Part one of the book presents the gastrointestinal problems that commonly face the general practitioner. Emphasis is placed on analysis of clinical data and how this may provoke the most profitable lines of investigation. Many of the investigation and treatment protocols are within the scope of general practice, but hospital management is also included. It was possible to deal with common oesophageal diseases under the heading of oeso phageal problems in Part 1. In contrast, it proved impossible to discuss adequately all of the common diseases affecting other organs of the digestive system under the problem headings. For this reason, a fuller ac count of many common alimentary diseases is provided in Part two. M. L.-5. K. G. D. W. 9 Series Foreword This series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collec tive authorship; they are written by specialists working at district general hospitals. The writers derive their own experi ence from a range of cases less highly selected than those on which textbooks are traditionally based. They are also in a good position to pick out topics which they see creating difficulties for the practitioners of their district, whose personal capacities are familiar to them; and to concentrate on contexts where mistakes are most likely to occur. They are all well-accustomed to working in consultation.
Table of ContentsPreface.- Series Foreword.- 1 Common Problems.- 1 Common oesophageal problems.- Heartburn.- Problems with swallowing.- 2 Nausea and vomiting.- 3 The acute abdomen.- 4 Recurrent abdominal pain and discomfort.- Symptoms and diagnosis.- Investigation.- 5 Acute diarrhoea.- Acute infective diarrhoea.- Diarrhoea in travellers.- Diarrhoea due to drugs.- 6 Chronic and recurrent diarrhoea.- Causes and indications.- Investigations.- 7 Malabsorption.- Mechanisms of malabsorption.- Clinical features.- Investigation of suspected malabsorption.- 8 Problems with laxatives.- Laxative abuse.- Problems with specific laxatives.- 9 Constipation and other problems with defaecation.- Constipation.- Other problems.- 10 Gastrointestinal bleeding.- Acute upper gastrointestinal haemorrhage.- Chronic or recurrent bleeding.- Rectal bleeding.- 11 Diagnosis of the common causes of jaundice.- Unconjugated hyperbilirubinaemia.- Hepatocellular and cholestatic jaundice.- 12 Miscellaneous gastrointestinal symptoms.- Anorexia.- The ‘abnormal’ tongue.- Bad breath.- Wind and gaseousness.- 13 Gastrointestinal endoscopy.- 2 Common Diseases.- 14 Peptic ulcer.- Aetiological factors.- Clinical features.- Diagnosis.- Management.- 15 Some diseases that cause malabsorption.- Coeliac disease.- Malabsorption after gastric surgery.- Crohn’s disease.- Malabsorption after small bowel resection.- Small intestinal lymphoma.- Chronic small bowel ischaemia.- Bacterial colonization of small intestine.- Post-infective malabsorption.- Giardiasis Tropical sprue.- Whipple’s disease.- Pancreatic insufficiency.- 16 The irritable bowel syndrome.- Aetiology and pathogenesis.- Clinical categories.- Management.- 17 Inflammatory bowel disease.- Ulcerative colitis.- Crohn’s disease.- Complications and special problems.- 18 Diverticular disease of the colon.- Diffuse diverticulosis.- Sigmoid diverticulosis.- 19 Common liver diseases.- Viral hepatitis.- Hepatitis type A.- Hepatitis type B.- Hepatitis type non-A, non-B.- Complications of hepatitis.- Chronic hepatitis.- Chronic persistent hepatitis.- Chronic active hepatitis.- Drug induced liver disease.- Direct hepatotoxicity.- Toxicity due to drug metabolites.- ‘Hypersensitivity’ induced damage.- Halothane.- Canalicular cholestasis.- Other hepatic reactions to drugs.- Alcoholic liver disease.- Cirrhosis.- Categories of cirrhosis.- Encephalopathy.- 20 Common pancreatic diseases.- Acute pancreatitis.- Chronic pancreatitis.- Further reading.