Digestive system diseases of human.

  1. Emergencies

  2. Non-Emergency


    Digestive system diseases of human.
    Medical college education
    1 What must a specific physician know about the human digestive system and diseases? Answer
    2 What specialists work with the issues relevant to the human gastrointestinal system? Answer
    Symptoms and signs
    1 How many emergency signs and symptoms are there related to the human digestive? Answer
    2 How many emergency signs and symptoms are there related to the human digestive? Answer
    3 How many total human digestive signs and symptoms are there? Answer
    Gastrointestinal Anatomy & Physiology
    1 How many organ systems are there in the human body? Answer
    2 Can you name the organ systems of the human body? Answer
    3 Can you name the digestive system organs in the human body? Answer
    4 How many digestive system organs are there in the human body? Answer
    5 Can you label the parts of the human digestive tract? Answer
    6 What should specific physicians know about this organ of the human body? Answer
    Diagnosis and Treatment
    Digestive system diseases of human.
    1 What are 11 common human digestive conditions, ranked from most to least common? Answer
    2 How many human digestive medical conditions are there? Answer
    3 What are various examples? Answer
    4 What are 11 common human digestive conditions, ranked from most to least common? Answer
    5 What should a medical doctor know about a medical condition? Answer
    6 Who should ideally do an assessment of a patient? Answer
    7 Who should ideally do an assessment of a patient? Answer
    8 Quiz Human Digestive System Answer
    Gastroenterology Tests and Procedures
    Liver Function Tests
    1 What are liver function tests? Answer
    2 What are the most common liver function tests? Answer
    3 Why do you need a liver function test? Answer
    History taking and further evaluation by specific physician on duty. Answer
    1 Medical emergency situation: What questions will you ask? Answer
    2 Medical nonemergency situation: What questions will you ask? Answer
    3 How will you further proceed in this situation? Answer
    Television Presentation Answer
    1 How should you arrange television programs in this situation? Answer
    Recent advances in gastrointestinal health Answer
    1 What are various facts relevant to recent advances in gastrointestinal health? Answer
    Gastroenterology
    1 What is Gastroenterology? Answer
    2 How should you elaborate on these issues? Answer
    3 What types of specific physicians are required inside and outside the state? Answer
    Forensic psychiatry evaluation of case scenarios
    1 What have been various findings relevant to unethical practices and criminal wrongdoings among individuals falsely claiming to be gastroenterologists (but are actually criminals)? Answer
    2 Did they become involved in criminal offenses? Answer
    3 Who all was involved in such criminal offenses? Answer

    Medical college education
    What must a specific physician know about the human digestive system and diseases?
    1. Assessment of a patient by a physician.

    2. Symptoms and signs

    3. Anatomy & Physiology

    4. Diagnosis and Treatment

    5. Gastroenterology Tests and Procedures

    6. Liver Function Tests

    7. History taking and further evaluation by specific physician on duty.

    8. Prevention of gastrointestinal disease

    9. Television Presentation

    10. Recent advances in gastrointestinal health

    11. Gastroenterology

    12. Forensic psychiatry evaluation of case scenarios

    13. Common GI Symptoms

    14. Common Digestive System Diseases

    15. Functional disorders

    16. Gastrointesinal Emergency Signs and Symptoms

    17. Gastroenterology Emergencies

    18. Gastroenterology Research

    19. Gastroenterology Sections

    20. Presentation from Gastroenterologist Guided by Doctor Asif Qureshi

    21. Questions and answers relevant to human digestive system and medical conditions.

    22. Quiz Human Digestive System

    23. Structural disorders

    24. What should a medical doctor know about a medical condition?

    What specialists work with the issues relevant to the human gastrointestinal system?
    Emergency medicine physician
    Critical care physician
    Primary care physician
    Gastroenterologist (genuine doctors, not quacks; they must know about criminal law)
    Physician-surgeon

    Many primary care physicians, emergency medicine physicians, and critical care physicians are required relevant to these issues.
    Doctor Asif Qureshi is your guide.

    What describes your issues?
    Take a look at this.

    Gastrointesinal Emergency Signs and Symptoms
    How many emergency signs and symptoms are there related to the human digestive?
    At least 10.

    What are various examples?
    1. Abdominal pain that is not relieved with home remedies.

    2. Acute gastrointestinal bleeding (e.g., blood in the stool, vomiting blood)

    3. Change in bowel habits (e.g., acute diarrhea, severe constipation)

    4. Inability to have a bowel movement or pass gas from the rectum

    5. Inability to swallow (called aphagia)

    6. Jaundice (yellowing of the skin and eyes; caused by excess bilirubin [pigment in bile] in the blood)

    7. Severe abdominal pain or swelling (distention)

    8. Traumatic gastrointestinal injury

    9. Uncontrolled vomiting

    10. Unexplained fever (may be caused by infection of the digestive tract)

    Abdominal pain that is not relieved with home remedies.

    What describes the abdominal pain?
    Abdominal pain in a child.
    Abdominal pain relieved with home remedies.
    Abdominal pain that is severe, constant, and not relieved with home remedies.
    Abdominal pain in an adult that is recurrent (usually in gallstones).
    Abdominal pain in an adult that is severe and horrible for the first time.
    Abdominal pain in a woman who is not pregnant.
    Abdominal pain in a woman who is pregnant.

    How many causes of abdominal pain are there?
    At least 26.

    What are all causes of abdominal pain?
    1. Indigestion
    2. Constipation
    3. A stomach virus
    4. Menstrual cramps in women
    5. Irritable bowel syndrome (IBS)
    6. Crohn's disease or ulcerative colitis
    7. Food poisoning
    8. Food allergies
    9. Gas in the digestive tract
    10. Urinary tract infection
    11. Abdominal muscle strain or pull
    12. Hernia
    13. Gallstones
    14. Kidney stones
    15. Endometriosis in women
    16. Gastroesophageal reflux disease (GERD)
    17. Appendicitis
    18. Diverticulitis
    19. Abdominal aortic aneurysm (swelling in the belly’s main artery)
    20. Bowel blockage or obstruction
    21, Tumor or equivalent of the stomach, pancreas, liver, bile duct, gallbladder, or immune cells
    22. Ovarian cancer or cysts in women
    23. Pancreatitis (inflammation of the pancreas)
    24. Cholecystitis (inflammation of the gallbladder)
    25. Low blood flow to your intestines caused by a blocked blood vessel
    26. Ectopic pregnancy in women (when a fertilized egg grows outside the uterus, such as in a Fallopian tube)

    What is the treatment?
    Treat the underlying cause.

    How many total human digestive signs and symptoms are there?
    At least 43.

    What are various examples?
    Symptoms of digestive disorders
    A
    1. Abdominal distension

    2. Abdominal guarding

    3. Abdominal pain

    4. Acute abdomen

    5. Aerophagia

    6. Ascites

    7. B
    8. Bad breath

    9. Bilious fever

    10. Bloating

    11. Burping

    12. C
    13. Castell's sign

    14. D
    15. Defecation

    16. Diarrhea

    17. Dysphagia

    18. E
    19. Encopresis

    20. Esophageal dysphagia

    21. F
    22. Fecal incontinence

    23. Flatulence

    24. G
    25. Gastric distension

    26. H
    27. Heartburn

    28. Hepatomegaly

    29. Hepatosplenomegaly

    30. J
    31. Jaundice

    32. N
    33. Nausea

    34. Nixon's sign

    35. O
    36. Obstructed defecation

    37. Odynophagia

    38. Omental infarction

    39. Organomegaly

    40. Oropharyngeal dysphagia

    41. R
    42. Rectal discharge

    43. Rectal pain

    44. Rectal tenesmus

    45. S
    46. Sonographic Murphy sign

    47. Splenomegaly

    48. Steatorrhea

    49. Stomach rumble

    50. Surgical management of fecal incontinence

    51. T
    52. Traumatic gastrointestinal injury

    53. Tympanites

    54. V
    55. Vomiting

    56. W
    57. Wet burp

    58. Wilderness-acquired diarrhea

    59. X
    60. Xerostomia
    History taking and further evaluation by specific physician on duty.
    You are the specific physician on duty.
    Medical emergency situation: What questions will you ask?
    Medical nonemergency situation: What questions will you ask?
    How will you further proceed in this situation?
    Assessment of a patient by a physician.

    http://www.qureshiuniversity.org/health.html#Assessment of a patient by a physician.

    http://www.qureshiuniversity.org/gastroenterology-patient-Intake-form.html

    Gastroenterology Emergencies
    http://www.qureshiuniversity.org/gastroenterology-emergencies.html

    http://www.qureshiuniversity.org/gastroenterology.html

    What is a Gastroenterologist?
    http://www.qureshiuniversity.org/gastroenterologist.html

    Gastroenterology Sections
    * Biliary
    * Colon
    * Esophagus
    * Intestine
    * Liver
    * Pancreas
    * Stomach
    * Systemic Disease

    Digestive system diseases of human.
    What are 11 common human digestive conditions, ranked from most to least common?
    1. Gastroesophageal Reflux
    2. Gallstones
    3. Celiac Disease
    4. Crohn’s Disease
    5. Ulcerative Colitis
    6. Irritable Bowel Syndrome
    7. Gastroenteritis
    8. Diverticulitis
    9. Anal Fissure
    10. Peptic ulcer
    11. Hemorrhoids

    How many human digestive medical conditions are there?
    At least 148.

    What are various examples?
    Here are further facts.
    Biliary
    1. Acalculous Cholecystitis

    2. Acalculous Cholecystopathy

    3. Bile Duct Strictures

    4. Biliary Colic

    5. Biliary Disease

    6. Biliary Obstruction

    7. Cholangitis

    8. Cholecystitis

    9. Choledochal Cysts

    10. Choledocholithiasis

    11. Cholelithiasis

    12. Clostridial Cholecystitis

    13. Emphysematous Cholecystitis

    14. Empyema, Gallbladder

    15. Pericholangitis

    16. Primary Sclerosing Cholangitis

    17. Recurrent Pyogenic Cholangitis

      Colon


    18. Angiodysplasia of the Colon

    19. Clostridium Difficile Colitis

    20. Collagenous and Lymphocytic Colitis

    21. Colonic Obstruction

    22. Colonic Polyps

    23. Constipation

    24. Cytomegalovirus Colitis

    25. Diverticulitis

    26. Gastroenteritis, Bacterial

    27. Hereditary Colorectal Cancer

    28. Hirschsprung Disease

    29. Inflammatory Bowel Disease

    30. Irritable Bowel Syndrome

    31. Megacolon, Acute

    32. Megacolon, Chronic

    33. Megacolon, Toxic

    34. Neutropenic Enterocolitis

    35. Ogilvie Syndrome

    36. Shigellosis

    37. Ulcerative Colitis

    38. Villous Adenoma

      Esophagus


    39. Achalasia

    40. Barrett Esophagus and Barrett Ulcer

    41. Boerhaave Syndrome

    42. Cytomegalovirus Esophagitis

    43. Esophageal Diverticula

    44. Esophageal Hematoma

    45. Esophageal Leiomyoma

    46. Esophageal Lymphoma

    47. Esophageal Motility Disorders

    48. Esophageal Spasm

    49. Esophageal Stricture

    50. Esophageal Varices

    51. Esophageal Webs and Rings

    52. Esophagitis

    53. Gastroesophageal Reflux Disease

    54. Hiatal Hernia

    55. Mallory-Weiss Tear

    56. Plummer-Vinson Syndrome

    57. Schatzki Ring

    58. Tracheoesophageal Fistula

      Intestine


    59. Afferent Loop Syndrome

    60. Celiac Sprue

    61. Chronic Mesenteric Ischemia

    62. Diverticulosis, Small Intestinal

    63. Duodenal Ulcers

    64. Eosinophilic Gastroenteritis

    65. Gastroenteritis, Viral

    66. Giardiasis

    67. Ileus

    68. Intestinal Fistulas

    69. Intestinal Leiomyosarcoma

    70. Intestinal Lymphangiectasia

    71. Intestinal Motility Disorders

    72. Intestinal Polypoid Adenomas

    73. Intestinal obstruction

    74. Intestinal Radiation Injury

    75. Lactose Intolerance

    76. Mesenteric Lymphadenitis

    77. Protein-Losing Enteropathy

    78. Sprue, Tropical

    79. Whipple Disease

      Liver


    80. Acute Liver Failure

    81. Alcoholic Fatty Liver

    82. Alcoholic Hepatitis

    83. Amebic Hepatic Abscesses

    84. Autoimmune Hepatitis

    85. Bilirubin, Impaired Conjugation

    86. Budd-Chiari Syndrome

    87. Chylous Ascites

    88. Cirrhosis

    89. Crigler-Najjar Syndrome

    90. Diagnostic Liver Biopsy

    91. Dubin-Johnson Syndrome

    92. Encephalopathy, Hepatic

    93. Fatty Liver

    94. Gilbert Syndrome

    95. Hemangiomas, Hepatic

    96. Hepatic Cystadenomas

    97. Hepatitis A

    98. Hepatitis B

    99. Hepatitis C

    100. Hepatitis D

    101. Hepatitis E

    102. Hepatitis, Viral

    103. Hepatocellular Adenoma

    104. Hepatorenal Syndrome

    105. Hydatid Cysts

    106. Hyperbilirubinemia, Conjugated

    107. Isoniazid Hepatotoxicity

    108. Liver Disease and Pregnancy

    109. Portal Hypertension

    110. Portal Vein Obstruction

    111. Portal-Systemic Encephalopathy

    112. Primary Biliary Cirrhosis

      Pancreas


    113. Hyperamylasemia

    114. Pancreatic Divisum

    115. Pancreatic Necrosis and Pancreatic Abscess

    116. Pancreatic Pseudocysts

    117. Pancreatitis, Acute

    118. Pancreatitis, Chronic

    119. Papillary Tumors

      Stomach


    120. Achlorhydria

    121. Dumping Syndrome

    122. Gastric Ulcers

    123. Gastrinoma

    124. Gastritis, Acute

    125. Gastritis, Atrophic

    126. Gastritis, Chronic

    127. Gastritis, Stress-Induced

    128. Gastrointestinal Stromal Tumors

    129. Helicobacter Pylori Infection

    130. Peptic Ulcer Disease

    131. Zollinger-Ellison Syndrome

      Systemic Disease


    132. Ascites

    133. Chylothorax

    134. Crohn Disease

    135. Esophagogastroduodenoscopy

    136. Familial Adenomatous Polyposis

    137. Food Poisoning

    138. Gastrointestinal Disease and Pregnancy

    139. Hemochromatosis

    140. Hyperbilirubinemia, Unconjugated

    141. Lower Gastrointestinal Bleeding

    142. Malabsorption

    143. Malignant Atrophic Papulosis

    144. Peutz-Jeghers Syndrome

    145. Somatostatinomas

    146. Upper Gastrointestinal Bleeding

    147. WDHA Syndrome

    148. Wilson Disease

    Mouth Diseases
    If your doctor or dentist feels you may have mouth ________, you may be referred to a dentist who specializes in diseases of the gums and related tissue in the mouth (periodontist) or to a doctor who specializes in diseases that affect the ears, nose and throat (otolaryngologist).

    Top Problems in Your Mouth

    Mouth Diseases | Genetic and Rare Diseases
    Acquired

    Cold Sores
    Thrush
    Black Hairy Tongue
    Canker Sores
    Leukoplakia
    Lichen Planus
    Geographic Tongue
    Oral Tumor
    TMJ / Temporomandibular joint syndrome
    Chipped Teeth
    Amalgam Tattoo
    Gum Disease
    Periodontitis
    Aspirin burn.
    Cavities, Abscesses
    Bad Breath
    "Lie" Bumps

    Cold Sores

    Also called fever blisters, you don't get cold sores from fevers or colds but they can be triggered by them. The virus that causes cold sores is usually passed via a kiss, shared utensils, or other close contact. Over-the-counter creams and ointments may help discomfort and speed healing. Frequent sores may require a prescription. Cold sores are a top mouth problem. Other problems include canker sores, TMJ, bad breath, and mouth cancer.

    Thrush is caused by Candida yeast.

    Thrush

    Caused by candida yeast, thrush is most common in older adults or babies. But a weakened immune system, antibiotics, diabetes, or certain medications -- such as inhaled corticosteroids -- can give candida a chance to grow wild. Wiping away the patches will cause soreness. See a doctor for a firm diagnosis.

    Black hairy tongue.

    This painless condition occurs when the little bumps on your tongue grow long and trap bacteria that live in your mouth -- making the tongue look black and hairy. Causes can include antibiotic use, poor oral hygiene, smoking, drinking a lot of tea or coffee, and not producing enough saliva. Brushing the tongue and using a tongue scraper is usually all you need to treat it, though sometimes medication is necessary.

    Canker sores (also called aphthous ulcers).

    Canker Sores No one knows what causes these small, painful blisters inside your mouth. Triggers include hypersensitivity, infection, hormones, stress, and not getting enough of some vitamins. Also called aphthous ulcers, canker sores can show up on the tongue, cheek, even your gums. They usually last a week or two. Persistent, severe canker sores can be treated with numbing creams, prescription drugs, or dental lasers.

    Leukoplakia is often mistaken for thrush.

    Leukoplakia

    Leukoplakia is a reaction to an irritant, like rough teeth, badly fitting dentures, smoking, and smokeless tobacco. It can show up as white patches or plaques in the mouth, is usually painless, and can't be scraped off. Leukoplakia can also be a precancerous condition. Persistent patches or other changes in your mouth need a dentist's evaluation.

    Lichen planus.

    A rare rash that shows up as lacy, white patches or red shiny bumps on the inside of the cheeks or tongue could be lichen planus. No one knows what causes it. Generally, mild lichen planus doesn't need any treatment. If it causes pain or ulcers, it can be treated with oral and topical medication. Oral lichen planus can be chronic and may increase the risk for oral cancer. Lichen planus can also affect skin, scalp, nails, and genitals.

    Geographic tongue.

    When parts of your tongue are missing some of their small bumps, you end up with raised and lowered spots, giving your tongue a map-like appearance. The spots can change location, pattern, and size within minutes to hours. Geographic tongue is harmless and can come and go. It usually doesn't need any treatment. If there's pain, over-the-counter pain relievers and anti-inflammatory medications can help.

    Oral cancers, mouth cancer.

    A mouth sore that doesn't go away. Unexplained numbness in the face, mouth, or neck. Problems chewing, speaking or swallowing. These are a few symptoms of oral cancer. Causes can include smoking cigarettes and using smokeless tobacco, drinking heavily, overexposure to the sun, and a family history of cancer. Oral cancer has also been linked to the human papillomavirus, or HPV. Don't let fear keep you from the doctor -- oral cancer that is caught early is treatable and curable.

    TMJ / Temporomandibular joint syndrome.

    A problem with the jaw called temporomandibular joint syndrome can cause severe pain in the jaw, face, ear, or neck. Clenching, tooth grinding, or injury can all cause TMJ syndrome, but the results are often the same: pain, headaches, dizziness, even trouble swallowing. Treatment may involve rest, moist heat, a mouth guard, medication, or surgery.

    Cracked, chipped, broken teeth.

    Chipped Teeth

    Munching on ice or hard candies, grinding or clenching teeth, even exposing teeth to heat and cold can lead to chips, cracks, and breaks in your teeth. Tiny chips or cracks may not be a bother. But anything more could lead to pain or permanent tooth damage. Your dentist can offer dental bonding, tooth contouring, porcelain veneers, and crowns to fix badly damaged teeth.

    Amalgam tattoo.

    Ever notice a small blue-gray "stain" in a soft part of your mouth after dental work? Called amalgam tattoos, they occur when a tiny piece of amalgam filling gets embedded in your cheek or gum. The silver in the amalgam leaches into your mouth's soft tissue, resulting in what looks a bit like a tiny tattoo. Amalgam tattoos pose no harm. But if the blue-gray spot grows or changes color, there is a good possibility it may not be an amalgam tattoo. Ask your dentist to check it out.

    Gingivitis (gum disease) always needs treatment.
    Gum Disease

    When periodontal (gum) disease develops, bacteria in plaque accumulate along the gum line. Gingivitis is the first stage of gum disease. Symptoms include red, puffy, and bleeding gums. Proper oral hygiene can help prevent periodontal disease. Smoking, poor diet, and stress can make it worse.

    Periodontal disease can lead to receding gums.
    Periodontitis

    The next stage of gum disease is periodontitis, or gum infection. Increased inflammation causes the gums to recede, forming pockets between the teeth and gums. These pockets trap tartar, plaque, and food debris that eventually lead to infection and abscesses. Advanced gum disease damages the bone that supports teeth and is one of the leading causes of tooth loss in adults. See your dentist to treat receding gums.

    Aspirin burn.

    Ever let an aspirin nestle in your cheek, near an aching tooth? While you may hope this relieves pain faster, instead the acid in the aspirin burns a white, rough lesion into your gums or cheek. Preventing aspirin burn is simple -- swallow those pain relievers! Treatment for aspirin burn is just as basic: Time. Simple burns should heal in about two weeks.

    Cold Sores

    Also called fever blisters, you don't get cold sores from fevers or colds but they can be triggered by them. The virus that causes cold sores is usually passed via a kiss, shared utensils, or other close contact. Over-the-counter creams and ointments may help discomfort and speed healing. Frequent sores may require a prescription. Cold sores are a top mouth problem. Other problems include canker sores, TMJ, bad breath, and mouth cancer.

    Thrush is caused by Candida yeast.
    Thrush

    Caused by candida yeast, thrush is most common in older adults or babies. But a weakened immune system, antibiotics, diabetes, or certain medications -- such as inhaled corticosteroids -- can give candida a chance to grow wild. Wiping away the patches will cause soreness. See a doctor for a firm diagnosis.

    Black hairy tongue.

    This painless condition occurs when the little bumps on your tongue grow long and trap bacteria that live in your mouth -- making the tongue look black and hairy. Causes can include antibiotic use, poor oral hygiene, smoking, drinking a lot of tea or coffee, and not producing enough saliva. Brushing the tongue and using a tongue scraper is usually all you need to treat it, though sometimes medication is necessary.

    Canker sores (also called aphthous ulcers).
    Canker Sores

    No one knows what causes these small, painful blisters inside your mouth. Triggers include hypersensitivity, infection, hormones, stress, and not getting enough of some vitamins. Also called aphthous ulcers, canker sores can show up on the tongue, cheek, even your gums. They usually last a week or two. Persistent, severe canker sores can be treated with numbing creams, prescription drugs, or dental lasers.

    Leukoplakia is often mistaken for thrush.
    Leukoplakia

    Leukoplakia is a reaction to an irritant, like rough teeth, badly fitting dentures, smoking, and smokeless tobacco. It can show up as white patches or plaques in the mouth, is usually painless, and can't be scraped off. Leukoplakia can also be a precancerous condition. Persistent patches or other changes in your mouth need a dentist's evaluation.

    Lichen planus.

    A rare rash that shows up as lacy, white patches or red shiny bumps on the inside of the cheeks or tongue could be lichen planus. No one knows what causes it. Generally, mild lichen planus doesn't need any treatment. If it causes pain or ulcers, it can be treated with oral and topical medication. Oral lichen planus can be chronic and may increase the risk for oral cancer. Lichen planus can also affect skin, scalp, nails, and genitals.
    V Geographic tongue.

    When parts of your tongue are missing some of their small bumps, you end up with raised and lowered spots, giving your tongue a map-like appearance. The spots can change location, pattern, and size within minutes to hours. Geographic tongue is harmless and can come and go. It usually doesn't need any treatment. If there's pain, over-the-counter pain relievers and anti-inflammatory medications can help. Oral Tumors, mouth tumors. 15/18 Oral Cancer A mouth sore that doesn't go away. Unexplained numbness in the face, mouth, or neck.

    TMJ -- temporomandibular joint syndrome.
    TMJ

    A problem with the jaw called temporomandibular joint syndrome can cause severe pain in the jaw, face, ear, or neck. Clenching, tooth grinding, or injury can all cause TMJ syndrome, but the results are often the same: pain, headaches, dizziness, even trouble swallowing. Treatment may involve rest, moist heat, a mouth guard, medication, or surgery.

    Cracked, chipped, broken teeth.

    Chipped Teeth

    Munching on ice or hard candies, grinding or clenching teeth, even exposing teeth to heat and cold can lead to chips, cracks, and breaks in your teeth. Tiny chips or cracks may not be a bother. But anything more could lead to pain or permanent tooth damage. Your dentist can offer dental bonding, tooth contouring, porcelain veneers, and crowns to fix badly damaged teeth.

    Amalgam tattoo.

    Ever notice a small blue-gray "stain" in a soft part of your mouth after dental work? Called amalgam tattoos, they occur when a tiny piece of amalgam filling gets embedded in your cheek or gum. The silver in the amalgam leaches into your mouth's soft tissue, resulting in what looks a bit like a tiny tattoo. Amalgam tattoos pose no harm. But if the blue-gray spot grows or changes color, there is a good possibility it may not be an amalgam tattoo. Ask your dentist to check it out.

    Gingivitis (gum disease) always needs treatment.
    Gum Disease

    When periodontal (gum) disease develops, bacteria in plaque accumulate along the gum line. Gingivitis is the first stage of gum disease. Symptoms include red, puffy, and bleeding gums. Proper oral hygiene can help prevent periodontal disease. Smoking, poor diet, and stress can make it worse.

    Periodontal disease can lead to receding gums.
    Periodontitis

    The next stage of gum disease is periodontitis, or gum infection. Increased inflammation causes the gums to recede, forming pockets between the teeth and gums. These pockets trap tartar, plaque, and food debris that eventually lead to infection and abscesses. Advanced gum disease damages the bone that supports teeth and is one of the leading causes of tooth loss in adults. See your dentist to treat receding gums.

    Aspirin burn.

    Ever let an aspirin nestle in your cheek, near an aching tooth? While you may hope this relieves pain faster, instead the acid in the aspirin burns a white, rough lesion into your gums or cheek. Preventing aspirin burn is simple -- swallow those pain relievers! Treatment for aspirin burn is just as basic: Time. Simple burns should heal in about two weeks.

    Cavities, abscesses, yellow teeth, tooth problems.
    Cavities, Abscesses,

    Discoloration
    Flossing, brushing, and rinsing daily and regular dental checkups help prevent problems like cavities, abscesses, and tooth discoloration. Don't mess around with a severe toothache. Dental infections can spread to the face, skull, and even to the bloodstream. See your dentist as soon as possible if your tooth aches or if you have a fever, earache, or pain when you open your mouth wide.

    Bad Breath

    Unbrushed teeth have food particles around them that promote bacteria and cause bad breath. Persistent bad breath or a bad taste in your mouth may be from continuous breathing through your mouth, dry mouth, tooth decay, a sign of gum disease, or even diabetes. Fight bad breath by brushing your teeth and tongue, flossing and rinsing with an antiseptic mouthwash daily, drinking water, and avoiding food triggers. See your dentist if bad breath persists.

    "Lie" Bumps

    According to an old wives' tale, telling a lie causes a bump on the tongue. So-called "lie bumps" or transient lingual papillitis are common even if you tell only the truth. These small, harmless bumps go away on their own after a few days, but they may be uncomfortable. Their cause is a mystery -- it could be a reaction to a food or a minor trauma like biting the tongue. You don't need to treat them, although oral anesthetics may relieve discomfort.


    How Common is Heartburn?
    What is Heartburn?
    What Are the Treatments for Infrequent Heartburn?
    What is GERD?
    What are the Complications of GERD?
    What are the Treatments for GERD?
    What is a Gastroenterologist?
    What are Some Severe Complications and Atypical Manifestations of GERD?

    How Common is Heartburn?

    Over 60 million Americans experience heartburn at least once a month, and some studies have suggested that over 15 million Americans experience heartburn symptoms each day. Symptoms of heartburn, also known as acid indigestion, are more common among the elderly and pregnant women.

    What is Heartburn?

    Most people will experience heartburn if the lining of the esophagus comes in contact with too much stomach juice for too long a period of time. This stomach juice consists of acid, digestive enzymes and other injurious materials. The prolonged contact of acidic stomach juice with the esophageal lining injures the esophagus and produces a burning discomfort. Many people describe this burning discomfort as localized behind the breastbone. Some even experience the bitter or sour taste of acid in the back of the throat. The burning and pressure symptoms of heartburn can last for several hours and often worsen after eating food.

    What Are the Treatments for Infrequent Heartburn?

    In many cases, doctors find that infrequent heartburn can be controlled by lifestyle modification and proper use of over-the-counter medicines.

    Avoid foods and beverages which contribute to heartburn: chocolate, coffee, peppermint, greasy or spicy foods, tomato products and alcoholic beverages.

    Stop smoking. Tobacco inhibits saliva, which is the body's major buffer. Tobacco may also stimulate stomach acid production and relax the muscle between the esophagus and the stomach, permitting acid reflux to occur.

    Reduce weight if too heavy.

    Do not eat 2-3 hours before sleep.

    For infrequent episodes of heartburn, you may get relief from an over-the-counter antacid or an H2 blocker, some of which are now available without a prescription.

    What is GERD?

    Gastroesophageal reflux disease (GERD) occurs when a muscular valve at the lower end of the esophagus called the lower esophageal sphincter or "LES" -- malfunctions. Normally this muscle keeps the acid in the stomach and out of the esophagus. However, when the LES relaxes too frequently, it allows stomach acid to reflux, or flow backward, into the esophagus. GERD usually is associated with persistent heartburn episodes that occur two or more times a week.

    What are the Complications of GERD?

    When GERD is not treated, serious complications can occur, including: severe chest pain that mimics a heart attack, esophageal stricture (a narrowing or obstruction of the esophagus), bleeding, or a pre-cancerous change in the lining of the esophagus called Barrett's esophagus. Symptoms suggesting that serious damage may have already occurred include:

    Dysphagia -- difficulty swallowing or a feeling that food is trapped behind the breast bone

    Bleeding -- vomiting blood or having black bowel movements

    Choking -- sensation of acid refluxed into the windpipe causing shortness of breath, coughing or hoarseness

    Weight Loss

    What are the Treatments for GERD?

    Lifestyle Modification

    Individuals seeking to alleviate the discomfort associated with GERD can follow the same guidelines of behavior modification that have been outlined to treat infrequent episodes of heartburn.

    Change eating and sleeping habits

    Avoid tight clothing

    Change your diet

    Curtail habits which contribute to GERD such as smoking and use of alcoholic beverages

    In addition, in order to decrease the amount of gastric contents which reach the lower esophagus it is suggested to:

    Raise the head of the bed

    The simplest method is to use a 4" x 4" piece of wood with two jar caps nailed to it. The jar caps should be an appropriate distance apart to receive the legs or casters at the upper end of the bed. Failure to use the jar caps inevitably results being jolted from sleep as the upper end of the bed rolls off the 4" x 4."

    Alternatively, one may use an under-mattress foam wedge to elevate the head about 6" x 10" inches. Pillows are not an effective alternative for elevating the head in preventing reflux.

    Medical Treatment of GERD

    GERD has a physical cause and frequently cannot be curtailed by these lifestyle factors alone. If individuals are using over-the-counter medication more than twice a week or are still having symptoms on the prescription or other medicines they are taking, they need to see their doctor or a gastroenterologist.

    What are Some Severe Complications and Atypical Manifestations of GERD?

    GERD can Masquerade as Other Diseases

    Chest Pain

    Patients with GERD may have chest pain similar to angina or heart pain. Usually, they also have other symptoms like heartburn and acid regurgitation.

    Asthma

    Acid reflux may aggravate asthma. Recent studies suggest that the majority of asthmatics have acid reflux. Clues that GERD may be worsening your asthma include 1) asthma that appears for the first time during adulthood, 2) asthma that gets worse after meals, lying down or exercise, 3) asthma that occurs mainly at night.

    Ear, Nose and Throat Problems

    Acid reflux may be a cause of chronic cough, sore throat, laryngitis with hoarseness and frequent throat clearing.

    People with Longstanding GERD Can Experience Severe

    Complications:

    Esophageal Stricture

    This condition is a characterized by a narrowing of the esophagus in response to frequent acid reflux. Chronic acid injury and scarring of the lower esophagus causes this stricture. Patients may complain of food sticking in the lower esophagus. Heartburn symptoms may actually decrease as the esophageal opening narrows, preventing acid reflux.

    Barrett's Esophagus

    The most serious complication of chronic GERD is Barrett's Esophagus -- a condition in which the lining of the esophagus changes to resemble the intestine in an adaptation prompted by the recurring injury from acid reflux. Even though patients may complain of less heartburn with Barrett's Esophagus, this is a pre-cancerous condition.

    Gastroenterology Procedures

    * Upper endoscopy
    * Flexible sigmoidoscopy
    * Colonoscopy E.R.C.P./papillotomy
    * Laparoscopy and liver biopsy
    * Endoscopic ultrasound
    * Esophageal motility and pH monitoring studies
    * Sphincter of Oddi manometry
    * Endoscopic hemostasis and sclerotherapy
    * Anoscopy and hemorrhoid treatment
    * Endoscopic cancer palliation
    * Mucosal biopsy
    * Anorectal manometry
    * Endoscopic foreign body removal
    * Anorectal biofeedback
    * Gastroduodenal manometry
    * Endoscopic polypectomy
    * Esophageal dilation
    * Capsule endoscopy
    Gastroenterology
    Gastroenterology Research

    Digestive System Ulcer
    What is an ulcer?
    Ulcers are sores on the lining of your digestive tract. Your digestive tract consists of the esophagus, stomach, duodenum (the first part of the intestines) and intestines. Most ulcers are located in the duodenum. These ulcers are called duodenal ulcers. Ulcers located in the stomach are called gastric ulcers. Ulcers in the esophagus are called esophageal ulcers.

    What causes ulcers?
    Doctors used to think ulcers were caused by stress or by eating food with too much acid in it. We now know this isn’t true. Most ulcers are caused by an infection. The infection is caused by a bacteria (germ) called Helicobacter pylori (say: hell-ee-ko-back-ter pie-lore-ee”), or H. pylori for short. Acid and other juices made by the stomach can contribute to ulcers by burning the lining of your digestive tract. This can happen if your body makes too much acid or if the lining of your digestive tract is damaged in some way. Physical or emotional stress may not necessarily cause an ulcer, but it can aggravate an ulcer if you have one.

    Ulcers can also be caused by anti-inflammatory medicines. Although most people take these medicines without problems, long-term use may damage the stomach lining and cause ulcers. Anti-inflammatory drugs include aspirin, ibuprofen (one brand name: Motrin), naproxen (brand name: Aleve), ketoprofen (brand names: Actron, Orudis KT) and some prescription drugs for arthritis.

    How can my doctor tell if I have an ulcer?
    Your doctor will ask about your symptoms and may start you on some medicine before doing tests. This is because ulcers usually feel better within a week or so of treatment. You may not need tests if you're getting better.

    If you don't get better, your doctor may do an endoscopy or a special X-ray to study your digestive tract. During an endoscopy, your doctor looks into your stomach through a thin tube. He or she may take a biopsy (a sample of the stomach lining) to test for H. pylori. Blood and breath tests can also be used to test for H. pylori.

    Possible signs of an ulcer
    * Feel better when you eat or drink and then worse 1 or 2 hours later (duodenal ulcer)
    * Feel worse when you eat or drink (gastric ulcer)
    * Stomach pain that wakes you up at night
    * Feel full fast
    * Heavy feeling, bloating, burning or dull pain in your stomach
    * Vomiting
    * Unexpected weight loss

    How can ulcers be treated?
    One way to treat ulcers is to get rid of the H. pylori bacteria. Treatment may also be aimed at lowering the amount of acid that your stomach makes, neutralizing the acid and protecting the injured area so it can heal. It's also very important to stop doing things, such as smoking and drinking alcohol, that damage the lining of your digestive tract.

    What is triple therapy?
    Triple therapy is a treatment to eliminate H. pylori. It is a combination of 2 antibiotics and bismuth subsalicylate (one brand name: Pepto-Bismol). Other combinations may also be effective. This treatment may be used with medicine that reduces the amount of acid your stomach makes.

    What about other medicines?
    Several other medicines can be used to help treat ulcers. Two types of medicines (H2 blockers and proton pump inhibitors) reduce the amount of acid that your stomach makes. They usually help people start to feel better within 3 days.

    Antacids neutralize acid that the stomach makes. A medicine called sucralfate coats the ulcer to protect it from the acid so it has time to heal.

    Another medicine, misoprostol, reduces the amount of acid and protects the lining of the stomach. It is usually used to prevent gastric ulcers in people who need to take anti-inflammatory drugs and who have had stomach irritation or ulcers in the past.

    How long will I have to take medicine?
    Treatment to get rid of H. pylori usually takes about 2 to 3 weeks. Your doctor may want you to take medicine that lowers the stomach acid for up to 8 weeks. Most ulcers heal within this time.

    If your symptoms come back after you stop taking medicine, your doctor may want you to take a different medicine or take a low dose of medicine even when you're not having symptoms to keep the ulcer from coming back.

    Tips on healing your ulcer
    * Don't smoke.
    * Avoid anti-inflammatory drugs such as aspirin and ibuprofen.
    * Avoid caffeine and alcohol (or have them only in small amounts and on a full stomach).
    * Avoid spicy foods if they cause heartburn.

    Does what I eat affect my ulcer?
    It may. But this isn't true for everyone. Certain foods and drinks may be more likely to make your pain worse. These include both regular and decaffeinated coffee, tea, chocolate, meat extracts, alcohol, black pepper, chili powder, mustard seed and nutmeg. You may want to avoid these things if they bother you. But keep your diet balanced. Try eating small, frequent meals when you're having pain.

    Are ulcers serious?
    Most people with ulcers just have stomach pain. Some people don’t have any symptoms at all. But ulcers may cause other health problems. Sometimes they bleed. If the ulcers become too deep, they can break through the stomach. This is called perforation. Ulcers can block food from going through the stomach (called obstruction). This causes nausea, vomiting and weight loss. Get help right away if you have any of the warning signs in the box below.

    Warning signs that your ulcer is getting worse
    * You vomit blood.
    * You vomit food eaten hours or days before.
    * You feel cold or clammy.
    * You feel unusually weak or dizzy.
    * You have blood in your stools (blood may make your stools look black or like tar).
    * You have ongoing nausea or repeated vomiting.
    * You have sudden, severe pain.
    * You keep losing weight.
    * Your pain doesn't go away when you take your medicine.
    * Your pain reaches to your back.
    Bowel Obstruction
    What is a bowel obstruction?
    A bowel obstruction happens when either your small or large intestine is partly or completely blocked. The blockage prevents food, fluids, and gas from moving through the intestines in the normal way. The blockage may cause severe pain that comes and goes.

    This topic covers a blockage caused by tumors, scar tissue, or twisting or narrowing of the intestines. It does not cover ileus, which most commonly happens after surgery on the belly (abdominal surgery).

    What causes a bowel obstruction?
    Tumors, scar tissue (adhesions), or twisting or narrowing of the intestines can cause a bowel obstruction. These are called mechanical obstructions.

    In the small intestine, scar tissue is most often the cause. Other causes include hernias and Crohn's disease, which can twist or narrow the intestine, and tumors, which can block the intestine. A blockage also can happen if one part of the intestine folds like a telescope into another part, which is called intussusception.

    In the large intestine, cancer is most often the cause. Other causes are severe constipation from a hard mass of stool, and narrowing of the intestine caused by diverticulitis or inflammatory bowel disease.

    What are the symptoms?
    Symptoms include:
    •Cramping and belly pain that comes and goes. The pain can occur around or below the belly button.
    •Vomiting.
    •Bloating and a large, hard belly.
    •Constipation and a lack of gas, if the intestine is completely blocked.
    •Diarrhea, if the intestine is partly blocked.

    Call your doctor right away if your belly pain is severe and constant. This may mean that your intestine's blood supply has been cut off or that you have a hole in your intestine. This is an emergency.

    How is a bowel obstruction diagnosed?
    Your doctor will ask you questions about your symptoms, other digestive problems you've had, and any surgeries or procedures you've had in that area. He or she will check your belly for tenderness and bloating.
    Your doctor may do:
    •An abdominal X-ray, which can find blockages in the small and large intestines.
    •A CT scan of the belly, which helps your doctor see whether the blockage is partial or complete.

    How is it treated?
    Most bowel obstructions are treated in the hospital.

    In the hospital, your doctor will give you medicine and fluids through a vein (IV). To help you stay comfortable, your doctor may place a tiny tube called a nasogastric (NG) tube through your nose and down into your stomach. The tube removes fluids and gas and helps relieve pain and pressure. You will not be given anything to eat or drink.

    Most bowel obstructions are partial blockages that get better on their own. The NG tube may help the bowel become unblocked when fluids and gas are removed. Some people may need more treatment. These treatments include using liquids or air (enemas) or small mesh tubes (stents) to open up the blockage.

    Surgery is almost always needed when the intestine is completely blocked or when the blood supply is cut off. You may need a colostomy or an ileostomy after surgery. The diseased part of the intestine is removed, and the remaining part is sewn to an opening in the skin. Stool passes out of the body through the opening and collects in a disposable ostomy bag. In some cases, the colostomy or ileostomy is temporary until you have recovered. When you are better, the ends of the intestine are reattached and the ostomy is repaired.

    If your blockage was caused by another health problem, such as diverticulitis, the blockage may come back if you don't treat that health problem.

    When should you call for help?
    Bowel Blockage (Intestinal Obstruction) in Children: Care Instructions

    Call your doctor or nurse call line now or seek immediate medical care if:
    Your child has a fever.
    Your child is vomiting.
    Your child has new or worse belly pain.
    Your child cannot pass stools or gas.

    Watch closely for changes in your child's health, and be sure to contact your doctor or nurse call line if your child has any problems.
    1. Who should ideally do an assessment of a patient?

    2. How many organ systems are there in the human body?

    3. Can you name the organ systems of the human body?

    4. How many digestive system organs are there in the human body?

    5. Can you name the digestive system organs in the human body?

    6. Can you label the parts of the human digestive tract?

    7. Quiz Human Digestive System

    8. What should specific physicians know about this organ of the human body?

    9. What is Gastroenterology?

    10. What should a medical doctor know about a medical condition?

    Who should ideally do an assessment of a patient?
    The physician should ideally do an assessment of the patient.

    Physician primary care
    http://www.qureshiuniversity.org/primarycarephysician.html

    Physician intensive care unit
    http://www.qureshiuniversity.org/criticalcareworld.html

    Physician medical emergency room
    http://www.qureshiuniversity.org/emergencymedicinedoctor.html

    Physician medical emergency responder
    http://www.qureshiuniversity.org/emergencymedicalresponder.html

    Physician hospitalist (takes care of hospital ward patients)
    http://www.qureshiuniversity.org/hospitalist.html

    Physician forensic psychiatry
    http://www.qureshiuniversity.org/forensicpsychiatrist.html

    Gastrointestinal Anatomy & Physiology
    How many organ systems are there in the human body?
    11

    Can you name the organ systems of the human body?
    1. Brain & central nervous system (nervous system)

    2. Cardiovascular System/Circulatory System

    3. Digestive System

    4. Endocrine System

    5. Integumentary system

    6. Lymphatic (immune) system

    7. Muscular system

    8. Reproductive System

    9. Respiratory System

    10. Skeletal System

    11. Urinary system

    How many digestive system organs are there in the human body?
    11

    Can you name the digestive system organs in the human body?
    1.Mouth
    2.Salivary glands
    3.Pharynx
    4.Esophagus
    5.Stomach
    6.Small intestine
    7.Large intestine / Large Intestine, Rectum and Anal canal
    8.Liver
    9.Gallbladder
    10.Mesentery
    11.Pancreas

    What should specific physicians know about this organ of the human body?

    Anatomical location and shape of this organ of the human body
    Arterial supply
    Structural Biochemistry/Cell Signaling Pathways/Digestive System
    Digestive Diseases : Symptoms and Signs
    Digestive Diseases
    Gastroenterology Emergencies http://www.qureshiuniversity.org/gastroenterology.html Embryogenesis development
    History
    Nerve supply
    Physiology
    Society and culture
    Structure
    Venous drainage

    What is the development of this organ in the human body?
    What is the physiology of this organ of the human body?
    What is the structure of this organ of the human body?
    What are __________ diseases affecting this organ of the human body?
    What is the anatomical location and shape of this organ of the human body?
    What organ system does this organ of the human body belong to?
    What arteries connect to this organ of the human body?
    What is the arterial supply of this organ in the human body?
    What are the venous connections of this organ in the human body?
    What is the venous drainage of this organ in the human body?
    What is the nerve supply of this organ in the human body?
    What are the social and cultural implications of this organ of the human body?
    What is the history of this organ of the human body?
    Who must know everything about this medical condition?
    What recent diagnostic tests are available for this organ of the human body?
    What recent treatment for various medical conditions is available for this organ of the human body?
    What have been various research findings?
    What risks are there in the stenting procedure?

    What human anatomy should one know relevant to this medical condition?
    What human physiology should one know relevant to this medical condition?
    What human biochemistry should one know relevant to this medical condition?

    What human anatomy should one know relevant to this medical condition?

    What should you elaborate about a human organ?
    What is the gross anatomy of this human organ?
    What are the attachments of this human organ?
    What is the arterial, venous supply to this human organ?
    What is the nerve supply to this human organ?
    What is the lymphatic supply to this human organ?
    What are the functions of this human organ?
    What medical conditions are associated with any problems with this human organ?


    What is Gastroenterology?
    Gastroenterology: The medical specialty devoted to the study, diagnosis and treatment of disorders of the digestive system.

    Digestive Diseases : Symptoms and Signs
    Digestive Diseases
    Gastroenterology Emergencies
  3. What is a Gastroenterologist?

  4. Digestive system diseases human symptoms
    Assessment of a patient by a physician.
    Assessment of a patient by a physician.
    Assessment of a patient by a physician.
    What are the issues?
    What is Patient Intake?

    Can you label the parts of the human digestive tract?

    Digestive Diseases
    Digestive system diseases
    Oral disease
    Oesophageal disease
    Gastric disease
    Intestinal disease / Small intestine / Large intestine
    Rectum and anus
    Digestive gland disease
      Hepatic
      Pancreatic
      Gallbladder and biliary tract




    These questions are for existing medcial doctors, medical students, and associates.
    Your Digestive System and How It Works
    Why is digestion important?
    How is food digested?
    How is the digestive process controlled?

    Quiz Human Digestive System

    Gastroenterology
    Gastroenterology Research
    Gastrointestinal Disorders
    Functional disorders
    Structural disorders

    Functional disorders

    Functional disorders are those in which the bowel looks normal but doesn't work properly. They are the most common problems affecting the colon and rectum, and include constipation and irritable bowel syndrome (IBS). The primary causes for functional disorders include:

    Eating a diet low in fiber
    Not getting enough exercise
    Traveling or other changes in routine
    Eating large amounts of dairy products
    Being stressed
    Resisting the urge to have a bowel movement
    Resisting the urge to have bowel movements due to pain from hemorrhoids
    Overusing laxatives (stool softeners) that, over time, weaken the bowel muscles
    Taking antacid medicines containing calcium or aluminum
    Taking certain medicines (especially antidepressants, iron pills, and strong pain medicines such as narcotics)
    Being pregnant

    Constipation

    Constipation is the difficult passage of stools (bowel movements) or the infrequent (less than three times a week) or incomplete passage of stools. Constipation is usually caused by inadequate "roughage" or fiber in the diet, or a disruption of the regular routine or diet. Constipation causes a person to strain during a bowel movement. It might include small, hard stools, and sometimes causes anal problems such as fissures and hemorrhoids. Constipation is rarely the sign of a more serious medical condition.

    Treatment of constipation includes increasing the amount of fiber you eat, exercising regularly, and moving your bowels when you have the urge (resisting the urge causes constipation). If these treatment methods don't work, laxatives are a temporary solution. Note that the overuse of laxatives can actually aggravate symptoms of constipation. Always follow the package instructions on the laxative medicine, as well as the advice of your doctor.

    Irritable bowel syndrome (IBS)

    Irritable bowel syndrome (also called spastic colon, irritable colon, or nervous stomach) is a condition in which the colon muscle contracts more readily than in people without IBS. A number of factors can trigger IBS including certain foods, medicines, and emotional stress. Symptoms of IBS include abdominal pain and cramps, excess gas, bloating, and a change in bowel habits such as harder, looser, or more urgent stools than normal. Often people with IBS have alternating constipation and diarrhea.

    Treatment includes avoiding caffeine, increasing fiber in the diet, monitoring which foods trigger IBS (and avoiding these foods), minimizing stress or learning different ways to cope with stress, and sometimes taking medicines as prescribed by your health care provider.

    Structural disorders

    Structural disorders are those in which the bowel looks abnormal and doesn't work properly. Sometimes, the structural abnormality needs to be removed surgically. The most common structural disorders are those affecting the anus, as well as diverticular disease and cancer.

    Anal disorders

    Hemorrhoids

    Hemorrhoids are swollen blood vessels that line the anal opening caused by chronic excess pressure from straining during a bowel movement, persistent diarrhea, or pregnancy. There are two types of hemorrhoids: internal and external.

    Internal hemorrhoids

    Internal hemorrhoids are normal structures cushioning the lower rectum and protecting it from damage by stool. When they fall down into the anus as a result of straining, they become irritated and start to bleed. Ultimately, internal hemorrhoids can fall down enough to prolapse (sink or protrude) out of the anus.

    Treatment includes improving bowel habits (such as avoiding constipation, not straining during bowel movements, and moving your bowels when you have the urge), using elastic bands to pull the internal hemorrhoids back into the rectum, or removing them surgically. Surgery is needed only for a small number of patients with very large, painful, and persistent hemorrhoids.

    External hemorrhoids

    External hemorrhoids are veins that lie just under the skin on the outside of the anus. Sometimes, after straining, the external hemorrhoidal veins burst and a blood clot forms under the skin. This very painful condition is called a pile.

    Treatment includes removing the clot and vein under local anesthesia in the doctor's office.

    Anal fissures

    Anal fissures are splits or cracks in the lining of the anal opening. The most common cause of an anal fissure is the passage of very hard or watery stools. The crack in the anal lining exposes the underlying muscles that control the passage of stool through the anus and out of the body. An anal fissure is one of the most painful problems because the exposed muscles become irritated from exposure to stool or air, and leads to intense burning pain, bleeding, or spasm after bowel movements.

    Initial treatment for anal fissures includes pain medicine, dietary fiber to reduce the occurrence of large, bulky stools, and sitz baths (sitting in a few inches of warm water). If these treatments don't relieve pain, surgery might be needed to decrease spasm in the sphincter muscle.

    Perianal abscesses

    Perianal abscesses can occur when the tiny anal glands that open on the inside of the anus become blocked, and the bacteria always present in these glands cause an infection. When pus develops, an abscess forms. Treatment includes draining the abscess, usually under local anesthesia in the doctor's office.

    Anal fistula

    An anal fistula often follows drainage of an abscess and is an abnormal tube-like passageway from the anal canal to a hole in the skin near the opening of the anus. Body wastes traveling through the anal canal are diverted through this tiny channel and out through the skin, causing itching and irritation. Fistulas also cause drainage, pain, and bleeding. They rarely heal by themselves and usually need surgery to drain the abscess and "close off" the fistula.

    Other perianal infections

    Sometimes the skin glands near the anus become infected and need to be drained. Just behind the anus, abscesses can form that contain a small tuft of hair at the back of the pelvis (called a pilonidal cyst).

    Sexually transmitted diseases that can affect the anus include anal warts, herpes, AIDS, chlamydia, and gonorrhea.

    Diverticular disease

    Diverticulosis is the presence of small outpouchings (diverticula) in the muscular wall of the large intestine that form in weakened areas of the bowel. They usually occur in the sigmoid colon, the high-pressure area of the lower large intestine.

    Diverticular disease is very common and occurs in 10 percent of people over age 40 and in 50 percent of people over age 60 in Western cultures. It is often caused by too little roughage (fiber) in the diet. Diverticulosis rarely causes symptoms.

    Complications of diverticular disease happen in about 10 percent of people with outpouchings. They include infection or inflammation (diverticulitis), bleeding, and obstruction. Treatment of diverticulitis includes antibiotics, increased fluids, and a special diet. Surgery is needed in about half the patients who have complications to remove the involved segment of the colon.

    Colon polyps and cancer

    Each year 130,000 Americans are diagnosed with colorectal cancer, the second most common form of cancer in the United States. Fortunately, with advances in early detection and treatment, colorectal cancer is one of the most curable forms of the disease. By using a variety of screening tests, it is possible to prevent, detect, and treat the disease long before symptoms appear.

    The importance of screening

    Almost all colorectal cancers begin as polyps, benign (non-cancerous) growths in the tissues lining the colon and rectum. Cancer develops when these polyps grow and abnormal cells develop and start to invade surrounding tissue. Removal of polyps can prevent the development of colorectal cancer. Almost all precancerous polyps can be removed painlessly using a flexible lighted tube called a colonoscope. If not caught in the early stages, colorectal cancer can spread throughout the body. More advanced cancer requires more complicated surgical techniques.

    Most early forms of colorectal cancer do not cause symptoms, which makes screening especially important. When symptoms do occur, the cancer might already be quite advanced. Symptoms include blood on or mixed in with the stool, a change in normal bowel habits, narrowing of the stool, abdominal pain, weight loss, or constant tiredness.

    Most cases of colorectal cancer are detected in one of four ways:

    By screening people at average risk for colorectal cancer beginning at age 50
    By screening people at higher risk for colorectal cancer (for example, those with a family history or a personal history of colon polyps or cancer)
    By investigating the bowel in patients with symptoms
    A chance finding at a routine check-up
    Early detection is the best chance for a cure.

    Colitis

    There are several types of colitis, conditions that cause an inflammation of the bowel. These include:

    Infectious colitis
    Ulcerative colitis (cause not known)
    Crohn's disease (cause not known)
    Ischemic colitis (caused by not enough blood going to the colon)
    Radiation colitis (after radiotherapy)
    Colitis causes diarrhea, rectal bleeding, abdominal cramps, and urgency (frequent and immediate need to empty the bowels). Treatment depends on the diagnosis, which is made by colonoscopy and biopsy.

    Summary

    Many diseases of the colon and rectum can be prevented or minimized by maintaining a healthy lifestyle, practicing good bowel habits, and submitting to cancer screening.

    If you have a family history of colorectal cancer or polyps, you should have a colonoscopy beginning at age 40, or 10 years younger than your youngest family member with cancer. (For example, if your brother was diagnosed with colorectal cancer or polyps at age 45, you should begin screening at age 35).

    If you have no family history of colorectal cancer and no personal history of other cancers, you should have a colonoscopy at age 50.

    If you have symptoms of colorectal cancer you should consult your doctor right away. Common symptoms include:

    A change in normal bowel habits
    Blood on or in the stool that is either bright or dark
    Unusual abdominal or gas pains
    Very narrow stool
    A feeling that the bowel has not emptied completely after passing stool
    Unexplained weight loss
    Fatigue

    Common GI Symptoms
    Heartburn
    Indigestion/dyspepsia
    Bloating
    Constipation

    Common Digestive System Diseases
    Celiac Disease This digestive disorder affects roughly 2 million people in the United States. Celiac disease damages the small intestine and interferes with absorption of nutrients from food. Those with Celiac disease are intolerant or sensitive to gluten, a protein found in wheat, rye, and barley. Symptoms and signs of Celiac disease include:
    •Diarrhea
    •Abdominal pain and bloating
    •Food intolerance
    •Weight loss
    •Vomiting
    •Constipation
    •Depression or anxiety
    •Tingling numbness in hands and feet
    •Seizures
    •Fatigue
    •Itchy skin rash called dermatitis herpetiformis

    The inflammation associated with Celiac disease carries a risk of some gastrointestinal cancers. Treatment for Celiac disease consists of following a strict, gluten-free diet.

    Irritable Bowel Syndrome (IBS)

    Studies estimate that approximately 10 to 15 percent of the adult population is affected by irritable bowel syndrome, with twice as many women as men affected by the disorder.

    Symptoms of this gastrointestinal (GI) disorder are caused by changes in how the GI tract works and can include both diarrhea and constipation. The most common symptoms of IBS are abdominal pain or discomfort, cramping, and changes in bowel habits.

    Gastroesophageal Reflux Disease (GERD)

    GERD results when the lower esophageal sphincter–the muscle that acts as the valve between the esophagus and stomach–becomes weak or relaxes when it should not. This causes stomach contents to travel up the esophagus, triggering heartburn.

    Common symptoms of this GI disorder include:
    •Dry, chronic cough
    •Weezing
    •Nausea
    •Vomiting
    •Sore throat, hoarseness, or laryngitis
    •Difficult or painful swallowing
    •Pain in the chest or upper abdomen
    •Dental erosion and bad breath

    To diagnose GERD, a gastroenterologist may use an upper endoscopy (LINK to page) to see the upper GI tract and evaluate the severity. Treatment for GERD may involve lifestyle changes, medications, or surgery, depending on the severity of the issue.

    Inflammatory Bowel Disease (IBD)

    IBD is an umbrella for some serious digestive disorders including Crohn’s diease and ulcerative colitis. According to the Crohn’s and Colitis Foundation of America, these digestive illnesses affect around 1.4 million Americans.

    Though researchers have not found a specific cause of IBD, it is suspected to be a combination of a faulty immune system, genetics, and environmental factors.

    Major symptoms of both conditions include:
    •Persistent diarrhea
    •Rectal bleeding
    •Urgent need to move bowels
    •Abdominal pain
    •Constipation

    Your gastroenterologist may recommend an upper endoscopy or colposcopy to diagnose IBD. Treatment for Crohn’s and ulcerative colitis includes a combination of options including medication, changes in diet and nutrition, and surgery.

    Gastroparesis

    This digestive disorder reduces the ability of the stomach to empty its contents, slowing or stopping the movement of food from the stomach to the small intestine. Gastroparesis typically affects more women than men, though the reason for this is unknown.

    Diabetes is the most common known cause of gastroparesis but other identifiable causes include intestinal surgery and nervous system disease such as Parkinson’s disease and multiple sclerosis.

    Common sympotoms of gastroparesis include are nausea, vomiting undigested food, and a feeling of fullness after eating only a small portion of food. Other symptoms of this digestive illness include:
    •Acid reflux
    •Pain in the stomach area
    •Abdominal bloating
    •Lack of appetite

    Eating greasy, rich foods or consuming beverages high in fat or carbonation may aggravate these symptoms in some patients.

    Gastroparesis may be diagnosed through a physical exam, medical history evaluation, and blood tests to rule out structural problems in the GI tract through an upper GI endoscopy, upper GI series, and/or ultrasound.

    In many cases, gastroparesis is a chronic condition. However, a combination of nutritional changes and medication can help manage symptom severity

    The best way to minimize the threat these five conditions pose on your digestive health is to learn their symptoms and promptly report any concerns to your doctor or gastroenterologist.

    What should a medical doctor know about a medical condition?
    1. What is it?

    2. What causes it?

    3. What are the risk factors?

    4. What's normal?

    5. How is it diagnosed?

    6. What are the types of this medical condition?

    7. What are the symptoms?

    8. What are the signs?

    9. What are the clinical findings?

    10. What human anatomy should one know relevant to this medical condition?

    11. What human physiology should one know relevant to this medical condition?

    12. What human biochemistry should one know relevant to this medical condition?

    13. What human microbiology should one know relevant to this medical condition?

    14. What are the lab or investigation findings?

    15. What are the workable treatment options?

    16. What is the best setting or location to treat this medical condition?

    17. What do you think can help?

    18. When is counseling required?

    19. When is medication required?

    20. How long should medication last?

    21. What type of medication is available?

    22. When is surgical intervention indicated?

    23. How could this be prevented?

    Gastroenterology Tests and Procedures
    1. Liver function tests

    2. Barium Swallow

    3. Barium Enema

    4. Upper Gastrointestinal Series

    5. Upper GI Endoscopy

    6. Endoscopic Retrograde Cholangiopancreatography (ERCP)

    7. Pancreas Scan

    8. Liver Scan

    9. Liver Biopsy

    10. Colonoscopy

    11. PEG Tube Placement

    12. Sigmoidoscopy

    13. Abdominal X-ray

    14. Abdominal Ultrasound

    15. CT Scan of the Abdomen

    16. CT Scan of the Liver and Biliary Tract

    17. CT Scan of the Pancreas

    18. Laparoscopy

    19. Virtual Colonoscopy for Colorectal Cancer Screening

    20. Colectomy

    21. Proctectomy

    Liver function tests
    What are liver function tests?
    Liver function tests, also known as liver chemistries, help determine the health of your liver by measuring the levels of proteins, liver enzymes, and bilirubin in your blood.

    A liver function test is often recommended in the following situations: to check for damage from liver infections, such as hepatitis B and hepatitis C to monitor the side effects of certain medications known to affect the liver if you already have a liver disease, to monitor the disease and how well a particular treatment is working if you’re experiencing the symptoms of a liver disorder if you have certain medical conditions such as high triglycerides, diabetes, high blood pressure, or anemia if you drink alcohol heavily if you have gallbladder disease

    Many tests can be performed on the liver. Certain tests can reflect different aspects of liver function.

    Commonly used tests to check liver abnormalities are tests checking:
    alanine transaminase (ALT)
    aspartate aminotransferase (AST)
    alkaline phosphatase (ALP)
    albumin
    bilirubin

    The ALT and AST tests measure enzymes that your liver releases in response to damage or disease. The albumin test measures how well the liver creates albumin, while the bilirubin test measures how well it disposes of bilirubin. ALP can be used to evaluate the bile duct system of the liver.

    Having abnormal results on any of these liver tests typically requires follow up to determine the cause of the abnormalities. Even mildly elevated results can be associated with liver disease. However, these enzymes can also be found in other places besides the liver.

    Talk to your doctor about the results of your liver function test and what they may mean for you.

    What are the most common liver function tests?
    Liver function tests are used to measure specific enzymes and proteins in your blood.

    Depending on the test, either higher- or lower-than-normal levels of these enzymes or proteins can indicate a problem with your liver.

    Some common liver function tests include:
    Alanine transaminase (ALT) test
    Alanine transaminase (ALT) is used by your body to metabolize protein. If the liver is damaged or not functioning properly, ALT can be released into the blood. This causes ALT levels to increase.
    A higher than normal result on this test can be a sign of liver damage.

    According to the American College of Gastroenterology, an ALT above 25 IU/L (international units per liter) in females and 33 IU/L in males typically requires further testing and evaluation.

    Aspartate aminotransferase (AST) test

    Aspartate aminotransferase (AST) is an enzyme found in several parts of your body, including the heart, liver, and muscles. Since AST levels aren’t as specific for liver damage as ALT, it’s usually measured together with ALT to check for liver problems.

    When the liver is damaged, AST can be released into the bloodstream. A high result on an AST test might indicate a problem with the liver or muscles.

    The normal range for AST is typically up to 40 IU/L in adults and may be higher in infants and young children.

    Alkaline phosphatase (ALP) test

    Alkaline phosphatase (ALP) is an enzyme found in your bones, bile ducts, and liver. An ALP test is typically ordered in combination with several other tests.

    High levels of ALP may indicate liver inflammation, blockage of the bile ducts, or a bone disease.v
    Children and adolescents may have elevated levels of ALP because their bones are growing. Pregnancy can also raise ALP levels. The normal range for ALP is typically up to 120 U/L in adults.

    Albumin test

    Albumin is the main protein made by your liver. It performs many important bodily functions. For example, albumin:
    stops fluid from leaking out of your blood vessels nourishes your tissues transports hormones, vitamins, and other substances throughout your body

    An albumin test measures how well your liver is making this particular protein. A low result on this test can indicate that your liver isn’t functioning properly.

    The normal range for albumin is 3.5–5.0 grams per deciliter (g/dL). However, low albumin can also be a result of poor nutrition, kidney disease, infection, and inflammation.

    Bilirubin test

    Bilirubin is a waste product from the breakdown of red blood cells. It’s ordinarily processed by the liver. It passes through the liver before being excreted through your stool.

    A damaged liver can’t properly process bilirubin. This leads to an abnormally high level of bilirubin in the blood. A high result on the bilirubin test may indicate that the liver isn’t functioning properly.

    The normal range for total bilirubin is typically 0.1–1.2 milligrams per deciliter (mg/dL). There are certain inherited diseases that raise bilirubin levels, but the liver function is normal.

    Why do I need a liver function test?
    Liver tests can help determine if your liver is working correctly. The liver performs a number of vital bodily functions, such as:
    removing contaminants from your blood
    converting nutrients from the foods you eat
    storing minerals and vitamins
    regulating blood clotting
    producing cholesterol, proteins, enzymes, and bile
    making factors that fight infection
    removing bacteria from your blood
    processing substances that could harm your body
    maintaining hormone balances
    regulating blood sugar levels

    Problems with the liver can make a person very sick and can even be life-threatening.

    How is the test used?
    When is it ordered?
    What does the test result mean?
    What tests may be done in follow up to an abnormal liver panel to help determine the cause of liver injury?

    Are these tests always performed together as a panel?
    Liver function tests check the levels of certain enzymes and proteins in your blood. Levels that are higher or lower than normal can indicate liver problems. Some common liver function tests include: •Alanine transaminase (ALT). ALT is an enzyme found in the liver that helps convert proteins into energy for the liver cells. When the liver is damaged, ALT is released into the bloodstream and levels increase.
    •Aspartate transaminase (AST). AST is an enzyme that helps metabolize amino acids. Like ALT, AST is normally present in blood at low levels. An increase in AST levels may indicate liver damage, disease or muscle damage.
    •Alkaline phosphatase (ALP). ALP is an enzyme found in the liver and bone and is important for breaking down proteins. Higher-than-normal levels of ALP may indicate liver damage or disease, such as a blocked bile duct, or certain bone diseases.
    •Albumin and total protein. Albumin is one of several proteins made in the liver. Your body needs these proteins to fight infections and to perform other functions. Lower-than-normal levels of albumin and total protein may indicate liver damage or disease.
    •Bilirubin. Bilirubin is a substance produced during the normal breakdown of red blood cells. Bilirubin passes through the liver and is excreted in stool. Elevated levels of bilirubin (jaundice) might indicate liver damage or disease or certain types of anemia.
    •Gamma-glutamyltransferase (GGT). GGT is an enzyme in the blood. Higher-than-normal levels may indicate liver or bile duct damage.
    •L-lactate dehydrogenase (LD). LD is an enzyme found in the liver. Elevated levels may indicate liver damage but can be elevated in many other disorders.
    •Prothrombin time (PT). PT is the time it takes your blood to clot. Increased PT may indicate liver damage but can also be elevated if you're taking certain blood-thinning drugs, such as warfarin.

    Normal blood test results for typical liver function tests include:
    •ALT. 7 to 55 units per liter (U/L)
    •AST. 8 to 48 U/L
    •ALP. 40 to 129 U/L
    •Albumin. 3.5 to 5.0 grams per deciliter (g/dL)
    •Total protein. 6.3 to 7.9 g/dL
    •Bilirubin. 0.1 to 1.2 milligrams per deciliter (mg/dL)
    •GGT. 8 to 61 U/L
    •LD. 122 to 222 U/L
    •PT. 9.4 to 12.5 seconds

    The liver panel typically consists of several tests that measure the following:

    Liver enzymes:
    •Alanine aminotransferase (ALT) – an enzyme mainly found in the liver; the best test for detecting hepatitis
    •Alkaline phosphatase (ALP) – an enzyme related to the bile ducts but also produced by the bones, intestines, and during pregnancy by the placenta (afterbirth); often increased when bile ducts are blocked or damaged
    •Aspartate aminotransferase (AST) – an enzyme found in the liver and a few other organs, particularly the heart and other muscles in the body

    Proteins:
    •Albumin – measures the main protein made by the liver; the level can be affected by liver and kidney function and by decreased production or increased loss.
    •Total protein (TP) – measures albumin and all other proteins in blood, including antibodies made to help fight off infections
    •Bilirubin – two different tests of bilirubin often used together (especially if a person has jaundice): total bilirubin measures all the bilirubin in the blood; direct bilirubin measures a form that is conjugated (combined with another compound) in the liver.

    Depending on your healthcare provider and the laboratory performing the testing, additional tests may be included in a liver panel. Examples include:
    •Gamma-glutamyl transferase (GGT) – another enzyme found mainly in liver cells; it is a very sensitive marker for liver diseases, but it is not specific as it cannot differentiate between various causes of liver diseases. GGT is not recommended for routine use. It is used in conjunction with ALP to determine the source of increased ALP, either from bone or liver. High level of GGT can be found with alcohol consumption.
    •Lactate dehydrogenase (LD) – an enzyme released with cell damage; found in cells throughout the body
    •Prothrombin time (PT) – the liver produces proteins involved in the clotting (coagulation) of blood; the PT measures clotting function and, if abnormal, may indicate liver damage.
    •Alpha-fetoprotein (AFP) – associated with regeneration or proliferation of liver cell and can be produced by certain types of tumors
    •Autoimmune antibodies (e.g., ANA, SMA, anti-LKM-1) – associated with autoimmune liver diseases (autoimmune hepatitis (AIH) and primary biliary cirrhosis (PBC))

    What is an endoscopy?
    An endoscopy is a medical procedure used to view the digestive tract,and other internal organs, non surgically. Through the use of an endoscope (a flexible tube with a lighted camera attached, the internal body structures are seen on a color monitor by the physician.

    Why is an endoscopy performed?
    Endoscopy is often used to evaluate severe stomach pain, ulcers, gastritis, digestive tract bleeding, and to investigate polyps or masses in the colon.
    Possible Complications: Possible complications of endoscopy include bleeding, tear in the abdominal wall, and reactions to sedation medications.

    Is the procedure done under anesthesia?
    An endoscopy is performed under sedation, through an IV. The patient usually wakes about an hour after the procedure is done. General anesthesia is given in special circumstances. Preparation: You can prepare for the procedure by fasting 6-8 hours prior to the endoscopy (per doctor's orders) and you will most likely be given a laxative to clear the bowels.

    Types of Endoscopy: There are many types of endoscopy procedures, including:
    Arthroscopy
    Bronchoscopy
    Colonoscopy
    Colposcopy
    Cystoscopy
    ERCP (endoscopic retrograde cholangio-pancreatography)
    EGD (Esophogealgastroduodensoscopy)
    Laparoscopy
    Laryngoscopy
    Proctoscopy
    Thoracoscopy

    What is an EGD?
    Upper endoscopy, also called esophagogastroduodenoscopy, or EGD, uses a thin scope with a light and camera at its tip to look inside of the upper digestive system -- the esophagus, stomach and first part of the small intestine, called the duodenum.

    Usually performed as an outpatient procedure, upper endoscopy sometimes must be performed in the hospital or emergency room to both identify and treat conditions such as upper digestive system bleeding.

    The procedure is commonly used to help identify the causes of:

    Abdominal
    Nausea and vomiting
    Heartburn
    Bleeding
    Swallowing problems

    Endoscopy can also help identify inflammation, ulcers and tumors.

    Upper endoscopy is more accurate than X-rays for detecting abnormal growths (such as cancer) and for examining the inside of the upper digestive system. In addition, abnormalities can be treated through the endoscope. For example:
    Polyps (growths of tissue in the stomach) can be identified and removed, and tissue samples (biopsies) can be taken for analysis.
    Narrowed areas or strictures of the esophagus, stomach, or duodenum from cancer or other diseases can be dilated or stretched using balloons or other devices. In some cases, a stent (a wire or plastic mesh tube) can be put in the stricture to prop it open.
    Objects stuck in the esophagus can be removed.
    Bleeding due to ulcers, cancer or varices can be treated.

    Q: How do I prepare for the procedure?
    A: Tell your doctor if you are pregnant, have a lung or heart condition, or if you are allergic to any medications.
    Also tell your doctor if you have:
    Ever been told you need to take antibiotics before a dental or surgical procedure.
    Ever had endocarditis (an infection of the heart valves).
    An artificial heart valve.
    Rheumatic heart disease.

    If you have any of these conditions or devices, you may need to take antibiotics before the upper endoscopy.

    Do not eat or drink anything for eight hours before the procedure.

    Medications for high blood pressure heart conditions, or thyroid conditions may be taken with a small sip of water before the procedure. If you have diabetes and use insulin, you must adjust the dosage of insulin the day of the test. Your diabetes care provider will help you with this adjustment. Bring your diabetes medication with you so you can take it after the procedure.

    You will need to bring a responsible adult with you to accompany you home after the procedure. The sedation given during the procedure causes drowsiness and dizziness and impairs your judgment, making it unsafe for you to drive or operate machinery for up to 8 hours following the procedure.

    Q: What happens during the procedure?
    A: Before your doctor performs the test, he or she will explain the procedure in detail, inkling possible complications and side effects. The doctor will also answer any questions you may have.
    You will be asked to wear a hospital gown and to remove your eyeglasses and dentures.
    A local anesthetic (pain-relieving medication) may be applied at the back of your throat.
    You will be given a pain reliever and a sedative intravenously (in your vein) that will make you feel relaxed and drowsy.
    A mouthpiece will be placed in your mouth.
    You will lie on your left side during the procedure.
    The doctor will insert the endoscope into your mouth, through your esophagus (the "food pipe" leading from your mouth into your stomach) and into your stomach.
    Most procedures take 15 to 20 minutes.

    Q: What happens after the procedure?
    A: You will stay in a recovery room for about 30 minutes for observation.
    You may feel a temporary soreness in your throat. Lozenges may help.
    The doctor who performed the endoscopy will send the test results to your primary or referring doctor.
    The specialist or your primary provider will discuss the results with you after the procedure. If the results indicate that prompt medical attention is needed, the necessary arrangements will be made and your referring provider will be notified.
    Warning
    If you have severe abdominal pain, a continuous cough, fever, chills, chest pain, nausea or vomiting within 72 hours after the procedure, call your doctor's office right away or go to the emergency room.

    Q: Is endoscopy safe?
    A: Serious risks with an endoscopy are rare. However, excessive bleeding is always a possibility and rarely a tear in the esophagus or stomach wall can occur.

    Q: Do you have better answer?
    Q: Does anyone else have a better answer?
    Q: Would you like to print Dr. Q's research and development in Gastroenterology?
    Q: What questions do we need to follow up on?
    Have an interesting case?

    Presentation from Gastroenterologist Guided by Doctor Asif Qureshi
    Why was there need to elaborate on these issues?
    Not many gastroenterologists are required.
    Ideally, the presentation should be in English language with a simultaneous translation into the local language.
    If you do not elaborate on human digestive diseases relevant to human healthcare settings, people will not know where to forward their issues.

    How should you elaborate on these issues?
    Emergency medical issues
    Nonemergency medical issues
    Public health preventive healthcare deliberations.

    What types of specific physicians are required inside and outside the state?
    At least 21 types of specific physicians are required inside and outside the state.
    All the listed specific physicians are expected to know everything about human digestive disease symptoms, assessment, diagnosis, and treatment in specific human health settings.

    What are the signs and symptoms that may indicate a gastrointestinal emergency?
    Acute gastrointestinal bleeding (e.g., vomiting blood, blood in the stool)
    Change in bowel habits (e.g., acute diarrhea, severe constipation)
    Inability to have a bowel movement or pass gas from the rectum
    Inability to swallow (called aphasia)
    Jaundice (yellowing of the skin and eyes; caused by excess bilirubin [pigment in bile] in the blood)
    Severe abdominal pain or swelling (distention)
    Uncontrolled vomiting
    Unexplained fever (may be caused by infection of the digestive tract)

    Nowadays physician medical emergency responders, physicians in medical emergency rooms, and physicians in the intensive care unit have to manage these issues.
    After diagnosis and treatment, follow-up is necessary with the primary care physician or physician hospitalist (takes care of hospital ward patients), who understand human healthcare system’s government departments inside and outside the state.
    Understand issues elaborated upon at these resources:
    http://www.qureshiuniversity.org/physicians.html

    Questions and answers relevant to human digestive system and medical conditions.

    How many emergency signs and symptoms are there related to the human digestive?
    At least 10.

    What are various examples?
    Here are further facts.
    http://www.qureshiuniversity.org/gastroenterologyworld.html#Gastrointesinal Emergency Signs and Symptoms

    How many digestive system organs are there in the human body?
    11

    Can you name the digestive system organs in the human body?
    1.Mouth
    2.Salivary glands
    3.Pharynx
    4.Esophagus
    5.Stomach
    6.Small intestine
    7.Large intestine / Large Intestine, Rectum and Anal canal
    8.Liver
    9.Gallbladder
    10.Mesentery
    11.Pancreas

    How many total human digestive signs and symptoms are there?
    At least 44.

    What are various examples?
    Here are further facts.
    http://www.qureshiuniversity.org/gastroenterologyworld.html#Gastrointesinal Emergency Signs and Symptoms

    How many human digestive medical conditions are there?
    At least 149.

    What are various examples?
    Here are further facts.
    http://www.qureshiuniversity.org/gastroenterologyworld.html#Gastroenterology Sections

    What are 11 common human digestive conditions, ranked from most to least common?
    1. Gastroesophageal Reflux
    2. Gallstones
    3. Celiac Disease
    4. Crohn’s Disease
    5. Ulcerative Colitis
    6. Irritable Bowel Syndrome
    7. Gastroenteritis
    8. Diverticulitis
    9. Gastritis, Acute
    10. Peptic ulcer
    11. Hemorrhoids

    What have been various findings relevant to unethical practices and criminal wrongdoings among individuals falsely claiming to be gastroenterologists (but are actually criminals)?
    Young females 18 to 30 were asked to undergo colonoscopies that were not indicated. The actual motive of the fake gastroenterologist was to see the female’s vagina for pleasure; that is a criminal wrongdoing. Family members and community leaders have complained.

    A review is needed of all such cases with criminal wrongdoings and punishments. All specific physicians must know there is an entity for physician forensic psychiatry.

    How many such incidents have happened at Soura Institute of Medical Sciences in Srinagar, Kashmir, prior to 10 AM on June 11, 2018?
    How many forensic psychiatrists are required at Soura Institute of Medical Sciences in Srinagar, Kashmir, at this point after 10 AM on June 11, 2018?

    Television Presentation
    How should you arrange television programs in this situation?
    The television presentation must be in English language.
    The interaction with the patient can only be in a local language.
    Local languages include Mandarin, Rusi, Spanish, Arabic, Kashmiri, Kannada, French, Telegu, Urdu, Hindi, and other local languages.
    A professional presentation has to be in English language.
    Television producers connect to and display the television guidelines from Doctor Asif Qureshi available at www.qureshiuniversity.com/physicians.html.
    This will fulfill grand rounds.

    Recent advances in gastrointestinal health

    What are various facts relevant to recent advances in gastrointestinal health?
    If you are reading these facts at any location on Earth, these are recent advances in gastrointestinal health.
    On or before January 1, 2000, these facts
    https://qureshiuniversity.com/physicians.html were not possible.

    Forensic psychiatry evaluation of case scenarios
    What have been various findings relevant to unethical practices and criminal wrongdoings among individuals falsely claiming to be gastroenterologists (but are actually criminals)?
    Young females 18 to 30 were asked to undergo colonoscopies that were not indicated. The actual motive of the fake gastroenterologist was to see the female’s vagina for pleasure; that is a criminal wrongdoing. Family members and community leaders have complained.

    A review is needed of all such cases with criminal wrongdoings and punishments. All specific physicians must know there is an entity for physician forensic psychiatry.

    Did they become involved in criminal offenses?
    Yes.

    Who all was involved in such criminal offenses?
    From January 1, 1989, until November 1, 2020, investigations must proceed: What are the various findings?
    What punishments do they deserve?
    Last Updated: November 3, 2020