The most important interaction between patient and doctor is the medical history. Through listening to the story of the patient’s illness and asking relevant questions, a physician may often make a diagnosis, or at least begin to understand the nature and location of the complaint. A few easy steps can help make this process more efficient leading to prompt, more precise diagnosis and treatment. Revised January 2012.Topics: Constipation, difficult to pass stools, Diarrhea, loose stools, Incontinence, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain, Motility, Stomach Disorders, Working with your healthcare provider
By: Thomas Puetz, MD
Colonoscopy is currently our most effective means of reducing the incidence of colon cancer, but only slightly over one-third of eligible persons elect to have a colonoscopy. With the inconvenience and expense of colonoscopy incurred, one should expect and receive a thorough examination. This article outlines some way to ensure that your colonoscopy is performed correctly and thoroughly.Topics: Clinical Corner, colonoscopy, Constipation, difficult to pass stools, diagnosis, Diarrhea, loose stools, Irritable Bowel Syndrome (IBS), Motility, Other Disorders/Symptoms, Tests, lower GI tract, Working with your healthcare provider
In this article, I will try to provide a flavor for our research activities and highlight what we understand about the mechanisms of fecal incontinence and constipation. Fecal incontinence is a relatively common symptom. In listening to patients, I realized that fecal incontinence could have a devastating impact on lifestyle, that our understanding of factors responsible for incontinence was limited, and that available therapies were of variable efficacy. Therefore, our studies are directed toward answering several important questions pertaining to "idiopathic" fecal incontinence, that is fecal incontinence not resulting from another underlying disease such as multiple sclerosis.Topics: Anal, Rectal Disorders, Bowel urgency, Incontinence, Motility, Pelvic floor disorders, Research
Fact Sheet: Radiation Induced Injury to the Colon and Rectum317
By: Thomas Puetz, MD
Experiencing symptoms of diarrhea, urgency, incontinence, and rectal bleeding can be a significant source of stress that calls for consultation with a physician. Those individuals with a history of prior radiation therapy exposure need to disclose this to their doctor. Radiation induced symptoms must be considered as a potential source.
Fact Sheet: Esophageal Motility Disorders518
Difficulty swallowing liquids or solids, heartburn, regurgitation, and atypical (or non-cardiac) chest pain may be symptoms of an esophageal motility disorder. These disorders are characterized by specific criteria based upon the pressures generated within the esophagus when swallowing occurs.
Fact Sheet: Unusual Symptoms and GERD532
Answers to the questions: "Can GERD cause oral symptoms, specifically changes in saliva, or damage to the teeth, tonsils, or uvula (the fleshy structure hanging from the center of the soft palate at the back of the mouth)? My allergist believes GERD may even be contributing to my chronic sinusitis. I have looked on several web sites but have not found answers. Any information would be appreciated." Reviewed 2009.
Fact Sheet: Achalasia – When Swallowing Becomes a Problem533
By: Joel Richter, MD
Achalasia is a motility disorder in which the esophagus empties slowly. Symptoms include the sensation of solids, and usually liquids, hanging up and passing slowly into the stomach. This most often occurs during and after a meal. A review of symptoms, tests, and treatment options.
Fact Sheet: Gastroparesis534
Gastroparesis is a disorder in which the stomach empties very slowly. The delay in stomach emptying can result in bothersome symptoms that interfere with a patient’s life. This article reviews symptoms, tests, and treatments for gastroparesis.Topics: Dyspepsia, pain in upper abdomen or chest, Gastroparesis, Motility, Nausea, vomiting, Stomach Disorders
Fact Sheet: Cyclic Vomiting Syndrome in Adults541
Cyclic vomiting syndrome (CVS) is a disorder with recurrent episodes of severe nausea and vomiting interspersed with symptom free periods. While CVS has been studied in pediatric populations, its occurrence in adults has been underappreciated. It is now thought that this crippling syndrome can occur in a range of age groups from children to adults. Recognizing and treating the condition are discussed.
DES is a rare disorder. Usual symptoms are chest pain and trouble swallowing. The chest pain can feel like a heart attack. Tests are needed to diagnose DES. DES does not lead to other serious illnesses. Most patients can be treated successfully. A review.
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