The answer to most digestive ailments today results from poor choices in our diet, chronic stress and alterations in the microbiome or gut bacteria. Medical research has drastically changed our understanding of many G.I. diseases. Stomach ulcers are no known to be caused by an infection with H. pylori bacteria. So successful eradication of the infection prevents stomach ulcers from recurring. Bleeding ulcers and esophageal ulceration from acid reflux is rarely seen now with a very potent proton pump inhibitors such as omeprazole. On the other hand autoimmune disease of the bowel such as Crohn's disease or ulcerative colitis is on the increase although biologic agents are now able to alter the disease course so that the overall prognosis is better in these patients. Irritable bowel syndrome is more often diagnosed and its treatment leaves much to be desired. Screening colonoscopy has decreased the death rate from colon cancer. We also have a better understanding of anorectal disease and it's management. I am a professor of Medicine and have been practicing for over 30 years and offer my insights into our digestive wellbeing.
My Gut Feelings
Claim This Podcastby Waqar Qureshi, MD, FRCP, FASGE, FACG. Professor of Medicine
Podcast Overview
The answer to most digestive ailments today results from poor choices in our diet, chronic stress and alterations in the microbiome or gut bacteria. Medical research has drastically changed our understanding of many G.I. diseases. Stomach ulcers are no known to be caused by an infection with H. pylori bacteria. So successful eradication of the infection prevents stomach ulcers from recurring. Bleeding ulcers and esophageal ulceration from acid reflux is rarely seen now with a very potent proton pump inhibitors such as omeprazole. On the other hand autoimmune disease of the bowel such as Crohn's disease or ulcerative colitis is on the increase although biologic agents are now able to alter the disease course so that the overall prognosis is better in these patients. Irritable bowel syndrome is more often diagnosed and its treatment leaves much to be desired. Screening colonoscopy has decreased the death rate from colon cancer. We also have a better understanding of anorectal disease and it's management. I am a professor of Medicine and have been practicing for over 30 years and offer my insights into our digestive wellbeing.
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Publishing Since
5/9/2022
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Recent Episodes
July 9, 2024
Stress and Gastrointestinal disease
<p>There is increasing evidence that stress plays a significant role in how we receive our symptoms, and in fact can lead to development of disease. There is increasing evidence that the brain gut axis allows two way communication between the brain and the gut. This, along with our increasing knowledge of the role of the Microbiome, to maintain health, and our diet form complex connections that keep us healthy or not. In this podcast, I speak with an experienced psychologist who specializes in gut health, and it's a relation to chronic stress.</p>
September 7, 2023
Covid infection: vaccines and the future
Peter J. Hotez, M.D., Ph.D. is Dean of the National School of Tropical Medicine and Professor of Pediatrics and Molecular Virology & Microbiology at Baylor College of Medicine where he is also the Co-director of the Texas Children’s Center for Vaccine Development (CVD) and Texas Children’s Hospital Endowed Chair of Tropical Pediatrics<strong>. </strong>He is also University Professor at Baylor University, Fellow in Disease and Poverty at the James A Baker III Institute for Public Policy, Senior Fellow at the Scowcroft Institute of International Affairs at Texas A&M University, Faculty Fellow with the Hagler Institute for Advanced Studies at Texas A&M University, and Health Policy Scholar in the Baylor Center for Medical Ethics and Health Policy.Dr. Hotez is an internationally-recognized physician-scientist in neglected tropical diseases and vaccine development. As co-director of the Texas Children’s CVD, he leads a team and product development partnership for developing new vaccines for hookworm infection, schistosomiasis, leishmaniasis, Chagas disease, and SARS/MERS/SARS-2 coronavirus, diseases affecting hundreds of millions of children and adults worldwide, while championing access to vaccines globally and in the United States. In December 2021, Dr. Hotez led efforts at the Texas Children’s Center for Vaccine Development to develop a low-cost recombinant protein COVID vaccine for global health, resulting in emergency use authorization in India.Dr. Hotez has authored more than 600 original papers and is the author of five single-author books, including <em>Forgotten People, Forgotten Diseases</em> (ASM Press); <em>Blue Marble Health: An Innovative Plan to Fight Diseases of the Poor amid Wealth</em> (Johns Hopkins University Press); <em>Vaccines Did Not Cause Rachel’s Autism </em>(Johns Hopkins University Press); and <em>Preventing the Next Pandemic: Vaccine Diplomacy in a Time of Anti-science</em> (Johns Hopkins University Press).Dr. Hotez served previously as President of the American Society of Tropical Medicine and Hygiene and he is founding Editor-in-Chief of <em>PLoS Neglected Tropical Diseases</em>. In 2006 at the Clinton Global Initiative he co-founded the Global Network for Neglected Tropical Diseases to provide access to essential medicines for hundreds of millions of people. He is an elected member of the National Academy of Medicine (Public Health Section) and the American Academy of Arts & Sciences (Public Policy Section). In 2014-16, he served in the Obama Administration as US Envoy, focusing on vaccine diplomacy initiatives between the US Government and countries in the Middle East and North Africa. In 2018, he was appointed by the US State Department to serve on the Board of Governors for the US Israel Binational Science Foundation, and is frequently called upon frequently to testify before US Congress. He has served on infectious disease task forces for two consecutive Texas Governors. For these efforts in 2017 he was named by FORTUNE Magazine as one of the 34 most influential people in health care, while in 2018 he received the Sustained Leadership Award from Research!America. In 2022 Hotez and his colleague Dr. Maria Elena Bottazzi were nominated for the Nobel Peace Prize for “their work to develop and distribute a low-cost COVID-19 vaccine to people of the world without patent limitation.”Most recently as both a vaccine scientist and autism parent, he has led national efforts to defend vaccines and to serve as an ardent champion of vaccines going up against a growing national “antivax” threat.
September 7, 2023
Anorectal Health: Stuff you may be itching to know!
<p>Anal rectal disease symptoms are often ignored by patients who may just live with them and by physicians who may not be terribly well trained in this area. Anorectal disease is very common and includes diagnoses such as hemorrhoids, anal fissures or tears, itching which can be severe or persistent, rectal bleeding, anal warts and even anal cancer which is not the same as colon cancer. Autoimmune disease such as crohn's disease or ulcerative colitis may present in the anorectum. Rectal bleeding or blood on wiping after a bowel movement could be a symptom of something more serious such as colon cancer which is quite common and often incurable once it's advanced. I hope that this podcast shines some light on questions you may have any certainly useful information. This is Waqar Qureshi, MD, FRCP, FASGE, FACG and Professor of Medicine, Baylor College of Medicine, Houston, Texas</p>
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