For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
A top to bottom look at inflammation throughout the gastrointestinal tract
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PRACTICE
A top to bottom look at inflammation throughout the gastrointestinal tract
Wednesday 6 May 2020, 12:45 AM
Figure 1. Oesophageal candidiasis with thick creamy exudates. The main symptom is pain on swallowing. Figure 2. Circumferential ulceration in the midoesophagus, most likely due to medication (eg, minocycline or doxycycline given for acne)
GASTROENTEROLOGY
Inflammatory processes caused by pathogens, damaged cells or irritants occur at all levels of the gastrointestinal tract, from the oral to anorectal mucosa. In this article, gastroenterologist Alan Fraser brings together many loosely connected ideas and diagnoses that tend to be left out of other topics
Most doctors will have heard the complaint that “my gut feels inflamed”. The diagnosis is very unlikely to involve inflammation. Instead, the symptoms
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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