Dysphagia: Evaluation and Collaborative Management - American Family Physician
Jan 15, 2021 - Dysphagia is common but may be underreported. Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging. Obstructive symptoms that seem to originate in the throat or neck may actually be caused by distal esophageal lesions. Oropharyngeal ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0115/p97.html
Abdominal Pain, Acute - American Family Physician
Dec 1, 2020 - This collection features AFP content on acute abdominal pain and related issues, including acute pelvic pain, appendicitis, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and pancreatitis. This collection features AFP content on acute abdominal pain and related ...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=73
Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and ...
Nov 15, 2020 - Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in the United States, affecting up to 30% of adults. There are two forms of NAFLD: nonalcoholic fatty liver (NAFL), defined as 5% or greater hepatic steatosis without hepatocellular injury or fibrosis, and...
American Family Physician : Article
https://www.aafp.org/afp/2020/1115/p603.html
Hepatitis (and Other Liver Diseases) - American Family Physician
Nov 15, 2020 - This collection features AFP content on hepatitis and other liver disease, including cirrhosis, chronic liver failure, hemochromatosis, hepatitis A, hepatitis B, hepatitis C, jaundice, and nonalcoholic fatty liver disease. This collection features AFP content on hepatitis and other ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=38
Dyspepsia - American Family Physician
Sep 1, 2020 - This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD. This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD.
- Overview
- Screening and Diagnosis
- Treatment
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=8
Gastroenteritis and Diarrhea in Children - American Family Physician
Jul 1, 2020 - This collection features AFP content on gastroenteritis and diarrhea in children and related issues, including dehydration, foodborne illnesses, probiotics, and rotavirus vaccination. This collection features AFP content on gastroenteritis and diarrhea in children and related issues, ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=9
Nutrition - American Family Physician
Jul 1, 2020 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
- General
- Specific Vitamins and Nutrients
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86
Cirrhosis: Diagnosis and Management - American Family Physician
Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1215/p759.html
Noninvasive Diagnostic Tests for Helicobacter pylori Infection - Cochrane for ...
Jul 1, 2019 - When compared with serology or stool antigen tests, the urea breath test has the highest diagnostic accuracy to identify H. pylori infection in patients without a history of gastrectomy or recent use of antibiotics or proton pump inhibitors.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0701/p16.html
mSEPT9 (Epi proColon) Blood Test for Colorectal Cancer Screening - Diagnostic Tests: ...
Jul 1, 2019 - Epi proColon is a blood test used for the detection of the methylated septin 9 (mSEPT9) gene. It is approved by the U.S. Food and Drug Administration for colorectal cancer screening in people at average risk who have declined first-line screening tests.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2019/0701/p10.html
Crohn's Disease: Diagnosis and Management - American Family Physician
Dec 1, 2018 - Crohn’s disease is a chronic inflammatory condition that affects the gastrointestinal tract. It can cause lesions from mouth to anus and may result in extraintestinal complications. The prevalence of Crohn’s disease is increasing in adults and children. Genetic predispositions to ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1201/p661.html
Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...
Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p275.html
Diabetes Mellitus: Management of Gastrointestinal Complications - American Family ...
Dec 15, 2016 - Gastrointestinal disorders are common complications of diabetes mellitus and include gastroparesis, nonalcoholic fatty liver disease, gastroesophageal reflux disease, and chronic diarrhea. Symptoms of gastroparesis include early satiety, postprandial fullness, nausea, vomiting of ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1215/p980.html
Practical Selection of Antiemetics in the Ambulatory Setting - American Family Physician
Mar 1, 2015 - Nausea and vomiting are mediated primarily by three neurotransmitter pathways: visceral stimulation releases dopamine and serotonin; vestibular and central nervous system activation release histamine and acetylcholine; and chemoreceptor trigger zone activation releases dopamine and ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0301/p293.html
Complications of Adjustable Gastric Banding Surgery for Obesity - American Family ...
May 15, 2014 - Laparoscopic adjustable gastric banding procedures have a favorable risk-benefit profile and are increasingly important as part of the overall management of obesity. These procedures are effective at inducing weight loss and improving comorbid conditions, including diabetes mellitus, ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0515/p813.html
Surgical and Nonsurgical Management of Gallstones - American Family Physician
May 15, 2014 - Cholelithiasis, or gallstones, is one of the most common and costly of all the gastrointestinal diseases. The incidence of gallstones increases with age. At-risk populations include persons with diabetes mellitus, persons who are obese, women, rapid weight cyclers, and patients on ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0515/p795.html
Nonalcoholic Fatty Liver Disease: Diagnosis and Management - American Family Physician
Jul 1, 2013 - Nonalcoholic fatty liver disease is characterized by excessive fat accumulation in the liver (hepatic steatosis). Nonalcoholic steatohepatitis is characterized by steatosis, liver cell injury, and inflammation. The mechanism of nonalcoholic fatty liver disease is unknown but involves ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p35.html
Weight Loss for Patients with Nonalcoholic Fatty Liver Disease - Cochrane for ...
Sep 1, 2012 - There are insufficient high-quality studies to determine patient-oriented outcomes of weight loss for the treatment of fatty liver disease. Nonetheless, weight loss remains a reasonable goal because it may reduce liver inflammation and improve comorbidities. In two of the studies ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2012/0901/p415.html
Diagnosis and Management of Upper Gastrointestinal Bleeding - American Family Physician
Mar 1, 2012 - Upper gastrointestinal bleeding causes significant morbidity and mortality in the United States, and has been associated with increasing nonsteroidal anti-inflammatory drug use and the high prevalence of Helicobacter pylori infection in patients with peptic ulcer bleeding. Rapid ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0301/p469.html
Cirrhosis: Diagnosis, Management, and Prevention - American Family Physician
Dec 15, 2011 - Cirrhosis is the 12th leading cause of death in the United States. It accounted for 29,165 deaths in 2007, with a mortality rate of 9.7 per 100,000 persons. Alcohol abuse and viral hepatitis are the most common causes of cirrhosis, although nonalcoholic fatty liver disease is emerging ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1215/p1353.html
Diagnosis and Management of Crohn's Disease - American Family Physician
Dec 15, 2011 - Crohn’s disease is a chronic inflammatory condition affecting the gastrointestinal tract at any point from the mouth to the rectum. Patients may experience diarrhea, abdominal pain, fever, weight loss, abdominal masses, and anemia. Extraintestinal manifestations of Crohn’s disease ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1215/p1365.html
Diagnostic Approach to Chronic Constipation in Adults - American Family Physician
Aug 1, 2011 - Constipation is traditionally defined as three or fewer bowel movements per week. Risk factors for constipation include female sex, older age, inactivity, low caloric intake, low-fiber diet, low income, low educational level, and taking a large number of medications. Chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0801/p299.html
Appetite Suppressants as Adjuncts for Weight Loss - FPIN's Clinical Inquiries - ...
Apr 1, 2011 - Phentermine and diethylpropion are appetite suppressants approved for use in the United States as adjuncts in the treatment of obesity. These agents demonstrate a modest weight loss benefit when combined with dietary modifications and exercise.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2011/0401/od1.html
Hepatitis C: Diagnosis and Treatment - American Family Physician
Jun 1, 2010 - Hepatitis C, a common chronic bloodborne infection, is found in approximately 2 percent of adults in the United States. Chronic infection is associated with serious morbidity and mortality (e.g., cirrhosis, hepatocellular carcinoma). Testing for hepatitis C is recommended for at-risk ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0601/p1351.html
Hepatitis B: Diagnosis and Treatment - American Family Physician
Apr 15, 2010 - Although an estimated 1 million persons in the United States are chronically infected with hepatitis B virus, the prevalence of hepatitis B has declined since the implementation of a national vaccination program. Hepatitis B virus is transmitted in blood and secretions. Acute infection ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0415/p965.html
Diverticular Bleeding - American Family Physician
Nov 1, 2009 - Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1101/p977.html
Chronic Pancreatitis - American Family Physician
Dec 1, 2007 - Chronic pancreatitis is the progressive and permanent destruction of the pancreas resulting in exocrine and endocrine insufficiency and, often, chronic disabling pain. The etiology is multifactorial. Alcoholism plays a significant role in adults, whereas genetic and structural defects ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1201/p1679.html
AGA Releases Position Statement on Gastrointestinal Medication Use During Pregnancy - ...
Mar 1, 2007 - The American Gastroenterological Association (AGA) has released a position statement on gastrointestinal medication use in pregnant women. Drug treatment of gastrointestinal disease in pregnant women can be difficult, as the U.S. Food and Drug Administration classifications are not ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2007/0301/p755.html
Diagnosis of Acute Abdominal Pain in Older Patients - American Family Physician
Nov 1, 2006 - Acute abdominal pain is a common presenting complaint in older patients. Presentation may differ from that of the younger patient and is often complicated by coexistent disease, delays in presentation, and physical and social barriers. The physical examination can be misleadingly ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1101/p1537.html
Cirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - American Family...
Sep 1, 2006 - Cirrhosis and chronic liver failure are leading causes of morbidity and mortality in the United States, with the majority of preventable cases attributed to excessive alcohol consumption, viral hepatitis, or nonalcoholic fatty liver disease. Cirrhosis often is an indolent disease; most ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0901/p756.html
Cirrhosis and Chronic Liver Failure: Part II. Complications and Treatment - American ...
Sep 1, 2006 - Major complications of cirrhosis include ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, portal hypertension, variceal bleeding, and hepatorenal syndrome. Diagnostic studies on ascitic fluid should include a differential leukocyte count, total protein level, a ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0901/p767.html
Nonalcoholic Fatty Liver Disease - American Family Physician
Jun 1, 2006 - Nonalcoholic fatty liver disease is a common condition associated with metabolic syndrome. It is the most common cause of elevated liver enzymes in U.S. adults, and is diagnosed after ruling out other causes of steatosis (fatty infiltration of liver), particularly infectious hepatitis ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1961.html
Determining Eligibility for Gastric Bypass Surgery - Curbside Consultation - American ...
May 1, 2006 - This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for those who ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2006/0501/p1638.html
Caring for Patients After Bariatric Surgery - American Family Physician
Apr 15, 2006 - Bariatric surgery leads to sustainable long-term weight loss and may be curative for such obesity-related comorbidities as diabetes and obstructive sleep apnea in severely obese patients. The Roux-en-Y gastric bypass has become the most common procedure for patients undergoing bariatric...
American Family Physician : Article
https://www.aafp.org/afp/2006/0415/p1403.html
Cochrane for Clinicians - Jun 1, 2005 - American Family Physician
Jun 1, 2005 - Thickened feeds and metoclopramide reduce symptoms of GER in normally developing infants. However, elevating the head of the crib appears to have no effect.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2005/0601/p2091.html
Diagnosis of Gastrointestinal Bleeding in Adults - American Family Physician
Apr 1, 2005 - The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleeding. Patients presenting with upper gastrointestinal or massive lower gastrointestinal bleeding, postural hypotension, or hemodynamic instability ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0401/p1339.html
Management of Hepatitis C: Evaluating Suitability for Drug Therapy - American Family ...
Mar 15, 2004 - Chronic hepatitis C virus infection is a common and serious disease. Although an estimated 2.7 million persons in the United States have this disease, most have not yet been diagnosed. Recent advances in treatment provide successful cure in 50 to 80 percent of cases. Current drug ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0315/p1429.html
A New View of Occult and Obscure Gastrointestinal Bleeding - American Family Physician
Feb 15, 2004 - Occult gastrointestinal bleeding usually is discovered when fecal occult blood test results are positive or iron deficiency anemia is detected. Fecal occult blood testing methods vary, but all have limited sensitivity and specificity. The initial work-up for occult bleeding typically ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0215/p875.html
Acute Abdominal Pain in Children - American Family Physician
Jun 1, 2003 - Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0601/p2321.html
Recent Developments in Colorectal Cancer Screening and Prevention - American Family ...
Jul 15, 2002 - Colorectal cancer is a significant contributor to morbidity and mortality in the United States. Studies published in the early 1990s, showing that screening for colorectal cancer can reduce colorectal cancer-related mortality, led many organizations to recommend screening in ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0715/p297.html
Preventive Strategies in Chronic Liver Disease: Part II. Cirrhosis - American Family ...
Nov 15, 2001 - Cirrhosis is a diffuse process characterized by fibrosis and the conversion of normal liver architecture into structurally abnormal nodules. The modified Child-Pugh score, which ranks the severity of cirrhosis based on signs and liver function test results, has been shown to predict ...
American Family Physician : Article
https://www.aafp.org/afp/2001/1115/p1735.html
Screening for Colorectal Cancer - Putting Prevention into Practice - American Family ...
Jun 1, 2000 - Case study: SE is a 69-year-old man who has never been screened for colorectal cancer. After conducting a history and physical examination, it appears that he is not at high risk for colorectal cancer.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2000/0601/p3477.html
Management of Gallstones and Their Complications - American Family Physician
Mar 15, 2000 - The accurate differentiation of gallstone-induced biliary colic from other abdominal disease processes is the most crucial step in the successful management of gallstone disease. Despite the availability of many imaging techniques to demonstrate the presence of gallstones, clinical ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0315/p1673.html
HELLP Syndrome: Recognition and Perinatal Management - American Family Physician
Sep 1, 1999 - HELLP, a syndrome characterized by hemolysis, elevated liver enzyme levels and a low platelet count, is an obstetric complication that is frequently misdiagnosed at initial presentation. Many investigators consider the syndrome to be a variant of preeclampsia, but it may be a separate ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0901/p829.html
Gastroesophageal Reflux Disease: Diagnosis and Management - American Family Physician
Mar 1, 1999 - Gastroesophageal reflux disease (GERD) is a chronic, relapsing condition with associated morbidity and an adverse impact on quality of life. The disease is common, with an estimated lifetime prevalence of 25 to 35 percent in the U.S. population. GERD can usually be diagnosed based on ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0301/p1161.html
Liver Disease in Pregnancy - American Family Physician
Feb 15, 1999 - Acute viral hepatitis is the most common cause of jaundice in pregnancy. The course of acute hepatitis is unaffected by pregnancy, except in patients with hepatitis E and disseminated herpes simplex infections, in which maternal and fetal mortality rates are significantly increased. ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0215/p829.html
Detecting Celaic Disease in Your Patients - American Family Physician
Mar 1, 1998 - Celiac disease is a genetic, immunologically mediated small bowel enteropathy that causes malabsorption. The immune inflammatory response to gluten frequently causes damage to many other tissues of the body. The condition is frequently underdiagnosed because of its protean ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0301/p1023.html
Management of Inflammatory Bowel Disease - American Family Physician
Jan 1, 1998 - Patients with an inflammatory bowel disease, such as ulcerative colitis or Crohn's disease, have recurrent symptoms with considerable morbidity. Patient involvement and education are necessary components of effective management. Mild disease requires only symptomatic relief and dietary ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0101/p57.html
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