Classification of diseases of the gastrointestinal tract in the practice of a family doctor

Author(s):  
Aleksey Borisovich Petrukhin

Gastroenterology belongs to one of the leading branches of therapy. In the structure of diseases of the internal organs, diseases of the digestive system occupy a particularly important place due to their high prevalence, which increases with age. As a rule, these diseases have a chronic, progressive, recurrent course, which ultimately leads to severe disorders of the activity of many organs and systems of the body. The article presents the basic requirements for the formation of a clinical diagnosis of diseases of the gastrointestinal tract, which are most common in the practice of a family doctor.

Author(s):  
Vrushali P. Kale Vrushali Purushottam Kale

According to Ayurveda, Jatharagni plays main role in the digestion process. Jatharagni carries its functions through Pachaka pitta. Grahani is an organ of gastrointestinal tract located between Amashaya and Pakwashaya, where digestion takes place. According to classical literature Pitta is same as Agni. Tridosha also plays very important role in the digestion process. In the recent days, irregular life style affects the digestive system and Jatharagni very badly. Whenever Agni gets (Vikrut) unbalanced due to wrong food habits and lifestyle, it should be understood that along with Agni, Pachaka Pitta will also get disturbed. Agnimandya is the root cause of most of the disorders like Grahani. Grahani organ is the main location of Jatharagni. Grahani is the organ where Pachak Pitta and Samanvayu carry out digestion. The most important function of Grahani is digestion of food with the help of Jatharagni, Pachakpitta, Pittadhara Kala and Samnvayu. Agni inside the body, digest the food give strength and maintain health. Samanvayu regulates the movements of the Grahani and helps in digestion. Hence, in this article we attempt to analyze and correlate patho-physiology of Grahani with respect to Physiological analysis of Agni and disturbed doshas. Etiological factors induces imbalance in Jatharagni, Pachak Pitta and Samanvayu and prolonged imbalance state weakens the Pittadhara Kala, which results in disease Grahani. Health of Grahani entirely depends on balanced state of Jatharagni, Pachaka Pitta, Pittadhara Kala and Samanvayu. The irregular life style, incompatible food habits creates Ama causes Grahani, affecting the digestive system and Jatharagni very badly.


2020 ◽  
Vol 1 (1) ◽  
pp. 54-60
Author(s):  
Mahesh Prasad Sah ◽  
Bijendra Shah ◽  
Gouri Chauhan ◽  
OP Singh

Ayurveda defines human body is made of different gross and subtle channels called srotas. Srotas are the channels through which different elements undergo transformation, transmutation, circulation and transportation. The srotas is an integral part of the body, serving as a route to conduct or convey a substance from one place to other. There are 13 major srotas mentioned. The Srotas or channels which carry Anna or Food is called Annavaha Srotas. Some authorities equate the Annavaha Srotas with the some parts of digestive system or the gastrointestinal tract. Agni, the transformative energy, in the Annavaha srotas digest and transforms the food into components suitable for the body. Impairment of function of agni is root the cause of the disease, which manifest either in Annavaha srotas or other srotas in the body. Thus, correction of agni is the prime in treatment of any disease. Elimination of vitiated doshas by Pancakarma procedure viz Vaman and Virechana has shown to have impact on agni through various guna in the drugs used in these therapy. Sodhana procedures has a significant role in improving the function of agni and restoring the health.


Author(s):  
SAID EL MADIDI

Introduction: Congenital malformations are a global health problem around the world. MCs is one of the main causes of death and disability of newborns worldwide, but the majority of its risk factors are still poorly understood. Objective: The aim of this study is to determine the main causes that are related to the incidence of congenital malformations (CMs) in the region of Agadir in Morocco. Material and Methods: A prospective cases-control study at regional level was conducted in the pediatrics and neonatology department of Hassan II hospital in Agadir from April 2016 to April 2018. Data on child and maternal variables were recorded for 3701 newborns. The types of congenital malformations  have been classified according to the codes of the International Classification of Diseases. Univariate analyzes were performed to identify the variables associated with the etiology of the malformations. Multiple logistic regression was used to characterize the associations between the MC and the determining explanatory variables taken into account simultaneously. Results: The results of these studies showed that there is a significant association between the incidence of the Congenital anomalies and the level of the consanguinity of the child, the prematurity of childbirth, the family history of CMs, the body mass index of the mother and the presence of major trauma during pregnancy. Conclusion: our results have made it possible to highlight the existence of an association between a certain number of risk factors and the occurrence of congenital malformations. Additional studies are needed to confirm and clarify the role of these risk factors.


2021 ◽  
Vol 4 (35) ◽  
pp. 371-376
Author(s):  
Fabiana Lais de Oliveira ◽  
Rafaely de Fátima Fernandes Almeida Vieira ◽  
Angelica Rocha de Freitas Melhem ◽  
Dalton Luiz Schiessel ◽  
Silvana Franco ◽  
...  

Introduction: Sarcopenia is characterized by the association of loss of lean mass and functionality, and in cancer patients it is a frequent situation. Thus, the study aims to assess the presence of sarcopenia in hospitalized patients with cancer of the gastrointestinal tract using alternative assessments to analyse the patient’s strength and functionality. Methods: To assess sarcopenia in cancer patients, the thickness of the adductor pollicis muscle (APM), dynamometry to assess handgrip strength and the Barthel Scale to analyse functionality were collected, associating APM and dynamometer and MAP. with Barthel scale in cancer patients. Results: Twenty patients participated in the study, with moderately malnourished patients showing greater strength in the dynamometer in relation to the well-nourished ones and that obese individuals had greater APM in relation to other nutritional states. Regarding functionality, most patients 80% were classified as independent. Patients with esophageal cancer had MAP inferior to the other locations of the body evaluated, but compared with the dynamometer they presented better results. Conclusions: There was no high prevalence of sarcopenia among patients with cancer of the gastrointestinal tract using the methods used APM, dynamometer and Barthel Scale.


2021 ◽  
Vol 17 ◽  
pp. 36-42
Author(s):  
Sunil Kumar Yadav ◽  
Niyanta Joshi

Yoga is an ancient psycho-physical discipline used for the spiritual elevation from centuries. It starts with the sustainability and health of the body as it is the medium of human existence. Hence Yogic science emphasizes cleansing processes for the purification before the practice of asana or pranayama. It is also essential to gain the benefits of further practices such as Asana and Dhyana. Among the cleansing processes, Dhauti is a jewel. It is classified into four categories, Anatar dhauti (Digestive Track), Danta (Mouth), Hrid (Chest), and Moola shodhana (Rectum). In which Hrid Dhauti is prominent one. Here Hrid means heart, while Dhauti refers to wash organs. It is closely associated with the heart and its nearby organs such as stomach. These Hrid Dhauti is further classified into three methods, Danda (stem), Vamana (water vomiting) and Vastra (cloth). It consists of cleaning the esophagus and stomach in three ways and helps in the management of respiratory system and upper digestive system aliments. It also cleans the gastrointestinal tract from mouth to the stomach. Now it is essential to study the yogic techniques from the ayurvedic perspective. This study has been conducted to explore the physiological effect of Hrid Dhauti from the Ayurveda`s perspective.


Author(s):  
L. S. Оrеshkо ◽  
E. A. Semenova ◽  
A. Yu. Oreshko

The article presents the results of our own research devoted to the study of the functional characteristics of the digestive system in patients with celiac disease associated with connective tissue dysplasia (CTD).Materials and methods. The study included 90 patients from the register of adults with celiac disease. To assess CTD, patients underwent clinical and laboratory- instrumental examination, including ultrasound of the abdomen organs, kidneys and heart, EGDS. The assessment of the functional state of the gastrointestinal tract was carried out according to the ultrasound data of the abdomen organs, coprogram and PEGEG.Results. The results of the study showed that all patients had signs of CTD with involvement of at least two organ systems. The most common visceral stigmas of dysplasia were MVP (66.7%), gallbladder anomalies (53.3%), tracheobronchial dyskinesia (35.6%) and signs of nephroptosis (30.0%). Anomalies of the gallbladder included single bends in the body area — 26 people (28.9%) and in the neck area –5 people (5.6%), and double bend — S-shaped gallbladder — 17 people (18.9%). At the same time, an increase in the proportion of gallbladder anomalies was revealed as the severity of CTD increased, with significant differences in the groups in patients with an S-shaped gallbladder (p<0.05), which correlated with biliary sludge and signs of maldigestion. According to PEGEG data, an increase in tonic activity (Pi / Ps) at the frequency of the duodenum with an increase in the degree of CTD was revealed, with the maximum values in group 3 patients being 3.84 ± 1.03, which reflects the presence of hypertensive dysfunction.Conclusion. The functional state of the digestive system in celiac patients with signs of CTD is characterized by disorders of the gastroduodenal complex and the biliary system. A high degree of CTD in celiac disease patients should be considered as an independent risk factor for motor disorders of the upper gastrointestinal tract and biliary system, which must be taken into account when carrying out therapeutic and prophylactic measures.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Jiaqi Wu

Abstract: For the diagnosis of diseases, modern medicine usually searches for diseases in the disease database to find the type of disease that matches them. The diagnosis of diseases is the first step in treatment. Then the classification of diseases is the basis of disease diagnosis. Disease classification plays an extremely important role in the scientific management of medical records and the development of modern medicine, and is a bridge connecting modern medical science. Therefore, the classification of diseases is very necessary. Based on this, this article establishes a K-means model for disease diagnosis, and combines the internationally unified disease type code ICD statistics table to classify the sample data set into infectious and parasitic diseases, tumors, diabetes and circulatory diseases The training is perfect, and finally the diagnosis classification of the disease is realized.


1995 ◽  
Vol 9 (7) ◽  
pp. 387-392 ◽  
Author(s):  
James D Bailey ◽  
Robert J Bailey ◽  
Richard N Fedorak

BACKGROUND: In a recent clinical trial gastrointestinal tract perforations in patients on nonsteroidal anti-inflammatory drugs (NSAIDs) were found to occur with a frequency of 0.15%, and possibly to be reduced in patients concomitantly using the cytoprotective agent misoprostol.OBJECTIVE: To characterize patients with gastrointestinal perforations admitted to the two major referral teaching hospitals in Edmonton, Alberta between January 1, 1989 and December 31, 1993.METHODS: A computerized search program was used to select patient charts containing preselected International Classification of Diseases (ICD) 9-CM codes, and patients were organized into four study groups based upon drug use: those taking NSAIDs, those taking acetylsalicylic acid (ASA), those taking both NSAIDs and ASA, and those taking neither NSAIDs nor ASA.RESULTS: The following significant characteristics were identified in the 428 patients admitted with perforations: only a minority (29%) were taking either NSAIDs or ASA; NSAID users were likely to be female, while those using neither NSAID nor ASA were more likely to be male; females were older than males; patients taking NSAIDs, ASA or both were more often asymptomatic at presentation compared with those not using these drugs; and upper gastrointestinal tract perforations were more likely to occur in the duodenum than in the stomach, while lower gastrointestinal tract perforations were more likely to occur in the colon than in the small intestine.CONCLUSIONS: This retrospective descriptive study outlines the profile of a patient presenting to a referral hospital with a gastrointestinal perforation. Furthermore, it suggests that NSAID and/or ASA use significantly alters this profile compared with that in patients using neither NSAIDs nor ASA.


2021 ◽  
Vol 9 (4) ◽  
pp. 743-753
Author(s):  
Archana A. Kulkarni ◽  
Anjali A. Deshpande ◽  
Poonam Shete – Mapari

Ayurveda is an ‘Ancient Science of life’. Ayurveda proposes the concept of Dosha- Dhatu-Mala as one of its basic principles. It classifies biological elements in the body as Vata, Pitta, Kapha. Tridosha begin their role as soon as life starts. These Tridosha maintain the body when they are normal and balanced, termed as Sukha and if there is imbalance and abnormality in these three Dosha, individual become diseased termed as the Dukha. movement of the other two Dosha. ‘Maharogaadhyaya’ of Charak samhita explains classification of diseases Out of the three Dosha, Vata Dosha is considered supreme because it regulates all functions in the body including according to Doshapradhanya namely Samanyaj and Nanatamaj Vyadhi. The diseases caused due to only one Dosha are termed as Nanatamaj Vyadhi. Vatavyadhi are group of disorders particularly caused by only “Vata dosha”. An attempt is made to review various types of Vatavyadhi from Charak Samhita. After critical review, it can be concluded that vitiated Vata can cause various types of diseases, depending upon the Hetu, affected Ashaya, Avayav, Dhatu, Indriya. Detailed study of Vatavyadhi Hetu, Samprapti, types and prognostic factors etc. are very important for academic and clinical success. Thus, understanding of Vatavyadhi helps to decide pathogenesis, prognosis and precise treatment modalities. Keywords: Avrita Vata, Dhatugatvata, Dhatukshaya, Vatavyadhi.


2018 ◽  
pp. 72-74
Author(s):  
V.A. Drok

Relevance of the topic. Dentofacial anomalies are the main dental diseases, characterized by high prevalence. According to modern authors, abnormalities and deformations of the dentoalveolar system in children and adolescents contribute to the deterioration of dental health in the future, causing medical, social and economic damage. The aim of the research was to study the prevalence and structure of dentoalveolar anomalies in adolescents. Material and methods of the reasearch. 1920 teenagers aged from 16 to 17 years were examined. The clinical study was carried out according to the standard protocol, in accordance with the international statistical classification of diseases and health problems (ICD-10), as well as the classification of Angle’s dentoalveolar anomalies. Results and discussion. The study made it possible to establish that the prevalence of dentoalveolar anomalies in adolescents aged 16-17 is 64.32 ± 1. 09% – 1235 people. The most common anomaly of the maxillofacial system is dentoalveolar anomalies, which belong to the first class according to Angle – 506 people, which in a percentage ratio is 26.35 ± 1.01%. The distal bite is in the second place, which corresponds to the 2nd class according to Angle. Its prevalence is 18.23 ± 0.88%, it was detected in 350 examined patients. A deep occlusion in 189 patients was the next in frequency, which was 9.84 ± 0.68%. A shortened bridle of the upper lip was found in 153 adolescents (7.97 ± 0.02%). A shortened frenum of the tongue was detected in 212 adolescents (11.04 ± 0.72%). A small vestibule of the oral cavity was observed in 172 examined, which was 8.96 ± 0.65%. Conclusions: 1. The prevalence of dentoalveolar anomalies in adolescents aged 16-17 is 64.32 ± 1.09%. 2. The most common anomalies of the dentoalveolar system in adolescents are dentoalveolar anomalies, belonging to the I class according to Angle – 26.35 ± 1.01,%. The distal bite was in the second place, which corresponds to the 2nd class according to Angle. Its prevalence is 18.23 ± 0.88%. A deep bite was detected in 9.84 ± 0.68% of the examined. 3. Periodontal diseases were revealed in 56.51 ± 1.13% of adolescents aged 16-17 years


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