Indian Journal of Forensic Medicine & Toxicology

Marwan Majeed Ibrahim ¹

Affiliations
1 CABM Internal Medicine; Tikrit University College of Medicine, IQ

Abstract

Celiac disease is a common illness need not to be mistaken as IBS or GI motility disorders and careful evaluation of IBS patients especially those with diarrhea predominant type may need to be considered. This study disclose that about more than 12% of patients who had been already diagnosed as IBS is discovered to have positive serology of gluten sensitivity and the diagnosis of Celiac disease had been confirmed by histopathology study. Though and careful evaluation of presumed cases of IBS especially those with poor response to conventional therapy or those who with atypical presentations is essentialin order to reach to an alternative diagnoses.

Keywords

Celiac Disease, Gluten Sensitivity, Irritable Bowel Syndrome, Anti Tissue Transglutaminase, Gluten Free Diet.

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Marwan Majeed Ibrahim ¹, Mohamed Ghalib Zakari ²

Affiliations
1 CABM Internal Medicine, Tikrit University College of Medicine, Physician, Al-Yarmouk Teaching Hospital, IN
2 CABM Internal Medicine, Tikrit University College of Medicine, IN

Abstract

Helicobacter pylori (H.P) infection is an increasing concern in modern medicine due to its effect on the pathogenesis and management of peptic ulcer disease and gastritis and its possible link to gastric adeno carcinoma cases. The eradication of HP is a mandatory approach in documented cases of HP infection mainly gastric and duodenal ulcers. The treatment options is variable globally according to microbial susceptibility test and local guidelines. This study focused on two main options in the eradication of HP and found that levofloxacin based therapy is superior to clarithromycin based approach in the rate of eradication , with comparable rate of adverse events.

Keywords

Helicobacter Pylori (H.P) , Gastritis, Peptic Ulcer, Urea Breath Test, Stool Antigen, Clarithromycin, Levofloxacin.

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