Gastroenterologists are medical specialists trained for six years including internal medical residency. Gastero doctors mainly deal with disorders of gastr

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Anynomous

05 January 2019

Six ways to exercise that won’t strain your budget: - Walking - Skipping rope - Exercise balls - Dumbbells... - Calisthenics - Fitness DVDs
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Anynomous

08 December 2018

Next era is to define what food we can eat as medicine!
Anynomous

18 October 2018

“The greatest weapon against stress is our ability to choose one thought over another. —WILLIAM JAMES”
Anynomous

09 September 2018

Very true Even eating needs focus and time !
Anynomous

01 June 2018

Great message think it over!
Anynomous

13 May 2018

GI: simple but complex Ignored but important
Anynomous

04 May 2018

4 Food Tips to Improve Your Arthritis Symptoms
Add the power of omega-3 When most people hear “omega-3,” they think of heart health. But these fatty acids have health benefits beyond the heart, including benefits for people with arthritis. For example, past research has shown an anti-inflammatory effect from omega-3 fatty acids. And reducing inflammation can help you cut down on arthritis flare-ups....
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Anynomous

23 April 2018

Hepatitis A outbreaks in Kentucky and Michigan- get vaccinated! Hep A vaccine is non-live so IBD patients on immune suppression can get it safely. "Hep. A vaccines urged for travelers to Ky., Mich."
Anynomous

05 February 2018

Boost immunity: In test tubes, garlic appears to kill cancer cells, and studies involving people show some of the same outcomes. According to the Iowa Women’s Health Study, involving 41,000 middle-aged women, those who routinely ate garlic, fruits and vegetables had a 35 percent lower colon cancer risk. Benefits came from raw and cooked garlic – not supplements.
Anynomous

21 January 2018

Liraglutide (saxenda)now becomes the fifth available obesity drug in the United States, after orlistat (Xenical, Genentech; and Alli, GlaxoSmithKline), lorcaserin (Belviq, Eisai), phentermine-topiramate (Qsymia, Vivus), and bupropion/naltrexone (Contrave, Takeda Pharmaceuticals)
Anynomous

07 January 2018

Diaphragmatic Breathing for Refractory GERD: A New Treatment Paradigm?
Information sourced from NEJM Journal Watch:
Diaphragmatic Breathing for Refractory GERD: A New Treatment Paradigm?
...
A four-week guided therapy in “belly breathing” was effective in reducing excessive belching and overall GERD symptoms.
Belching is a frequent if not predominant symptom in many patients with gastroesophageal reflux disease (GERD). Typically this is supragastric belching (SGB), which proton-pump inhibitors (PPIs) do not treat.
To determine whether diaphragmatic breathing therapy (DBT) might improve excessive GERD-related belching, researchers in Singapore evaluated 36 consecutive patients with PPI-refractory GERD and severe belching, as determined by a visual analogue score. All patients had well-established GERD and no primary esophageal motility disorder. Fifteen patients underwent standardized DBT, consisting of 4 weekly one-on-one sessions with a speech therapist for 4 weeks, and 21 controls were placed on a waiting list for DBT.
After the 4-week treatment, reduction in belching severity by ≥50% (primary outcome) was evident in 60% of the DBT group and none of the controls. DBT was also associated with improvements in overall GERD symptom score and quality of life. These outcomes were sustained 4 months after treatment ended.
COMMENT
Diaphragmatic breathing (“belly breathing”) may be familiar to your patients who do yoga. Details of DBT and a video are provided in the supplementary material for the original article. In DBT, one hand is placed on the upper chest and one hand on the abdomen just below the rib cage at the bottom of the sternum. Patients are initially instructed to take a deep inspiratory breath to demonstrate chest wall movement, but then to take breaths by only moving the abdomen, while keeping the chest motionless. The goal is to keep the hand on the chest almost still, while the hand on the abdomen rises and falls with the diaphragmatic breath. This technique is also very effective for rumination syndrome and in some with refractory singultus.
David A. Johnson, MD reviewing Ong AM et al. Clin Gastroenterol Hepatol 2017 Nov 2.
Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.
CITATION(S):
Ong AM et al. Diaphragmatic breathing reduces belching and proton pump inhibitor refractory gastroesophageal reflux symptoms. Clin Gastroenterol Hepatol 2017 Nov 2; [e-pub]. [PubMed® abstract]
NEJM Journal Watch is produced by NEJM Group, a division of the Massachusetts Medical Society. Copyright ©2018 Massachusetts Medical Society. All rights reserved.
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Anynomous

29 December 2017

And based on the data he's collected, Bill Gates concludes that people with three backgrounds will be the most in-demand from here on out: science, engineering and economics.

Bell's Little Learners

Bells Little Learners offers year round care and a 12-month curriculum. Our school provides experienced, certified teachers and is licensed by the Division of Youth and Family Services and by..