Recent Advances in Pain Medicine
Proton pump Inhibitors exacerbate NSAID-induced small intestinal injury
Proton Pump Inhibitors Exacerbate NSAID-Induced Small Intestinal Injury by Inducing Dysbiosis: PPI is used along with NSAID for preventing gastric ulcer. However this study in rats showed that the PPIs exacerbate NSAID-induced intestinal damage at least in part because of significant shifts in enteric microbial populations (dysbiosis). They concluded that the prevention or reversal of this alteration of microbial flora may be a viable option for reducing the incidence and severity of NSAID induced enteropathy. Therefore concomitant use of probiotics may prevent small bowel injury from use of PPI along with NSAID by treating dysbiosis.
Wallace JL, Syer S et al. Proton Pump Inhibitors Exacerbate NSAID-Induced Small Intestinal Injury by Inducing Dysbiosis. Gastroenteroly, July 2011.
|I had five procedures with no difficulty, two for my back and three for my neck. Dr. Gupta has given me a good quality life again and the care and compassion I received is more than I can explain. They were all fantastic.
|I have a life now. What pain I have is bearable and I don't know what I would have done without Dr. Gupta's help. He went beyond his duty to get to the bottom of my problem.
|I wanted a clear diagnosis with a focused treatment plan. Dr. Gupta is the best diagnostician in pain management I know. He had already shown that to me by the way he had treated the patients I referred to him.
|I had the discolysis procedure in July of 2009 and since then, I have resumed my full activity level. At my last follow up appointment, Dr. Gupta was amazed at my range of motion. I am pain free and I am hiking, boating, and exercising again.
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Carrollton, KY 41008
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