Discover and read the best of Twitter Threads about #ibs

Most recents (10)

Recapping @AmCollegeGastro's #VirtualGrandRounds on #IBS! Let's begin!
🟣IBS can be diagnosed with the Rome criteria
🟣Making a positive diagnosis is very helpful to patients, many of whom have gone years without a name for their symptoms
#IBS is heterogeneous, and so are its pathogenesis and pathophysiology.
🟣Identifying underlying factors in patients can help target treatment!

Important principles when diagnosing and treating #IBS.

Read 34 tweets
1. su #Ustica,voglio ricordarvi che, i cablo della diplomazia USA, rivelati da #WikiLeaks, fanno emergere che nel 2003,l'allora ministro per i Rapporti con il Parlamento,#CarloGiovanardi,chiese di coordinarsi con l'ambasciata USA a Roma sulle dichiarazioni pubbliche
2. ricostruisco l'incontro di #CarloGiovanardi con la diplomazia USA nel 2003, nel mio libro #DossierWikiLeaksSegretiItaliani, che trovate qui in eBook:…
3. dopo pubblicazione cablo diplomazia USA da parte di #WikiLeaks,NON mi risulta che NESSUNO(incluso nessun magistrato)abbia chiesto a #CarloGiovanardi come mai si volesse "coordinare" con diplomazia di uno dei Paesi sospettati di essere coinvolti nella strage di #Ustica: USA
Read 5 tweets
1/ How neglected is Myalgic Encephalomyelitis/Chronic Fatigue Syndrome research?

@NIH funding for ME/CFS in 2017 was ~$25mill

Fair funding relative to disease burden should be ~$350mill

That means #MECFS research was short-changed by $325,000,000 (14-fold!) in just ONE YEAR
2/ Buckle up!

@CenterRes analysis found that even though the disease burden of #MECFS was double that of HIV/AIDS, #AIDS research received ~$5billion in 2017

Thats a 20-fold shortfall, amounting to ~$4,975,000,000 lost #MECFS funding in just ONE YEAR!
3/ And, the graph below shows that #MECFS research is woefully underfunded compared to similarly burdensome diseases

Note: the vertical Y-axis scale on the graph is logarithmic

So #IBS and #pneumonia actually receive 10x MORE funding than #MECFS
Read 9 tweets
#IBS & #TMJ: an interesting essay showing why these seeming separate disorders are related; with emphasis on TMJ etiology.
Relation of IBS & TMJ: The nexus is hyper-mobile joints. TMJ occurs in TM joint of face uppermost in people who chronically tilt head; oft associated w. scoliosis (common in #HSD) & d/t Masseter muscle spasm attempting to maintain normal dental occlusion.
#IBS is associated with ligament laxity of SIJ & autonomic nervous system impingement within contiguous presacral plexus, which tracts to intestine; #IBS is a #dysautonomia. These are my clinical observations and theories
Read 17 tweets
1/13 Galen's @MeatHealed Story - In the Summer and Fall of 1995 I started intermittently experiencing extremely sharp abdominal pain. Over the course of several months, symptoms escalated to severe intestinal bleeding, cramping, nausea, and weight loss.
2/13 A gastroenterologist ultimately diagnosed Crohn's disease in January 1996 following the standard diagnostic procedures (barium enema, CT scan, upper/lower GI scopes). Although I asked the gastroenterologist for dietary advice at the time, he had no recommendations to offer,
3/13 ...but prescribed me several anti-inflammatory and antibiotic drugs. At the time of diagnosis, I had just turned 21 years old, and I completely rejected the notion of having to take pills 4 times a day indefinitely.
Read 16 tweets
@EricTopol serves up a treasure trove of data and links to credible scientific research reports that are MUST READ
re: the current sad state of American physicians

🙏Why Doctors Should Organize…
#PatientCare #Healthcare
@drjudymelinek @choo_ek
Doctor-patient relationship is crucial and I wonder if a patient is aware of the hospital’s policy (not the doctor) for a visit time allotment (in minutes).

Building More Trust Between Doctors and Patients… @HarvardBiz #empathy #trust #PatientCare #IBD
“Administrative tasks have become so burdensome ....only thirteen per cent (13%) of a physician’s day, on average, is spent on doctor-patient interaction” Dr. Topol… #PatientCare #AI #Health #Healthcare #IBD #IBS #Hospital #Corpgov #Safety #MedEd #Doctors
Read 10 tweets
#FIBROMYALGIA CAUSATION A LINEAR EQUATION? Theory might regard “fibromyalgia” to be a label for a variety of disorders that have simply devolved from patterns of chronic widespread pain. A Twitter Thread....
Do neural pain fiber activities initiate mast cell degranulation that then cause other populations of nerves to activate? Does degranulation occur regionally to generate a specific pattern of tissue disfunction? Does ligament pain arouse mast cell degranulation?
IMO, #MCAS association w. #Fibromyalgia requires other insights. Body stress/assault, beset w. pain & marginal metabolic activity, arouses General Alarm Response (after Hans Selye & Walter Cannon) & hyper-dynamic hormonal/immunologic functions needed for organism survival.
Read 21 tweets
A query was offered about my comment that ligament laxity was common to #TMJ & #IBS: “So, you would say the two are not connected other than the fact that the person has joint laxity.” My response to this comment is as follows:
In patients with only complaint of TMD (Temporal Mandibular Joint, TMJ, Disorder) there seems to be near universal generalized joint hypermobility (#HSD). TMD seems to occur mostly in women.
In persons who complain only of symptoms that prove to be #IBS, the near universal finding is sacroiliac joint (SIJ) hypermobility.
Read 6 tweets

Remarkable @bmj_latest @BMJCaseReports report documenting the extreme lengths a bedbound patient went through to get a diagnosis of #POTS, #MCAS, #SIBO and #tachycardia

read her story here

#MedEd #MedTwitter @MayoClinic…
2. After suffering for 16 years, seeing 19 docs with repeated misdiagnosis:

Her cardiologist couldnt diagnose #POTS

Her gastroenterologist couldnt diagnose #SIBO

Her immunologist couldnt diagnose #MCAS

Her neurologist referred her to a #psychiatrist!…
3. Patient: the "neurologist was out of ideas and suggested I get a psych evaluation, which I declined"

the patient <referred herself> to @MayoClinic

#SickNotWeak #chronicillness #chronicpain #MedEd #medtwitter…
Read 10 tweets
Dr L in the buzzfeed article says humans make alpha-gal sugar, But, here’s a podcast & transcript w/Dr Commins, Prof at UNC Allergy & Immunology who was part of the discovery team in 2009 & is an expert on AG. He says humans don’t make alpha-gal sugar./1…
Dr Commins also clarified that the 2009 discovery involved the lone star tick but that it can be caused by other ticks. His research is ongoing. I disagree w/him on 2 things:
1) I Do think anyone w/a tick bite should be tested for the allergy apprx 6 weeks after the bite.
2) The reaction does not always cause itching. I’ve found the random palm itching to be more common than torso hives, but, even more common than that is no hives. And, I agree that the allergy response, unlike other food allergies, is delayed. Dr C say apprx 4 hrs after/3
Read 9 tweets

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