Section Iv Clinical Syndromes Pathophysiology Diagnosis And Management

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24. Irritable Bowel Syndrome and Functional Abdominal Pain Syndromes: Pathophysiology 341 Andrew W. DuPont and Pankaj Jay Pasricha

Introduction and Nature of the Problem 341

Is Pain Secondary to Motility Abnormalities in IBS? 342

Is Pain Secondary to Disturbances in Sensory Processing

(Visceral Hypersensitivity)? 343 Visceral Hypersensitivity: Central or Peripheral? 345 Etiopathogenesis of Visceral Hypersensitivity 350 Conclusions . . . . 353 References 353

Irritable Bowel Syndrome and Functional Abdominal Pain Syndromes: Clinical Features and Management 357 Lin Chang and Lucinda Harris Introduction 357 Irritable Bowel Syndrome 358 Functional Abdominal Pain Syndrome 367 Conclusion 367 References . . . . 368

25. Noncardiac Chest Pain: Pathophysiology 373 Premjit S. Chahal and Satish S. C. Rao Introduction 373 Conclusion 378 References 378

Noncardiac Chest Pain: Clinical Features and Management 381 Ronnie Fass and Ram Dickman Introduction 381 History and Clinical Presentation 381 Epidemiology 382 Diagnosis 383 Treatment 389 Summary 394 References 395

26. Pathophysiology of Functional Dyspepsia 399 Jan Tack

Definitions 399

Dyspepsia Symptom Pattern 399

Subgroups of Functional Dyspepsia Patients 399

Putative Pathophysiological Mechanisms 400

Pathogenesis of Functional Dyspepsia 401

Dyspepsia: Clinical Features and Management 404 Nimish Vakil Definitions . . . . 404 Prevalence . . . . 405

Differential Diagnosis . . . . 405 Clinical Diagnosis . . . . 406 Alarm Features . . . . 406 Management Strategies . . . . 406 References . . . . 411

27. Pathophysiology and Management of Pain in Chronic Pancreatitis 415 John H. Winston and Pankaj Jay Pasricha

Background and Nature of The Problem 415 Pathogenesis of Pain in Chronic Pancreatitis 415 References 423

28. Abdominal Wall Pain 427 David S. Greenbaum

Economic Costs 427 Prevalence 428 Nonrecognition of CAWP . Etiologies . . . . 428 Clinical History 430 Physical Examination . . . . Reliability of Diagnosis . . . Management 432 Conclusions . . . . 433 References . . . . 434

29. Unexplained Visceral Pain in Children: Pathophysiology, Clinical Features, and Management 437

Robert J. Shulman, Danita Czyzewski, and Margaret Heitkemper Introduction . . . . 437

RAP - Functional Abdominal Pain and Irritable Bowel Syndrome 438 Functional Dyspepsia . . . . 447 Summary . . . . 448 References . . . . 448

30. Functional Biliary Type Pain Syndromes 453 Arnold Wald

Introduction . . . . 453 Definitions 453 Epidemiology . . . . 453

Gallbladder and Biliary Anatomy and Physiology Functional (Acalculous) Biliary Type Pain . . . . Postcholecystectomy Functional Biliary Type Pain Conclusions 460 References 460

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Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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