Alan L. Buchman

Sonia Michail

This article by Dr. Michail details the antimicrobial effects of probiotics on the intestinal microflora—its effects on intestinal epithelium, mucus productions and barrier functions—and on its immune effects.

Stop smoking, avoid alcohol, coffee and chocolate. Eat smaller meals, eat slowly, don't eat foods that are high in fat. These are some of the life-style modifications suggested by Doctors Tutuian and Castell, in order to control mild or breakthrough GERD symptoms.

The authors describe the role played by sex hormones in the pathophysiology and symptoms of IBS. Included in the paper is the coexistence of IBS with other gastrointestinal disorders.