Dr. Starpoli's Blog

Nonsurgical treatment of fecal incontinence using Solesta

Posted by Rachel Jones on Mar 19, 2014 10:30:00 AM

Nonsurgical Treatment of Fecal Incontinence using Solesta

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Anthony A. Starpoli, MD | www.starpoli.com

sleep disturbance, solesta, fecal incontinence

Natural History of Heartburn in an Icelandic Population

Posted by Anthony Starpoli on Feb 8, 2011 1:46:00 AM

Heartburn is a signature symptom of (GERD), which is a cluster of symptoms and signs associated with regurgitation of up to the pharynx and mouth. Patient-based studies of GERD have shown high prevalence and chronicity, particularly in Western societies. GERD is associated with significant health-care utilization and diminished quality of life. Heartburn, coupled with acid regurgitation and painful swallowing are considered to be highly specific for GERD. Very few epidemiological studies have been performed with regard to heartburn, and only one has been population-based. The natural history of GERD or heartburn has received little attention. The pathophysiology of GERD and heartburn is basically unknown.

A research article to be published on February 7, 2011 in the addresses this question. The authors evaluated the natural history of heartburn in the Icelandic population prospectively over a 10-year period, as well as to evaluate different factors which are affected by heartburn both physically and sociodemographically.

The study showed heartburn is a common condition in the population of Iceland. The prevalence is slightly higher than reported elsewhere. Heartburn is a , affecting every fifth person every week. Heartburn subjects with a lower or higher than normal weight were more likely to experience heartburn than subjects of normal weight. Heartburn did not seem to result in less food and beverage consumption, but one out of five heartburn subjects did avoid a specific food or alcohol because of the heartburn. Heartburn had a great impact on daily activities and quality of life. Half of the subjects experienced sleep disturbances because of this condition.

This study creates a database for future studies and hopefully stimulates studies in other countries. Secular prevalence trends and international comparison can contribute towards understanding of the pathophysiology of the disease.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, sleep disturbance, GERD, heartburn

GERD Affects Sleep and Next-Day Performance

Posted by Anthony Starpoli on Oct 23, 2010 9:36:00 AM

Gastroesophageal Reflux Disease or GERD is well-known to affect sleep patterns and an irregular sleep pattern can lead to poor performance in wake periods. Furthermore, there is a bidirectional relationship between sleep and GERD.  Poor sleep can lead to an exacerbation of GERD and GERD can disturb sleep.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, sleep disturbance, insomnia, GERD, atypical reflux, nonacid reflux