An older man comes to the ED with abrupt onset nausea, & diarrhea
He is joined by her daughter whom he is visiting from abroad
Testing is below
The diagnosis is unclear
Until his daughter got just as sick too
🧵
#livertwitter#liverstory#MedTwitter
Glp-1 RA Effects On Organs
Different levels of evidence show:
1️⃣ After Treatment Effects: Decreases blood pressure, inflammation, and the reward system, increases insulin sensitivity and secretion.
2️⃣ Physiological Level: Decreases gastric emptying, ghrelin, and appetite, increases satiety and glucose synthesis.
3️⃣ Preclinical Studies: Bone remodeling, neuroprotection, and glucose uptake.
@DrNadolsky@DrKarlNadolsky@NutritionMadeS3@drmatthewnagra@BevTchangMD
Review Link: heart.bmj.com/content/early/…
Today in the ER I met a 40yo man with rectal bleeding.
His story: 6 months of abdominal pain, constipation & severe bloating—starting after eating a peach. Sometimes his bloating was so bad he tried to release gas by putting a finger in his throat.#ibs
🥗 Vegetables and IBS
Include a variety of vegetables to support digestion, combining fresh, light options like lettuce and cucumber with gently cooked vegetables such as broccoli and spinach, and enhance absorption with healthy fats like olive oil. #ibs#GutHealth
IBS & Body Position
Squat or use footstool for easier bowel movements
Left-side lying may reduce bloating & reflux
Upright posture & gentle movement during day help gut motility
👉 Small changes in posture = noticeable relief #ibs#GutHealth