Dr. Able discusses a recent patient who suffers from Abdominal Migraine and the treatment options. An abdominal migraine is a condition that mainly occurs in children who are between five and nine years of age, although not often, it can also occur in adults.
Probiotics for GI Health in 2012: Issues and Updates. Microbiota, often referred to as microflora, in the human gastrointestinal (GI) tract comprise a complex community of microorganisms that contribute to a variety of local and systemic functions vital to development and well-being. There is substantial interest in using probiotics to target the GI microbiota to promote health, and probiotic use has grown rapidly over the last decade. In addition, the number of clinical trials assessing probiotics in humans also has increased substantially in recent years.
Putting Out the Fire: Optimal Management of Gout in the Primary Care Setting. Primary care providers are increasingly challenged to manage gout, a condition that is on the rise primarily due to the high rates of obesity among the US population. Clinicians are required to manage gout more often and the complexity of the disease is often magnified due to multiple comorbidities and/or advanced age.
Gout is one of the most common forms of inflammatory arthritis, affecting nearly 4% of adult Americans. Newly approved guidelines that educate patients in effective methods to prevent gout attacks and provide primary care providers with recommended therapies for long-term management of this painful disease were recently published in Arthritis Care & Research.
The American College of Rheumatology funded research to develop new guidelines in ways to prevent gout and suggestions for recommended treatments for long-term management of gout. These guidelines have just been published (Sept. 28, 2012; Arthritis Care & Research), emphasizing the...
Primary care providers are increasingly called upon to manage gout, a once less common disease that is becoming more prevalent and difficult to treat as our society rapidly ages. Gout is also on the rise and increasingly severe due to the increasing prevalence of obesity as well as animal fats and high fructose corn syrup in the Western diet. This presents a significant clinical challenge considering the traditionally very limited armamentarium of therapies available to clinicians practicing in the primary care setting.
Disparities in Hemoglobin A1C May Require New Preventive Strategies. According to a new study published in the Annals of Internal Medicine you may want to reconsider the threshold at which you refer your black patients with diabetes for eye exams. Researchers from Boston’s Beth Israel Deaconess Medical Center used data from the 2005 to 2008 National Health and Nutrition Examination Survey (NHANES) to determine that black patients have a higher risk of diabetic retinopathy at any given hemoglobin A1C level between 5% and 7%.
Irritable Bowel Syndrome. Irritable bowel syndrome (IBS) is a common disorder that affects the colon, causing cramping, abdominal pain, bloating, gas, diarrhea or constipation. Despite these uncomfortable symptoms, IBS doesn’t cause permanent damage to the colon – it doesn’t cause changes in bowel tissue or increase the risk of colorectal cancer. This distinguishes it from more serious structural intestinal diseases such as ulcerative colitis and Crohn’s disease.
Celiac Disease: The Great Pretender. Celiac disease is an immune-mediated disorder characterized by chronic inflammation of the small intestinal mucosa, which can result in malabsorption and a variety of clinical manifestations. While considerable scientific progress has been made in the understanding and management of celiac disease, unfamiliarity with the multidisciplinary presentation is a significant barrier to diagnosis and treatment.
The Latest on C. difficile Infections. Clostridium difficile (C. diff) infection is a safety concern in all types of medical facilities, not just hospitals. C. diff is a bacterium that attacks the gut and causes severe diarrhea, weight loss, and other intestinal diseases after protective bacteria in the gut flora have been wiped out by antibiotics.
Food Allergies Are More Common Than You Think! The topic of food allergy—and especially peanut allergy—is guaranteed to generate controversy. Schools, airplanes, and baseball stadiums have all established peanut-free zones. Is all this really necessary, or an overreaction? Are food allergies really that common among children?