Incidental Finding of IM

In broad brush strokes, the presence of IM is associated with an increased risk of GC. However the finding is such a common reaction pattern to injury that no one recommends endoscopic biopsy surveillance on the basis of the finding of IM alone.

If gastric body biopsies show extensive IM with atrophic gastritis, then the main value of this finding is to indicate that we should do further testing to rule out a PA-type stomach functionally (serum gastrin, intrinsic factor antibodies, and serum B12). If there is no apparent B12 deficiency in this setting then annual B12 determinations should be done.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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