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How to Differentiate Autoimmune Pancreatitis from Other Medical Conditions

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright Autoimmune pancreatitis (AIP) is a relatively newly described condition, first recognised in Japan, but with reports from various continents suggesting that it is a worldwide disorder. AIP is a rarely diagnosed disorder, possibly because the entity is not well known and recognised. It […]

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The Elusive Truth About Occult Bleeding

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright A positive faecal occult blood test (FOBT) is a frequent cause of referral for specialist advice and the causes of a positive test can fill several pages of patient’s Internet ‘research’. In reality, the common causes are relatively few in number with acid-related […]

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Radiation Proctitis: A Lasting Side Effect

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright Radiation proctitis is an unwanted side effect of radiation following treatment of pelvic cancers including rectum, cervix, uterus, prostate, bladder and testes. The rectum is most frequently involved in radiation proctitis, but the sigmoid colon can also be affected. This article will confine […]

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Anti-diarrhoeal Tablets that Cause Diarrhoea and Other Paradoxes in Medicinal Use

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright ‘The antacid that causes dyspepsia’, ‘the proton pump inhibitor that causes hyperacidity’ and ‘the anti-diarrhoeal that causes diarrhoea’ – all doctors are all familiar with patients’ claims that appear to be irrational. These could be interpreted as a confirmation of the basis of […]

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More Awareness Needed to Combat Irritable Bowel Syndrome – WGO

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright On World Digestive Health Day on 29 May 2009, the World Gastroenterology Organization (WGO) released an updated guideline on irritable bowel syndrome (IBS) and called upon the gastroenterology community to raise awareness about this illness. An important publication has also been released by the American […]

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Dan Brown, the Lost Symbol and Gastroenterology

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright Having recently read Dan Brown’s latest, but probably not greatest, tome I was struck by the role of perception in the characters’ response to the symptoms presented to them. As a generalisation one could say that humans are a superstitious lot of lost […]

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Surgical Injuries from Sharps on the Rise

Needlestick injuries, as well as those caused from other sharps, remain a constant source of worry for medical personnel. In a concerning finding, researchers have found that since the introduction of national legislation in the US aimed at reducing these hazards, such injuries have actually risen. After the passing of the Needlestick Safety and Prevention […]

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Current Management of Migraine Headaches

Dr Johan Smuts, neurologist Migraine headache is a debilitating disorder. It is defined as a unilateral headache with throbbing pain of a moderate to severe intensity, often accompanied by photophobia, phonophobia and/or nausea, and may occur with or without aura. Migraine affects 18% of women and 6% of men, who experience at least one migraine headache […]

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Earlier Treatment of HIV is a Necessary Strategy for Saving More Lives

Dr Steven Miller The most recent version of the US Department of Health and Human Services guidelines for treating HIV infection in adults and adolescents1 recommends initiating antiretroviral therapy (ART) once the peripheral blood CD4 cell count drops below 500 cells/mm³. This is a return to the immunological criterion that was used during the initial […]

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Diabetes and GI Symptoms

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright Several studies have demonstrated that patients with diabetes are more likely to experience gastrointestinal symptoms when compared to controls. Patients with long-standing type l diabetes tend to have a greater incidence of upper gastrointestinal symptoms. A large study demonstrated that gastrointestinal symptoms were […]

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