Category Archives: Abdominal pain

Drug treatment for IBS has been fraught with problems of efficacy and wrought with issues of excessive expense. Amitriptyline, an old serotonin simulator, is cheap, helps one sleep, and recently found sort of efficacious.

Alcohol ethoxylates, which stick to dishes and prevent water adhering after drying, are shown to damage gut cells or render them permeable.  This is considered toxic to gastrointestinal tract and could flare gut symptoms at levels used by such cleaners. … Continue reading →

People who come in with recently developed chronic diarrhea are a challenge. Reliance on stool tests might be suspect if just relying on Ova and Parasite micro exam. Given excretion is episodic, O&P testing by microscopy  would miss 39% of amebiasis … Continue reading →

Malassezia seen in brains of Alzheimer’s: Front Aging Neurosci. 2018 May 24;10:159. doi: 10.3389/fnagi.2018.00159 Infection of Fungi and Bacteria in Brain Tissue From Elderly Persons and Patients With Alzheimer’s Disease. Alonso R et al. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976758/ “the fungal genera more prevalent … Continue reading →

Growing evidence that some gluten sensitivity is actually sensitivity to the carbohydrates in Gluten Foods rather than to gluten. None the less, avoiding gluten foods during colitis flareups, helps suggesting a temporary sensitivity.

Article starts by mentioning how up to 33% of cholecystectomy patients can have persistent abdominal pain so taking out Gallbladder (GB) is a serious decision. Indications however include frequent attacks, large stones, older age, inflamed GB attack(cholecystitis), and pancreatitis from … Continue reading →

European study found in RAP syndrome without any alarm features, 57% were found to have organic disease – and treatment of such lead to resolution of symptoms. Things found included: 19 (22.6%)  lactose intolerance. 17 patients (20.2%)  celiac disease. Two … Continue reading →

70%  showed clinical response, and “13 of the 30 (43.3%) patients achieved clinical and endoscopic remission.”

Hypothyroid victims on Levothyroxime have a 3 times relative risk to having bacterial overgrowth and the IBS connection that goes with it.

Had patient in today with dark blood stools previously diagnosed with Irritable bowel but more much likely now colitis. Had another case recently worked up by a gastroenterologist with nothing organic found – yet fact subject eats  a lot of … Continue reading →

Blastocystis is a protozoan thought commensal (normal flora) but actually shown to cause disease in humans. Now a particular subtype is linked to urticaria/hives.

1/10th of painful uterine scars will rupture; none in the non painful group. However all rupturing cases had other features – abnormal fetal monitor (4), peritoneal signs (2), high fetal station (2) or vomiting(1).

“The estimated prevalence of BAM is >90% in patients with resected Crohn disease (CD) and 11% to 52% of unresected CD patients (type 1); 33% in diarrhea-predominant irritable bowel syndrome (type 2); and is a frequent finding postcholecystectomy or postvagotomy … Continue reading →