RT @Rick_Pescatore: She saw five specialists in two years. Gastroenterology. Neurology. Psychiatry. “Nothing’s wrong.”.“Maybe it’s anxiety.….

RT @Rick_Pescatore: The most common group of patients discharged from ERs in America today?.Not chest pain. Not trauma. Not asthma. It’s th….

RT @GIdietitian: Excited to share our @IBDJournals publication on food fears in #IBD: what are the drivers of fear/avoidance, how can we be….

Proud to share our new publication on food fear in IBD. We outline the neuroscience behind how fear of food develops in patients with GI symptoms and set the stage for a compassionate approach to reintroduction. Thanks to @GIdietitian for initiating!.

RT @KewinSiah: A 4week trial found that transcutaneous auricular vagus nerve stimulation (#taVNS) significantly improved constipation and a….

RT @drkeithsiau: There are many reversible causes of bloating but abdominal distension to the point of looking pregnant is often refractory….

RT @yuyingMD: @SKhalilMD @MountSinaiNYC We will have an article out soon in @DDS_Journal about current trends practices & attitudes of GI p….

RT @isabelgreenMD: For some good news and progress: yesterday I saw two patients referred from our GI team here for menstrual related GI sy….

RT @JHND_Official: 🥗Check out this study where @DrMadisonSimons from the @ClevelandClinic and team explore the food related quality of life….

If you treat patients with gastroparesis (or have it yourself), check out this nutrition guide by ⁦@KateScarlata_RD⁩ on how to navigate food/eating with gastroparesis! . Diet change is your first line of treatment and then you stack others on top.

Lastly, talk to your patients about how their symptoms affect their appetite, taste/smell of food, and fear around food/eating. This is especially prominent in patients with dyspeptic symptoms (nearly 50%) . #ACG2024 @ClevelandClinic @Psylupe @EStaneffPsyD

Why should you screen for endometriosis? 20% of patients with GI symptoms report 4 or more of these symptoms. This may reflect underlying urogyn pathology affecting the GI tract #ACG2024 @ClevelandClinic @Psylupe

In collaboration with @IrisWangMD @yuyingMD, we studied screening practices for endometriosis among GI providers. Most are not currently screening- ask your pts about:.-painful periods .-heavy periods 🩸.-painful sex.-painful urination.-frequent UTIs . #ACG2024 @ClevelandClinic

#ACG2024 Poster session happening now- . Honored to receive a presidential award for our research showing 2/3 of patients w/ autoimmune gastroparesis benefit from IVIG therapy ✨. Unfortunately, insurance is a significant barrier to receiving this life changing treatment…

Heart warming to see a full room- @BMoshiree speaks on #gastroparesis diagnostics/treatment based on most bothersome symptom. We need ⬆️ GP txs + well equipped providers to care for these patients! Proud to be part of @ClevelandClinic & our multidisciplinary GP team #ACG2024

Baby’s first #ACG2024 ✨. Looking forward to sharing our research on appetite factors, urogyn sx, endometriosis screening, and IVIG for gastroparesis. Come see what we’re doing and get a look at this amazing hair in the poster hall Sunday 3:30-7pm ❤️.@ClevelandClinic

More to come as we continue to study these constructs but appreciate the collaboration with @DoerflerBethany @DrKateTomasino @DrAnjaliPandit @AnthonyLemboMD.

As always, I hope as providers we can help patients find flexibility around food and eating to decrease hypervigilance. That said, for so many pts with severe and prolonged postprandial responses, we often have to understand food behaviors through a lens of the brain in trauma.

We found patients who had seen an RD (specialized or general) had the lowest FRQOL. It is unknown whether these pts had low FRQOL prior to seeking RD intervention or if dietary interventions increased hypervigilance around food/eating.

Hypervigilance around food/eating may look like closely monitoring ingredients, monitoring physical sensations after eating, being very cautious about what food is purchased and consumed, etc.