Many patients will have bariatric surgery which will likely shorten the length of the GI tract. It is important to remember what impact this will have on the use of medications and many clinicians will forget this critical fact. Bariatric surgery can lead to long...
Gastroparesis can be a serious problem where the GI tract literally “slows down”. This issue is common in patients with diabetes. Bloating, abdomnial pain, nausea, vomiting, and a feeling of fullness are all possible symptoms of gastroparesis. There are...
JS is an 89 year old male with a history of insomnia, depression, BPH, rheumatoid arthritis, constipation, nausea, frequent falls, and Parkinson’s disorder. His current medications include: Zolpidem 10 mg HS Mirtazapine 7.5 mg HS Finasteride 5 mg daily Methotrexate...
PPI’s for NSAID prophylaxis is a common practice I’ve seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of polypharmacy is a big one, make sure you are paying attention to the...
A 69 year old male has a past medical history of hypertension, heartburn, CHF, CAD and osteoarthritis. This gentleman had been in and out of the hospital several times over the previous year for a variety of reasons including CHF, femur fracture, and pneumonia....
IBS (Irritable Bowel Syndrome) is a issue I come across in my practice. A 62 year old female has complaints of diarrhea predominant IBS and is taking the following medications: Aspirin Metoprolol Colestipol Imodium Acetaminophen She is diagnosed with new onset of...
