Management of benign anorectal disorders with #AdilBharucha

#MedTwitter #GITwitter #ACG2022 Image
🔑Have patient complete symptom questionnaire to get a more detailed picture of their symptoms Image
🔑Digital rectal examination Image
🔑Constipation workup and treatment Image
🔑Normal and abnormal defecatory physiology

Impaired propulsion = "rectal asystole" Image
🔑Constipation physiology testing ImageImage
Dyssynergic defecation Image
MR defecography Image
🔑Biofeedback is very effective for dyssynergic defecation Image
Refractory constipation

⚠️Colectomy ONLY if slow transit and there is no pelvic floor dysfunction Image
Defecatory disorders summary Image
Fecal incontinence Image
Pathophysiology of fecal incontinence Image
Workup and management of fecal incontinence ImageImage
Managing diarrhea in fecal incontinence Image
Keep your 👀 out! Image
Fecal incontinence summary Image

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More from @john_damianosMD

Oct 23
Summarizing our learning at #ACG2022 today! 🧑‍🎓

@tinahamd @AmCollegeGastro #MedTwitter #GITwitter
💎 GI bleeding🩸
💎#IBD
Read 8 tweets
Oct 23
Chronic constipation is common and has tremendous impact on quality of life
#Constipation is NOT all about frequency. Ask about 👇
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Oct 23
Do NOT prescribe a gluten-free diet unless we are positive this is #celiac disease!
Normal small intestinal histology
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Oct 23
Defining #celiac disease and non-celiac gluten (more accurately, wheat) sensitivity
#Celiac disease is common
Read 19 tweets
Oct 23
Enteric infections and food borne illness

#MedTwitter #GITwitter #IDTwitter #ACG2022 Image
Amebiasis Image
Infectious mimics of #IBD Image
Read 11 tweets

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