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Digestive Problems Solved: A Patient's Guide to Expert Insights and Solutions 2023 ed. [Kietas viršelis]

  • Formatas: Hardback, 121 pages, aukštis x plotis: 235x155 mm, weight: 408 g, 11 Illustrations, color; 4 Illustrations, black and white; XV, 121 p. 15 illus., 11 illus. in color., 1 Hardback
  • Išleidimo metai: 26-Apr-2023
  • Leidėjas: Springer International Publishing AG
  • ISBN-10: 3031163168
  • ISBN-13: 9783031163166
Kitos knygos pagal šią temą:
  • Formatas: Hardback, 121 pages, aukštis x plotis: 235x155 mm, weight: 408 g, 11 Illustrations, color; 4 Illustrations, black and white; XV, 121 p. 15 illus., 11 illus. in color., 1 Hardback
  • Išleidimo metai: 26-Apr-2023
  • Leidėjas: Springer International Publishing AG
  • ISBN-10: 3031163168
  • ISBN-13: 9783031163166
Kitos knygos pagal šią temą:
More than one billion individuals worldwide experience digestive or gastrointestinal (GI) problems, including acid reflux, bloating, constipation, diarrhea, and many others. This book was written with these individuals in mind and to help guide them. In this comprehensive yet high-yield and patient-friendly book, trusted medical expert Dr. James H. Tabibian shares his professional insights and personal experiences to empower patients to gain better understanding of and control over their digestive health. This book addresses questions that commonly arise among those with GI problems, such as What condition do I really have , Should I be worried , At what point do I need to see a specialist , What should I tell the doctor , Is the doctor ordering the right tests for me , What treatment options are there and which ones work best for me , Am I seeing the right subspecialist for my problem , and more. It presents up-to-date scientific knowledge and tenets that are relevantacross the spectrum of common GI problems, providing a summary of key concepts, underlying causes of digestive problems, how to best embark on a medical evaluation, and the vast array of pharmacological and non-pharmacological therapeutic options. Drawing upon both Western and Eastern methodologies and a combination of integrative and functional medicine, this book provides important practical information to help navigate life with GI problems, the complexities of modern healthcare, and the quest for digestive wellness, debunking misconceptions along the way.





 
Part I The Gastrointestinal System and Digestive Problems: A Fundamental Primer
1 Gastrointestinal Anatomy and Function: A High-Yield Overview
3(10)
Anatomy of the GI System: What it Consists of
4(4)
Digestive Tract
4(3)
Accessory Organs and Structures
7(1)
Function of the GI System: How it Works
8(2)
Six Main Functions of the GI System
8(2)
Organic Versus Functional GI Disorders
10(1)
Putting it all Together
11(1)
Further Reading
12(1)
2 The Burden of Digestive Problems: Common and Impactful
13(4)
A Disclaimer about Assessing the Burden of Digestive Problems
13(1)
Digestive Problems Are Common and Have a Profound Impact Nationally
14(1)
Burden OF Digestive Problems at the Individual Level
15(1)
Putting it all Together
15(1)
Further Reading
16(1)
3 Distinguishing Benign Symptoms from Red Flags
17(6)
What Makes a Symptom "Benign"?
17(1)
The Different Meanings of "Benign": Context Matters
17(1)
Potential Confusion Surrounding the Term "Benign"
17(1)
What Are "Red Flags" in Medicine?
18(2)
"Red Flags" don't Always Indicate Doom and Gloom
19(1)
Putting it all Together
20(1)
Further Reading
20(3)
Part II Triggers and Causes of Digestive Problems: A Broad Spectrum of Possibilities
4 Genes, Food, Environment, and Beyond
23(12)
What Types of Things can Trigger Digestive Problems?
23(1)
Intrinsic Factors
24(3)
Genetics
25(1)
Aging
25(1)
Pregnancy
26(1)
Menstrual Cycle
26(1)
Extrinsic Factors
27(2)
Food
27(1)
Water
28(1)
Air
28(1)
Chemicals
28(1)
Medications
29(1)
Behavioral Factors
29(2)
Mental Health and Psychosocial Issues
30(1)
Cultural Considerations
30(1)
Lifestyle Habits
30(1)
Caveats Regarding the Relationship Between Triggers and Digestive Problems
31(2)
Putting it all Together
33(1)
Further Reading
34(1)
5 Flow Problems: Digestive Tract Blockages and Dysmotility
35(8)
What Causes Problems with GI Flow
35(3)
Digestive Tract Blockage
36(1)
Digestive Tract Dysmotility
37(1)
What Are the Symptoms of Flow Problems?
38(1)
Bloating: A Common Problem that Is Sometimes but Not Always Due to Flow Issues
39(2)
Aerophagia
39(1)
Increased Production of Gas
40(1)
Abnormal Dissipation of Gas
40(1)
Putting it all Together
41(1)
Further Reading
41(2)
6 The Intestinal Microbiome: Friends, Foes, and Unknowns
43(6)
A Primer on the Immune System: A Starting Point for Understanding the Microbiome
43(1)
What Constitutes the Intestinal Microbiome?
43(2)
What Is the Relationship Between the Intestinal Microbiome and Digestive Problems?
45(1)
What to Do about my Intestinal Microbiome
46(1)
Putting it all Together
47(1)
Further Reading
47(2)
7 The Role of Stress and Psychological Factors
49(8)
A Disclaimer on Stress, Psychological Factors, and Functional Disorders
49(1)
Stress and Digestive Problems
50(1)
What to Do about Stress?
51(1)
Psychological Factors and Digestive Problems
51(2)
What to Do about Psychological Factors?
52(1)
Putting it all Together
53(1)
Further Reading
53(4)
Part III Medical Evaluation and Diagnosis: Pearls, Pitfalls, and What I Wish I Knew Sooner
8 Effectively Navigating the Path to Seeing a Subspecialist
57(8)
An Overview of "Referrals"
57(2)
What Is a "Referral", and What Purpose Does it Serve?
57(1)
Who Makes Referrals to Gastroenterology, and Why Does this Matter?
58(1)
Steps after a Referral Is Received
58(1)
The Referring Provider as the Hub
59(4)
Interface Between Patient and the Referring Provider: The Basis of the Referral
60(2)
Interface Between the Referring Provider and Subspecialist: The Pitch of the Referral
62(1)
When Time Comes to See the Subspecialist
63(1)
Putting it all Together
63(1)
Further Reading
64(1)
9 Following a Practical Sequence in Testing
65(6)
Components and Sequence of the Medical Diagnostic Evalution
65(2)
When Is (Further) Testing Needed?
67(1)
Instances Where the Usual Testing Sequence May Not Be Best
68(1)
A Few Words on Endoscopy
69(1)
How Do I Know if My Evaluation Is Complete?
69(1)
Putting it all Together
70(1)
Further Reading
70(1)
10 The Unifying Diagnosis: Often but Not Always Correct
71(4)
Basis of the Unifying Diagnosis
71(1)
Problems with the Unifying Diagnosis
72(1)
The Unifying Diagnosis: Use Only if it Fits
73(1)
Putting it all Together
73(1)
Further Reading
74(1)
11 Seeking a Second Opinion: When and Where
75(10)
Should I Obtain a Second Opinion?
75(2)
The Benefits of a Second Opinion
75(1)
Situations that Merit a Second Opinion
76(1)
Concerns Around Getting a Second Opinion
77(1)
Where and How to Obtain a Second Opinion
78(2)
Where to Go for a Second Opinion
78(1)
How to Go About Obtaining a Second Opinion
79(1)
Digestive Problem Scenarios Where You May Benefit from a Second Opinion
80(2)
Putting it all Together
82(1)
Further Reading
82(3)
Part IV Treatments and Solutions: Each Patient Is Unique, and One Size Doesn't Fit All
12 Initial Approaches: Lifestyle and Dietary Modifications
85(12)
The Association Between Lifestyle, Diet, and Digestive Problems
85(1)
Areas for Reflection and Potential Modification
86(6)
Exercise
87(1)
Sleep
87(1)
Work Dynamics
87(1)
Drinking and Smoking
88(1)
Dietary Intake
89(3)
Eating Logistics
92(1)
Changes that Come with the Aging Process
92(3)
Lactose Intolerance and Food Sensitivity
93(1)
A Tendency Toward Constipation
93(1)
Diverticulosis and Diverticular Disease
94(1)
Putting it all Together
95(1)
Further Reading
95(2)
13 Over-the-Counter and Prescription Medications
97(10)
OTC Medications for Digestive Disorders
97(4)
Advantages of OTC Medications
97(3)
Disadvantages to OTC Medications
100(1)
Prescription Medications for Digestive Problems: Guiding Principles
101(4)
Starting Dose
102(1)
How to Take
102(1)
When to Anticipate the Medication to Take Effect
103(1)
Even a "Good" Prescription Medication Can Be Ineffective or Cause Adverse Effects
103(1)
Duration of Treatment
104(1)
The Optimal Long-Term Dose
104(1)
When/Whether to Consider Switching
104(1)
Putting it all Together
105(1)
Further Reading
105(2)
14 Complementary and Alternative Medicine Approaches
107(12)
What Is "CAM"?
107(3)
Confusion Regarding the Expression "CAM"
107(2)
When Can CAM Be Used?
109(1)
The First Subgroup of CAM: Natural Products
110(3)
Things to Bear in Mind Regarding Natural Products
110(2)
A Primer on Probiotics
112(1)
The Second Subgroup of cam: Mind-Body Medicine
113(4)
Behavioral Therapy
114(3)
Integrative Medicine: Taking cam to the Next Level
117(1)
Putting it all Together
117(1)
Further Reading
118(1)
Index 119
James H. Tabibian, MD, PhD, FACP, FASGE





Physician Specialist, GI-Invasive





Director of Endoscopy





Department of Medicine





Olive View-UCLA Medical Center





Health Sciences Clinic Professor





David Geffen School of Medicine at UCLA





 





James H. Tabibian, MD, PhD, FACP, FASGE is a Health Sciences Clinical Professor in the Geffen School of Medicine and Director of Endoscopy at Olive View-UCLA Medical Center. Dr. Tabibian grew up in Central California and graduated with a bachelors degree in International Relations from UC Davis. He received his MD degree at UCLA, wherefrom he graduated with Alpha Omega Alpha honors. Wanting to explore the country, he moved to the East Coast, where he completed Internal Medicine Residency in the prestigious Osler Medical Housestaff Training Program at Johns Hopkins. Thereafter, Dr. Tabibian became the first joint NIH-ABIM Subspecialty Research track Fellow in the Division of Gastroenterology and Hepatology at Mayo Clinic Rochester. During his Fellowship training, he also earned a PhD through Mayo Graduate School, Center for Clinical and Translational Studies (CTSA). Following his time at Mayo Clinic, Dr. Tabibian joined the University of Pennsylvania as an Advanced Endoscopy Fellow and Instructor of Medicine. At the terminus of his year at Penn, Dr. Tabibian moved back to California to join the faculty at UC Davis Medical Center. Family needs brought Dr. Tabibian back to Southern California in 2017, where he has been ever since.





As part of his ongoing professional responsibilities, Dr. Tabibian is intricately involved in the training and research activities of medical residents and gastroenterology fellows. He has authored over 200 articles across the spectrum of research, from basic laboratory science to clinical trials and outcomes research, and on topics including preventive care, telehealth, and novel technology. Dr. Tabibian has been the recipient of numerous honors and extramural grants and holds several Editorial positions for leading peer-reviewed biomedical journals. Additionally, Dr. Tabibian serves as an expert advisor nationally and internationally and is a consultant in Gastroenterology for the Medical Board of California.





Outside of medicine, Dr. Tabibians interests include languages, cultural anthropology, history, and theology. His hobbies include spending time with family, gardening, weightlifting, and continuously learning.