Gastrointestinal Diseases:

Gastroesophageal Reflux Disease (GERD)
Peptic Ulcer Disease
Barrett's Esophagus
Hepatitis
Inflammatory Bowel Disease (Crohn's and Ulcerative Colitis)
Irritable Bowel Syndrome
Hemorrhoids
Diverticulosis

For information on Colon Cancer, please visit the Colon Cancer page of our website.

**To view pictures of the following disease processes, please visit our Photo Gallery

GERD
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The acronym GERD stands for Gastroesophageal Reflux Disease, often referred to as "reflux". Gastroesophageal reflux is the term used to describe a backflow of stomach acid from the stomach into the swallowing tube or esophagus. The principal symptom is heartburn, an uncomfortable burning sensation behind the breastbone, most commonly occurring after a meal. If left untreated, GERD can cause inflammation of the esophagus (esophagitis), ulcers in the esophagus, swallowing difficulties, or more serious complications. Treatment of GERD may include diet and lifestyle changes, as well as prescription medication.

For more information on GERD please refer to our FAQ page or visit the following websites:

www.gerd.com
http://www.acg.gi.org/acg-dev/patientinfo/frame_giproblems.html
www.gastro.org/public/digestinfo.html
www.niddk.nih.gov/health/digest/pubs/heartbrn/heartbrn.htm
http://www.prevacid.com/health_information/acid_reflux_disease/default.asp


Peptic Ulcer Disease
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Peptic Ulcer Disease (PUD) occurs when stomach acid penetrates the stomach causing sores that bleed, possibly leading to anemia, and/or abdominal pain. Several things can cause ulcers in the stomach. One major cause is a bacterium called Helicobacter Pylori (H. Pylori). Your doctor can prescribe antibiotics that treat H. Pylori. These antibiotics have been successful in curing a high percentage of ulcers in the stomach. A second cause of stomach ulcers is regular use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) for pain (i.e. Celebrex, Vioxx, Ultram, Advil, Motrin, Nuprin, Aleve). Because ulcers can be caused by regular use of NSAIDS, if you are taking over-the-counter pain medications on a regular basis, you will want to talk with your physician about the potential for ulcers and other GI side effects. A third cause may be an excessive amount of acid in the stomach. When this is the cause of the ulcer, the physician may prescribe medication to help control the acid and heal the ulcer.

For more information on Peptic Ulcer Disease and/or Helicobacter Pylori, please refer to our FAQ page or visit the following websites:

http://gastro-org.healthology.com/focus_article.asp?f=xmlpressfeed&c=xml_pepticulcer
www.niddk.nih.gov/health/digest/pubs/hpylori/hpylori.htm
http://www.acg.gi.org/patientinfo/cgp/cgpvol1.html#ulcer
www.helico.com


Barrett's Esophagus
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Barrett's Esophagus is a precancerous condition that is often associated with severe heartburn. If GERD remains untreated, the repeated backflow of stomach acid into the esophagus can cause the continuous formation of erosions. Over time, a permanent red lining will develop over the normal pinkish lining of the esophagus. The cells in the new lining resemble those of the small intestine. People with severe chronic reflux have a 50% chance of developing this condition.

A person who has Barrett's Esophagus is much more likely to develop cancer. Because Barrett's cannot be detected by a blood test or x-ray, screening consists of regular esophagogastroduodenoscopies (EGDs). Biopsies taken during an EGD can help to identify the precancerous cells so that the progression to cancer can be monitored and halted.

For more information on Barrett's Esophagus, you may visit:

http://digestive.niddk.nih.gov/ddiseases/pubs/barretts/index.htm
www.barrettsinfo.com

Hepatitis
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Hepatitis is inflammation of the liver. It can be caused by a variety of agents, including bacterial or viral infections, or physical or chemical agents. There are many different types of Hepatitis, though the most common are Hepatitis B and Hepatitis C, both of which may cause liver cell damage leading to cirrhosis and cancer. For more information on all types of Hepatitis, you may visit the following websites:

http://www.hepfi.org/pages/living_start.html
www.hepnet.com
www.hepb.org
www.niddk.nih.gov/health/digest/pubs/hep/index.htm

Inflammatory Bowel Disease
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Inflammatory Bowel Disease (IBD) is a general term used to describe chronic diseases that cause swelling and inflammation of the walls of the digestive tract. The two types of IBD are Crohn's Disease (Crohn's), and Ulcerative Colitis (UC). Most patients who suffer from either form of IBD have alternating periods of relative health alternating with periods of disease, though some patients have continuous symptoms from continued inflammation.

The severity of the disease varies between individuals. Some suffer only mild symptoms, which are little more than a nuisance, while others have severe and disabling symptoms which are a serious threat to their health. Medical science has not yet discovered a cure, but numerous medications are now available to control symptoms with many more on the horizon. For more information on infusion therapy, please visit the Remicade page of our website.

For more information on Ulcerative Colitis and Crohn's Disease you may visit the following websites:

www.ccfa.org
www.healingwell.com/ibd/
http://www.gastro.org/public.html
http://www.acg.gi.org/patientinfo/cgp/cgpvol2.html#Inflammatory%20Bowel%20Disease
www.niddk.nih.gov/health/digest/pubs/crohns/crohns.htm
www.niddk.nih.gov/health/digest/pubs/colitis/colitis.htm
www.crohns.org/

Irritable Bowel Syndrome (IBS)
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Irritable Bowel Syndrome is a functional disorder of the gastrointestinal (GI) tract characterized by abdominal pain and discomfort associated with alterations in bowel function, diarrhea, constipation or a combination of both, typically over months or years. In a normally functioning colon, the colon contracts rhythmically, to propel stool through the colon. With IBS, the colon contracts in a disorganized, sometimes violent manner. The abnormal contractions result in changing bowel patterns, with constipation being most common. Treatment for IBS may include diet, medication, exercise, or some combination of the three.

For more information on Irritable Bowel Syndrome, you may visit the following websites:

www.ibsgroup.org
www.aboutibs.org
http://www.gastro.org/public.html
www.niddk.nih.gov/health/digest/pubs/irrbowel/irrbowel.htm
http://www.acg.gi.org/patientinfo/cgp/cgpvol2.html#Irritable%20Bowel

Hemorrhoids
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Hemorrhoids are cushions of swollen veins in the anal canal that often cause discomfort. Symptoms include pain, itching, burning, and bleeding. Constipation is a major cause of hemorrhoids, though hemorrhoids may also be caused by sitting or standing for long periods of time. Several over-the-counter measures to treat hemorrhoids are available. These include: Ibuprofen for pain, warm sitz baths, stool softeners, aloe wipes, creams, and drinking 64 ounces of water daily. Internal hemorrhoids may be treated through a procedure called Infared Coagulation (IRC).

For more information on hemorrhoids, you may visit the following websites:

www.niddk.nih.gov/health/digest/pubs/hems/hemords.htm
http://www.gastro.org/public.html

Diverticulosis
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Diverticulosis is a condition of the colon. Diverticula are small pouches that bulge outward through weakened areas in the colon. The pouches can be formed when pressure inside the colon builds, usually because of constipation. Often, patients with diverticulosis have no symptoms of discomfort. If the pouches become inflamed or infected, the condition is called diverticulitis, which can be much more serious. Diverticulitis is usually associated with symptoms such as pain, tenderness, and a change in the shape of stool. A patient with diverticulosis may never develop diverticulitis, but should diverticulitis occur, the patient should immediately see a physician. The physician may treat the patient with antibiotics and a modified diet.

For more information on Diverticulosis, please refer to our FAQ page or visit the following website:
www.niddk.nih.gov/health/digest/pubs/divert/divert.htm


Didn't find what you were looking for?
Visit one of the following general health information websites:

http://www.gastro.org/
http://www.acg.gi.org/patientinfo/index.html
www.niddk.nih.gov/health/digest/digest.htm
www.webmd.com
www.medscape.com
www.healthfinder.gov
www.foodallergy.org
www.eatright.org

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