IBD, IBS and celiac disease
12 important questions on IBD, IBS and celiac disease
What is the mortality from diarrhoeal diseases worldwide?
What are the symptoms of lower gastrointestinal disease
- while constipation is often a symptom of inadequate diet or physical exercise, unexplained loosing of stool, particularly if persistent, may be an symptom of colonic disease, including cancer and colitis
Rectal bleeding
- fresh blood dripping after passing stool, or present on wiping, suggests anorectal disease including haemorrhoids. Blood mixed with stool may indicate colitis or colonic malignancy
Tenesmus
- a feeling of incomplete rectal emptying after defecation suggests anorectal pathology such as a tumour
What are the warning signs of cancer?
- Progressive weight loss
- Anorexia
- Symptoms of anaemia from chronic blood loss
Past medical history
- Gastrointestinal disease
- Autoimmune disease
- Abdominal surgery
Drug history
- All prescription drugs
- Non-steroidal anti-inflammatories, over-the-counter drugs and herbal remedies
- Recent courses of antibiotics
Social history
- Smoking
- Alcohol consumption
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What are the principle investigations in GI
- Routine haematology
- (full blood count and blotting. This basic screen checks for anaemia, elevated/depleted white cell or platelet counts = clotting abnormalities which can be present in several gastrointestinal diseases
- Blood biochemistry
- (serum creatinine and electrolytes, liver function tests)
- Stool samples
- Microscopy, culture and sensitivities in order to exclude infection in patients presenting with diarrhoea
- Faecal calprotection is a protein found in stool during intestinal inflammation. It is commonly used in outpatients both diagnostically and for monitoring disease activity
- Endoscopy
- gastroscopy, colonoscopy
- Radiology, are the principal investigations
What is the purpose of colonoscopy?
What can be helpful count the imaging technique X-rays
What can be helpful count the imaging technique ultrasound
What can be helpful count the imaging technique MRI
What can be helpful count the imaging technique PET
Why are bone fractures a common symptom in patients with coeliac disease?
How can a gluten-free diet improves symptoms in coeliac disease?
What are the types of medication of Ulcerative colitis.
From dependent on the severity of symptoms
- Anti-inflammatory medications
- immunosuppressors
- Biologics
- Colectomy - removal of the colon
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