About

First Name
Kanaaz

Last Name
Pereira

Country of Residence
US

Health Interests
Autoimmune diseases, Blood disorders, Cancer, Children's and teen's health issues, Digestive disorders, Eye disorders, Healthy Aging, Healthy Living, Heart and blood vessel disorders, Hormonal and metabolic disorders, Immune disorders, Kidney and urinary tract disorders, Mental health disorders, Women's health issues, Other

Posts (2262)

3 days ago · H. Pylori – Present Management & Future Therapies in Gastroenterology & GI Surgery

Helicobacter pylori (or H. pylori) infection can be clinically challenging, especially with the evolution of drug-resistant bacteria, and the numerous diagnostic and therapeutic options available. Mayo Clinic gastroenterologist, Dr. Amy Oxentenko offers a simplified approach to the diagnosis and treatment of H. pylori infection, and discusses ongoing research to explore new potential treatment options for H. pylori infection.

Find out more: Helicobacter pylori: The Past, Present, and Future in Management

Meet other people, talking about H. Pylori, on Mayo Clinic Connect – join the conversation, share experiences, ask questions, and discover your support network. Here are some discussions you might like to follow…

 

 

 

Wed, Nov 27 1:34pm · HCM specialist? in Hypertrophic Cardiomyopathy (HCM)

Hi @rondar,

You are absolutely correct about wanting to consult an expert on HCM – Connect’s alumni mentor @cynaburst has always recommended the same.

Mayo Clinic has a long-standing hypertrophic cardiomyopathy program that provides highly individualized care. Specialists in the Hypertrophic Cardiomyopathy Clinic at Mayo Clinic diagnose and treat people who have HCM. Care is provided by cardiologists, surgeons, specialized medical assistants, nurses and genetic counselors with specialized training and expertise in HCM. https://www.mayoclinic.org/departments-centers/hypertrophic-cardiomyopathy-clinic/overview/ovc-20442502

You can read more testimonials from Connect members @badmac @sarah_e @sheim @dp52350 @knecht in these discussions:
https://connect.mayoclinic.org/discussion/freaking-out-a-bit/,
https://connect.mayoclinic.org/discussion/surgery-on-jan-30th/

I’d also encourage you to read, "Notes from presentation by Dr. Joe Dearani re: Myectomy at HCM Summit” https://connect.mayoclinic.org/discussion/notes-from-presentation-by-dr-joe-dearani-re-myectomy-at-hcm-summit/

@rondar, may I ask if you would share what's concerning you, at present, about the HCM diagnosis?

Wed, Nov 27 10:16am · Ostomy: Adapting to life after colostomy, ileostomy or urostomy in Digestive Health

Hi @formydad,

The procedure might be known as Cutaneous Ureterostomy; I found this information about Urinary Diversion: https://www.niddk.nih.gov/health-information/urologic-diseases/urinary-diversion
I’m hoping @nickkarenl @jimmy2248 and @hodagwi can shed some more light on your dad’s surgery.

Tue, Nov 19 3:09pm · Getting Off of Omeprazole in Digestive Health

Hello @eleanorm,
Thank you for calling attention to the physician-pharma association in the article I had cited in a previous post – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995199/ – but first, I’d like to extend a warm welcome to you and sincerely look forward to getting to know you better, as and when you are able to share more about yourself.

You are absolutely correct in saying, “…you should be completely transparent in the information that you are posting, particularly as moderator of this forum.”
As a moderator, I want to communicate in a clear and professional way each time I put something in public view – it is a reflection of myself, of the community, and of course, my employer. But, I would be remiss not to mention a few observations:

1) When manuscripts are accepted, disclosures of conflict of interest, relevant financial interests, activities, relationships, and affiliations, for each of the authors are published in the Acknowledgment section of the article, or the Biography section of the article…and thereby disclosed to readers.
**With regard to the author of the article in question – Dr. Pandolfino (Chief of Gastroenterology and Hepatology, Professor of Medicine, Northwestern University) – the exact disclosure(s) is clearly stated under “Footnotes” in the Biography section of the article.
**I thought – and am still of the opinion – that the inclusion of such statement/footnote suffices for transparency. However, if I were citing an article authored/published by Mayo Clinic, I would be certain to specifically mention any external association in my post.

2) PubMed Central® (PMC – the ‘resource' for the article) is an archive of biomedical and life sciences journal literature at the U.S. National Institutes of Health's National Library of Medicine (NIH/NLM). The presence of an article does not reflect an endorsement of, or concurrence with, the contents of the article.

https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer/

**Gastroenterology and Hepatology journal publishes peer-reviewed original papers, metaanalyses, systematic reviews, and editorials concerned with clinical practice and research in the fields of hepatology, gastroenterology and endoscopy. It is one of several reliable and authoritative resources for GI-related interest groups – on par with the New England Journal of Medicine (NEJM), which includes variety of medical-interest groups.

https://www.gastroenterologyandhepatology.net/about/

3) As you correctly stated, M. Brian Fennerty, M.D. is "a doctor unaffiliated with any Pharma companies and the founding editor of NEJM's Journal Watch.” But might I request you to keep in mind that this standard applies solely to the ‘editors’; and not to ‘authors’.
"No NEJM editor is permitted to have any financial relationship with any biomedical company.” https://www.nejm.org/media-center/integrity-safeguards
**Here again, I thought you might wish to read about Dr. Fennerty’s disclosures and association with pharmaceutical companies, prior to his role as editor:

https://www.medscape.org/viewarticle/457393_3M Brian Fennerty, MD
M. Brian Fennerty, MD, Professor, Section Chief of Gastroenterology, Oregon Health Sciences University
Disclosure: Consultant/Speakers Bureau: AstraZeneca, TAP, Wyeth;
Research Grants: AstraZeneca, Eisai Inc, Janssen Pharmaceutica

https://projects.propublica.org/d4d-archive/search?utf8=✓&term=M.+Brian+Fennerty%2C+MD&state%5Bid%5D=&company%5Bid%5D=&period%5B%5D=&services%5B%5D=

@eleanorm, our community members should feel safe, which is why we monitor the conversations AND rely on community members like yourself to report if you felt anything was amiss – I hope this (very long) explanation is helpful.
You can also read more about why and how we moderate on Connect: https://connect.mayoclinic.org/about-our-moderators-and-mentors/ Please don’t hesitate to connect with me:) with any further questions or concerns; I do look forward to hearing from you.

Tue, Nov 19 11:09am · Fecal Microbiota Transplant (FMT) in Digestive Health

Hi @sandyjr,

Here are some Mayo Clinic videos and more information about FMT:
– Fecal microbiota transplantation (FMT) https://www.mayoclinic.org/medical-professionals/digestive-diseases/videos/fecal-microbiota-transplantation-fmt/vid-20433518
– FMT demonstrates consistently high success rates for recurrent CDI https://www.mayoclinic.org/medical-professionals/digestive-diseases/news/fmt-demonstrates-consistently-high-success-rates-for-recurrent-cdi/mac-20429966
– Updated IDSA guideline for treatment of Clostridium difficile infection https://www.mayoclinic.org/medical-professionals/digestive-diseases/news/updated-idsa-guideline-for-treatment-of-clostridium-difficile-infection/mqc-20442395

I’m tagging @sandyabbey @pines @gfpp @thrasher3062 @nettecook @annapocono @oceanone @suzannedee @concernedmtnmom @tammy1pike – they’ve discussed FMT or fecal transplant on Connect, and I sincerely hope they will return to share their insights.

Tue, Nov 19 11:09am · Fecal Microbiota Transplant (FMT) in Digestive Health

Hi @concernedmtnmom,

I so appreciate it when you respond with such great information, experience and support. What a treasured member of this community you are – thank you!

Tue, Nov 19 10:52am · Sick daughter goes undiagnosed in Digestive Health

Hi @ghennel,

I’m sorry to hear about your daughter’s health struggles – as a mother, I can imagine just how worrying it must be!
If you’d like to make an appointment at Mayo Clinic, please call one of our appointment offices – you can also request an appointment online. The contact information for all 3 Mayo Clinic locations (Minnesota, Arizona, Florida) can be found here:

http://mayocl.in/1mtmR63

The Clinic’s representatives will ask questions to help direct you to the best specialist, either at Mayo or closer to home.

Might I also suggest you use the following resources for insurance and billing questions? Or you can contact Patient Account Services for help – https://www.mayoclinic.org/patient-visitor-guide/billing-insurance/contact-us

– Billing & Insurance https://www.mayoclinic.org/patient-visitor-guide/billing-insurance
– Charitable Care and Financial Assistance https://www.mayoclinic.org/patient-visitor-guide/billing-insurance/financial-assistance

A lymphatic malformation is a clump of lymph vessels that form a growing, jumbled, spongy cluster, but they are benign (not cancerous). When the condition affects the lymph nodes in the membrane that connects the bowel to the abdominal wall (mesentery), it's called mesenteric lymphadenitis.
Lymphatic malformations in the gastrointestinal tract (gut) or pelvis can cause:
– Pain in the abdomen, often on the lower right side
– Abdominal tenderness
– Fever
– Nausea
– Vomiting
– Diarrhea or constipation
– bladder obstruction (trouble peeing)
– infections
– protein loss due to poor absorption and loss of lymph into the gut

https://www.mayoclinic.org/diseases-conditions/mesenteric-lymphadenitis/diagnosis-treatment/drc-20353803

The most common cause of mesenteric lymphadenitis is a viral infection, such as gastroenteritis, or it could be a bacterial infection, inflammatory bowel disease and lymphoma. I’d encourage you to read this Mayo Clinic article about
"The complexities of pediatric motility disorders” https://www.mayoclinic.org/medical-professionals/pediatrics/news/the-complexities-of-pediatric-motility-disorders/mac-20452819

Here is a related Connect conversation that you might find useful:
https://connect.mayoclinic.org/discussion/mesenteric-panniculitis-or-schlerosing-mesentertis-auto-immune-around-small-intestine/
I’m tagging @chensley638 @seaotter @subhi @snoopdog @gmeg @ritaz1964 @kimh @constancelee @gussypup333 @dinayo @mp333 @pcfromfm so that they can share their valuable insights – it always helps to know that you are not alone.

Wed, Nov 13 10:35pm · Heart Problems, Cardiac Symptoms, But Test Results Normal in Heart Rhythm Conditions

Hi @heffert,

I think most of us would do without meds if given the option – but sometimes they are necessary. I can most certainly see how the emphasis on diet and exercise, and the societal push to "do things naturally,” can convince us about alternatives or not following the doctor’s recommendations – this is especially true for drugs that treat ‘silent’ or asymptomatic conditions like high blood pressure, heart disease.

Here are a few facts about heart disease:
– Heart disease kills 1 in every 4 people in the United States.
– Heart disease is the leading cause of death for both men and women in the United States.
– It is also one of the most preventable.
– Some of the most commonly prescribed medications for heart problems are beta blockers.

https://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_heart_disease.htm

…and what you should know about beta blockers:
When the heart's arteries become narrowed or weak, the heart compensates by pumping harder and faster. This increases the demand for oxygen and can cause angina, which is chest pain, as well as as high blood pressure or arrhythmia, which is an irregular heartbeat.
Beta blockers slow down the heart to give it a break from working so hard. The heart's squeezing function relaxes a bit, which causes blood pressure to go down, easing pain and helping regulate the heartbeat. Beta blockers also help open up your veins and arteries to improve blood flow. https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/beta-blockers/art-20044522

…and detailed information about ventricular tachycardia:

https://www.mayoclinic.org/diseases-conditions/ventricular-tachycardia/symptoms-causes/syc-20355138

I also thought you might wish to view this very interesting article, "Is Any Patient with Chronic Heart Failure Receiving the Right Dose of the Right Beta-Blocker in Primary Care?" https://www.amjmed.com/article/S0002-9343(19)30311-0/fulltext

@heffert, just as “silent” conditions have no overt symptoms, initially, the consequences of not taking medication may not show up immediately. But by putting your health at risk there can be serious long-term consequences.
Taking medication, as directed by your doctor, is a decision only you can make. Can you talk to your doctor and explain your concerns?