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AAP Releases Guideline for the Management of Gastroesophageal Reflux in Children - ...

Mar 1, 2014 - The American Academy of Pediatrics (AAP) has published a guideline on the management of gastroesophageal reflux (GER) in children based on recommendations from the North American and European Societies for Pediatric Gastroenterology, Hepatology, and Nutrition. It is important to ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0301/p395.html

ACG Releases Recommendations on the Management of Irritable Bowel Syndrome - Practice ...

Jun 15, 2009 - Irritable bowl syndrome (IBS) is a common disorder characterized by abdominal discomfort and altered bowel function. The American College of Gastroenterology (ACG) performed a series of systematic reviews, and developed evidence-based recommendations for the management of IBS.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0615/p1108.html

ACG Releases Updated Practice Guidelines for Ulcerative Colitis in Adults - Practice ...

Feb 1, 2005 - Updated practice guidelines for the treatment of ulcerative colitis in adults have been issued by the American College of Gastroenterology's (ACG's) Practice Parameters Committee.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0201/p604.html

Adefovir (Hepsera) for Chronic Hepatitis B Infection - STEPS - American Family Physician

Dec 15, 2003 - Adefovir offers an effective first-line alternative for the treatment of chronic hepatitis B. It also may prove to be useful in patients who have failed therapy with lamivudine as well as in patients who have difficulty tolerating interferon alfa-2b. How it compares with other agents or...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1215/p2429.html

AGA Releases Position Statement on Gastrointestinal Medication Use During Pregnancy - ...

Mar 1, 2007 - The American Gastroenterological Association (AGA) has released a position statement on gastrointestinal medication use in pregnant women. Drug treatment of gastrointestinal disease in pregnant women can be difficult, as the U.S. Food and Drug Administration classifications are not ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0301/p755.html

AGA Releases Updated Recommendations on Dyspepsia - Practice Guidelines - American ...

Jul 1, 2006 - The American Gastroenterological Association (AGA) has released a position statement to reflect new evidence on the evaluation of dyspepsia. The AGA defines dyspepsia as chronic or recurrent pain or discomfort in the upper abdomen.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0701/p185.html

AGA Reviews the Use of Corticosteroids Immunomodulators, and Infliximab in IBD - ...

Feb 1, 2007 - The American Gastroenterological Association Institute (AGA) has issued a clinical position statement on corticosteroids, immunomodulators, and infliximab (Remicade) use in managing inflammatory bowel disease (IBD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0201/p410.html

Antibiotic Prophylaxis for Severe Acute Pancreatitis - FPIN's Help Desk Answers - ...

Jan 1, 2019 - No, antibiotic prophylaxis does not decrease mortality in patients with severe acute pancreatitis, defined as pancreatitis associated with pancreatic necrosis.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0101/p49.html

Antibiotic Prophylaxis in Patients with Cirrhosis and Upper Gastrointestinal Bleeding -...

May 1, 2017 - Antibiotics should be used for prophylaxis in hospitalized patients with cirrhosis and upper gastrointestinal bleeding. Prophylaxis reduces all-cause mortality by 21%, as well as bacterial infections and rebleeding.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0501/p582.html

Antidepressants and Psychological Therapies Are Effective for IBS - POEMs - American ...

Jan 15, 2015 - Antidepressants and psychological therapies are effective in treating the symptoms of IBS. This study, an update of a similar systematic review and meta-analysis completed five years ago, found the same level of effectiveness for both treatment approaches as the previous analysis, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p134.html

Antiviral Drugs in the Immunocompetent Host: Part I. Treatment of Hepatitis, ...

Feb 15, 2003 - Advertisement << Previous article Next article >> Feb 15, 2003 Issue Antiviral Drugs in the Immunocompetent Host: Part I. Treatment of Hepatitis, Cytomegalovirus, and Herpes Infections RICHARD COLGAN, M.D., University of Maryland School of Medicine, Baltimore, Maryland ROBERT...

American Family Physician : Article

https://www.aafp.org/afp/2003/0215/p757.html

Appetite Suppressants as Adjuncts for Weight Loss - FPIN's Clinical Inquiries - ...

Apr 1, 2011 - Phentermine and diethylpropion are appetite suppressants approved for use in the United States as adjuncts in the treatment of obesity. These agents demonstrate a modest weight loss benefit when combined with dietary modifications and exercise.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0401/od1.html

Aspirin Plus a High-Dose PPI Prevents Death and Progression in Patients with Barrett ...

Mar 15, 2019 - In this study, patients with Barrett esophagus were less likely to die or develop esophageal cancer or high-grade dysplasia if they took high-dose esomeprazole (Nexium) alone or in combination with aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od5.html

Bariatric Surgery: Too Many Unanswered Questions - Editorials - American Family Physician

Apr 15, 2006 - Advertisement << Previous article Next article >> Apr 15, 2006 Issue Editorials Bariatric Surgery: Too Many Unanswered Questions ARTHUR FRANK, M.D., George Washington University, Washington, D.C. Am Fam Physician. 2006 Apr 15;73(8):1335-1336. Related Article One of the obvious...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0415/p1335.html

Cannabinoids Somewhat Helpful for Nausea, Maybe Helpful for Spasticity, Probably Not ...

Oct 15, 2018 - This umbrella review found a modest benefit of cannabinoids for the treatment of neuropathic pain; a greater benefit for the treatment of spasticity and nausea and vomiting; and substantial harms. The studies were extremely heterogeneous in terms of the comparators, dose, duration, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od3.html

Caring for Pregnant Women and Newborns with Hepatitis B or C - American Family Physician

Nov 15, 2010 - Family physicians encounter diagnostic and treatment issues when caring for pregnant women with hepatitis B or C and their newborns. When hepatitis B virus is perinatally acquired, an infant has approximately a 90 percent chance of becoming a chronic carrier and, when chronically ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1115/p1225.html

Chewing Gum for Postoperative Recovery of Gastrointestinal Function - Cochrane for ...

Dec 1, 2015 - Having patients chew gum reduces the time to first flatus and time to first bowel movement, as well as the length of hospitalization by about half a day.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/1201/p974.html

Chewing Gum for Reducing Post-Cesarean Section Ileus - Medicine by the Numbers - ...

Sep 1, 2018 - Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0901/od2.html

Childhood Constipation - Clinical Evidence Handbook - American Family Physician

Mar 1, 2003 - What are the effects of treatments for childhood constipation?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0301/p1041.html

Choosing One PPI Treatment Over Another - AFP Journal Club - American Family Physician

Nov 1, 2007 - Is one PPI better than another? All PPIs are equally effective in equipotent dosages, and choice should be based on price.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2007/1101/p1273.html

Chronic Anal Fissures - Clinical Evidence Handbook - American Family Physician

Mar 15, 2016 - What are the effects of surgical treatments for chronic anal fissure?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2016/0315/p498.html

Chronic Pancreatitis - Clinical Evidence Handbook - American Family Physician

Mar 1, 2008 - What are the effects of lifestyle and drug interventions and dietary supplements in persons with chronic pancreatitis? What are the effects of nerve blocks for pain relief in persons with chronic pancreatitis? What are the effects of different invasive treatments for specific ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0301/p661.html

Cirrhosis and Chronic Liver Failure: Part II. Complications and Treatment - American ...

Sep 1, 2006 - Major complications of cirrhosis include ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, portal hypertension, variceal bleeding, and hepatorenal syndrome. Diagnostic studies on ascitic fluid should include a differential leukocyte count, total protein level, a ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p767.html

Cochrane for Clinicians - Apr 1, 2005 - American Family Physician

Apr 1, 2005 - For empiric treatment of GERD or endoscopy-negative reflux disease, a short trial of a proton pump inhibitor increases the chance of remission. Histamine H2-receptor antagonists are less expensive and work well in many patients, particularly those with less severe symptoms or ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0401/p1303a.html

Cochrane for Clinicians - Apr 1, 2005 - American Family Physician

Apr 1, 2005 - Based on three good studies of 462 patients, discontinuing epidural analgesia in the second stage of labor does not significantly change rates of instrumented delivery or other delivery outcomes, but it increases rates of inadequate pain relief.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0401/p1303.html

Cochrane for Clinicians - Dec 1, 2004 - American Family Physician

Dec 1, 2004 - Combined evidence from two clinical trials of calcium supplementation lasting for several years revealed a reduced rate of recurrent colorectal adenoma. However, evidence is insufficient to recommend supplementation with dietary calcium for patients who have never had an adenoma.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1201/p2109.html

Cochrane for Clinicians - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Many patients request delayed umbilical cord clamping in their birth plans. Delayed cord clamping allows continued perfusion while the baby transitions to newborn circulation. However, when an infant is high risk, physicians frequently clamp and cut the cord early to allow the neonatal ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2091a.html

Cochrane for Clinicians - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Thickened feeds and metoclopramide reduce symptoms of GER in normally developing infants. However, elevating the head of the crib appears to have no effect.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2091.html

Colonic Diverticular Disease - Clinical Evidence Handbook - American Family Physician

Nov 15, 2011 - What are the effects of treatments for uncomplicated diverticular disease and what treatments prevent complications? What are the effects of treatments for acute diverticulitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/1115/p1163.html

Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection - American ...

Apr 1, 2008 - This article describes a joint update of guidelines by the American Cancer Society and the U.S. Multi-Society Task Force on Colorectal Cancer delineating evidence-based surveillance recommendations for patients after polypectomy and colorectal cancer resection. Although there are some ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0401/p995.html

Colorectal Cancer Screening and Surveillance - American Family Physician

Jan 15, 2015 - Colorectal cancer is the third most common cancer in men and women. The incidence and mortality rate of the disease have been declining over the past two decades because of early detection and treatment. Screening in persons at average risk should begin at 50 years of age; the U.S. ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0115/p93.html

Common Questions About the Management of Gastroesophageal Reflux Disease - American ...

May 15, 2015 - Common questions that arise regarding treatment of gastroesophageal reflux disease (GERD) include which medications are most effective, when surgery may be indicated, which patients should be screened for Barrett esophagus and Helicobacter pylori infection, and which adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0515/p692.html

Complications of Adjustable Gastric Banding Surgery for Obesity - American Family ...

May 15, 2014 - Laparoscopic adjustable gastric banding procedures have a favorable risk-benefit profile and are increasingly important as part of the overall management of obesity. These procedures are effective at inducing weight loss and improving comorbid conditions, including diabetes mellitus, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0515/p813.html

Constipation in Adults - Clinical Evidence Handbook - American Family Physician

Apr 15, 2011 - What are the effects of nondrug interventions, fiber supplements, and paraffin in adults with idiopathic chronic constipation? What are the effects of stimulant and osmotic laxatives? What are the effects of prostaglandin derivatives and 5-hydroxytryptamine 4 receptor agonists in ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0415/p904.html

Diabetes Mellitus: Management of Gastrointestinal Complications - American Family ...

Dec 15, 2016 - Gastrointestinal disorders are common complications of diabetes mellitus and include gastroparesis, nonalcoholic fatty liver disease, gastroesophageal reflux disease, and chronic diarrhea. Symptoms of gastroparesis include early satiety, postprandial fullness, nausea, vomiting of ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1215/p980.html

Diarrhea in Adults (Acute) - Clinical Evidence Handbook - American Family Physician

Aug 15, 2008 - What are the effects of treatments for acute diarrhea in adults living in resource-rich countries? What are the effects of treatments for mild-to-moderate traveler's diarrhea in adults from resource-rich countries traveling to resource-poor countries? What are the effects of treatments ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0815/p503.html

Dietary Interventions for Recurrent Abdominal Pain in Childhood - Cochrane for ...

Jan 1, 2018 - Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p19.html

Diverticular Bleeding - American Family Physician

Nov 1, 2009 - Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p977.html

Drugs for Chronic Idiopathic Constipation Are Similarly Effective - POEMs - American ...

Jun 15, 2018 - If nondrug measures are unsuccessful for chronic idiopathic constipation, the choice of a pharmacologic agent should be based on cost, tolerability, and long-term adherence rather than efficacy, because the efficacy is similar among drugs and drug classes.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0615/p819a.html

Effect of Dietary Changes on IBS Symptoms - FPIN's Help Desk Answers - American Family ...

Sep 1, 2018 - A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0901/od1.html

Effective Management of Flatulence - FPIN's Clinical Inquiries - American Family Physician

Jun 15, 2009 - Probiotics and rifaximin (Xifaxan) have been shown to reduce total number of flatus episodes and associated discomfort.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0615/p1098.html

Effectiveness of Selective Serotonin Reuptake Inhibitors for Irritable Bowel Syndrome -...

Nov 1, 2015 - Studies show that 1 in 4 had improved bloating and stool consistency, and less interference with daily life, while only 1 in 9 experiences medication related adverse effects. Want to know more?

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/1101/od1.html

Efficacy of Direct-Acting Antivirals Compared with Older Agents for Hepatitis C - ...

Jun 1, 2017 - Although they help patients achieve sustained viralogic response, expensive direct-acting antivirals have yet to show that they can succeed in meeting top-priority treatment goals.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2017/0601/od1.html

Elbasvir/Grazoprevir (Zepatier) for Hepatitis C Virus Infection - STEPS - American ...

Mar 15, 2017 - Elbasvir/grazoprevir is a safe and effective treatment for HCV genotypes 1 and 4, with or without compensated cirrhosis or HIV-1 coinfection. Patients with renal impairment, including those on hemodialysis, can use the medication.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0315/p393.html

Family Physicians Can Manage Adults with Hepatitis C - Editorials - American Family ...

Oct 1, 2018 - The Centers for Disease Control and Prevention encourages family physicians to treat patients with hepatitis C. Outcomes when primary care physicians prescribe direct-acting antivirals to patients with uncomplicated hepatitis C are comparable to those of subspecialists.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1001/p413.html

Fecal Microbiota Transplantation in Clostridium difficile Infection: Evidence and ...

Mar 15, 2017 - Fecal microbiota transplantation is an effective treatment to prevent recurrent episodes of moderate to severe C. difficile infection. Nevertheless, because of the uncertainty regarding long-term safety and effectiveness, and the high burden of recurrent C. difficile infection, large, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0315/p351.html

Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...

Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p275.html

Feeding Tubes in Patients with Severe Dementia - American Family Physician

Apr 15, 2002 - Patients with advanced dementia are among the most challenging patients to care for because they are often bedridden and dependent in all activities of daily living. Difficulty with eating is especially prominent and distresses family members and health care professionals. Health care ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1605.html

Fidaxomicin (Dificid) for Clostridium difficile Infection - STEPS - American Family ...

Feb 1, 2013 - Fidaxomicin is effective for the treatment of C. difficile infection, but it is much more expensive than traditional therapy. Until it is known that the benefits outweigh the significant cost, metronidazole or oral vancomycin is the preferred treatment for most patients.

American Family Physician : STEPS

https://www.aafp.org/afp/2013/0201/p211.html

Gastroenteritis in Children - American Family Physician

Feb 1, 2019 - Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5 million office visits, 200,000 hospitalizations, and 300 deaths in children each year. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p159.html

Gastroenteritis in Children - Clinical Evidence Handbook - American Family Physician

Feb 1, 2008 - What are the effects of treatments for acute gastroenteritis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0201/p353.html

Gastroesophageal Reflux: Medical and Surgical Treatment Options - Editorials - American...

Oct 1, 2003 - Advertisement << Previous article Next article >> Oct 1, 2003 Issue Editorials Gastroesophageal Reflux: Medical and Surgical Treatment Options KENNETH R. DEVAULT, M.D., Mayo Clinic, Jacksonville, Florida Am Fam Physician. 2003 Oct 1;68(7):1271-1277. Related Article Symptoms...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1001/p1271.html

GERD in Adults - Clinical Evidence Handbook - American Family Physician

Jan 15, 2009 - What are the effects of initial and maintenance treatment of GERD associated with esophagitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0115/p149.html

Glecaprevir/Pibrentasvir (Mavyret) for the Treatment of Chronic Hepatitis C - STEPS - ...

Nov 15, 2018 - Glecaprevir/pibrentasvir is an effective treatment for any of six genotypes of HCV infection and has few adverse effects. It can be used to treat more genotypes over a shorter duration (eight weeks for patients without cirrhosis) and is substantially less expensive than other available ...

American Family Physician : STEPS

https://www.aafp.org/afp/2018/1115/p601.html

Gluten-Free Diet for Irritable Bowel Syndrome - FPIN's Help Desk Answers - American ...

Jul 1, 2017 - The evidence is conflicting on whether gluten-free diets improve symptoms of IBS. Gluten-free diets may improve symptoms such as abdominal pain, stool consistency, and tiredness, and they can be recommended to patients with IBS.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0701/p52.html

H. pylori Infection: ACG Updates Treatment Recommendations - Practice Guidelines - ...

Jan 15, 2018 - Helicobacter pylori infection is one of the most common chronic bacterial infections. The American College of Gastroenterology (ACG) has updated its clinical guidelines in response to significant scientific advances in the management of this disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0115/p135.html

H. pylori Screening Before Initiation of Long-term NSAIDs - FPIN's Clinical Inquiries -...

Jun 15, 2019 - Physicians should perform laboratory screening for and eradicate H. pylori before initiating long-term NSAID therapy in NSAID-naive patients to reduce the risk of peptic ulcer disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0615/p783.html

Helicobacter pylori Infection - Clinical Evidence Handbook - American Family Physician

Jun 1, 2003 - What are the effects of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0601/p2359.html

Hemorrhoidectomy for Thrombosed External Hemorrhoids - American Family Physician

Apr 15, 2002 - External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. Acutely tender, thrombosed external hemorrhoids can be surgically removed if ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1629.html

Hemorrhoids - Clinical Evidence Handbook - American Family Physician

Oct 1, 2006 - What are the effects of treatments for hemorrhoidal disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/1001/p1168.html

Hepatitis C (Chronic) - Clinical Evidence Handbook - American Family Physician

Jun 15, 2008 - What are the effects of interventions in treatment-naive persons with chronic infection but without liver decompensation? What are the effects of interventions to treat persons with chronic infection, but without liver decompensation, who have not responded to or relapse after ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0615/p1724.html

Hepatitis C: Who Should We Be Treating? - Editorials - American Family Physician

Jan 15, 1999 - Advertisement << Previous article Next article >> Jan 15, 1999 Issue Editorials Hepatitis C: Who Should We Be Treating? JEFFREY T. KIRCHNER, D.O., Lancaster General Hospital, Lancaster, Pennsylvania Am Fam Physician. 1999 Jan 15;59(2):273-277. Related Article The hepatitis C virus...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0115/p273.html

International Consensus Group Issues Recommendations for Management of Upper GI ...

Jun 15, 2010 - In response to new data that may lead to improved patient outcomes, the International Consensus Upper Gastrointestinal Bleeding Conference Group—a multidisciplinary group of 34 experts from 15 countries—developed international guidelines for managing nonvariceal upper GI bleeding. The ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0615/p1495.html

Intravenous Fluids for Children with Gastroenteritis - FPIN's Clinical Inquiries - ...

Jan 1, 2005 - Most children with gastroenteritis do not require intravenous fluids and will respond favorably to ORT. Intravenous fluids do not shorten the duration of gastroenteritis and are more likely to cause adverse effects than ORT.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0101/p121.html

Irritable Bowel Syndrome - Clinical Evidence Handbook - American Family Physician

Feb 1, 2005 - What are the effects of treatments in people with irritable bowel syndrome (IBS)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0201/p525.html

Laxatives for Hemorrhoids? - Cochrane for Clinicians - American Family Physician

Aug 1, 2006 - Fiber has a consistent beneficial effect in the treatment of symptomatic hemorrhoids for up to three months' follow-up as measured by overall symptoms and bleeding.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0801/p413.html

Laxatives for the Management of Childhood Constipation - Cochrane for Clinicians - ...

Oct 1, 2017 - Polyethylene glycol (PEG) is superior to placebo (mean difference [MD] = 2.61 more stools per week; 95% confidence interval [CI], 1.15 to 4.08), lactulose (MD = 0.70; 95% CI, 0.10 to 1.31), and milk of magnesia (MD = 0.69; 95% CI, 0.48 to 0.89) at increasing the number of bowel ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/1001/p433.html

Long-term PPI Therapy and the Risk of Hip Fracture - AFP Journal Club - American Family...

Feb 1, 2008 - Does the long-term use of PPIs increase the risk of hip fracture? The physician must balance the risks and benefits of PPIs, especially in certain patients.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0201/p277.html

Lubiprostone (Amitiza) for Chronic Idiopathic Constipation - STEPS - American Family ...

Oct 15, 2006 - Although bulk or osmotic laxatives are less expensive first options for treating patients with chronic idiopathic constipation, lubiprostone is an alternative for those who do not tolerate or respond to these agents, or in patients older than 65 years in whom tegaserod use is not ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/1015/p1380.html

Maintenance Intravenous Fluids in Children: AAP Provides Recommendations - Practice ...

Aug 15, 2019 - The American Academy of Pediatrics has created an evidence-based guideline recommending the use of isotonic fluids for patients 28 days to 18 years of age to reduce the risk of developing hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0815/p251.html

Management of Acute Gastroenteritis in Children - American Family Physician

Dec 1, 1999 - Acute gastroenteritis is a common and costly clinical problem in children. It is a largely self-limited disease with many etiologies. The evaluation of the child with acute gastroenteritis requires a careful history and a complete physical examination to uncover other illnesses with ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2555.html

Management of Constipation in Older Adults - American Family Physician

Sep 15, 2015 - Chronic constipation is common in adults older than 60 years, and symptoms occur in up to 50% of nursing home residents. Primary constipation is also referred to as functional constipation. Secondary constipation is associated with chronic disease processes, medication use, and ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0915/p500.html

Management of Constipation in Patients Receiving Palliative Care - Cochrane for ...

Dec 1, 2011 - There is insufficient evidence to recommend one laxative over another for the treatment of constipation in patients receiving palliative care. Methylnaltrexone can increase the frequency of bowel movements at four hours (odds ratio = 7.0; 95% confidence interval, 3.8 to 12.6) and at 24 ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1201/p1227.html

Management of Crohn's Disease--A Practical Approach - American Family Physician

Aug 15, 2003 - Crohn's disease is a chronic inflammatory disorder of the gastrointestinal tract that affects up to 480,000 persons in the United States. Symptoms include abdominal pain, diarrhea, fever, malaise, and arthralgias, and cause considerable morbidity. Speculation about genetic, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p707.html

Management of Gastroesophageal Reflux Disease - American Family Physician

Oct 1, 2003 - The primary treatment goals in patients with gastroesophageal reflux disease are relief of symptoms, prevention of symptom relapse, healing of erosive esophagitis, and prevention of complications of esophagitis. In patients with reflux esophagitis, treatment is directed at acid ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1311.html

Management of Helicobacter pylori Infection - American Family Physician

Apr 1, 2002 - Helicobacter pylori is the cause of most peptic ulcer disease and a primary risk factor for gastric cancer. Eradication of the organism results in ulcer healing and reduces the risk of ulcer recurrence and complications. Testing and treatment have no clear value in patients with ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1327.html

Management of Hepatitis C: Evaluating Suitability for Drug Therapy - American Family ...

Mar 15, 2004 - Chronic hepatitis C virus infection is a common and serious disease. Although an estimated 2.7 million persons in the United States have this disease, most have not yet been diagnosed. Recent advances in treatment provide successful cure in 50 to 80 percent of cases. Current drug ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1429.html

Management of Inflammatory Bowel Disease - American Family Physician

Jan 1, 1998 - Patients with an inflammatory bowel disease, such as ulcerative colitis or Crohn's disease, have recurrent symptoms with considerable morbidity. Patient involvement and education are necessary components of effective management. Mild disease requires only symptomatic relief and dietary ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p57.html

Management of Irritable Bowel Syndrome - American Family Physician

Nov 15, 2002 - Irritable bowel syndrome is the most common functional disorder of the gastrointestinal tract and is frequently treated by family physicians. Despite patients' worries about the symptoms of irritable bowel syndrome, it is a benign condition. The diagnosis should be made using standard ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1115/p1867.html

Managing Chronic Gastroesophageal Reflux Disease - Implementing AHRQ Effective Health ...

Oct 1, 2012 - What are the effectiveness, benefits, and harms of therapies used to address symptoms and prevent adverse long-term outcomes in adults with gastroesophageal reflux disease (GERD)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2012/1001/p617.html

Medical Management vs. Surgery for Gastroesophageal Reflux Disease - Cochrane for ...

Aug 1, 2010 - At one to three years, adults with GERD who were treated with laparoscopic fundoplication had more improvement in overall and GERD-specific quality of life scores and less exposure to acid in the lower esophagus compared with patients who use proton pump inhibitors (PPIs) and histamine ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0801/p244.html

Medical Treatments in the Short-term Management of Reflux Esophagitis - Cochrane for ...

Mar 1, 2008 - Proton pump inhibitors (PPIs) are the most effective short-term treatment for reflux esophagitis. Histamine H2 blockers are also effective compared with placebo, but are inferior to PPIs. There is limited evidence about adverse events with these therapies, but long-term therapy with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0301/p620.html

Methylnaltrexone (Relistor) for Opioid-Induced Constipation - STEPS - American Family ...

Sep 15, 2010 - Methylnaltrexone can temporarily relieve opioid-induced constipation in patients with advanced illness who have not responded to laxative treatment. However, it must be given by injection, is expensive, and has been studied only for short-term use.

American Family Physician : STEPS

https://www.aafp.org/afp/2010/0915/p678.html

Mixed Benefits of Gluten-Free Diet in Asymptomatic Patients with Celiac Disease - POEMs...

Mar 15, 2015 - Screening of asymptomatic relatives of patients with known celiac disease identified approximately 5% who were antibody-positive. Compared with their normal diet, a gluten-free diet improved some yet unrecognized symptoms but seemed to interfere with normal social activities in these ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0315/p402.html

Nausea and Vomiting in Early Pregnancy - Clinical Evidence Handbook - American Family ...

Sep 15, 2015 - What are the effects of treatment for hyperemesis gravidarum and nausea and vomiting in early pregnancy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2015/0915/p516.html

Nausea and Vomiting of Pregnancy - American Family Physician

Jun 15, 2014 - Nausea and vomiting of pregnancy affects nearly 75% of pregnant women. The exact cause is unknown. In most cases, it is a mild, self-limited condition that can be controlled with conservative measures and has no adverse fetal sequelae. About 1% of women develop hyperemesis gravidarum, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0615/p965.html

NIH Consensus Statement on Management of Hepatitis B - Practice Guidelines - American ...

Oct 15, 2009 - The National Institutes of Health (NIH) Consensus Development Panel has produced a report on the management of hepatitis B virus (HBV) created by independent panels of health professionals and public representatives using a systematic literature review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1015/p884.html

No Increased Survival Benefit to Intensive Follow-Up After Colorectal Cancer Surgery - ...

May 1, 2014 - Compared with minimal follow-up after surgery for colorectal cancer, intensive follow-up with regular computed tomography (CT), carcinoembryonic antigen (CEA) testing, or both results in more patients undergoing repeat surgery but no reduction in overall mortality or disease-specific ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0501/p752.html

Ondansetron for Gastroenteritis in Children and Adolescents - Medicine by the Numbers -...

Apr 1, 2015 - Studies show vomiting stopped in 1 in 5 patients and diarrhea was a consistent adverse effect. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/0401/od3.html

Optimal Duration of Treatment Regimens for H. pylori Eradication - Cochrane for ...

Dec 1, 2014 - When using proton pump inhibitor (PPI) triple therapy, increasing the duration of treatment from seven to 10 days or from 10 to 14 days significantly increases the eradication of H. pylori. When using other treatment regimens, it is unclear whether increasing duration of treatment ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/1201/p766.html

Pharmacologic Therapy for Gastroesophageal Reflux Disease in Children - Cochrane for ...

Sep 1, 2015 - Among infants younger than 12 months diagnosed with GERD, weak evidence supports the use of proton pump inhibitors (PPIs) and histamine H2 antagonists. Among children 12 months and older, studies have shown moderate benefit from PPIs and weak benefit from H2 antagonists for providing ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0901/p351.html

Practical Selection of Antiemetics - American Family Physician

Mar 1, 2004 - An understanding of the pathophysiology of nausea and the mechanisms of antiemetics can help family physicians improve the cost-effectiveness and efficacy of therapy. Nausea and vomiting are mediated primarily by visceral stimulation through dopamine and serotonin, by vestibular and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1169.html

Practical Selection of Antiemetics in the Ambulatory Setting - American Family Physician

Mar 1, 2015 - Nausea and vomiting are mediated primarily by three neurotransmitter pathways: visceral stimulation releases dopamine and serotonin; vestibular and central nervous system activation release histamine and acetylcholine; and chemoreceptor trigger zone activation releases dopamine and ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0301/p293.html

Practice Guidelines - Sep 1, 2006 - American Family Physician

Sep 1, 2006 - The American Gastroenterological Association (AGA) has released a review and position statement on the management of HCV infection.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0901/p875.html

Practice Guidelines - Sep 1, 2006 - American Family Physician

Sep 1, 2006 - In 2002 the Centers for Disease Control and Prevention (CDC), the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Pediatrics (AAP) recommended universal screening of pregnant women at 35 to 37 weeks’ gestation for rectovaginal group B ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0901/p875a.html

Practice Guidelines - Sep 15, 2004 - American Family Physician

Sep 15, 2004 - Advertisement << Previous article Next article >> Sep 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Sep 15;70(6):1168-1171. Updated Guideline on Jaundice in Newborns The Subcommittee on Hyperbilirubinemia of the American Academy of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0915/p1168a.html

Practice Guidelines - Sep 15, 2004 - American Family Physician

Sep 15, 2004 - Advertisement << Previous article Next article >> Sep 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Sep 15;70(6):1168. Influenza Vaccination Among Health Care Workers The National Foundation for Infectious Diseases (NFID) has issued a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0915/p1168.html

Prevention and Treatment of Motion Sickness - American Family Physician

Jul 1, 2014 - Motion sickness is a common syndrome that occurs upon exposure to certain types of motion. It is thought to be caused by conflict between the vestibular, visual, and other proprioceptive systems. Although nausea is the hallmark symptom, it is often preceded by stomach awareness, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0701/p41.html

Preventive Strategies in Chronic Liver Disease: Part I. Alcohol, Vaccines, Toxic ...

Nov 1, 2001 - Chronic liver disease is the 10th leading cause of death in the United States. Hepatitis C virus infection is the most frequent cause of chronic liver disease and the most common indication for liver transplantation. Preventive care can significantly reduce the progression of liver ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1101/p1555.html

Probiotic Ineffective for Treatment of Acute Gastroenteritis in Young Children - POEMs ...

Jun 1, 2019 - << Previous article Next article >> Jun 1, 2019 Issue POEMs Patient-Oriented Evidence That Matters Probiotic Ineffective for Treatment of Acute Gastroenteritis in Young Children Am Fam Physician. 2019 Jun 1;99(11):717-718. Clinical Question Is the probiotic Lactobacillus rhamnosus GG...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p717a.html

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