BMJ 2012 3rd March

Interesting study looking at how the different patterns of severity of menopausal symptoms in the three years before menopause relate to patterns of severity in the three years after.  Mild stable symptoms during the pre-menopausal years tend to stay mild and stable in the post-menopausal years, and symptoms that are moderately severe during those years but without too great an increase are likely to drop to mild levels over the first three post-menopausal years.  However, women who show greater rises in symptoms over the pre-menopausal years are likely to have more severe symptoms, slower to diminish, after menopause.  Longer follow-up would have been even more interesting, but still useful to know.

I already knew that antibiotics and PPIs can cause false negatives on H. pylori testing, but hadn’t realised that H2 blockers and acute bleeds also fall into that category (not clear how long the time lapse before testing should be in this case).  Another interesting fact about H. pylori is that treatment can improve unexplained iron-deficiency anaemia by increasing iron absorption.

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About Dr Sarah

I'm a GP with a husband and two young children.
This entry was posted in Anaemia, BMJ, Credits 2012, Gastroenterology, Gynaecology. Bookmark the permalink.

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