Discover and read the best of Twitter Threads about #dyspepsia

Most recents (4)

I am anti PPI unless its for documented ulcers or H. pylori.

Unexplained dyspepsia +/- alarm symptoms should ALWAYS be evaluated.

PPI without a specific reason qnd for long term --> DANGER

#MedTwitter
#PPI
#dyspepsia
#pepticulcerdisease
Thanks to @MedRewind for the table!
*and
Read 4 tweets
🧵 Reducing #PrescribingCascades ⬇️

1/ What are #Prescribing Cascades?

1⃣ A drug is prescribed 💊
2⃣ #AdverseEvent occurs but is misinterpreted as a new medical condition ⚠️
3⃣Another drug is prescribed for the drug-induced adverse event 💊💊

ti.ubc.ca/letter138 #MedEd Image
2/ Anticholinergics ➡️ cognitive dysfunction ➡️ drugs for #dementia

#Anticholinergic 💊 block acetylcholinergic neurotransmission in the brain, impairing cognition & memory

Can lead to new Rx or ↗️ acetylcholinesterase inhibitor doses

ti.ubc.ca/letter138 #MedEd #FOAMed Image
3/ Drugs for #dementia ➡️ incontinence ➡️ anticholinergics

Conversely, AChE-I can cause urinary or fecal incontinence, that may "cascade" to prescription of an #anticholinergic

👉🏽 full Letter here: ti.ubc.ca/letter138

#MedEd #PrescribingCascades #MedTwitter Image
Read 10 tweets
#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…
Read 93 tweets
On 31 Mar 20, a distress tweet was forwarded by Mr. Manik Sharma from #Poonch to #PMO’s office to save his grandmother, who lives in a remote location in #Rajouri. On receipt of message, #IndianArmy sprung into action & #ArmyDoctor was immediately sent to rescue ailing patient.
Doctor with troops equipped with essential medical kit reached vill Dayala, Sialsui, #Rajouri & provided immediate medical assistance to the patient diagnosed with severe #CoronaryArteryDisease, #Hypertensive emergency & #Dyspepsia & evacuated to #MilitaryHospital, #Rajouri
As per medical reports, patient is out of danger & is receiving specialist care at #MilitaryHospital, #Rajouri & will soon be reunited with family post recovery. Family of the lady has been informed of rescue & her progress. #IndianArmyForAwam #WeCanWeCare @adgpi @NorthernComd_IA
Read 4 tweets

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