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  1. Fact Sheet: What you can do after. (Anal discomfort and how to deal with it)


    By: W. Grant Thompson, MD, FRCPC

    Symptoms related to this sensitive area can be very troubling, yet many people are reluctant to discuss them. Itching (pruritis ani), painful defecation, stained underwear, spotting of blood, and offensive odor add up to embarrassment, distress, social handicap and anguish. These complaints of anal discomfort are very common. Symptoms may coexist with the irritable bowel syndrome or other functional bowel disease. Diarrhea and constipation may aggravate them. Anal symptoms are not part of these conditions as they may occur independently. They may be due to or associated with many local diseases. Whatever the association, perianal irritation can be treated. Find out how to get help and what to do about it. Reviewed and updated 2009.

    Non-Member Price: FREE View PDF
  2. Fact Sheet: Anal Fistulas-Symptoms and Treatment


    By: Andrew A. Shelton, MD; Robert D. Madoff, MD, FACS

    A fistula is an abnormal connection between two organs or two tissue surfaces. An anal fistula (fistula-in-ano) is a connection between the anal canal and the skin. This fact sheet will help you to understand the cause, treatment, and complications of therapy for fistula-in-ano. 

    Topics: Rectal Pain
    Non-Member Price: FREE View PDF
  3. Fact Sheet: Relationship of Diet to Functional GI Disorders


    By: Raquel Croitoru, MD, FACG

    The symptoms of functional GI disorders, such as abdominal pain, diarrhea, and constipation can by initiated or exacerbated by stress, hormones, drugs, and diet. Certain foods can induce symptoms that mimic certain functional GI disorders. Review of an individual's diet is important when dealing with functional GI symptoms.

    Non-Member Price: FREE View PDF
  4. Fact Sheet: Understanding and Managing Chronic Pain


    By: Bruce D. Naliboff, PhD

    Most of the time pain serves as a critical part of our sensory system, and is therefore a necessary though unpleasant function of a healthy body. However, it is becoming increasingly clear that chronic pain may be more like a disease or pathology of the nervous system associated with abnormal responses in the brain and spinal cord. Chronic pain has an impact on every facet of patients' lives. If you have chronic pain it is important to develop a pain management plan that works for you.

    Non-Member Price: FREE View PDF
  5. Fact Sheet: An 8-Step Approach to Chronic Pain Management


    By: Bruce D. Naliboff, PhD

    For those with a functional gastrointestinal/motility disorder, pain is often one of several overlapping unpleasant symptoms.

    Non-Member Price: FREE View PDF
  6. Fact Sheet: Functional Abdominal Pain Syndrome


    By: Douglas A. Drossman, MD

    People with functional gastrointestinal (GI) disorders can have a variety of symptoms that range from painless diarrhea or constipation, to pain associated with diarrhea and/or constipation (usually called irritable bowel syndrome). There is another, less common condition of abdominal pain that is chronic or frequently recurring; it is not associated with changes in bowel pattern. This condition is called functional abdominal pain syndrome. Cause and treatment is discussed.

    Non-Member Price: FREE View PDF
  7. Fact Sheet: How to Talk to Your Doctor-the Doctor's Perspective


    By: Patricia L. Raymond, MD, FACP, FACG

    Functional gastrointestinal (GI) disorders, such as irritable bowel syndrome (IBS), have a wide variability in symptoms and activity and require a lot of patient help in the management of the disorder. However, most physicians have been forced by the economics of managed care to see more patients in less time than ever before. Patients with functional GI disorders often tend to require more time than the average patient because multiple factors may be involved - time to discuss things like diet, stress, or exercise, and their effects on this disorder. Here are a few suggestions which can help improve the worth of the time that you do have with your physician.

    Non-Member Price: FREE View PDF
  8. Fact Sheet: Diet and Functional Bowel Disease


    By: Kenneth W. Heaton, MD, FRCP

    The exact nature of the connection between what people eat and how their intestines behave is controversial, but there is certainly a connection. The effects of foods on the gut are reviewed.

    Non-Member Price: FREE View PDF
  9. Fact Sheet: Central Nervous System Modulation-Its Role in Irritable Bowel Syndrome


    By: Paul Enck, PhD

    Most of us have experienced some of the ways that the central nervous system (CNS) affects the gut in our everyday lives. The affect may be direct, like an urgent need to evacuate the bowels when life gets exciting. It may be indirect, like the decision to suppress the urge to go to the bathroom when social circumstances, work, or sanitary conditions do not allow it. In this article, we will examine four methods of brain-gut interaction and their influence on irritable bowel syndrome (IBS).

    Non-Member Price: FREE View PDF
  10. Fact Sheet: Fibromyalgia and Irritable Bowel Syndrome


    By: Kevin W. Olden, MD

    Although fibromyalgia and irritable bowel syndrome (IBS) are two very different disorders, they often overlap, and they share a number of commonalities that bear closer scrutiny. Like irritable bowel syndrome, fibromyalgia is a disorder that is diagnosed based on clinical (symptom based) criteria as opposed to laboratory and imaging studies.

    Non-Member Price: FREE View PDF
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