Bowel symptoms

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  • This book is dedicated to inflammatory bowel disease, and the authors discuss the advances in the pathogenesis of inflammatory bowel disease, as well as several new parameters involved in the etiopathogeny of Crohn's disease and ulcerative colitis, such as intestinal barrier dysfunction and the roles of TH 17 cells and IL 17 in the immune response in inflammatory bowel disease. The book also focuses on several relevant clinical points, such as pregnancy during inflammatory bowel disease and the health-related quality of life as an end point of the different treatments of the diseases....

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  • Lecture Irritable Bowel Syndrome help you: recognize the typical clinical presentation for IBS; describe an appropriate diagnostic plan and ROME III; prescribe an appropriate therapeutic regimens.

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  • Degenerative mitral valve (МV) disease is a common disorder affecting around 2% of the population (Enriquez-Sarano M et al., 2009). The most common ending in patients with degenerative valve disease is leaflet rolapsed due to elongation or rupture of the chordal apparatus, resulting in varying degrees of МV regurgitation due to leaflet malcoaptation during ventricular contraction.

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  • 180 Hurst CROHN’S DISEASE The clinical presentations and complications of Crohn’s disease (CD) vary greatly and thus a wide range the surgical techniques are employed for the operative management of this disease (Table 3). CD is a recurring disorder that cannot be cured by simple surgical resection. Surgery, thus, is intended to provide palliation. When appropriately applied surgical therapy often provides significant and prolonged relief of debilitating symptoms and can resolve potentially life-threatening complications associated with CD.

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  • Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Radiation Oncology cung cấp cho các bạn kiến thức về ngành y đề tài: " Self-assessed bowel toxicity after external beam radiotherapy for prostate cancer - predictive factors on irritative symptoms, incontinence and rectal bleeding...

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  • This woman has a combination of hemolytic anemia with fragmented RBCs on peripheral smear; thrombocytopenia; fever; neurologic symptoms; and renal dysfunction -- a classic pentad of symptoms that characterizes thrombotic thrombocytopenic purpura (TTP). Approximately 90% of patients will respond to plasmapheresis. Patient should be emergently treated with largevolume plasmapheresis. Sixty to 80 mL/kg of plasma should be removed and replaced with fresh-frozen plasma. Treatment should be continued daily until the patient is in complete remission.

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  • The prevalence of hypertension in children ranges from less than1%to5.1%[10]. While pediatric hypertension was previously assumed to be secondary to renal, cardiovascular or endocrine causes, there is now increased evidence that it could be a part of a spectrum of essential hypertension, mainly linked to the obesity epidemic. The three most common symptoms of hypertension in children are head- ache, difficulty sleeping, and tiredness, all of which improve with treatment.

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  • Given the range of treatment modalities and their serious side effects, men with prostate cancer who are candidates for radical treatment should have the opportunity to discuss their treatment options with a specialist surgical oncologist and a specialist clinical oncologist. Men presenting with symptoms consistent with radiation-induced enteropathy should be fully investigated (including using flexible sigmoidoscopy) to exclude inflammatory bowel disease or malignancy of the large bowel and to ascertain the nature of the radiation injury.

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  • Approach to the Patient: Constipation A careful history should explore the patient's symptoms and confirm whether he or she is indeed constipated based on frequency (e.g., fewer than three bowel movements per week), consistency (lumpy/hard), excessive straining, prolonged defecation time, or need to support the perineum or digitate the anorectum. In the vast majority of cases (probably 90%), there is no underlying cause (e.g., cancer, depression, or hypothyroidism), and constipation responds to ample hydration, exercise, and supplementation of dietary fiber (15–25 g/d).

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  • CONSTIPATION Definition Constipation is a common complaint in clinical practice and usually refers to persistent, difficult, infrequent, or seemingly incomplete defecation. Because of the wide range of normal bowel habits, constipation is difficult to define precisely. Most persons have at least three bowel movements per week; however, low stool frequency alone is not the sole criterion for the diagnosis of constipation.

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  • Diagnostic Testing For intractable symptoms or an elusive diagnosis, selected diagnostic tests can direct clinical management. Electrolyte replenishment is indicated for hypokalemia or metabolic alkalosis. Detection of iron-deficiency anemia mandates a search for mucosal injury. Pancreaticobiliary disease is indicated by abnormal pancreatic enzymes or liver biochemistries, whereas endocrinologic, rheumatologic, or paraneoplastic etiologies are suggested by specific hormone or serologic testing.

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  • Gastric Motor Dysfunction Disturbed gastric motility is purported to cause acid reflux in some cases of indigestion. Delayed gastric emptying is also found in 25–50% of functional dyspeptics. The relation of these defects to symptom induction is uncertain; many studies show poor correlation between symptom severity and the degree of motor dysfunction. Impaired gastric fundus relaxation after eating may underlie selected dyspeptic symptoms like bloating, nausea, and early satiety.

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  • Lymphomas Lymphoma in the small bowel may be primary or secondary. A diagnosis of a primary intestinal lymphoma requires histologic confirmation in a clinical setting in which palpable adenopathy and hepatosplenomegaly are absent and no evidence of lymphoma is seen on chest radiograph, CT scan, or peripheral blood smear or on bone marrow aspiration and biopsy. Symptoms referable to the small bowel are present, usually accompanied by an anatomically discernible lesion.

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  • Crohn’s disease (CD) and ulcerative colitis are chronic inflammatory intestinal disorders affecting 1.7 million people in North America. Recent studies have shown an increasing incidence of CD in children, and an overall prevalence of 10% to 25% of all patients with inflammatory bowel disease (IBD). 2,3 CD is characterized by patchy transmural inflammation involving any segment of the gastrointestinal tract from the mouth to the anus.

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  • In 1991 I was presenter of the BBC’s Watchdog programme, married to my copresenter John Stapleton with a two-year-old son. Life was good. I had never heard of bowel cancer, had no idea that it was the second biggest cancer killer in the UK. So I had no worries that the subtle symptom I had spotted intermittently – just a bit of rectal bleeding – might be serious. When my GP reassured me that it was ‘nothing to worry about’ at my age, ‘probably piles’, I believed him. It was a terrible shock to discover nearly a year later, through my persistence, that I had advanced bowel...

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  • Lynn Faulds Wood is an award-winning television presenter and journalist who survived advanced colon cancer after almost a year of medical delay. She has made many television programmes on cancer. She has helped to produce the world’s first research-based guidance on symptoms of colon cancer, and helped to pioneer diagnostic training programmes in colonoscopy and formal training centres around the United Kingdom. She is currently President of the European Cancer Patient Coalition, with a membership of over 250 cancer patient organizations in 37 countries.

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