IAH AC Gastrointestinal Disease

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Treatment of gastroesophageal reflux disease (GERD) • Passive measures • No tight clothes • Avoid heavy lifting • Lift head of the bed at night • Last meal about four hours before bed © <strong>IAH</strong> 2007 42 The passive measures, which are aimed at reducing the mecahnical pressure in the abdomen, should not be forgotten. These simple measures often offers a lot of relief on their own. 42
Peptic ulcer disease • Gastric ulceration • Acid often low or normal • Associated with higher incidence of cancer • Often part of Pernicous Anemia (PA) • These patients also have Vitamin B12 deficiency © <strong>IAH</strong> 2007 43 Peptic ulceration is another disease which is ubiquitous today. The gut brain axis also will play a role here , and toxins like cigarette smoke, but also a number of conventional drugs, like NSAID’s and cortisol as well as chemotherapy contribute towards this. A difference should be made between gastric ulceration and duodenal ulceration In the case of gastric ulceration there is often a low gastric acid, and anti acids are not effective. Gastric ulceration should be treated with more caution, as there is a high incidence of cancerous change associated with this. It can also be part of Pernicious Anaemia (PA), where there are antibodies to the parietal cells in the stomach lining. This is an autoimmune disease and can be associated with vitiligo, but also with Vit B deficiency, as the parietal cells will secrete the intrinsic factor needed for the absorption of Vit B12 orally. Atrophic gastritis also is part of this disease picture. 43
Page 1 and 2: Gastrointestinal Disease IAH AC Gas
Page 3 and 4: The intestinal mucosa • Has the p
Page 5 and 6: The mucosal barrier • From the ga
Page 7 and 8: The function of the mucosal lining
Page 9 and 10: Breast is best!! Photos: WHO Ethiop
Page 11 and 12: Environment © IAH 2007 11 The gut
Page 13 and 14: Mucosal distress (2) • Examples,
Page 15 and 16: Vicious cycles of changed permeabil
Page 17 and 18: Lactose intolerance, not immune-reg
Page 19 and 20: Food allergies Positive skin test P
Page 21 and 22: II. Liver overload • All the bloo
Page 23 and 24: Gut milieu luminal contents and pH
Page 25 and 26: IV. Low grade pancreatitis liver To
Page 27 and 28: Homotoxicology approach © IAH 2007
Page 29 and 30: Oral tolerance and immunological by
Page 31 and 32: Oral tolerance and immunological by
Page 33 and 34: Systemic Gastroenterology Antihomot
Page 35 and 36: Aphthous ulceration • Painful ulc
Page 37 and 38: Gastroesophageal reflux disease (GE
Page 39 and 40: Treatment of gastroesophageal reflu
Page 41: The composition of Gastricumeel 4.
Page 45 and 46: Treatment • Often an adjuvant tre
Page 47 and 48: Peptic ulceration Symptomatic Basic
Page 49 and 50: Cholecystitis and gall stones • I
Page 51 and 52: Spascupreel tablets - injection sol
Page 53 and 54: Viral hepatitis • Hepatitis virus
Page 55 and 56: Hepatitis Symptomatic Basic medicat
Page 57 and 58: Functional disturbances of motility
Page 59 and 60: Diarrhea • Increase secretion of
Page 61 and 62: Actions of Diarrheel Mucosal action

IAH AC Gastrointestinal Disease

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