Sound Medicine -- April 20, 2002

Barbara Lewis and Dr. David Crabb talk to physicians and researchers about:

Nicotine addiction
Irritable Bowel Syndrome
Crohn's Disease study
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Nicotine Addiction

What makes nicotine so addictive? Addressing the question for us is Jack E. Henningfield, Ph.D., associate professor in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine.

Dr Henningfield talks about addictive chemicals and how they affect the brain. He offers suggestions to address the problem of cigarette addiction, including educational campaigns, tobacco regulation, and parental involvement. Dr. Henningfield is a national leader in research on addictive substances and has written extensively on nicotine and other addictions.

Resources
For comprehensive information about nicotine addiction, we recommend the National Institute on Drug Abuse Web site Check out the link "Where can I get further scientific information about nicotine addiction?" for other great links about nicotine.
Find all kinds of tobacco-related news at Tobacco.org, including quitting tips for smokers and chewers.

Irritable Bowel Syndrome

As many as 15 - 20% of Americans are plagued by frequent and severe stomach cramps and unpredictable bowel movements. It's known as Irritable Bowel Syndrome or IBS. Most affected are girls and young women. Fortunately, help and information are available. Changes in diet, stress-management, and certain medications can help.

Dr. Sandeep Gupta is a pediatric gastroenterologist at Riley Hospital for Children. He discusses differentiating IBS symptoms from other gastrointestinal problems. He talks about the role stress plays in flare-ups and how the syndrome may progress from childhood to adulthood. He describes treatment and explains how success depends on a patient's commitment to self care.

Resources
This National Institutes of Health site addresses some of the most common questions about Irritable Bowel Syndrome: what it is, how it's diagnosed, and what can be done to treat symptoms. Also find interesting anatomical definitions and explanations of the intestinal tract.
The About IBS Web site is run by the International Foundation for Functional Gastrointestinal Disorders. It provides statistics and links to other official organizations and general definitions.

Crohn's Disease study

Crohn's Disease is a chronic inflammation of the small intestine that goes deeply and painfully into the intestine's lining. There are theories as to what causes Crohn's disease but no definitive one. At present, there is no cure. Encouraging research is underway, however.

To discuss clinical trials for Crohn's underway at the Indiana University School of Medicine is Dr. Deb Helper, Medical Director of the Inflammatory Bowel Disease Program at the IUSM. She explains how gut bacteria (or "flora") in Crohn's patients is different from normal and how tests can confirm the disease.

Dr. Helper describes a wide range of symptoms, some seemingly unrelated to the GI tract, and the things that trigger flare-ups. She talks about current steroid treatments and the high success rates of new treatments.

Resources
This NIH Web site provides a comprehensive look at the diagnosis and treatments of Crohn's Disease. It includes information on current research.
The National Institute of Diabetes & Digestive and Kidney Diseases, another NIH Web resource, provides copious information on a variety of gastrointestinal problems.
 
We're pleased to thank our founding sponsors: IU Medical Group, Clarian Health and Wishard Health Services.

Upcoming topics: obstetric procedures
• Episiotomy during labor, does it do more harm than good?
• Is it true: once a caesarian section always a caesarian section?

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Health Quiz —
How much gas do we pass?

Getting enough fiber in your diet is essential to healthy intestines and normal digestion. Increasing fiber intake may cause initial unpleasant side effects, however, such as passing gas and upsetting the stomach. Can you guess how much gas a normal intestine processes each day?

a. 1-3 liters
b. 4-6 liters
c. 7-10 liters

What's the answer?


Medical Mystery —
Angry women more at risk for heart disease?

A recent studies says yes, that chronically angry women are more at risk for heart problems -- a phenomenon that's also been proven true with men. But there is a secret weapon women can use to fight this effect. What is this weapon?

Find out!


Weekly Notebook — Ticks and tick-transmitted diseases.

Ticks become active as soon as warm weather hits. Take precautions to avoid exposure to these tiny insects that can carry Lyme Disease, Rocky Mountain Spotted Fever, and Ehrlichiosis. Ticks inhabit wooded and grassy areas, including suburban lawns.

• Wear a long-sleeved shirt and light-colored pants,
with the shirt tucked in at the waist and the pants tucked into your
socks.
• When sprayed on your clothes, repellents are most effective in keeping ticks away from exposed skin.
• Check for ticks on your clothing or skin.
• Remove ticks with tweezers by grasping the tick as close to your skin as possible.
• People involved in outdoor activities might want to ask their physician about a Lyme Disease vaccine, which is now available.

Source: Indiana State Department of Health