Gastroenterology
Constipation
The National Institute on Aging's 4-pg handout provides questions and factors to consider to help patients determine if they have a constipation problem that requires medical attention. It addresses possible causes of constipation including dietary, overuse of laxatives and enemas, lack of exercise, holding back bowel movements, and medications. Dietary and lifestyle changes to alleviate constipation are also included.
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This NIH/NIDDK 12-pg fact sheet defines constipation, its possible causes (including a diet low in fiber or a diet high in fats), and describes various diagnostic tests and treatment options. Specific diseases that cause constipation, complications that may arise, and problems with the colon, rectum and intestional function are also described.
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The NIH/NIDDK's 24-pg booklet defines constipation and its possible causes such as dietary and lifestyle habits and/or medical conditions. It provides information on diagnostic tests including sigmoidoscopy and colonoscopy and proactive steps to prevent and relieve constipation such as eating high-fiber foods, staying hydrated, and getting enough exercise.
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Diarrhea
This 1-pg, printer-friendly handout lists the risk factors and signs and symptoms of Clostridium difficile colitis. It features a diagram showing the location of the large intestine and some of the intestinal changes that can occur with infection. It briefly describes other healthcare-acquired infections.
This NIH 8-pg fact sheet defines chronic and acute diarrhea, its symptoms and possible causes such as bacterial infections, viral infections, parasites, functional bowel disorders, and intestinal diseases. Information on diagnosis and treatment, how to be alert for dehydration, and when to see a healthcare provider is also included.
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NCI's 2-pg illustrated guide for managing diarrhea resulting from chemotherapy treatments offers practical dietary tips for feeling better such as eating smaller meals that are easy to digest. The guide lists certain foods and drinks to avoid that trigger diarrhea and foods such as the BRAT diet that help alleviate diarrhea. Outlines symptoms that require immediate medical attention. Available as pad of 50, 2-sided, tear-off sheets.
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This 1-pg, illustrated handout focuses on managing diarrhea to prevent dehydration. It defines diarrhea, its possible causes, and how loss of fluids and electrolytes can result in dehydration. Warning signs of dehydration in adults and young children are outlined as well as specific preventive measures. Lists other accompanying conditions (besides dehydration) that require calling a doctor.
This easy-to-read NIH/NIDDK booklet defines diarrhea and describes its symptoms and possible causes, diagnosis and treatment. The booklet also cautions about the risk of dehydration, how to recognize its warning signs in infants, children and adults, and when to seek medical help. A list of foods that aggravate and those that alleviate symptoms is also provided.
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Food allergy & intolerance
This 1-pg black and white handout prepared by the Massachusetts College of Emergency Physicians describes reactions from various allergen types. Simple advice is given on recordkeeping and communications with healthcare professionals. Indications for contacting emergency services are detailed. Available in English and Chinese.
This FDA 2-page color handout explains what constitutes a "major food allergen," the 8 common food allergens, and how to read packaged food labels (including the "Contains" statement/ingredient list) to determine the presence of allergens.
This 2-page black and white PDF details food allergy symptoms in children. Common allergens are covered. Strategies are listed to support adequate nutrition despite food allergies. Adapted from the Nibbles for Health Nutrition Newsletters for Parents of Young Children, USDA Food and Nutrition Service. Available in English and Vietnamese.
This FDA 1-page color handout clarifies the different types of food allergies and their severity, the major allergens including signs/symptoms, food allergies vs food intolerance, and offers health tips for consumers who have allergies.
This NIH/NIDDK 8-pg fact sheet defines lactose intolerance, who is commonly at risk for it, the symptoms and tests used to diagnose it (hydrogen breath test and stool acidity test). It covers how to manage lactose intolerance through dietary changes, lists which foods contain lactose, and provides information on how to get enough calcium through certain common foods.
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This NIH/NIDDK's 2-pg basic introduction to lactose intolerance creates awareness of the disease's common symptoms such as stomach cramps, bloating, gas, diarrhea, or nausea. It covers who is at risk for lactose intolerance, common sources of lactose, and proactive steps such as diet modifications and OTC products that can be taken to relieve symptoms.
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This 2-pg color PDF details management of severe reactions and anaphylaxis in children. Specific instructions on shopping and food preparation are included. Advice for interacting with schools and other facilities is outlined, as well as guidance on preparing a child to self-manage severe reactions. Available in English, Chinese, Vietnamese.
This 24-pg NIH/NIDDK booklet describes lactose intolerance, its symptoms and diagnosis. It also outlines common foods that have lactose and alternative foods that contain needed calcium, and suggests dietary changes and OTC products that still allow for some intake of milk and milk products.
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GERD
This NIH/NIDDK 4-pg handout defines GER in children and adolescents, describes common sx, how GER is diagnosed and the common tests that are used such as an upper GI series X-ray, an endoscopy, and an esophageal pH probe. Specific medications used to treat GER and practical dietary changes for reducing symptoms are also included.
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This NIH/NIDDK 4-pg handout defines GER and describes common sx as well as those that should cause concern for parents of infants. Specific instructions for infants with GER are outlined as well as information on how GER is diagnosed and treated, and if needed, the types of medications that can help.
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AHRQ's 16-pg color guide covers causes and sx of GERD, tx options including medicines, surgery and endoscopic treatments, how antacids, H2RAs and PPIs work, and a cost comparison of GERD medicines.
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This NIH/NIDDK 8-pg handout defines GERD and differentiates it from GER, outlining the sx, causes, and contributors to GERD as well as the long-term complications. Information on how GERD manifests in children, common foods that can worsen reflux sx, tx options including medications and lifestyle changes, and common diagnostic tests are also covered.
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GI Procedures
This NIH/NIDDK 8-pg fact sheet describes the colonoscopy procedure and what it can help diagnose, how to prepare for a colonoscopy, what to expect if polyps are found, and how much time to allow for recovery. A basic anatomical illustration is provided.
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This NIH/NIDDK 6-pg fact sheet on the flexible sigmoidoscopy procedure describes the purpose of the test, how patients can prepare for it, and what patients can expect during and after the procedure. A diagram showing the sigmoid colon and rectum is also included.
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This NIH/NIDDK 6-pg fact sheet describes the virtual colonoscopy procedure and what it can help diagnose, its advantages, and how it differs from a conventional colonoscopy. Pts read about how to prepare for a virtual colonoscopy, what to expect if polyps are found, and how long to allow for recovery.
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Hepatitis
This 1-pg printer-friendly handout describes the transmission, symptoms, and diagnosis of hepatitis A infection. It also discusses how to prevent infection via vaccination, and lists persons at high risk who are candidates for immunization. It addresses transmission of hepatitis B and C as well.
This 1-pg printer-friendly handout focuses on the risk factors for hepatitis B infection. It discusses the importance of vaccination and lists persons at high risk who should be immunized. It also addresses transmission, complications and treatment, including treatment for persons with known exposure.
This 1-pg printer-friendly handout discusses the risk factors and treatment for hepatitis C infection. It describes some complications of infection and features a picture of a healthy liver and a liver with cirrhosis. It also briefly addresses the transmission of other types of hepatitis.
Irritable Bowel Syndrome
This NIH/NIDDK 12-pg handout defines and outlines the sx of IBS and how stress can exacerbate sx, how the colon works, and how it can cause pain when not working properly. It also covers IBS diagnosis and treatment including medications, dietary changes, the importance of stress management and the latest research on causes of IBS.
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This NIH/NIDDK 12-pg handout defines IBS, its common symptoms and possible causes, how it differs from IBD, and how IBS is diagnosed in children using Rome III. It covers the treatment of IBS including dietary changes, medications to control constipation and diarrhea, and stress management. A basic diagram of the bowel and its functions is also included.
This NIH/NIDDK 2-pg basic introduction to IBS creates awareness of common IBS symptoms such as stomach cramps, bloating, gas, diarrhea, and constipation. It covers how IBS is diagnosed and the proactive steps such as diet modifications that can be taken to relieve symptoms. (PDF includes both English and Spanish versions).
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This 24-pg NIH/NIDDK booklet explains that IBS is a disorder vs a disease and describes its symptoms, the role of stress, how it is diagnosed (including Rome criteria, lower GI series and colonoscopy). Treatment options such as dietary changes, medicines, stress relief and specific food exacerbators/alleviators are also outlined.
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Ulcers & H. pylori
This 1-pg printer-friendly handout on H pylori infection describes its role in causing ulcers. It lists signs and symptoms of a peptic ulcer and describes the tests done for diagnosis. A drawing of the stomach with an ulcer is included. Treatment is briefly mentioned.

