Early Warning Signs of a Heart Attack

Introduction Early recognition of myocardial infarction (MI) is essential for timely intervention and improved patient outcomes. The concept of early warning signs encompasses a spectrum of clinical manifestations, ranging from classic chest discomfort to subtle, atypical presentations that may be overlooked, especially in populations such as the elderly, women, and individuals with diabetes mellitus. Historically,…

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Constipation Relief and Fiber Intake

Introduction Definition and Overview Constipation is defined as infrequent bowel movements, hard or painful stool passage, or a sensation of incomplete evacuation. It is commonly categorized by the World Health Organization as a functional gastrointestinal disorder when no organic cause is evident. The condition manifests as a reduction in stool frequency below three per week,…

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Hemorrhoids Treatment and Prevention

Introduction Hemorrhoids constitute a common anorectal disorder characterized by the distension and inflammation of the venous plexuses within the anal canal. They may present as internal or external lesions, with clinical manifestations ranging from painless bleeding to painful prolapse and thrombosis. The prevalence in the general population is estimated to be between 10 % and 25 %,…

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Gallstones: Symptoms and Surgical Management

Introduction Gallstones represent the most common lithogenic disorder affecting the biliary tract, with a lifetime prevalence ranging from 10 % to 15 % in Western populations. The condition arises from an imbalance between the solubilizing capacity of bile and the concentration of cholesterol, bilirubin, and phospholipids, leading to nucleation, growth, and aggregation of crystalline structures within the…

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Gallstones Symptoms and Surgical Management

Introduction Gallstone disease represents a prevalent gastrointestinal disorder, affecting an estimated 10–15 % of adults worldwide. The condition is characterized by the formation of calculi within the gallbladder or bile ducts, leading to a spectrum of symptoms ranging from asymptomatic biliary colic to acute pancreatitis and cholangitis. Historically, the first systematic descriptions of gallstones appear in…

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Digestive: Celiac disease and gluten-free living

Introduction Definition and Overview Celiac disease (CD) is a chronic, immune-mediated enteropathy triggered by the ingestion of gluten proteins found in wheat, barley, and rye. The disease manifests as villous atrophy, crypt hyperplasia, and intraepithelial lymphocytosis within the small intestinal mucosa. Diagnosis is typically confirmed by serologic markers (anti‑tissue transglutaminase IgA, endomysial IgA) and histopathologic…

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Digestive: Celiac disease and gluten-free living

Introduction Cel iac disease is an immune-mediated enteropathy precipitated by ingestion of gluten, a composite of prolamin and glutelin proteins found in wheat, barley, and rye. The disease manifests as small‑bowel villous atrophy, crypt hyperplasia, and intraepithelial lymphocytosis, leading to malabsorption, weight loss, and chronic fatigue. Over the past century, the recognition of celiac disease…

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Crohn’s vs Ulcerative Colitis: Pharmacology & Clinical Overview

Introduction Inflammatory bowel disease (IBD) encompasses a heterogeneous group of disorders primarily represented by Crohn’s disease (CD) and ulcerative colitis (UC). Both conditions are chronic, relapsing inflammations of the gastrointestinal tract, yet they differ in anatomical distribution, pathological features, immunologic pathways, and therapeutic approaches. Historically, the recognition of CD dates to 1932 when Burr recorded…

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Digestive: IBS Symptoms and the Low FODMAP Diet

Introduction Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by recurrent abdominal pain associated with altered bowel habits, in the absence of identifiable organic pathology. The conditions of constipation (IBS-C), diarrhea (IBS-D), mixed (IBS-M), and unsubtyped (IBS-U) are distinguished primarily by stool frequency and form. Historically, IBS was first described in the early…

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Skin Melanoma and Skin Cancer Warning Signs (ABCDE Rule)

Introduction Skin melanoma represents a malignant transformation of melanocytes, the pigment-producing cells located within the basal layer of the epidermis and the dermal-epidermal junction. Despite constituting a minor proportion of cutaneous cancers, melanoma is responsible for the majority of skin‑related mortality worldwide, largely due to its propensity for early dissemination and resistance to conventional cytotoxic…

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