P atients present with symptoms. Doctors are trained to recognise disease. There is no better illustration of these two different paradigms than cough. Unfortunately for the patient, the sensory input triggering the cough reflex may arise from anywhere in the territory of the vagus nerve. Thus, chronic cough may be caused by conditions treated by at least three different specialists—the ENT sur...

The most commonly experienced side effects of oral supplementation with omega-3 fatty acids are “fishy burps”, gastrointestinal distress (stomach upset), and blood thinning. Many omega-3 supplements are now “enteric coated” in order to decrease the risk of the first two annoying side effects. Taking these supplements with meals or storing them in the freezer also helps. With regard to blood thi...

Objective In symptom-dependent diseases such as functional dyspepsia (FD), matching the pattern of epigastric symptoms, including severity, kind, and perception site, between patients and physicians is critical. Additionally, a comprehensive examination of the stomach, duodenum, and pancreas is important for evaluating the origin of such symptoms. Methods FD-specific symptoms (epigastric pain, ...

That faults are of fundamental importance in petroleum systems cannot be stressed enough. The role the faults play, however, is complicated by their dual nature as fluid seals and conduits. Understanding a fault’s behavior demands extensive knowledge of its past geologic history, core samples, pressure measurements, and well logs. Further complicating matters, the sealing capacity of a fault us...

BACKGROUND In 2012 the United States Food and Drug Administration approved implantation of a magnetic sphincter to augment the native reflux barrier based on single-series data. We sought to compare our initial experience with magnetic sphincter augmentation (MSA) with laparoscopic Nissen fundoplication (LNF). METHODS A retrospective case-control study was performed of consecutive patients un...

In a double blind crossover comparison with placebo, the effects of cisapride (10 mg tid for two weeks), a non-antidopaminergic gastrointestinal prokinetic drug, on gastric emptying times and on symptoms were evaluated in 12 patients with chronic idiopathic dyspepsia and gastroparesis. Gastric emptying was studied by a radioisotopic gamma camera technique. The test meal was labelled in the soli...

Upper gastrointestinal (GI) symptoms are common in both HIV and non-HIV-infected patients, but the difference of GI symptom severity between 2 groups remains unknown. Candida esophagitis and erosive esophagitis, 2 major types of esophagitis, are seen in both HIV and non-HIV-infected patients, but differences in GI symptoms that are predictive of esophagitis between 2 groups remain unknown. We a...

1. Bergsagel PL, Masellis Smith A, Belch AR, Pilarski LM. The blood B-cells and bone marrow plasma cells in patients with multiple myeloma share identical IgH rearrangement. Curr Top Microbiol Immunol. 1995;194:17-24. 2. Treon SP, Pilarski LM, Belch AR, et al. CD20-directed serotherapy in patients with multiple myeloma: biologic considerations and therapeutic applications. J Immunother. 2002;25...

BACKGROUND Dyspepsia is a common problem in the community and clinical practice with symptom(s) considered arising from the gastroduodenal region. Dyspepsia burden and associated factors vary from country to country. The aim of this study was to determine the prevalence of uninvestigated dyspepsia (UD) using Rome III criteria, associated risk factors and self-reported dyspepsia symptoms' correl...

Die von K. Rockenbauch et al. sorgfältig zusammengestellten Videobeispiele „Kommunikation in der Medizin“ auf einer DVD sind für den Kommunikationsunterricht in der studentischen medizinischen Ausbildung gedacht. Anhand von 10 Beispielen mit Ärzt/inn/en und Schauspielpatient/inn/en (SP) werden typische Konsultationsund Beratungssituationen gezeigt, die in der ärztlichen Praxis häufig auftreten ...