori eradication therapy consisting of amoxicillin, clarithromycin, and omeprazole. Initial upper endoscopy before treatment showe d patchy gastric erythema with no ulcers or erosions, and biopsies revealed H. pylori gastritis. Currently, she […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 16, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs
The Joy and Challenge of Simple Medicine in India
BY KATE BANKS, MDThe Himalayan Health Exchange (HHE) is an organization that assembles volunteers and health care providers from all over the world to deliver care in underserved areas in northern India. I had the amazing opportunity in my second year of residency to spend a month delivering medical care with HHE in the beautiful inner Himalayan mountains. The month was full of exploring, trekking, camping, learning, doctoring, and personal and professional growth.The clinics were scattered throughout different areas in the state of Himachal Pradesh. Our convoy of interpreters, cooks, volunteers, and health care profess...
Source: Going Global - December 12, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
LITFL Review 310
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blogWelcome to the 310th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.The Most Fair Dinkum Ripper Beauts of the WeekThe UK Intensive Care Society State of the Art meeting has just concluded. Multiple summaries of t...
Source: Life in the Fast Lane - December 10, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
What to do for stubborn low back pain
A while back, I covered the updated evidence-based treatment guidelines for acute (less than four weeks) and subacute (less than twelve weeks) low back pain. I promised a post on chronic (more than twelve weeks) back pain.
Well, as I write this, I am suffering from a recurrence of my own low back pain, which radiates down my right leg at times. This has been literally and figuratively a pain in my rear end, for years.
Being a doctor who practices what I preach, I am putting all the advice I dispense to good use.
First, look for possible triggers
This fall, I had gotten away from my regular core-strengthening routine (night...
Source: Harvard Health Blog - December 7, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Back Pain Health Pain Management Source Type: blogs
Bob Wachter ’ s 2017 Penn Med Commencement Address “ Go to Radiology ”
By ROBERT WACHTER, MD
Dean Jameson, Trustees, Faculty, Family and Friends, and most of all, Graduates of the Class of 2017:
Standing before you on this wonderful day, seeing all the proud parents and significant others, I can’t help but think about my father. My dad didn’t go to college; he joined the Air Force right after high school, then entered the family business, which manufactured women’s clothing. He did reasonably well, and my folks ended up moving to a New York City suburb, where I grew up.
There were a lot of professionals in the neighborhood, but my dad admired the doctors the most. He was even a little e...
Source: The Health Care Blog - May 17, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Penn Radiology Robert Wachter Speeches UCSF Source Type: blogs
Living with ‘Lagom’: Swedish Moderation for a Longer, Healthier Life
You're reading Living with ‘Lagom’: Swedish Moderation for a Longer, Healthier Life, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
Wellness advice from The Nordic Guide to Living 10 Years Longer: 10 Easy Tips for a Happier, Healthier Life.
One of our favorite expressions in Sweden is "Lagom is best." “Lagom is a word that is hard to translate, but an attempt would be “just right”. “Lagom is best” hence means that having just the right amount of something—not too much, not too little—is perfect. Thi...
Source: PickTheBrain | Motivation and Self Improvement - April 27, 2017 Category: Consumer Health News Authors: Greystone Tags: diet happiness health and fitness popular Suggested Reading Bertil Marklund best self improvement blog Greystone Books just right Lagom Nordic Guide pickthebrain well being wellness Source Type: blogs
Schizophrenia, Bipolar Disorder, & the Microbiome
You’ve probably heard about the rising importance of the microbiome — otherwise known as your gut bacteria. Researchers have started to find interesting links between the naturally occurring bacteria that live in our guts, and things we’ve traditionally attributed to the brain. Things like our mood, feelings, and even thoughts. We now know, for instance, that gut bacteria can influence brain function.
What has the research found linking the microbiome to serious mental illness such as schizophrenia and bipolar disorder?
Both bipolar disorder and schizophrenia are serious forms of mental illness that sign...
Source: World of Psychology - April 10, 2017 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Bipolar Brain and Behavior Disorders General Health-related Research Schizophrenia Bipolar Disorder gut bacteria Immune System microbiome microbiota Source Type: blogs
