subject: Disease Gastroscopy And Colonoscopy [print this page] Familial Mediterranean fever (FMF) is a hereditary episodic febrile syndrome that is expressed by acute spells of fever, painful manifestations in the abdomen, chest and joints, and slow development of nephropathy amyloidosis. Despite the recent cloning of the FMF gene and the identification of about 40 disease-related mutations, the diagnosis is still clinically dependent, and the pathogenesis and most of the clinical heterogeneity remain to be explained. Because episodic abdominal pain affects 95% of FMF patients, most of them are seen by gastroenterologists and undergo complete or partial abdominal imaging before the diagnosis is made. Focusing on recent advances in FMF, here are reviews of both common and infrequent manifestations that a gastroenterologist may encounter during workups of FMF patients. These include episodic abdominal pain, paralytic or mechanical ileus, constipation, diarrhea, as cites, malabsorption, bowel infarction, and bleeding, arising directly from FMF or secondary to FM
F common associations such as amyloidosis, vasculatures, inflammatory bowel disease, irritable bowel syndrome, or colchicines side effects. This article will help the gastroenterologist to cope with most clinical situations related to the abdominal and alimentary tract in patients with FMF.
A colonoscopy is the official screening procedure for colon cancer. It is recommended for individuals age 50 and over. Over a lifetime of food intake, digestion, and subsequent expulsion from the body, an individual can develop growths called polyps along the walls of the colon. Polyps are common in adults and are usually harmless. However, most colon cancer begins as a polyp, so removing polyps early is an effective way to prevent cancer. If bleeding occurs, the doctor can usually stop it with an electrical probe or special medications passed through a scope into the colon. The doctor may extract a biopsy of any polyps in order to view it under the microscope to determine if cancerous tissue is present. . You may be asleep during the colonoscopy or be unable to remember it following the procedure. You will be made to lie on your side with your knees drawn up towards your chest, and your doctor will pass the well lubricated colonoscopy into your anus, gently guiding it through the rectum and into the colon.
Small amounts of air will be pumped in to expand the colon for proper visualization of the colon walls. Your doctor can remove growths, called polyps during the colonoscopy, and later send it to the laboratory to test for signs of cancer. Polyps are common and usually benign; however, most colorectal cancers begin as polyps, so they should always be tested.
Gastroscopy is also called upper GI (gastro-intestinal) endoscopy. This investigation is helpful for upper abdominal pain, heartburn, upper abdominal distension, problems with swallowing, vomiting, belching and suspected upper gastrointestinal (gut) bleeding. To prepare for the test, you need to fast for six hours. It is also important that you tell your doctor or other health professionals attending you about the medications that you take and allergies. You also need to inform that about your past and present medical illnesses. Some medications and medical conditions can make the procedure more difficult, or even dangerous for you, if your medical attendants are not informed. Problems with past operations or anesthesia are also essential information to make your procedure smoother and safer.
