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Bladder and Bowel Health
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Bladder and bowels are not subjects that are widely talked about, but your bladder, bowel and intestines play a big role in overall health. Your bladder and bowels help eliminate toxins from your body and help deliver nutrients to your body. Bladder and bowel have a complex relationship in the body, and they can be factors in a number of diseases and conditions, such as pelvic organ prolapse. Though it’s often not easy to discuss bladder and bowel issues, the doctors on Second Opinion tackle these subjects sensitively and candidly, so the patients on the show can take charge of their health care.

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Fecal Incontinence
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Pelvic Organ Prolapse
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Colon Cancer II
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Foodborne Illness
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Irritable Bowel Syndrome (IBS)
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C. Difficile
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Is C-diff only in the hospital?
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View Second Opinion 5:

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5 ways to prevent C.diff

Featured Experts:

Douglas A. Drossman, MD
Douglas A. Drossman, MD
Erin Duecy, M.D.
Victoria L. Handa, MD, MHS
Victoria L. Handa, MD, MHS
Barbara Mahon, MD, MPH
Barbara Mahon, MD, MPH
Ashok N. Shah, MD, MACG, AGAF
Ashok N. Shah, MD, MACG, AGAF
Jenny R. Speranza, MD
Jenny R. Speranza, MD

C. Difficile

Clostridium Difficile is a bacterium that causes inflammation of the colon.  People who have other illnesses or conditions requiring prolonged use of antibiotics, and the elderly, are at greater risk of acquiring this disease.  

Videos
Myth or Medicine: 
Is C-diff only in the hospital?
Second Opinion 5: 
5 ways to prevent C.diff
Resources
Resource Description: 
The Albert Einstein College of Medicine of Yeshiva University is a premier, research-intensive medical school dedicated to innovative biomedical investigation and to the development of ethical and compassionate physicians and scientists. Inspired by the words of our namesake, we welcome students, faculty and staff from diverse backgrounds who strive to enhance human health in the community and beyond.
C Diff Foundation: Educating, and advocating for C. diff. prevention, treatments, and environmental safety worldwide.
Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy of "the needs of the patient come first."
Medline Plus
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Interactive Medical Search logoConduct an off-site search from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Dr. Peter Salgo with guest, Lois Joseph
Related Topics: 

Bladder and Bowel Health

Bladder and bowels are not subjects that are widely talked about, but your bladder, bowel and intestines play a big role in overall health. Your bladder and bowels help eliminate toxins from your body and help deliver nutrients to your body. Bladder and bowel have a complex relationship in the body, and they can be factors in a number of diseases and conditions, such as pelvic organ prolapse.

Irritable Bowel Syndrome (IBS)

(Source: NDDIC / NIH) Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, meaning it is a problem caused by changes in how the GI tract works. People with a functional GI disorder have frequent symptoms, but the GI tract does not become damaged. IBS is not a disease; it is a group of symptoms that occur together. The most common symptoms of irritable bowel syndrome are abdominal pain or discomfort, often reported as cramping, along with diarrhea, constipation, or both. In the past, irritable bowel syndrome was called colitis, mucous colitis, spastic colon, nervous colon, and spastic bowel. The name was changed to reflect the understanding that the disorder has both physical and mental causes and is not a product of a person’s imagination.

Resources
Resource Description: 
Caring for and managing patients with functional gastrointestinal disorders.
If you suffer from irritable bowel syndrome (IBS), or care about someone who does, this site is for you.
Mayo Clinic's award-winning consumer website offers health information and self-improvement tools.
An information dissemination service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health (NIH), which is part of the U.S. Department of Health and Human Services.
Medline Plus
Medline Description: 

Interactive Medical Search logoConduct an off-site search for IBS from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Key Points: 

Key Point 1

Irritable bowel syndrome is a common disorder that affects the large intestines.  The condition does not cause permanent damage to the colon, however it is important to rule out other diseases before a diagnosis of IBS can be made.

 

Key Point 2

While Irritable bowel syndrome can be both physically and emotionally disruptive on a person’s life, there are good treatments available.  Once the symptoms are improved, most IBS patients find they can lead normal lives.

Douglas A. Drossman, MD

President, Drossman Center for the Education and Practice of Integrated Care LLC
President, Drossman Consulting LLC and Drossman Gastroentrology PLLC 
Adjunct Professor of Medicine and Psychiatry, University of North Carolina School of Medicine

Dr. Drossman received his M.D. degree at Albert Einstein College of Medicine and obtained his medical residency at the University of North Carolina School of Medicine and NYU – Bellevue Medical Center. He subspecialized in psychosocial (psychosomatic) medicine at the University of Rochester School of Medicine and in Gastroenterology at the University of North Carolina. 

Ashok N. Shah, MD, MACG, AGAF

Professor of Medicine
University of Rochester Medical Center
Rochester, New York 

Dr. Ashok N. Shah received his MBBS from BJ Medical College of Ahmedabad, India, where he was an  
outstanding student, the recipient of numerous awards, and from which he graduated with distinction in  
1962.  He received his Master of Surgery (MS) from Gujarat University in 1966.  
Before beginning his career in the U.S., Dr. Shah was Assistant Professor of Surgery at KM School of  
Postgraduate Medicine in India.  In 1967, Dr.

Foodborne Illness

(Source: NIDDK / NIH) Foodborne illnesses are infections or irritations of the gastrointestinal (GI) tract caused by food or beverages that contain harmful bacteria, parasites, viruses, or chemicals. The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. Common symptoms of foodborne illnesses include vomiting, diarrhea, abdominal pain, fever, and chills.

Resources
Resource Description: 
Your online source for credible health information and is the official Web site of the Centers for Disease Control and Prevention (CDC).
The NDDIC is an information dissemination service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health (NIH), which is part of the U.S. Department of Health and Human Services
The Food Safety and Inspection Service (FSIS) is the public health agency in the U.S. Department of Agriculture responsible for ensuring that the nation's commercial supply of meat, poultry, and egg products is safe, wholesome, and correctly labeled and packaged.
Medline Plus
Medline Description: 

Interactive Medical Search logoConduct an off-site search for Foodborne Illness from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Foodborne Illness - main page – all aspects.  Includes overviews, diagnosis, specific conditions, games, videos, etc.

E Coli Infections- main page – all aspects.  Includes overviews, prevention/screening, statistics, organizations, etc.

Food Safety- main page – all aspects.  Includes overviews, specific conditions, videos, games, articles, etc.

Dialysis- main page – all aspects.  Includes overviews, nutrition, disease management, financial issues, specific conditions, etc.

Kidney Transplantation- main page – all aspects.  Includes overviews, treatment, disease management, anatomy/physiology, etc.

Key Points: 

Key Point 1

E. Coli is a dangerous foodborne pathogen that can cause severe illness, and even death.  If you are sick, and suspect a serious foodborne illness, seek medical care right away.

 

Key Point 2

While foodborne illness cannot always be prevented, it is always a good idea to use food safety precautions in your kitchen.  These include thoroughly washing fruits and vegetables, and cooking foods at the recommended temperature.

Barbara Mahon, MD, MPH

Deputy Chief, Enteric Diseases
Epidemiology Branch
Centers for Disease Control and Prevention

Dr.

Colon Cancer II

(NIH / National Cancer Institute) Cancer of the colon or rectum is also called colorectal cancer. In the United States, it is the fourth most common cancer in men and women. Caught early, it is often curable. The colon and rectum are part of the large intestine. Colorectal cancer occurs when tumors form in the lining of the large intestine. It is common in both men and women. The risk of developing colorectal cancer rises after age 50. You're also more likely to get it if you have colorectal polyps, a family history of colorectal cancer, ulcerative colitis or Crohn's disease, eat a diet high in fat, or smoke.

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Webisode: 
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Resources
Resource Description: 
PubMed Health is a service provided by the National Center for Biotechnology Information (NCBI) at the U.S. National Library of Medicine (NLM).
One of the nation's top academic medical centers, the University of Rochester Medical Center forms the centerpiece of the University's health research, teaching, patient care, and community outreach missions.
Is a nonprofit organization dedicated to the education of colorectal cancer in younger people.
Medline Plus
Medline Description: 

Interactive Medical Search logoConduct an off-site search for Colon Cancer from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Key Points: 

Key Point 1

While screening for colon cancer is effective, it is not 100%.  Paying attention to symptoms and changes in your body, can help make a diagnosis of colon cancer earlier.

Key Point 2

Treatment of colon cancer should involve a multi-disciplinary approach.  Treatment is effective, but knowing who is at risk and following preventative and screening steps is key.

Pelvic Organ Prolapse

(Source: Voices for PFD) Pelvic organ prolapse (POP) is a medical condition that occurs when the normal support of the vagina is lost, resulting in “sagging” or dropping of the bladder, urethra, cervix and rectum. As the prolapse of the vagina and uterus progresses, women can feel bulging tissue protruding through the opening of the vagina.

Videos
Webisode: 
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Resources
Resource Description: 
AUGS, founded in 1979, is the premier society dedicated to research and education in urogynecology, and the detection, prevention and treatment of female lower urinary tract disorders and pelvic floor disorders.
The Association for Pelvic Organ Prolapse Support is an international nonprofit established to initiate awareness, education, guidance, and support for women in all stages of pelvic organ prolapse.
Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy of "the needs of the patient come first."
Medline Plus
Medline Description: 

Interactive Medical Search logoConduct an off-site search and learn about Pelvic Organ Prolapse from MedlinePlus.  These up-to-date search results are based on search terms specific to Second Opinion Key Points.

Key Points: 

Key Point 1

Pelvic organ prolapse is a condition that occurs when the normal support of the vagina is lost.  The result of which is that the pelvic organs and the tissues sag downwards.  The symptoms often create a scenario of embarrassment, as well as discomfort, patients often don’t talk about it and as a result, a lot of women don’t even know about it.

Key Point 2

Management for pelvic organ prolapse may be exercise or it may be devices or it may be surgery.  The course of treatment depends not only on the anatomy and the severity of the condition, but on the individual as well.  It is important to know that no matter what, there is something that can be done to improve the condition.

Victoria L. Handa, MD, MHS

Professor of Gynecology and Obstetrics
Female Pelvic Reconstructive Surgery
Johns Hopkins School of Medicine

Dr. Handa grew up near Boston, MA. After graduating from Princeton University with a degree in Civil Engineering, Dr. Handa attended the University of Pennsylvania School of Medicine, in Philadelphia.  Her training in Obstetrics and Gynecology was completed at the University of California San Francisco, where she also served as Chief Resident.  After several years on the faculty of Duke University, she studied Urogynecology under the mentorship of Dr.

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