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Doctor insights on: Ibs Patient Information

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Can anyone give me information on management of inflammatory bowel disease?

Can anyone give me information on management of inflammatory bowel disease?

Step up / Top down: Traditionally, ibd was treated with progressive addition of drugs of increasing efficacy (5-asa, topicals, antibiotics, steroids, immune modulators, biologics) designed to suppress gut inflammation = "step up therapy." increasingly, GI docs are turning to "top down treatment" where biologic treatment is used early after diagnosis. Surgical management is appropriate in select cases. Talk to doctor. ...Read more

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Dr. Charles Cattano
1,352 doctors shared insights

Irritable Bowel Syndrome (Definition)

A long-term disorder of gastrointestinal functioning. It results in abdominal discomfort, pain, bloating, stomach ...Read more


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Where to find information on patient safety for elders?

Where to find information on patient safety for elders?

Internet: While the internet has its drawbacks, it also has its advantages. If you can be more specific about what you mean buy "patient safety" it can help refine the search. I do suggest looking at www.Mercola.Com as a beginning place for information and expand out. Most states have a council on aging so the dept of health website may also have some useful information. ...Read more

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Any hopeful information regarding infantile spasms treatments?

Any hopeful information regarding infantile spasms treatments?

Infantile spasm: Yes, infantile spasm is one of epilepsy syndromes that represent in infancy, it can be symptomatic due to brain structural abnormalities or metabolic disorders, or without a definite etiology. Generally the first line of treatment is acth which is a kind of steriod that is given by im inj., the success rate is app. 65-70%, other treatments include vigabatrin and other seizure medicines. ...Read more

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Which website gives information about fibromyalgia syndrome?

Which website gives information about fibromyalgia syndrome?

Www.arthritis.org: The arthritis foundation is one of my favorite resources for fibromyalgia. http://www.arthritis.org/disease-center.php?disease_id=10. ...Read more

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I need info about irritable bowel syndrome. Is the treatment different that for crohn's?

I need info about irritable bowel syndrome. Is the treatment different that for crohn's?

Not at all the same!: Irritable bowel syndrome is a functional disorder- the bowel looks normal, but reacts to stimuli differently that the bowel of people without ibs. Crohn's disease is one of the inflammatory bowel diseases (ibd), in which the bowel's architecture is changed, and there are a number of risks, including that of intestinal cancer. Irritable bowel is often treated with fiber, fluid, and counseling. ...Read more

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Sjogren's syndrome== any information on treatment would be appreciated!?

Sjogren's syndrome== any information on treatment would be appreciated!?

Dysautonomia: This syndrome has been recognized in the medical literature as part of a compromised autonomic (automatic) nervous system that is the underlying cause. Amazingly, it can be treated by the use of intravenous vitamins. I suggest you go to acam@acam.Org to seek a doc who does this in or near your area. They are not common because cam is not yet readily accepted. ...Read more

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Question regarding privacy between 17 year old patient and doctor?

Question regarding privacy between 17 year old patient and doctor?

Using this site: To get the most from this site you need to provide basic background on your issue and ask a clear related question. Just raising an issue, with no clear question or background does not work.The physicians on this platform donate their time to answer questions. Any fees on wordy posts support the site. You are welcome to start over. ...Read more

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Where can I find information on clinical trials for alzheimer's disease?

Where can I find information on clinical trials for alzheimer's disease?

Several web sites: Clinicaltrials.Gov , the alzheimers disease website has a research link where you can find clinical trials. Also if there is medical school near you, check the web site for research or call the school and ask for the officeof research. They should be able to direct you to the correct department that is running the study. ...Read more

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Any hopeful information regarding infantile spasms?

Any hopeful information regarding infantile spasms?

Infantile spasm: Has episodic spasm like seizures, associated with poor prognosis. Typically starts early in childhood, there is possible milestone regression. Steroids are used, if there is any surgical cause in brain, surgery might be helpful. Some of the newer antiseizure meds are helpful. ...Read more

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Please answer! what precautions should this patient take given his diagnosis of situs inversus?

Please answer! what precautions should this patient take given his diagnosis of situs inversus?

Not a single entity: Situs inversus comes in 2 basic forms with variation in the amount and importance of associated abnormalities. These can involve the heart/lung/intestines/ spleen or spleens. You should consult with the doc who knows the case well for any such information. ...Read more

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How can dr say stage 4 heart failure when patient has limited symptoms . Ejection fraction 16?

How can dr say stage 4 heart failure when patient has limited symptoms . Ejection fraction 16?

The NY Heart failure: classification system is based on symptoms regardless of EF. It is surprising that the patient does not have symptoms with an EF of 16 but not unheard of. ...Read more

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Diagnosed with r.E.M. Syndrome -rare skin disease . More information about this please?

Diagnosed with r.E.M. Syndrome -rare skin disease . More information about this please?

Similar to lupus: Reticular erythematous mucinosis (rem) frequently appears after intense sun exposure, or hormonal stimuli such as oral contraceptives, menses, or pregnancy. It may be related to lupus erythematosus, although lupus tests are typically negative. It often responds to treatment with anti-malarial medications. ...Read more

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Checking for info on celiac disease, food allergy profile?

Checking for info on celiac disease, food allergy profile?

Not food allergy: Celiac is not an ige mediated disease, so food allergy screening is not appropriate for celiac disease. Celiac is an immune reaction to grains. ...Read more

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Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?

Can a md. Deny medicare-paid hospice end-stage dementia patient  physical therapy  if patient's family requests it to maintain movement with new law?

Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read more

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What is a reliable website for researching general medical information for patients and their families?

Medlineplus.gov: Medline Plus is a very reliable site managed by the National Institutes of Health. It is full of reliable information on almost any medical topic, and has many links to other reliable medical organizations' information, all searchable and organized by topic. ...Read more

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Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more

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Lifelong history depression &gad, diagnosed ptsd 2007, worsened depression. Tried so many drugs, different therapies, ready to give up. Suggestions?

Lifelong history depression &gad, diagnosed ptsd 2007, worsened depression. Tried so many drugs, different therapies, ready to give up. Suggestions?

Skilled therapist: That sounds really difficult. It might be a good idea to find a psychologist whose specialty is trauma and ptsd. Emdr and other body based therapies with a skilled practitioner could also help. Psychologytoday.Com is a good resource to find someone who will be a good fit. All the best and I do hope you feel better. ...Read more

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Can amitryptiline be taken indefinitely for someone who has irritable bowel syndrome/colitis? Need expert opinions!

Can amitryptiline be taken indefinitely for someone who has irritable bowel syndrome/colitis? Need expert opinions!

IBS: Amitriptyline has strong anti-cholingeric effects and is not recommended particularly someone who has constipating form of IBS. The Amitriptyline would cause the bowels to slow. Why are you taking this medication anyways? Possibly there is better natural alternative. ...Read more