A single test strategy using spot fecal bile acid test may be a feasible strategy for the diagnosis of bile acid malabsorption
Team @aiims_newdelhi
https://t.co/lCu9R0p7eY
#Realworld impact:
Many patients can’t stop PPIs.
study supports double site #BIOHIT HPQT RUT as a practical tool in such settings with a very high diagnostic accuracy.
#gastrolabindia
PCR is gold standard, not affected by PPI.
•If PCR unavailable → Doublesite RUT is a cost-effective, quick, #pointofcare option.
•HPE reserved for patients needing cancer risk assessment (AG/IM staging).
🚨 New study alert!
How should we test for #Hpylori in patients already on #PPIs?
Though guidelines recommend stopping PPIs before testing, #realworld patients often can’t.
Study from PGIMER, India compares Double-site #BIOHIT RUT vs. Histopathology. 🧵
https://t.co/vmaSDYG1SQ
Like brain neurons gut cells found to “whisper”.
Research uncovers how gut communicates much like brain cells to directly influence intestinal stem cells.
Read more -
Telocytes deliver essential Wnts directly to murine intestinal stem ce... https://t.co/ebY7bjDeQi
The body constantly fights allostatic load. Regulatory drift always precedes structural collapse. My latest essay maps the Functional Staging of Gastric Disease and its striking parallel to #Ayurveda’s Shatkriyakaal.
#Gastroenterology#SystemsBiology
https://t.co/oJK7m9sWHP
#Pepsin is secreted as inactive #pepsinogen. It activates only in strong acid at pH 1 to 3.
The system is tightly controlled.
#Digestion happens in the stomach.
Nowhere else.
(3/5)
Calprotectin 🟰What Neutrophils Release
Calprotectin (S100A8/A9) is released when neutrophils activate or undergo NETosis.
More neutrophils = higher fecal calprotectin = more active intestinal inflammation.
#Calprotectin#GITwitter#MedTwitter (4/8)
Launching “Gut & Beyond”
A long form blog on #gastroenterology, #Ayurveda, #systemsbiology, and clinical #reasoning.
Focused on patterns, function, and better questions rather than quick answers. Do read, share and subscribe if the areas interest you.
https://t.co/zlHG8s2bF6
Pepsin is not inherently harmful.
Pathology begins when an evolutionarily digestive enzyme appears in the wrong location.
This shifts reflux from symptom driven thinking to biology driven reasoning. And this is what changes how we diagnose.
More in this #Peptest series (5/5)