Role of H pylori and NSAIDs

There is a very strong epidemiologic link between H. pylori infection and the development of PUD. The proof that this association exists has been described following the observation that a significant proportion of patients with PUD have co-infection coupled with the observation that eradication strategies result in a significantly lowered risk for the development of PUD. Controversies exist as to whether H. pylori should be eradicated in patients who test positive for infection as a means of preventing the development of PUD. There is a greater likelihood for the development of PUD in patients who have coexistent H. pylori and NSAID usage. The treatment of H. pylori infection and the management of NSAID-induced ulcers are described in Chapter 23 "Helicobacter pylori and Gastroduodenal Disease"; Chapter 24 "Nonsteroidal Anti-Inflammatory Drugs and Gastrointestinal Complications"; Chapter 29, "Chronic Gastrititis"; and Chapter 33,"Primary Gastric Lymphoma."

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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