Gastroesophageal reflux disease (GERD) occurs when stomach acid leaks back up into the esophagus. Risk factors include smoking, large or late meals, certain foods or drinks, and medications. Symptoms include heartburn, chest pain, regurgitation, nausea, and coughing. Diagnosis involves endoscopy, pH testing, or esophageal manometry. Treatment includes lifestyle changes, antacids, H2 blockers, and proton pump inhibitors. Peptic ulcers develop due to an imbalance between protective and harmful factors in the stomach lining, allowing acid and pepsin to damage the lining. Common causes are H. pylori infection and NSAID use. Symptoms include abdominal pain and bleeding
this is a case study on gastroenteritis , this details about the diagnosis, management, treatment, patient counselling & pharmacist interventions , regarding medication etc , and also describes in detail about all aspects of gastroenteritis .
please comment if you read this
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this is a case study on gastroenteritis , this details about the diagnosis, management, treatment, patient counselling & pharmacist interventions , regarding medication etc , and also describes in detail about all aspects of gastroenteritis .
please comment if you read this
thank u
Ulcerative colitis (UC) is an inflammatory bowel disease. It causes irritation, inflammation, and ulcers in the lining of your large intestine (also called your colon). There's no cure, and people usually have symptoms off and on for life
Osteoporosis is a skeletal disorder in association with compromised bone strength predisposing individuals to an increased fracture risk.
Osteoporosis occurs when there is imbalance between resorption and formation of bone, if resorption is often quicker and formation is slower, or for both reasons. This presentation includes definition, classification, diagnosis, treatment prevention and complications associated with osteoporosis.Osteoporosis can be prevented by properly awarening people about the facts of it. If etiological factors are minimized then the condition can be well regulated. Lifestyle changes like advising physical activities, prohibiting addictions like tobacco, smoking, alcohol, proper diet which in rich in calcium, phosphorus, salt restriction, getting exposure to sunlight. Intrinsic factors including poor vision, musculoskeletal and neurological disease and medications, whereas extrinsic or environmental factors including trailing wires, loose carpets, and ill fitting footwear assessment should be done for reducing fall complication risks.if dietary intake of calcium cannot be achieved then calcium supplementation should be provided. Caffeine intake should be properly regulated since it plays role in calcium excretion. Weight-bearing aerobic and strengthening exercises can decrease the risk of falls and fractures by improving muscle strength, coordination, balance, and mobility.
Ulcerative colitis (UC) is an inflammatory bowel disease. It causes irritation, inflammation, and ulcers in the lining of your large intestine (also called your colon). There's no cure, and people usually have symptoms off and on for life
Osteoporosis is a skeletal disorder in association with compromised bone strength predisposing individuals to an increased fracture risk.
Osteoporosis occurs when there is imbalance between resorption and formation of bone, if resorption is often quicker and formation is slower, or for both reasons. This presentation includes definition, classification, diagnosis, treatment prevention and complications associated with osteoporosis.Osteoporosis can be prevented by properly awarening people about the facts of it. If etiological factors are minimized then the condition can be well regulated. Lifestyle changes like advising physical activities, prohibiting addictions like tobacco, smoking, alcohol, proper diet which in rich in calcium, phosphorus, salt restriction, getting exposure to sunlight. Intrinsic factors including poor vision, musculoskeletal and neurological disease and medications, whereas extrinsic or environmental factors including trailing wires, loose carpets, and ill fitting footwear assessment should be done for reducing fall complication risks.if dietary intake of calcium cannot be achieved then calcium supplementation should be provided. Caffeine intake should be properly regulated since it plays role in calcium excretion. Weight-bearing aerobic and strengthening exercises can decrease the risk of falls and fractures by improving muscle strength, coordination, balance, and mobility.
GERD | Gastro esophageal reflux disease-a brief medical study martinshaji
Gastro esophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD. This is a very common condition observed
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Drugs used in git system (GIT - Laxatives /purgatives , drugs used to treat p...Vinitkumar MJ
CLASS FOR OPHTHALMIC ASSISTANT STUDENTS ( O.A. STUDENTS 2nd year .
educational purpose
short description regarding GIT SYSTEM & drugs used to treat diarrhoea , peptic ulcer diseases , irritable bowel syndrome , IBS, antimotility drugs & laxatives /purgatives etc..
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
17. Gastro Oesophageal reflux
disease (GERD).
The term gastrooesophageal refers to the stomach and
esophagus. Reflux meas to flow back or return .
Gastroesophageal reflux is when the content of stomach
backs up into esophagus.
Definition :
Gastro-oesophageal reflux disease occurs when stomach acid
leaks from the stomach and moves up into the oesophagus
(food pipe). This is also known as 'reflux'.
or,
It is a digestive disease in which stomach acid or bile irritates
the food pipe lining.It occurs when stomach and frequently
flows back into the tube connecting mouth and stomach
(esophagus). This backwash (acid reflux) can irritate the
linining of the esophagus.
18. Etiology .
• When we eat , food passes , from the throat to the stomach
through the esophagus . A ring of muscle fibres in the lower
esophagus prevents swallowed food from moving back up.
These muscle fibers are called the lower esophageal sphincter
(LES).
• When this ring of muscle does not close all the way, stomach
contents can leak back into the esophagus. This is called reflux
or gastroesophageal reflux. Harsh stomach acids can also
damage the lining of esophagus.
• Smoking
• Eating large meals or eating late at night.
• Eating certain foods (triggers) such as fattty or fried foods
• Drinking cartain beverages , such as alcohol or coffee
• Taking certain medications , such as aspirin
19. Other Risk Factors for Reflux
Use of Alcohol
Haital hernia (a condition in which part of the
stomach moves above the diaphragm , which is the
muscle that separates the chest and abdominal
cavities)
obesity
pregnancy
scleroderma
smoking
reclining within 3 hours after eating
20. Pathophysiology
• If the lower esophageal sphincter does not close
properly - decreased LES pressure - Intragastric
pressure increases - hypersecretion of acid (reflux) -
prolonged esophageal mucosal acid contact -
esophagitis -decreased acid clearnce resulting from
impaired peristalsis-GERD
21. Clinical Manifestations
• The most common symptoms of GERD include:
• Heartburn (acid indigestion)
• Burning chest pain that starts behind the breastbone and moves upward to neck and
throat.
• Feeling like food is coming back into the mouth,leaving an acid or bitter taste.
• Pain in stomach
• Nausea
• Bad breath
• Trouble breathing
• A hard time swallowing
• Vomiting
• Wearing away of tooth enamel
• A lump in the throat
• A ligering cough
• Laryngitis
• Sleep problems
22. Diagnosis
• Endocopy :
• A small lighted tube is put with a tiny video camera on the end
(endoscope) into esophagus to look for inflammation or irritation
of tissue (esophagitis) . If the results are abnormal , then a small
tissue sample can be removed for more testing (biopsy).
• Upper GI series : It's a special X-Ray that shows your esophagus,
stomach and the upper part of your small intestine (duodenum) .
It gives limited information about possible reflux, but it can help
rule out other conditions , such as peptic ulcers.
• Esophageal Manometry : This test checks for low pressure in the
esophagus . It can also show defects in how your esophageal
muscles contract.
• pH testting : If it's hard to make a definite diagnosis , your doctor
may measure the acid levels inside the esophagus through this
test.
23. Treatment.
• 1. Non-Pharmacological Treatment :
• GERD is usually first treated via lifestyle
modifications , such as :
• Keeping the head of the bed elevated.
• Stay at a healthy weight : Being overweight often
worsen symptoms . Many overweight people find
releif when they lose weight.
• Quit smoking : cigarette smoking weakens the LES .
Stopping smoking is important to reduce GERD
symptoms .
24. Avoid foods and beverages
triggers.
• Stay away from foods that can relax the LES , including
chocolate , peppermint , fatty foods , caffeine and alcoholic
beverages. You should also avoid foods and bevarages that
can irritate a damaged esophageal lining if they cause
symptoms such as citrus and juices, tomato products , and
pepper .
• Eat smaller servings : Eating smaller portions at mealtime
may also help control symptoms. Also eating meals at least
2 to 3 hours before bedtime.
• Chew your food thoroughly and eat slowly : Take your time
at every meal .
• Wear loose clothes : Clothes that squeeze your waist put
pressure on your belly and the lower part of your
esophagus.
• Acupuncture : It may also stop reflux.
25. Pharmacological Treatment.
• The aim of GERD treatment to cut down the amount of reflux or decrease the
damage to the lining of oesophagus from acid.
• Antacids : These drugs neutralize the acid in esophagus and stomach and stop
heartburn .
• Examples : Aluminium hydroxide gel , Calcium carbonate , Magnesium hydroxide
(Milk of Magnesia ) , Gaviscon , Gelusil , Pepto-Bismol.
• H2 blockers : These medicines bind on H2 receptors on stomach and block the
acid secretion in the stomach .
• Examples: Cimetidine , Famotidine , Ranitidine and Nizatidine.
• Proton Pump Inhibitors (PPIs): These drugs block a protein needed to make
stomach acid .
• Examples : Omeprazole , Pantoprazole , Dexlansoprazole , Esomeprazole ,
Lansoprazole and Rabeprazole .
• Prokinetics :
• In rare cases, these drugs help your stomach empty faster so you don't have as
much acid left behind. They also help with symptoms like bloating, nausea , and
vomiting .
• Examples : Domperidone and Metoclor pramide
26. Peptice Ulcer.
• Peptic refers to pepsin . Pepsin is stomach enzyme
enzyme that breaks down protein . An ulcer occurs
when the linining of these organs is corroded by the
acidic digestive juices secreted by the stomach cells .
• Definitions : Peptic ulcers are the lesions (sores) that
develop in the mucosal lining of the stomach , lower
esophagus , small intestine or any other part of git.
• or
• peptic ulcer is a lesion in the lining (mucosa) of the
digestive tract , typically in the stomach or duodenum ,
caused by the digestive action of pepsin and stomach
acid .
27. • There are three common forms of peptic
ulcers :
• 1. Helicobacter pylori (h.Pylori ) associated ulcers.
• 2. Non steroidal anti-inflammatory drug (nsaids) induced
ulcers.
• 3. Stress related mucosal damage (stress ulcers).
• Types of ulcers :
• Generally , ulcers develop occur in three parts of the GI
tract and are classified them .
• 1.Gastric ulcers : Gastric ulcers develop on the inner
linining of the stomach from digestive juices is reduced. It
allows the diestive acids to destruct tissues that line the
stomach causing an ulcer.
28. • Esophageal Ulcers :
• Esophageal ulcers develop inside the esophagus . If
the lower esophageal sphincter (LES) does not
close properly then stomach acid can leak back into
the esophagus . This causes chronic inflammation
and irritation of esophagus , allowing ulcers to
develop.
• Duodenal Ulcers :
• Deuodenal Ulcers develop on the inside of the
upper part of the small intestine , known as the
duodenum . It is the common type of peptic ulcer .
29. Etiology .
• There are number of which are responsible for the development of
ulcers. These are :
• 1. Peptic ulcers occur when acid in the digestive tract eats away at
inner surface of the stomach or small intestine . The acid can create
a painful open sore that may bleed . The digestive tract is coated
with a mucous layer that normally protects against acid. But if the
amout of acid is increased or the amount of mucus is decreased , it
may develop an ulcer.
• Helicobacter pylori : Helicobacter pylori bacteria commonly live in
the mucous layer that covers and protects tissues that line the
stomach and small intestine. H.pylori bacterium has ability to
produce enzyme uerease. This urease splits urea into the ammonia
and CO2. This action is particularly responsible for its survival in acid
media of stomach where it causes inflammation and triggers peptic
ulcer. H.pylori adheres to the gastric mucosa and avoids gastric
clearance. It also produces protease and lipase that are responsible
for degradation of gastric mucus and cell injury from back infusion
of gastric acid.
30. • Regular use of NSAIDs:
• NSAIDs are well known for development of peptic ulcer .
Aspirin , as well as certain over-the-counter and
prescritption pain medications called nonsteroidal anti-
inflammatory drugs (NSAIDs). can irritate or inflame the
lining of the stomach and small intestine . These
medications include ibuprofen , naproxen sodium ,
ketoprofen and others.
• other medications.
• Taking certain other medications along with NSAIDs, such
as steroids , anticoagulants , low-dose aspirin , selective
serotonin reuptake inhibitors (SSRIs), alendronate
(Fosamax) and risedronate (Actonel ), can greatly increase
th chance of developing ulcers.
31. • Other Risk Factors :
• Risk Factors that make ulcers more likely
• include:
• Family History
• Genetic Factors
• Obesity
• Smoking
• Alcohol consumption
• Coffee consumption
• Stress
• Eas-spicy
32. Pathophysiology .
• In stomach both type of factors are present one which are
protectors of the stomach mucosal lining and the other that are
harmful to stomach mucosal cells. There is a balance between
these two factors. If this balance disturbs then it causes the injury
to stomach mucosal lining.
• Agreesive factors such as NSAIDs, h.Pylori infection , acid , pepsin
, alcohol , bile salts can alter the mucosal defense mechanism by
allowing back diffusion of hydrogen ions and subsequent epthelial
cell injury .
• H.pylori bacteria excretes the enzyme urease which converts urea
into ammonia and bicarbonate . The release of ammonia
neutralizes the acidic environment in the stomach . This action is
particularly responsible for its survival in the stomach . Ammonia
is toxic to the epithelial cell and it damage the lining of the
stomach that leads to peptic ulcer .
33. Clinical Manifestations.
• The most common peptic ulcer symptom is burning stomach pain in the middle of the abdomen
. Stomach acid makes the pain worse , as does having an empty stomach . The pain will be more
intense when stomach is empty and it can last for a few minutes to several hours.
• Other common symptoms of ulcers include :
• Feeling of fullness,bloating or belching
• Intolerance to fatty foods
• Heart burn
• Nausea
• Loss of weight
• Not willing to eat due to pain
• Many people with peptic ulcers don't even have symptoms.
• Many people with peptic ulcers don't even have symptoms.
• Less often , uncelrs may severe signs or symptoms such as :
• Vomiting
• Dark blood in stools , or stools that are black or tarry
• Trouble breathing
• Feeling faint
• Appetite changes
34. Diagnosis .
• 1. Laboratory test for h.pylori :
• Blood test
• Stool test
• Breathe test : The breath test is the most accurate. For the breathe test
, you drink or eat something that contains radioactive carbon . H.Pylori
breaks down the substance in your stomach . Later , you blow into a bag
, which is then sealed . IF you are infected with h.Pylori , your breath
sample will contain the radioactive carbon in the form of carbon
dioxide.
• Endoscopy : Doctor may use a scope to examine upper digestive system
endoscopy . During endoscopy , doctor passes a hollow tube equipped
with a lens (endoscope) down the throat and into the esophagus ,
stomach and small intestine. Using the endoscope , doctor looks for
ulcers.
• Biopsy : If doctor detectcs an ulcer , a small tissue sample (biopsy ) may
be removed for examination in a lab. A biopsy can also identify whether
h.pylori is in the stomach lining.
35. Upper gastroinestinal series:
• Sometimes called a barium sswallow , this series of
x-rays of upper digestive system creates images of
the esophagus , stomach and small intestine.
• During the X-ray , you swallow , this series of x-rays
of upper digestive system creates images of the
esophagus, stomach and small intestine.
• During the x-ray , you swallow a white liquid
(containing barium) that coats your digestive tract
and makes an ulcer more visible.
36. • Avoid alcohol
• Control disease
• 2. Pharmacological treatment : The drug include
• 1. Cytoprotective drugs : These drugs have mucosal protective properties.
• Example : sucralfates, bi-chelates , misoprostol and antacids like sodium
bicarbonates.
• 2. Antitbiotics : To kill h.Pylori bacterium
• Example: amoxicillin , metronidazole
• Antisecretory drugs : these drugs reduce gastric acid secretion.
• A. H2 blockers : ranitidine , cimetidine , famotidine , nizatidine .
• B. Proton pump inhibitors : omeprazole, pantoprazole , lansoprazole ,
rabeprazole
• C. Anti-muscarinic drugs : These drugs reduce pepsin and acid secretion.
• Examples : Pinerzepine and telenzepine.