Discover and read the best of Twitter Threads about #GI
Most recents (24)
1/4
#GI #GIbleed #urea
Elevated BUN: creatinine ratio favors UPPER over lower GI bleed.
Why?
1) Hb in stomach --> amino acids (aa).
2) aa absorbed by small intestine.
3) aa transported and taken up by liver.
4) In the liver, aa undergo deamination, leading to release of NH3.
#GI #GIbleed #urea
Elevated BUN: creatinine ratio favors UPPER over lower GI bleed.
Why?
1) Hb in stomach --> amino acids (aa).
2) aa absorbed by small intestine.
3) aa transported and taken up by liver.
4) In the liver, aa undergo deamination, leading to release of NH3.
2/4
5) NH3 (aka ammonia) is converted to urea by the urea cycle, leading to elevated blood urea levels.
6) Meantime, creatinine is not influenced by the protein/aa bolus.
7) Thus, BUN/creatinine ratio is increased.
5) NH3 (aka ammonia) is converted to urea by the urea cycle, leading to elevated blood urea levels.
6) Meantime, creatinine is not influenced by the protein/aa bolus.
7) Thus, BUN/creatinine ratio is increased.
3/4
So why does blood cause this bump in urea and increase in BUN/creatinine ratio, whereas a steak dinner does not?
Because blood has poor BIOLOGICAL VALIUE (the protein is poorly utilized by the body).
The LOWER the biological value of a protein, the HIGHER the urea.
So why does blood cause this bump in urea and increase in BUN/creatinine ratio, whereas a steak dinner does not?
Because blood has poor BIOLOGICAL VALIUE (the protein is poorly utilized by the body).
The LOWER the biological value of a protein, the HIGHER the urea.
#GITwitter
The 4th🗞️of the #GenderEquity series I had the privilege to lead w ⭐️#WomenInGI⭐️ is out
@LancetGastroHep doi.org/10.1016/S2468-…
🎯Closing the #GenderGap in #GILeadership: The need for effective & comprehensive #Allyship @SiwanTG @AmyOxentenkoMD
A🧵& a 📣to action
The 4th🗞️of the #GenderEquity series I had the privilege to lead w ⭐️#WomenInGI⭐️ is out
@LancetGastroHep doi.org/10.1016/S2468-…
🎯Closing the #GenderGap in #GILeadership: The need for effective & comprehensive #Allyship @SiwanTG @AmyOxentenkoMD
A🧵& a 📣to action
1/ Let’s talk numbers #GenderDisparity in #GILeadership
#WomenInGI make up
⚠️19% of fellowship PD or Division chair
⚠️20% of Editorial boards of journals
⚠️5 or less Presidents of 🇺🇸 #GI societies founded >70 yrs; @BritSocGastro founded in 1937 had 2 & @my_ueg (‘1992) one
#WomenInGI make up
⚠️19% of fellowship PD or Division chair
⚠️20% of Editorial boards of journals
⚠️5 or less Presidents of 🇺🇸 #GI societies founded >70 yrs; @BritSocGastro founded in 1937 had 2 & @my_ueg (‘1992) one
2/#GenderDisparity in #GILeadership
It’s not a pipeline🚰 issue
🧑🏼⚕️👩🏽⚕️Make up
🔺50% med students
🔺33% #GIFellows
🔺40% of graduating🧑🏼⚕️👩🏽⚕️ enter academia
⬆️ # of women in GI is not enough to close the gap
💎#Allyship from women leaders,men, institutions & self-promotion is needed
It’s not a pipeline🚰 issue
🧑🏼⚕️👩🏽⚕️Make up
🔺50% med students
🔺33% #GIFellows
🔺40% of graduating🧑🏼⚕️👩🏽⚕️ enter academia
⬆️ # of women in GI is not enough to close the gap
💎#Allyship from women leaders,men, institutions & self-promotion is needed
1/11 #GITwitter is on 🔥 w #MedEd
It all started on one #MondayNight @DCharabaty
@MondayNightIBD was created & led the way for other platforms incl @ScopingSundays
👇#Tweetorial:Setting up Structured #MedEd Platforms on Social Media in @AGA_Gastro
📜bit.ly/3VR49qB
It all started on one #MondayNight @DCharabaty
@MondayNightIBD was created & led the way for other platforms incl @ScopingSundays
👇#Tweetorial:Setting up Structured #MedEd Platforms on Social Media in @AGA_Gastro
📜bit.ly/3VR49qB
2/11 Firstly ❓- Are #SoMe based #MedEd platforms & activities useful?
This survey by @DCharabaty & team 📝 at @DDWMeeting shows:
✅ Respondents suggesting change in practice based on discussions in 👆
✅ Enhances collaborations
✅ Promotes decision making
✅ Opport networking
This survey by @DCharabaty & team 📝 at @DDWMeeting shows:
✅ Respondents suggesting change in practice based on discussions in 👆
✅ Enhances collaborations
✅ Promotes decision making
✅ Opport networking
3/11 Ready to get started ?
🟣Align Handle & Audience to your Educational Interest
🟣Create educational handle separate from your personal account
🟣Self-explanatory name & logo
🟣Determine 🎯 audience to curate content that will optimize engagement
Step-by-step guide 👇
🟣Align Handle & Audience to your Educational Interest
🟣Create educational handle separate from your personal account
🟣Self-explanatory name & logo
🟣Determine 🎯 audience to curate content that will optimize engagement
Step-by-step guide 👇
🧵 Thread zum Thema #GI #gastrointestinale Probleme im Zuge von #LongCovid
Viele #longcovid (und auch #mecfs) Betroffene berichten von anhaltenden Verdauungsproblemen wie Durchfall - #Diarrhoea nach der Infektion.
Auch ich habe seit 11 Monaten eine gestörte Verdauung …
1/17
Viele #longcovid (und auch #mecfs) Betroffene berichten von anhaltenden Verdauungsproblemen wie Durchfall - #Diarrhoea nach der Infektion.
Auch ich habe seit 11 Monaten eine gestörte Verdauung …
1/17
6 Monate nach der Infektion wurde es immer schlimmer, unverdaute Substanzen im Stuhl, anhaltender Wasser- und Kräfteentziehender Durchfall.
Ich lies eine #Mikrobiomanalyse einer Stuhlprobe durchführen. (Kosten: 130€)
2/17
Ich lies eine #Mikrobiomanalyse einer Stuhlprobe durchführen. (Kosten: 130€)
2/17
Mit folgenden auffälligen Ergebnissen:
1. #leakygut, … heißt mein Darm ist löchrig und Stoffe die eigentlich ausgeschieden in die Toilette gehören, landen leider auch im Blut, woraufhin leider auch das Immunsystem wie zb #Mastzellen reagieren können.
3/17
1. #leakygut, … heißt mein Darm ist löchrig und Stoffe die eigentlich ausgeschieden in die Toilette gehören, landen leider auch im Blut, woraufhin leider auch das Immunsystem wie zb #Mastzellen reagieren können.
3/17
@MondayNightIBD 1/ 📣 #GITwitter #IBDTwitter
It’s a new🔥#Back2Basics session with #GI #Fellow @JosephHabibi_MD
Let’s talk AZA/6-MP in IBD
✅#IBDPolls 1️⃣&2️⃣👆🏽
✅Role as Mono/combo therapy
✅Escalation consideration
✅TPMT & NUDT15 testing
✅Side effects & counseling
It’s a new🔥#Back2Basics session with #GI #Fellow @JosephHabibi_MD
Let’s talk AZA/6-MP in IBD
✅#IBDPolls 1️⃣&2️⃣👆🏽
✅Role as Mono/combo therapy
✅Escalation consideration
✅TPMT & NUDT15 testing
✅Side effects & counseling
@MondayNightIBD @NavreetChowlaMD @MilestoneIBD @IBD_FloMD @tinahamd @DrCoreySiegel @HorstIBDDoc @MLongMD @LauraRaffalsMD @doc_ibd @IBDBen 2/ AZA trials in IBD:
🔹Corticosteroids needed to induce remission
🔹Takes ~12 wks for AZA/6MP to become effective, so taper steroids accordingly
🔹AZA/6-MP effective for maintenance of remission (mainly in UC); Not effective for induction
🔹Corticosteroids needed to induce remission
🔹Takes ~12 wks for AZA/6MP to become effective, so taper steroids accordingly
🔹AZA/6-MP effective for maintenance of remission (mainly in UC); Not effective for induction
@MondayNightIBD @NavreetChowlaMD @MilestoneIBD @IBD_FloMD @tinahamd @DrCoreySiegel @HorstIBDDoc @MLongMD @LauraRaffalsMD @doc_ibd @IBDBen @IBDHorizons @IBD_Houston @IrisWangMD @LoriPlung @vaibhav_manu @KatieFalloonMD @amneethansmd @ManuelBragaMD @Chatterjee_MD @SuhaAbushamma 3/ AZA in today’s practice
1⃣CS-sparing monotherapy for maintenance of moderate IBD
2⃣Combo w/ TNFi to
↑ TNFi levels
↓ Ab formation
2nd MOA for severe/complex IBD not responsive to mono💉
Perianal Crohn’s
...⏬
1⃣CS-sparing monotherapy for maintenance of moderate IBD
2⃣Combo w/ TNFi to
↑ TNFi levels
↓ Ab formation
2nd MOA for severe/complex IBD not responsive to mono💉
Perianal Crohn’s
...⏬
@dunleavy_katie @MondayNightIBD @DCharabaty @MarcelYibirin @VictorChedidMD @LauraRaffalsMD @Spencerkelley7 @RomyChamoun @JosephHabibi_MD @ayshaslam999 @GroverDheera @yaransarkis @BassiMehak @LancetGastroHep @ifrahfatima @SanjeevaniTomar @PriSantiagoMD @LindaNguyenMD @alex_ford12399 @kanikasehgal_ @AdvaniRashmiMD @ManasiAgrawalMD @WalterChanMD @stevenbollipo @AmyOxentenkoMD @Gut_BMJ @GuildConference @JosephCAhnMD @MarkPimentelMD @BethRosenRD @drjshapiro @mgrover_gi @GIdietitian @KewinSiah @NEJM @RomeGastroPsych @RomeFoundation @IrisWangMD @JBrandlerMD @LinChangMD @IFFGD @nataliesparacio @GIreview @Empoweringpts9 @FrontGastro @BeyderLab @AliRezaieMD @JPandolfinoMD @DarrellPardi @GuiRamosMD 7/12 #MondayNightIBD
MultiD Rx of #IBS in #IBD
🩺target predominant symptom(s)- pain, diarrhea, constipation, bloating
🌱supplements: peppermint oil, #probiotics
🥑diet: ⬇️FODMAP, Mediterranean
💊antibiotics, panc enzymes, neuromodulators, secretagogues
🧠CBT, hypnotherapy
MultiD Rx of #IBS in #IBD
🩺target predominant symptom(s)- pain, diarrhea, constipation, bloating
🌱supplements: peppermint oil, #probiotics
🥑diet: ⬇️FODMAP, Mediterranean
💊antibiotics, panc enzymes, neuromodulators, secretagogues
🧠CBT, hypnotherapy
@dunleavy_katie @MondayNightIBD @DCharabaty @MarcelYibirin @VictorChedidMD @LauraRaffalsMD @Spencerkelley7 @RomyChamoun @JosephHabibi_MD @ayshaslam999 @GroverDheera @yaransarkis @BassiMehak @LancetGastroHep @ifrahfatima @SanjeevaniTomar @PriSantiagoMD @LindaNguyenMD @alex_ford12399 @kanikasehgal_ @AdvaniRashmiMD @ManasiAgrawalMD @WalterChanMD @stevenbollipo @AmyOxentenkoMD @Gut_BMJ @GuildConference @JosephCAhnMD @MarkPimentelMD @BethRosenRD @drjshapiro @mgrover_gi @GIdietitian @KewinSiah @NEJM @RomeGastroPsych @RomeFoundation @IrisWangMD @JBrandlerMD @LinChangMD @IFFGD @nataliesparacio @GIreview @Empoweringpts9 @FrontGastro @BeyderLab @AliRezaieMD @JPandolfinoMD @DarrellPardi @GuiRamosMD 8/12 #MondayNightIBD
#SIBO is common in #IBD, especially
👩🦰F>M
🔥CD>UC
✂️prior surgeries
📿strictures
🧪⬇️albumin
🦥⬇️transit times
Testing (🌬️or🦠) and treating improves symptoms & outcomes!
Treatment
⛽️hydrogen▶️rifaximin
🐄methane▶️rifaximin+neomycin
🩺See ACG guidelines!
#SIBO is common in #IBD, especially
👩🦰F>M
🔥CD>UC
✂️prior surgeries
📿strictures
🧪⬇️albumin
🦥⬇️transit times
Testing (🌬️or🦠) and treating improves symptoms & outcomes!
Treatment
⛽️hydrogen▶️rifaximin
🐄methane▶️rifaximin+neomycin
🩺See ACG guidelines!
@dunleavy_katie @MondayNightIBD @DCharabaty @MarcelYibirin @VictorChedidMD @LauraRaffalsMD @Spencerkelley7 @RomyChamoun @JosephHabibi_MD @ayshaslam999 @GroverDheera @yaransarkis @BassiMehak @LancetGastroHep @ifrahfatima @SanjeevaniTomar @PriSantiagoMD @LindaNguyenMD @alex_ford12399 @kanikasehgal_ @AdvaniRashmiMD @ManasiAgrawalMD @WalterChanMD @stevenbollipo @AmyOxentenkoMD @Gut_BMJ @GuildConference @JosephCAhnMD @MarkPimentelMD @BethRosenRD @drjshapiro @mgrover_gi @GIdietitian @KewinSiah @NEJM @RomeGastroPsych @RomeFoundation @IrisWangMD @JBrandlerMD @LinChangMD @IFFGD @nataliesparacio @GIreview @Empoweringpts9 @FrontGastro @BeyderLab @AliRezaieMD @JPandolfinoMD @DarrellPardi @GuiRamosMD 9/12 #MondayNightIBD
Anxiety, depression, & #PTSD are very common in #IBD and are associated with worse disease outcomes, ⬆️🏥utilization, & ⬇️quality of life.
🔍screen for ψ disorders
💊neuromodulators can treat IBD/IBS and ψ symptoms
🧠CBT, GDH
🤝refer to #GastroPsych
Anxiety, depression, & #PTSD are very common in #IBD and are associated with worse disease outcomes, ⬆️🏥utilization, & ⬇️quality of life.
🔍screen for ψ disorders
💊neuromodulators can treat IBD/IBS and ψ symptoms
🧠CBT, GDH
🤝refer to #GastroPsych
@MondayNightIBD @DCharabaty 1/12
📣#GITwitter #IBDTwitter
Welcome back to #MondayNightIBD #Back2Basics w @dunleavy_katie @john_damianosMD
🎯How do you approach a pt w #IBD in remission who has new or persistent #GI symptoms?
Check out our review📜
practicalgastro.com/2022/05/18/rec…
#NeuroGI #GastroPsych #DGBI
📣#GITwitter #IBDTwitter
Welcome back to #MondayNightIBD #Back2Basics w @dunleavy_katie @john_damianosMD
🎯How do you approach a pt w #IBD in remission who has new or persistent #GI symptoms?
Check out our review📜
practicalgastro.com/2022/05/18/rec…
#NeuroGI #GastroPsych #DGBI
@MondayNightIBD @DCharabaty @john_damianosMD 2/12 #MondayNightIBD #B2B
👩🏼⚕️have been studying “IBS-type symptoms” in #IBD for 30 yrs. But there is more work to be done to help characterize cohort & dz mechanism!
It’s important bc:
👨👩👧👦Affects pts QoL, mental health, sleep
🥼Causes ⬆️HC utilization, ⬆️MD visits & 💊narcotics
👩🏼⚕️have been studying “IBS-type symptoms” in #IBD for 30 yrs. But there is more work to be done to help characterize cohort & dz mechanism!
It’s important bc:
👨👩👧👦Affects pts QoL, mental health, sleep
🥼Causes ⬆️HC utilization, ⬆️MD visits & 💊narcotics
@MondayNightIBD @DCharabaty @john_damianosMD @MarcelYibirin @VictorChedidMD @LauraRaffalsMD @Spencerkelley7 @RomyChamoun @JosephHabibi_MD @ayshaslam999 @GroverDheera @yaransarkis @BassiMehak 3/12 #MondayNightIBD Persistent/New GI Sx in #IBD
1⃣R/o active🔥/#IBD complication (abscess, stricture):🔦, 🩻, CRP, FCP, ⚠️R/o infx like C. Difficile!
2⃣🤔Consequences of✂️: adhesion, bile acid diarrhea
3⃣🤔 #DGBI
🚩25% pts w #IBD in endo remission have #IBS @LancetGastroHep
1⃣R/o active🔥/#IBD complication (abscess, stricture):🔦, 🩻, CRP, FCP, ⚠️R/o infx like C. Difficile!
2⃣🤔Consequences of✂️: adhesion, bile acid diarrhea
3⃣🤔 #DGBI
🚩25% pts w #IBD in endo remission have #IBS @LancetGastroHep
Are you interested in #GIFellowship?
Hear from PDs & #GIFellows
✅ Application pearls
✅ LORs
✅ Tips forPersonal Statement
✅ Interviews
Who should attend?
🎯 Prospective applicants
🎯 Anyone who mentors residents
👉 gi.org/ACGVGR
To warm up before this-a 🧵below:
Hear from PDs & #GIFellows
✅ Application pearls
✅ LORs
✅ Tips forPersonal Statement
✅ Interviews
Who should attend?
🎯 Prospective applicants
🎯 Anyone who mentors residents
👉 gi.org/ACGVGR
To warm up before this-a 🧵below:
1/16)To start, learn perspective of #GIFellows of what makes one a competitive applicant. Part I of this series covers:
✳️ Deciding on a career in #GI
✳️ Self assessment
✳️ Finding mentors
✳️ Scholarly work
All authors were fellows at time of this 📜
👉 link.springer.com/article/10.100…
✳️ Deciding on a career in #GI
✳️ Self assessment
✳️ Finding mentors
✳️ Scholarly work
All authors were fellows at time of this 📜
👉 link.springer.com/article/10.100…
2/16) In part II of this series from above, it covers:
👉 Building your resume
👉 Building your brand
👉 Issues pertaining to minorities / #WomenInMedicine
👉 LORs
👉 Personal Statement
👉 Where to apply
👉 Interviews
👉 What happens if you dont match
📎 link.springer.com/article/10.100…
👉 Building your resume
👉 Building your brand
👉 Issues pertaining to minorities / #WomenInMedicine
👉 LORs
👉 Personal Statement
👉 Where to apply
👉 Interviews
👉 What happens if you dont match
📎 link.springer.com/article/10.100…
#1 #Covid19 #Supplement thread for #LongCovid #LongHaul #PostCovid. This may help, if you suffer from #fatigue #brainfog #jointpain #inflammation #weakness #depression #anxiety #SOB #clots #fibrosis #myocarditis #heartattack #stroke #alz #memory frontiersin.org/articles/10.33…
#2 B-COMPLEX/MULTI VITAMIN. Buy a liposomal or other form that increases bio-availability. Take 1 capsule w/Breakfast and Lunch. If you have stomach upset, try sublingual (under tongue) EZ Melt B-Complex in AM & Multi w/iron for Dinner. amazon.com/Liposomal-Meth…
#3 OMEGA 3s. Fish Oil, Krill Oil, Algae Oil are all good sources of Omega 3. Be careful the EPA/DHA ratio. EPA helps with inflammation/DHA helps with cognition. You need both! Opt for a 1:1 or 2:1 ratio of DHA to EPA (2:1 ratio eg. 800 DHA/400EPA) amazon.com/3Care-Concentr…
I'll be adding short important points which would hopefully help in remembering certain concepts during #PLAB preparation, to this thread🧵every now and then as I take them out from my scattered notes. Feel free to comment your tips and tricks which would help others, as well 👇
Please don't take any of these as medical advice 😂🙏. Real life stuff is much more nuanced. These are just clinchers for the sake of the exam.
#PLAB
#PLAB
1. Drug contraindications...
-Avoid BAN drugs in Asthma (Beta blockers, aspirin, NSAIDS) &
-DAMN drugs in diarrhoea (Diuretics, ACEIs, Metformin, NSAIDs)
#PLAB
-Avoid BAN drugs in Asthma (Beta blockers, aspirin, NSAIDS) &
-DAMN drugs in diarrhoea (Diuretics, ACEIs, Metformin, NSAIDs)
#PLAB
🌬️ Breath testing for #SIBO: everything you need to know! 🎈 😮💨 💩 🦠 🐄 📈
#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition
cghjournal.org/article/S1542-…
#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition
cghjournal.org/article/S1542-…
To kick things off: how do you diagnose #SIBO?
#SIBO is a disorder characterized by excessive colonization of the small intestine by organisms usually found in the colon, especially Gram-negative bacteria.
(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*)
(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*)
🆕European guidelines on fecal incontinence, which affects about 8️⃣% of people. 💩
#MedTwitter #medicine #GITwitter #GI #Surgery #SurgeryTwitter
@my_ueg
#MedTwitter #medicine #GITwitter #GI #Surgery #SurgeryTwitter
@my_ueg
🔑
@MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @ownyourcrohns @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita 📣 #IBD patients & caregivers:
#IBDPoll 1️⃣
📊Thinking abt your IBD needs, what's been the biggest hurdle to your care?
📝 In the replies, elaborate. What’s helped your care?
Please share your #PatientExperience w #MondayNightIBD 👇🏽
👨👩👧👦=Family
👩🏼🤝👩🏽=Friends
🥼=Specialist
#IBDPoll 1️⃣
📊Thinking abt your IBD needs, what's been the biggest hurdle to your care?
📝 In the replies, elaborate. What’s helped your care?
Please share your #PatientExperience w #MondayNightIBD 👇🏽
👨👩👧👦=Family
👩🏼🤝👩🏽=Friends
🥼=Specialist
@MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @ownyourcrohns @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita #MondayNightIBD #PatientExperience
#IBDPoll 2️⃣
🧐Thinking about your culture’s expectations
📊 Have you tried Complementary and Alternative (CAM) Therapies (ex: ayurveda, homeopathy)?
What drove you to try these therapies? Please share your experience.
SE=side effects
#IBDPoll 2️⃣
🧐Thinking about your culture’s expectations
📊 Have you tried Complementary and Alternative (CAM) Therapies (ex: ayurveda, homeopathy)?
What drove you to try these therapies? Please share your experience.
SE=side effects
@MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @ownyourcrohns @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita Thank you @MondayNightIBD for shining a spotlight on 🌏 #SouthAsianIBD pt experience!
I'm Madhura from 🇮🇳, co-founder Team @ibdesis. We are proud to lead #PatientExperience on #MondayNightIBD!
We hope to improve care for our community around the 🌍 through @SouthAsianIBD.
I'm Madhura from 🇮🇳, co-founder Team @ibdesis. We are proud to lead #PatientExperience on #MondayNightIBD!
We hope to improve care for our community around the 🌍 through @SouthAsianIBD.
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Interventional #cardiologist, #researcher, & #SoMe education leader @DLBHATTMD will be talking all about #aspirin, its role in #cardiovascular wellness & prevention, and new approaches to . . .
. . . formulation and dosing. Don't miss it--FOLLOW US NOW! @cpcannon @AnnMarieNavar @DrM_ODonoghue @DrMarthaGulati @practicalcardio @GuyattGH @DrMauricioCohen @SVRaoMD @ASPCardio @PlateletDoc @stephanamayer @CMichaelGibson @JJheart_doc @DrSheilaSahni @mmamas1973 @Drroxmehran
1) Welcome to an #accredited #tweetorial on the foundational role of #aspirin in #cardiovascular care. There are new approaches to #aspirin formulation & dosing. This program is accredited for 0.50h CE/#CME. I am @DLBHATTMD. #FOAMed #cardiotwitter #medtwitter
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Cardiologist, #SoMe education advocate, and true #Renaissance man @CMichaelGibson will be discussing a novel #aspirin prep that has PK/PD like plain #ASA . . .
. . . but a different site of absorption--with greater predictability than ECASA. DON'T MISS IT!! @DLBHATTMD @cpcannon @AnnMarieNavar @DrM_ODonoghue @DrMarthaGulati @practicalcardio @GuyattGH @DrMauricioCohen @SVRaoMD @ASPCardio @PlateletDoc @stephanamayer #FOAMed #CardioTwitter
1) Welcome to a #tweetorial where we’ll explore how changing the formulation of #aspirin & where it's absorbed in the GI tract can ⬇️the risk of acute GI injury, but still maintain predictable absorption. This program is accredited for 0.50h CE/#CME. I am @CMichaelGibson. #FOAMed
Functional abdominal pain (centrally mediated abdominal pain syndrome) by Dr. Brian Lacy at @AmCollegeGastro #ACG2021
#GITwitter #GI #FGID #DGBI
#GITwitter #GI #FGID #DGBI
A common scenario!
Definitions
The best treatment is prevention!
Case
Kindly note that out of the given names in the tweet, only “Bardhaman Sitabhog” has got Geographical Indication #GITag.
Langcha, Chandrapuli & Narkel Naru are yet to get GI.
Wrongly mentioned that Bengal has got GI for Sitabhog.
Actually, GI product name is- Bardhaman Sitabhog
Langcha, Chandrapuli & Narkel Naru are yet to get GI.
Wrongly mentioned that Bengal has got GI for Sitabhog.
Actually, GI product name is- Bardhaman Sitabhog
#Sitabhog is a part of Mahaprasad of Shree Jagannatha Temple Puri Odisha @JagannathaDhaam @SJTA_Puri
Similarly, Rasagola is offered as bhog on #NiladriBije #RathYatra
Still, reports wrongly mention that Bengal has GI tag for Sitabhog & Rosogolla.
#GiTag
Similarly, Rasagola is offered as bhog on #NiladriBije #RathYatra
Still, reports wrongly mention that Bengal has GI tag for Sitabhog & Rosogolla.
#GiTag
While we're beginning to understand more and more about the #microbiome, research on the #mycobiome (fungi 🍄) is in its infancy. Here is my summary of 🔑 points from @aeprobio's seminar on the latest research on fungi and the gut!
#GITwitter
#GITwitter
Bacteria in the #gut outnumber fungi as a class, but at the individual species level can occur in the same numbers.
Most #gut fungi belong to Ascomycota or Basidiomycota
Thank you so much to @DrPraegers for having me to discuss the effects of plant-based diets on the #gut #microbiome! Here are my slides for all to see! 😃
🍅🥑🧅🍑🥦🍒🫑🍊🌶️🍎🍆🍊🫒🍓🥒🍉🥗🥝🦠
#medicine #medtwitter #diet #nutrition #GITwitter #GI #guthealth #health
🍅🥑🧅🍑🥦🍒🫑🍊🌶️🍎🍆🍊🫒🍓🥒🍉🥗🥝🦠
#medicine #medtwitter #diet #nutrition #GITwitter #GI #guthealth #health
Just as we do things for heart health and brain health, our #microbiome is an organ of its own (the size of a 🥭), so we need to take care of it!
Buckle up! This 🧵 is a deep dive into the #physiology of defecation, the mechanics of pooping! 🧰 🚽 💩
nature.com/articles/s4157…
#medicine #MedEd #science #GITwitter #GI #gut #motility #constipation #IBS
nature.com/articles/s4157…
#medicine #MedEd #science #GITwitter #GI #gut #motility #constipation #IBS
Defecation requires
1. intact #GI tract
2. coordination of many systems: neural (enteric nervous system, modulated by the peripheral somatic, autonomic and the CNS); muscular (smooth and striated); hormonal (endocrine and paracrine); and cognitive (behavioural and psychosocial)
1. intact #GI tract
2. coordination of many systems: neural (enteric nervous system, modulated by the peripheral somatic, autonomic and the CNS); muscular (smooth and striated); hormonal (endocrine and paracrine); and cognitive (behavioural and psychosocial)
#Constipation is the3⃣rd most common #GI symptom
💰 Annual cost of fecal incontinence and constipation: $1,594 - $7,522
💰 Annual cost of fecal incontinence and constipation: $1,594 - $7,522
Traducción del hilo del Dr. John Damianos de la universidad de Yale acerca de las últimas evidencias en el tratamiento de los síntomas del Síndrome del Intestino Irritable #SII mediante la dieta y complementos alimenticios.
🚨¡Lo último en #dieta y suplementos para #SII!
En esto hilo voy a resumir "Complementos alimenticios y dieta como opciones de tratamiento en el síndrome del intestino irritable" ( @APandT ) por @ProfWhelan y @EiriniDimidi #medicina
onlinelibrary.wiley.com/doi/abs/10.111…
En esto hilo voy a resumir "Complementos alimenticios y dieta como opciones de tratamiento en el síndrome del intestino irritable" ( @APandT ) por @ProfWhelan y @EiriniDimidi #medicina
onlinelibrary.wiley.com/doi/abs/10.111…
🌱ALOE VERA:
Prebiótico, inmunomodulador.
Ensayo reciente: Sin diferencia entre aloe y placebo para los síntomas del #SII o la frecuencia/calidad de las heces. Sin diferencia en el microbioma (pero los que respondieron tenían un microbioma diferente). onlinelibrary.wiley.com/doi/abs/10.111…
Prebiótico, inmunomodulador.
Ensayo reciente: Sin diferencia entre aloe y placebo para los síntomas del #SII o la frecuencia/calidad de las heces. Sin diferencia en el microbioma (pero los que respondieron tenían un microbioma diferente). onlinelibrary.wiley.com/doi/abs/10.111…
Here are the new @BritSocGastro guidelines for #IBS in @Gut_BMJ! I'll summarize in 🧵 ⬇️⬇️⬇️!
😖💩🦠🧠🥦🍞💊
#GITwitter #GI #gut #braingut #motility #DGBI #FGID #microbiome #probiotics #MedTwitter #MedEd
gut.bmj.com/content/early/…
😖💩🦠🧠🥦🍞💊
#GITwitter #GI #gut #braingut #motility #DGBI #FGID #microbiome #probiotics #MedTwitter #MedEd
gut.bmj.com/content/early/…
🧑⚕️-😷
Doctor-patient communication
🧑⚕️A strong 🧑⚕️-😷 relationship is fundamental to the management of #IBS
😷Patients want their 🧑⚕️ to ⬆️empathy, support and information about the nature of IBS, diagnosis, and treatment options
Doctor-patient communication
🧑⚕️A strong 🧑⚕️-😷 relationship is fundamental to the management of #IBS
😷Patients want their 🧑⚕️ to ⬆️empathy, support and information about the nature of IBS, diagnosis, and treatment options
DIAGNOSIS
🩸New pt: CBC, CRP or ESR, celiac serology and, if <45 w diarrhea, fecal calprotectin
➕Make POSITIVE diagnosis based on @RomeFoundation criteria
➡️Refer to #GI when: diagnostic doubt, pt w symptoms that are severe or refractory to 1stline tx,or when pt wants specialist
🩸New pt: CBC, CRP or ESR, celiac serology and, if <45 w diarrhea, fecal calprotectin
➕Make POSITIVE diagnosis based on @RomeFoundation criteria
➡️Refer to #GI when: diagnostic doubt, pt w symptoms that are severe or refractory to 1stline tx,or when pt wants specialist
Foods in our #diet can alter the pro-inflammatory vs anti-inflammatory milieu of the intestinal #microbiome.
See 🧵 below for the findings!
🥬🍑🍅🍠🥚🍎🧀🍆🫒🫓🍇🥦🥑🥥🥯🌶️🧄🥖
#GITwitter #GI #gut #nutrition
gut.bmj.com/content/early/…
See 🧵 below for the findings!
🥬🍑🍅🍠🥚🍎🧀🍆🫒🫓🍇🥦🥑🥥🥯🌶️🧄🥖
#GITwitter #GI #gut #nutrition
gut.bmj.com/content/early/…
🥖 🥜 🐠 🌰
Breads, legumes, fish and nuts⬇️several pro-inflammatory pathways:
🫓⬇️pathogenic growth factors & endotoxins
🫓⬇️ pathogenic E. coli, Bacteroides fragilis, parabacerioides
🫓⬆️ammonia detoxification pathway
Breads, legumes, fish and nuts⬇️several pro-inflammatory pathways:
🫓⬇️pathogenic growth factors & endotoxins
🫓⬇️ pathogenic E. coli, Bacteroides fragilis, parabacerioides
🫓⬆️ammonia detoxification pathway
🌰🐟 🍑🥦
Nuts, oily fish, fruit, vegetables & cereals ⬆️short-chain fatty acid producers
🫑⬆️Faecalibacterium prausnitzii, roseburia hominis, and more
Bacteria ferment fiber and pectins to acetate and butyrate.
SCFAs have anti-inflammatory effects on the mucosa!
Nuts, oily fish, fruit, vegetables & cereals ⬆️short-chain fatty acid producers
🫑⬆️Faecalibacterium prausnitzii, roseburia hominis, and more
Bacteria ferment fiber and pectins to acetate and butyrate.
SCFAs have anti-inflammatory effects on the mucosa!
