G.I and Urinary Conditions

ConditionDescriptionCauseManifestationTreatment
DysphagiaDifficulty swallowingMechanical obstruction or functional disorderMild-severe stabbing pain during swallowing, feeling of food stuck in throat, heart burn, weight loss, cougheat small meals, chew carefully, sleep with head elevated, dilate esophagus
GERDMovement of stomach contents through lower esophageal sphincter into esophagusHeartburn, feeling of lump in throat, dysphagia, esophagitis, coughingWeight reduction, avoid lying down for 2 hours after meal, antacids
Acute GasritisInflammation of mucosal surfaceNSAIDS, H.Pylori, alcoholNo symptoms, nausea, vomiting, vague abdominal pain
Chronic GastritisDegeneration and atrophy of mucosa in the fundus and body of stomach
Chronic immune gastritis: least common, most severe
Chronic non-immune gastritis : most common
Alcohol, smoking, NSAIDS, H.PyloriFullness, nausea, vomiting, epigastric pain
Peptic UlcersBreak in mucosa, going through muscular mucosa, submucosa and deeperH.Pylori, NSAIDS, alcoholChronic burning or aching in upper abdomen
Duodenal: pain 2-3 hours after eating, at night and pain relieved with eating
Gastric: pain 30 minutes – 1 hour after eating, not relieved by eating
Celiac DiseaseAutoimmune reaction to glutenAutoimmuneDiarrhea, weight loss, fatigue, abdominal pain, nauseaGluten-free lifestyle
Crohn’s DiseaseChronic inflammation that involves any part of the GI tract. Lesions progress from inflammation to formation of fissures and fistulasAbdominal pain, diarrhea, diminished appetite, weight loss, weaknessAnti-inflammatory drug, immunosuppressive agents, TNF medications, surgery
Ulcerative ColitisInflammation of mucosa of large intestines. Begins in rectum and progresses proximally Frequent bloody diarrhea, abdominal pain, poor appetite, weakness, dehydration, weight lossAnti-inflammatory drugs, immunosuppressive agents, TNF medications, surgery
IBSGI disorder of the large intestines that normal presents with abdominal pain and some changes in normal bowel habits Abdominal pain, gas , bloating, diarrhea or constipationFibre, control stress, avoid trigger foods
Diverticulosis/itisA sac-like protrusion of mucosa and submucosa through weakened muscular layer of colon Age, genetics, obesity, smoking, NSAIDSVague, absent pain in lower abdomen, constipation or diarrhea, distension, flatulence Rest, liquid diet, increased fibre intake, avoid foods with small seeds
Kidney StonesAge, males, decreased fluid intake, diet, geography, UTIs, increased Vitamin D or dietary calcium, hyperthyroidism, diet in oxalate Pain, hematuria, fever and chillsNSAIDS, increase in flow of urine by increasing fluid intake, surgery
UTI – CystitisInflammation of mucosa of urinary bladderBacteria gain entry through urethraFrequent and urgent urination, pain and burning sensation when voiding, hematuria, pyuria, flank painAntibiotics
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