"Doctor, my tummy is bloated. I think it's heartburn. It's been going on for months. What's causing it?" Good question. Let's dive in. What is dyspepsia? Upper abdominal pain or discomfort originating in the upper GI tract that is episodic or persistent and often associated with belching, bloating, heartburn, and nausea or vomiting. What is … Continue reading How do you evaluate dyspepsia? →

A 72 y/o F being managed on the floor for sepsis due to a problematic urinary tract infection starts to complain of acute onset LUQ abdominal pain. She describes abdominal pain out of proportion to your physical exam, one that includes mild signs of distension without peritoneal signs. She now has occult blood in the … Continue reading How do you approach ischemic colitis? →