September 22nd, 2012 
Medications included clopidogrel 75 mg per day, insulin (neutral protamine Hagedorn: 16 U every morning and 14 U every night; Humulin-R [Eli Lilly Canada Inc]: 8 U to 15 U every morning and 8 U to 14 U every night) and losartan 25 mg per day. Her past surgical history was significant for resection of an ovarian fibroma, an iliac vein thrombectomy, caesarian section and appendectomy.
One week before admission, she was diagnosed with bronchitis and treated with an oral antibiotic — buy antibiotics online. She subsequently developed nausea, vomiting, bloating, abdominal distension and tenderness. She was admitted to the surgical unit for a small bowel obstruction that was confirmed radiologically. Read more »
Gastrointestinal herpes simplex virus (HSV) infection is predominantly a disease of the esophagus in immunodefi-cient patients. Patients are usually asymptomatic but may experience odynophagia, retrosternal chest pain or fever. Reported cases of disseminated HSV infection in immunocompetent patients are commonly complications of pregnancy . However, rare anecdotal case reports describe HSV viremia, proctocolitis and hemorrhagic 
The PASS (Proton pump inhibitor Acid Suppression Symptom) questionnaire was developed using established methodology to address the identified need for a simple clinical tool. The concerns and therapeutic needs of patients with persistent acid-related symptoms despite ongoing PPI therapy were first documented and, based on this, a list of questions was developed to assess content validity in focus groups. Five major areas or domains of interest or concern to patients were identified; therefore, the PASS questionnaire was designed as a short five-question questionnaire. 
Constipation in MS can result from the absence of normal increment in colonic motility after eating. Chia et al found that paradoxical puborectalis contraction is present in MS patients and can lead to constipation. Other nonneuro-logical factors that contribute to constipation are lack of exercise arising from immobility, inadequate dietary fibre and hydration, and the effects of certain medications such as anticholinergics used to control irritative bladder symptoms and tricyclic 
Sullivan and Ebers reported that 53% of their patients with MS had constipation, and Minderhoud et al reported that 52.7% of MS patients complained of irregularities in their defecation pattern. Another study of 77 patients with MS found that 52% had bowel dysfunction. Among a group of 209 patients with MS, 41.3% reported bowel dysfunction. Hennessey et al reported that 54% of 221 patients with MS were constipated and 29% suffered from fecal incontinence.