Dietary Gluten

Common Sources of Gluten in the Diet: Malt containing products (ex. Malt vinegar) Rye Matzo Wheat Couscous Breading Barley Flour Brown Rice Syrup Seasoned chips Seasoned Nuts Hot dogs Salami Sausage Processed lunch meats Imitation meats (ex. Bacon, seafood, etc) Rice Pilaf Drink mixes Beer Croutons Some medications/vitamins/supplements Energy bars Dairy substitutes Marinades Sauces/gravies Salad … Continue reading

Celiac Disease Resources

The following websites are additional resources that specialize in the treatment of Celiac Disease:

Overactive Bladder

Overactive bladder is a disease which can result from several different etiologies but is primarily characterized by a hyperactive bladder wherein affected individuals feel a frequent urge to urinate and may also experience spontaneous urine loss. Antimuscarinics are the traditional first-line therapy for treatment.  Any antimuscarinic should be tried for at least two weeks to … Continue reading

Nausea and Vomiting (OTC Treatment)

NAUSEA & VOMITING Nausea: uncomfortable sensation in the  stomach that can result in vomiting Vomiting : expulsion of stomach contents in a forceful manner Most common reason for N/V: motion sickness, food, stress, migraine, overindulgence, pregnancy Be concerned if vomiting lasts over 24 h, blood or bile in vomit, rapid breathing/pulse Simple nausea with vomiting: … Continue reading

Pediatric GI Issues (OTC Treatments)

PEDIATRIC GI ISSUES Gripe = sharp spasmodic pain in the bowel Gripe is a symptom of colic Colic = a syndrome where a healthy baby cries or screams frequently for extended periods of time for no apparent reason Usually occurs between 4 weeks to 8 months of age May repeat on a schedule (same time … Continue reading

Constipation (OTC Treatment)

CONSTIPATION Constipation is not a disease & most of the time it is temporary & not serious Constipation is a reduction in the frequency of bowel movements that is less than normal for a particular person Constipation symptoms:  strain during bowel movements, infrequent evacuation, hard/lumpy/difficult stools, incomplete evacuation, sense of blockage, bloating, abdominal pain, distention … Continue reading

Diarrhea (OTC Treatment)

DIARRHEA Diarrhea = an increase in stool frequency Loose, watery stools May be acute or chronic Viruses are the cause of most acute diarrhea  (rotavirus vaccine cures this the majority of the time) Traveler’s diarrhea is usually bacterial in nature May also be caused by parasites, food intolerances (lactose), medications (like antibiotics) Lactose intolerance:  congenital … Continue reading

Acid Related Disorders (OTC Treatment)

Acid Related Disorders Peptic Ulcer Disease (PUD) Disruption of the upper GI lining (mucosa) that must be diagnosed by a physician Characterized by possible blood in vomit or stool (GI bleeding) Usually caused by bacteria Treated w/ H2 antagonists & antacids Heartburn Burning, pain in esophagus (upper GI as opposed to peptic ulcer which is … Continue reading


Gastroesophageal Reflux Disease (GERD) GERD is a chronic condition Mechanisms of action by which GERD may develop:  LES factors–decreased LES pressure, increased relaxation of LES, increased abdominal pressure, impaired esophagael clearance/salivation/mucosal defense, increased gastric acid secretion, delayed gastric emptying Note:  H Pylori plays no role Symptoms of GERD, including alert symptoms. GERD leads to an … Continue reading

Portal Hypertension

Pathophysiology of portal hypertension and cirrhosis Causes:  alcohol, viral hepatitis (B & C), hemachromatosis, gall stones, cystic fibrosis (biliary obstruction), right heart failure (CV), nonalcoholic steatohepatitis (NASH) Cirrhosis is characterized by an irreversible alteration of the liver architecture (fibrosis followed by nodular degeneration) Fibrosis near portal vein impedes blood flow causing portal HTN Elevated portal … Continue reading