Mayo Clinic on Digestive 4th Ed: How to Prevent and Treat Common Stomach and Gut Problems

Mayo Clinic on Digestive 4th Ed: How to Prevent and Treat Common Stomach and Gut Problems

by Sahil Khanna M.B.B.S.
Mayo Clinic on Digestive 4th Ed: How to Prevent and Treat Common Stomach and Gut Problems

Mayo Clinic on Digestive 4th Ed: How to Prevent and Treat Common Stomach and Gut Problems

by Sahil Khanna M.B.B.S.


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If digestive problems are some of the most common reasons why people seek medical care, why do the majority of Americans know so little about their causes and treatment options? Mayo Clinic on Digestive Health is the fundamental guide for diagnosing, managing, and treating common digestive issues.

Every year, millions of Americans seek medical help for painful digestive health issues. Heartburn, irritable bowel syndrome, ulcers, bloating, diarrhea, and constipation are just a few of the most common offenders. But did you know simple, everyday matters, like eating habits, physical activity, stress, and certain medications, can all cause digestive issues? If you’re experiencing symptoms of an unhealthy gut, your stomach may be sending you a warning sign.

In Mayo Clinic on Digestive Health, the gastroenterologists at Mayo Clinic dive into everything there is to know about digestive health. From explaining the ins and outs of gut microbiome—like why guts “go bad” and how you can improve your gut’s health—to outlining certain tests that help diagnose common digestive issues, this newly revised manual provides a constructive guide for understanding stomach and gut problems.

Additionally, this book gives invaluable tips for diagnosing, treating, and preventing some of the most common digestive conditions and diseases affecting Americans today, like Crohn’s disease, diverticular disease, colorectal cancer, gallbladder disease, ulcers, GERD, celiac disease, and other food intolerances.

Now with more than 300 pages of revised content following the latest medical research, the Mayo Clinic on Digestive Health will help you learn how to spot the symptoms of these common—and not so common—digestive issues.

Product Details

ISBN-13: 9781893005525
Publisher: Mayo Clinic Press
Publication date: 01/14/2020
Pages: 328
Sales rank: 226,941
Product dimensions: 7.30(w) x 9.00(h) x 0.70(d)

About the Author

Sahil Khanna, M.B.B.S., is a gastroenterologist and internist at Mayo Clinic in Rochester, Minnesota, where he heads the Comprehensive Gastroenterology Interest Group within the Division of Gastroenterology and Hepatology. Dr. Khanna also works as associate professor of medicine at the Mayo Clinic College of Medicine. In his research, he focuses on epidemiology, fecal microbiota transplantation, microbiome research, and emerging therapeutics and outcomes for Clostridium difficile(C. diff.) infection. Dr. Khanna currently serves as a fellow for the American College of Gastroenterology and has been honored with numerous awards, including the Miles and Shirley Fiterman Award, the Mayo Brothers Distinguished Fellowship Award, and the Most Distinguished Resident Physician Award from the American Association of Physicians of Indian Origin.

Table of Contents

Part 1 Digestive health basics 8

Chapter 1 Why your gut matters 9

Warning signs

Digestion at work

Digestive problems

Chapter 2 The gut microbiome 23

The microbiome explained

The changing gut

When a good gut goes bad Nurturing a healthy gut

Chapter 3 Recipe for healthy digestion 33

What to eat

What to limit

Your eating habits

Physical activity

Stress Medications

Understanding digestive disease

Chapter 4 Gut feelings 51

Difficulty swallowing

Chest pain and heartburn


Nausea and vomiting

Belching, bloating and intestinal gas

Abdominal pain

Diarrhea and constipation


Unintended weight loss

Chapter 5 Diagnostic tests 69

Blood tests

Urine and stool tests


Computerized tomography Ultrasound


Ambulatory acid (pH) probe test

Esophageal muscle function test

Transit studies


Defecating proctogram test (defecography)

Breath tests

Part 2 Digestive diseases 90

Chapter 6 Obesity 91

Why am I overweight?

Weight-loss treatments


Physical activity and exercise

Behavior changes

Prescription medications

Surgery and endoscopic procedures

Looking ahead

Chapter 7 Constipation and fecal incontinence 111


Diagnosing constipation

Treating and managing constipation Complications of constipation

Fecal incontinence

Diagnosing fecal incontinence

Treating and managing fecal incontinence

Chapter 8 Irritable bowel syndrome and food intolerances 131

A functional disorder

Ruling out other conditions

Lifestyle changes

Over-the-counter medications

Prescription medications


Lactose intolerance

Other intolerances

Low-FODMAP diet

Chapter 9 Celiac diseases 149

How gluten causes harm

Signs and symptoms

Diagnosing celiac disease Complications of celiac disease

A new way of eating

When diet isn't enough

Chapter 10 GERD and other esophageal diseases 165

What's GERD?

Varied signs and symptoms

What puts you at risk?

Associated conditions

Complications of GERD

See your doctor

Treatment starts with self-care

Medications to treat GERD

Surgery to treat GERD

Cancer of the esophagus

Chapter 11 Ulcers and stomach pain 187

An open sore

Bacteria a common culprit

Diagnosing ulcers

Treatment with medication

Self-care steps to promote healing

Functional dyspepsia Lifestyle changes the first step

Stomach cancer

Diagnosis and treatment

Chapter 12 Crohn's disease and ulcerative colitis 203

Similar but different

In search of a cause

Signs and symptoms

Diagnosing IBD


Living with IBD


Preventing complications

Chapter 13 Diverticular disease 225



Making a diagnosis

Treating diverticulitis

Chapter 14 Gallbladder disease 235


Gallstone attack

Are you at risk?

Making a diagnosis Treatment options

Life without a gallbladder

Gallbladder and bile duct cancers

Chapter 15 Pancreatic disease 247

Acute pancreatitis

Diagnosing acute pancreatitis

Treating acute pancreatitis Chronic pancreatitis

Diagnosing chronic pancreatitis

Treating chronic pancreatitis

Living with chronic pancreatitis

Pancreatic cancer

Treating pancreatic cancer

Chapter 16 Liver disease 261

What the liver does

Liver disease

Infectious hepatitis

Alcohol- or drug-induced hepatitis

Nonalcoholic fatty liver disease

Autoimmune disease Inherited liver disease


Liver transplant

Liver cancer

Chapter 17 Colorectal cancer 289

Signs and symptoms

Are you at risk?


Cancer staging Treatment

Appendix: FODMAP eating plan 301

Index 313

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