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
A paradigm shift in paradigm shifts
Researchers who present radical new theories are often ridiculed and their work rejected despite the evidence they provide because the new theory upsets the received wisdom or is so outside what is considered to be the accepted paradigm. But there is a third way forward that could allow radical new thinking to emerge without it being lambasted unnecessarily so that it can be judged wholly on its merits.
Writing in the International Journal of Management Concepts and Philosophy, a team from Australia and the UK discuss two well-known theories that too many years to be accepted into the mainstream. The first was the medical ...
Source: David Bradley Sciencebase - Songs, Snaps, Science - February 6, 2023 Category: Science Authors: David Bradley Tags: Sciencebase 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
poem
StomachSometimes it seems the world is churningAround us like we were trapped in a giant stomach,Like something large had swallowed us,So ravenously hungry it forgot to chew And now we ’re all being slowly digestedTossed and frothed in a peptic darknessSorrows and joys, hair and boneDissolving in the hydrochloric acid Of a burning inevitability. But all to good purposes —Corroding us into a bilious muckThat improbably nourishes.8/15/22 (Source: Buckeye Surgeon)
Source: Buckeye Surgeon - August 15, 2022 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Meet the Editors: John Coverdale, MD, MEd
What are your roles and responsibilities with Academic Medicine?
I am blessed to have the role of associate editor. It is a challenging one. Most of my work is judging articles for their suitability of publication, which is a several hour per week commitment. Another responsibility is to shape the direction of Academic Medicine in small ways by contributing to decisions on what gets published, by occasional editorial writing which directs attention to what is important, and by closely collaborating with my wonderful editor colleagues.
What do you enjoy most about your work with Academic Medicine?
I enjoy rea...
Source: Academic Medicine Blog - April 12, 2022 Category: Universities & Medical Training Authors: amrounds Tags: Meet the Editors medical education scholarly publishing Source Type: blogs
Eosinophilic esophagitis: A new food-related allergic condition on the rise?
In the early 1990s, doctors began describing a new condition affecting the esophagus of patients who were predisposed to allergies including food allergy, asthma, and eczema, and who were having trouble swallowing. Today, we call this condition eosinophilic esophagitis (EoE).
What is EoE?
EoE is an allergic inflammation of the esophagus that causes a range of symptoms. Adolescents and adults most often experience it as difficulty swallowing, sometimes feeling like food moves too slowly through the esophagus and into the stomach. In some cases, food actually gets stuck (and may require urgent removal). Children and some adu...
Source: Harvard Health Blog - December 26, 2019 Category: Consumer Health News Authors: John Garber, MD Tags: Allergies Digestive Disorders Health Source Type: blogs
Ultrasound Case 062
A 30 year old woman presents with severe epigastric pain. The non-steroidal anti-inflammatory drugs she had taken hadn't helped.
The post Ultrasound Case 062 appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - January 26, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: TOP 100 Ultrasound non-steroidal anti-inflammatory drugs NSAID peptic ulcer peptic ulcer disease PUD Source Type: blogs
Does Crying Help or Hurt Depression?
Tears. I liken them to numinous mist or emotional sign language.
“They’re considered a release, a psychological tonic, and to many a glimpse of something deeper: the heart’s own sign language, emotional perspiration from the well of common humanity,” writes Benedict Carey in his New York Times piece “The Muddled Track of All Those Tears.”
The Healing Property of Tears
Tears heal us in several ways. They remove toxins from our body that build up from stress, like the endorphin leucine-enkaphalin and prolactin, the hormone that causes aggression. They lower manganese levels — which triggers anxiety, nervous...
Source: World of Psychology - January 23, 2019 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Depression Grief and Loss Mental Health and Wellness Personal Psychology Self-Help Crying Emotional Expression Source Type: blogs
Tropical Travel Trouble 010 Fever, Arthralgia and Rash
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 010
Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia
You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent.
On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs
If academic medicine is to avoid becoming academic, it must prioritize patient care
One of the definitions of “academic” is the following: Not of practical relevance; of only theoretical interest.
When we look at the term academic medicine, sadly the descriptor “academic” increasingly falls under this definition.
To be fair, there have been some wonderful scholars in the field of medicine: Semmelweis, Fleming, Salk, Sabine, Starzl, and Marshall to name a few. And these few were not readily embraced by their peers in medicine. Barry Marshall was ridiculed for the idea that peptic ulcer disease results from a bacterial infection of the stomach. Tom Starzl was driven out of Colorado fo...
Source: Kevin, M.D. - Medical Weblog - March 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/peter-f-nichol" rel="tag" > Peter F. Nichol, MD, PhD < /a > Tags: Physician Hospital-Based Medicine Medical school Source Type: blogs
Providing Care at 10,000 Feet
Going on a medical mission with the Himalayan Health Exchange to the Himachal Pradesh region of India allowed me to see a part of the world that I had never experienced before. The patient population that we were seeing had very little access, if any, to medical care throughout the year. We had to travel on foot to their villages to provide care because of their remote location. But the trip was quite unforgettable—we spent all our off days hiking through the Himalayas, had night-time views of the Milky Way, and ate more Indian food than we could have ever imagined.The flight from Delhi to Leh was incredible. We could se...
Source: Going Global - February 27, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
H. pylori, a true stomach “bug”: Who should doctors test and treat?
In 1982, two Australian scientists discovered that a certain bacterium, Helicobacter pylori, was a common cause of persistent stomach inflammation and stomach ulcers. This realization revolutionized ulcer treatment.
While fairly common, this infection usually causes no symptoms, but it can sometimes lead to ulcers in the stomach or the very first part of the small intestine (duodenum), and to certain types of stomach cancer. There is also evidence linking H. pylori infection to other conditions like iron-deficiency anemia and vitamin B12 deficiency. The bacteria are thought to spread through contaminated water, vomit, or f...
Source: Harvard Health Blog - April 5, 2017 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Digestive Disorders Health Infectious diseases Tests and procedures Source Type: blogs
April in Paris: Voyager Avec Enfants (Day One)
For the past six years, we ' d spent the kids Spring Break in Hilton Head, SC. It was a great family tradition--we ' d rent a house on the beach with pool, the kids would play in the sand and swim every day, we ' d cook, do a lot of reading, relax--it wasthat kind of thing. Simple, fun, kid-friendly, crowd-pleasing. However, now that my kids are getting somewhat older, we ' re trying to push ourselves a little bit more with our travel (in the somewhat limited time we have, around our work schedules and the kids school), and so after a very successful trip to London last summer, we decided,you know what, let ' s just go for...
Source: the underwear drawer - April 3, 2017 Category: Anesthesiology Authors: Michelle Au Source Type: blogs
Coronary artery disease: Primary care and prevention – 2
Previous
Check for differential diagnosis
Some of the important differential diagnosis in the case of acute coronary syndrome are acute pulmonary embolism, aortic dissection, pneumothorax, esophageal disease, perforated peptic ulcer, cholecystitis, gastritis and sometimes even Herpes Zoster of left thoracic region in pre-eruptive phase. A good history, physical findings and sometimes time are needed for an accurate differential diagnosis. Checking for asymmetry of peripheral pulses is often resorted to for excluding aortic dissection, though it may still miss an aortic dissection sparing the branches as in descending thora...
Source: Cardiophile MD - December 18, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Source Type: blogs
Statins were associated with a decreased risk of peptic ulcer
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - August 29, 2016 Category: Internal Medicine Tags: gastroenterology pharmacology Source Type: blogs
