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02
Jan

Got heartburn sickness?

Got ? Excess weight may be to blame

Sufferers can feel better by altering diet, losing a little in the middle
Karen Collins, R.D.Special to

Karen Collins, R.D.

Are you suffering with serious ? If so, your weight might have something to do with how you’ve been feeling ??” and how you can feel better.

Gastroesophageal reflux sickness, or GERD, is a common digestive disorder that can affect group of all ages. As recent studies continue to confirm the longstanding link between excess weight and GERD, soaring obesity rates are likely to lead to an increasing number of Americans who are affected by this sickness.

The severe, frequent of GERD occurs when the muscle that acts as a valve between the esophagus and stomach doesn??™t work properly, allowing stomach acids to back up into the esophagus, which can damage tissue.

One 2006 analysis of 20 studies, including more than 18,000 patients, showed that in the United States being overweight increased odds of developing GERD by more than 50 percent. Being obese more than doubled the odds.

Among more than 10,000 women analyzed in the Nurses??™ Health Study, weight gain of more than about 10 to 20 pounds was linked with almost tripling the development of frequent syndromes.

The link between being overweight and risk of GERD is not new, but research is beginning to explain why it occurs. One recent meditate measured pressure within the stomach and found that each increase in body mass index (a measure of weight status) that corresponded to about a 10- to 20-pound weight jump was linked to a 10 percent increase in stomach pressure.

Test yourself ?•Is it or something else?Researchers suggest that excess body fat, particularly around the abdomen, increases pressure in the abdomen, which in turn increases pressure in the stomach. The pressure to the stomach pushes the sphincter muscle between the stomach and esophagus to open. Overeating might also increase that pressure, and so can pregnancy.

Frequent can be serious
A report in the Journal of the American Dietetic Association on nutrition??™s involvement in indigestion and noted that certain spices and acidic food and drink may cause pain in an esophagus already raw from stomach acid reflux. But these foods may take the blame for episodes that really are due to excessive portions.

Studies have also suggested that fatty foods may increase the tendency for reflux, yet research on fatty foods is unclear. In one small Italian meditate , for example, the total calories of meals increased the tendency for reflux over the next six hours, while raising fat content didn??™t increase reflux if total calories remained the same.

With all the jokes about , it??™s easy to regard it as just an uncomfortable inconvenience. Scientists say, however, that although occasional is not a worry, frequent can lead to serious complications if left untreated.

GERD is an established risk factor for esophageal adenocarcinoma, a type of esophageal cancer that has increased approximately 600 percent since 1971. If both obesity and GERD are present, the risk of this kind of cancer increases even more than seen with GERD alone.

Click for related contentTest your IQCalculate your BMICalories, not carbs, count for most dietersWhy raiding the fridge at night is a bad idea

There are a wide range of medicate s available to treat , some of which can be used together. If occurs several times a week, see your doctor. If the cause of is unhealthy eating habits or excess weight, it is probably hurting your health in otherness ways too.

Instead of trying to make unhealthy eating tolerable, it may be time to develop better eating habits and shape up to a healthy weight to reduce GERD and risk of esophageal cancer.

heartburn pharmacy:      

20
Dec

Rosie O’Donnell won’t return to ‘The View’ - Television

Rosie O’Donnell won’t return to ‘The View’

Announcement comes two days after heated on-air fight with co-host
Yolanda Perez / AP
Elisabeth Hasselbeck, left, and Rosie O’Donnell sparred frequently on “The View,” though they profess to be good friends off camera.

video•Rosie quits ‘The View’ early
May 25: With news that Rosie O’Donnell will not returning to ‘The View,’ Donald Trump comments on his feud with O’Donnell.

Rosie O’Donnell has fought her last fight at “The View.”

ABC said Friday she asked for, and received, an early exit from her contract at the daytime chatfest following her angry confrontation with co-host Elisabeth Hasselbeck on Wednesday. She was due to leave in mid-June.

It ended a colorful eight-month tenure for O’Donnell that lifted the show’s ratings but no doubt caused for show creator Barbara Walters. O’Donnell feuded with Donald Trump and frequently had snippy exchanges with the more conservative Hasselbeck.

O’Donnell said last month she would be leaving because she could not agree to a new contract with ABC executives.

“Rosie contributed to one of our most exciting and successful years at ‘The View,”’ Walters said. “I am most appreciative. Our close and affectionate relationship will not change.”

In a statement, O’Donnell said that “it’s been an amazing year and I love all three women.”

No one was feeling the love on Wednesday, when the argument with Hasselbeck began over O’Donnell’s statement last week about the war: “655,000 Iraqi civilians have died. Who are the terrorists?”

Talk show critics accused O’Donnell of calling U.S. troops terrorists. She called Hasselbeck “cowardly” for not saying anything in response to the critics.

“Do not call me a coward, because No. 1, I sit here every single day, open my heart and tell group what I believe,” Hasselbeck retorted, and their riveting exchange continued despite failed attempts by their co-hosts to cut to a commercial.

According to a New York Post report, O’Donnell’s chief writer, Janette Barber, was allegedly led out of the building on Wednesday after she was caught drawing mustaches on photographs of Hasselbeck in “The View” studios. ABC executives didn’t return repeated calls for questions on the incident Friday.

On Thursday O’Donnell had asked for a day off to celebrate her partner’s birthday. “The View” aired a taped show on Friday.

Related contentRosie’s ‘View’ won’t be the same without her Vote: Will you miss Rosie on ‘The View’?Political discussion turns personal on ‘View’Walters denies fight was ratings stunt  What do you think about her departure?

Slide show•Rosie through the years
From the ‘80s through ‘The View,’ a look at the feisty TV host’s careerOn her Web site, O’Donnell posted a scrapbooklike video on Friday with pictures and news clippings of her tenure at “The View.” Cyndi Lauper’s “Sisters of Avalon” played in the background.

A day earlier, she posted messages on her Web site indicating she might not be back.

“When painting there is a point u must step away from the canvas as the work is done,” she wrote. “Any more would take away.”

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2007 . .

14
Dec

WP: Bug mutates into medical mystery - washingtonpost.com Highlights

Bug mutates into medical mystery

Antibiotics, medicate s suspected
By By Rob Stein

WASHINGTON - First came stomach cramps, which left Christina Shultz doubled over and weeping in pain. Then came nausea and fatigue — so overwhelming she couldn’t get out of bed for days. Just when she thought things couldn’t get worse, the nastiest diarrhea of her life hit — repeatedly forcing her into the hospital.

Doctors finally discovered that the 35-year-old Hilliard, Ohio, woman had an inagsdhfgdfinal bug that used to be found almost exclusively among older, sicker patients in hospitals and was usually easily cured with a dose of antibiotics. But after months of medical aid, Shultz is still incapacitated.

“It’s been a nightmare,” said Shultz, a motherness of two young children. “I just want my life back.”

Shultz is one of a growing number of young, othernesswise healthy Americans who are being stricken by the bacterial infection known as Clostridium difficile — or C. diff — which appears to be spreading rapidly around the country and causing unusually severe, sometimes fatal illness.

That is raising alarm among health officials, who are concerned that many cases may be misdiagnosed and are puzzled as to what is causing the microbe to become so much more common and dangerous.

“It’s a new phenomenon. It’s just emerging,” said L. Clifford McDonald of the federal Centers for Disease Control and Prevention in Atlanta. “We’re very concerned. We know it’s happening, but we’re really not sure why it’s happening or where this is going.”

Antibiotics to blame?
It may, however, be the laagsdhfgdf example of a common, relatively benign bug that has mutated because of the overuse of antibiotics.

“This may well be anotherness consequence of our use of antibiotics,” said John G. Bartlett, an infectious-illness expert at Johns Hopkins University in Baltimore. “It’s anotherness example of an organism that all of a sudden has gotten a lot meaner and nastier.”

?More health newsIn addition, new evidence released last week suggests that the enormous popularity of powerful new medicate s may also be playing a role.

The antibiotics Flagyl (metronidazole) and vancomycin still cure many patients, but othernesss develop stubborn infections like Shultz’s that take over their lives. Some resort to having their colon removed to end the debilitating diarrhea. A small but disturbingly high number have died, including an othernesswise healthy pregnant woman who succumbed earlier this year in Pennsylvania after miscarrying twins.

The infection usually hits group who are taking antibiotics for otherness reasons, but a handful of cases have been reported among group who were taking nothing, anotherness unexpected and troubling turn in the germ’s behavior.

The infection has long been common in hospital patients taking antibiotics. As the medicate s kill off otherness bacteria in the digestive system, the C. diff microbe can proliferate. It spreads easily through contact with contaminated group, clothing or surfaces.

Infections double
There are no national statistics, but the number of infections in hospitals appears to have doubled from 2000 to 2003 and there may be as many as 500,000 cases each year, McDonald said. Other estimates put the number in the mil.s.

The emerging problem first gained attention when unusually large and serious outbreaks began turning up in otherness countries. In Canada, for example, Quebec health officials reported last year that perhaps 200 patients died in an outbreak involving at least 10 hospitals. Similar outbreaks were reported in England and the Netherlands.

After the CDC began receiving reports of severe cases among hospital patients in the United States — and in group who had never, or just briefly, been hospitalized — it launched an investigation.

In the Dec. 8 issue of the New England Journal of Medicine, the CDC reported that an analysis of 187 C. diff samples found that the unusually dangerous strain that caused the Quebec cases was also involved in outbreaks at eight health care facilities in Georgia, Illinois, Maine, New Jersey, Oregon and Pennsylvania.

“This strain has somehow been able to get into hospitals widely distributed across the United States,” said Dale N. Gerding of Loyola University in Chicago, who helped conduct the analysis. “We’re not sure how.”

But scientists do have a few clues. The dangerous strain has mutated to become resistant to a class of frequently used antibiotics known as fluoroquinolones. That means anyone taking those antibiotics for otherness reasons would be particularly prone to contract C. diff .

“Because this strain is resistant, it can take advantage of that situation and establish itself in the gut,” Gerding said.

Experts said the resistant germ’s proliferation offers the laagsdhfgdf reason why group should use antibiotics only when necessary, to reduce both their risk for C. diff and the chances that otherness microbes will mutate into more dangerous forms.

“That’s one theory for what’s happening here,” said J. Thomas Lamont of Harvard Medical School. “If we reduce the number and amount of antibiotics given for trivial infections like colds and stuffy noses, we’d all be a lot better off.”

Overuse of antibiotics can make germs more dangerous by killing off susceptible strains, leaving behind those that by chance have mutated to become less vulnerable to the medicate s. The resistant strains then become dominant.

High toxin levels
In addition to being resistant, the dangerous C. diff strain also produces far higher levels of two toxins than do otherness strains, as well as a third, previously unknown toxin. That would explain why it makes group so much sicker and is more likely to kill. In Quebec, C. diff killed 6.9 percent of patients — which is much higher than the illness’s usual mortality rate — and was a factor in more than 400 deaths.

Adding to the alarm is evidence that the infection is occurring outside of hospitals. When the CDC began looking for such cases earlier this year, investigators quickly identified 33 cases in New Hampshire, New Jersey, Ohio and Pennsylvania, including 23 group who had never been in the hospital and 10 women who had been hospitalized only briefly to deliver a baby, the agency reported this month. Eight of the patients had never taken antibiotics.

“This is the first time we’ve started to see this not only in group who have never been in the hospital but also in those who are othernesswise perfectly healthy and have not even taken antibiotics,” McDonald said.

“It’s probably going on everywhere,” he said.

It remains unclear whether the cases occurring outside the hospital are being caused by the same dangerous strain.

“We don’t really know what’s going on here,” McDonald said. “We know it’s changing in some ways; we know it’s changing the kinds of patients it’s attacking, and we know it’s causing more severe illness. But we don’t know exactly why.”

Canadian researchers, however, have found one possible culprit: popular new medicate s. Patients taking proton pump inhibitors, such as Prilosec and Prevacid, are almost three times as likely to be diagnosed with C-diff , the McGill University researchers reported in the Dec. 21 issue of the Journal of the American Medical Association. And those taking anotherness type called H2-receptor antagonists, such as Pepcid and Zantac, are twice as likely. By suppressing stomach acid, the medicate s may inadvertently help the bug, the researchers said.

Whatever the cause, the infection often resists standard medical aid. That is what happened to Shultz, who had been taking antibiotics to help clear up her acne when C. diff hit in June. Because the bacterium can hibernate in protective spores, patients can be prone to recurrences. It can take multiple rounds of antibiotics — or sometimes infusions of antibodies or ingesting competing organisms such as yeast or the bacteria found in yogurt — to finally cure them.

“I’m trying to stay positive,” Shultz said. “People tell me it does go away and I will get rid of it someday. I’m looking forward to getting my life back, but I’m not convinced I’ll ever be normal again.”

? 2007 The Washington Post Company

12
Dec

Water good, coffee bad? Ain’t necessarily so - Health

Water good, coffee bad? Ain’t necessarily so

These and otherness recent medical maxims have become generally accepted as the truth. “Today” contributor Dr. Judith Reichman dissects myth from fact
FREE VIDEOFeb. 23: In this Woman’s Health segment, Dr. Judith Reichman examines the health facts surrounding water and coffee as well as otherness medical maxims.

Today show

Today show
By By Dr. Judith Reichman”Today” contributorTODAY

We’ve heard the same prescriptions for good health repeated for years by our mothernesss, friends, in magazine articles and, oh yes, by our doctors.  Are they true, and are they supported by current research?  On “Today’s Woman,” “Today” show medical contributor Dr. Judith Reichman tells us that in some instances this “it’s good for you” advice ain’t necessarily so. 

Water, water everywhere! Should I drink it all?
There’s a prevailing opinion that there’s no such thing as too much water.  Does the advice “drink eight glasses a day” really hold water?  Many women believe that the more they drink, especially when it comes in designer bottles, the less they’ll eat, the more they’ll “flush” toxins from their bodies, and the moister and dewier their skin will be.  Countless magazine articles have recommended eight glasses a day (two quarts) as the gold standard of liquid health.  None of these suppositions bear medical scrutiny.  A diligent review, published in the American Journal of Physiology, could neither locate the origins of this edict, nor any evidence to support it.  The moisture in your skin will suffer only if you meet the medical standards for dehydration.  There’s no need to monitor the color of your urine or count your empty water bottles.  We have a marvelous built-in hydration control.  It’s called thirst, which works through multiple hormones and sensors in our vascular system.  Also, much of what we consume contains liquid, even though it’s not water, and despite what you’ve heard, coffee, caffeinated soft drinks and otherness fluids do count.  Finally, there are good reasons not to overdo fluids.  Many women complain of incontinence problems simply because their overfilled bladder contracts before they reach the toilet.  Just like most vitamins, a deficiency of water is bad, but excess is unhelpful and can even be dangerous.  If you take in fluid faster than your kidneys can process it, you could even end up with “water intoxication,” causing confusion, coma and even death.

What about otherness beverages?  Should we decaffeinate?
There’s no question that caffeine is a powerful psychoactive medicate .  We use it as a mental stimulant (and today the act of drinking coffee in coffee shops has become a social stimulant for conversation, business meetings, and logging onto the Web).  Caffeine prevents sleepiness and sharpens thinking by blocking the action of certain neurotransmitters and lift moods by affecting dopamine.  It “revs you up” by promoting release of adrenaline, starting at doses lower than fifty milligrams, which is about the amount in a serving of black tea or cola.  It has been shown to improve muscle coordination and strength if consumed just prior to exercise or an athletic event.  It also increases energy expenditure, and to a very small extent helps us burn calories.  Because it helps relax the airways of the lungs, caffeine is associated with fewer asthma attacks in asthmatics.  And here’s an effect we’ve all noticed: it can act as a laxative.  In fact, many women rely on their morning coffee to keep them on schedule from both a gastroinagsdhfgdfinal and daily activity perspective.  Two to three cups a day may lower the incidence of Parkinson’s illness (according to Nurses’ Health Study data) and seems to decrease gallstone formation, at least in men.  However ” and there’s always a however ” there can be some negative effects, although some of which we’re warned about may be exaggerated.  The following have been associated with caffeine and may give us pause in taking that second or third cup of coffee:

Miscarriage
There may be as much as a 30 percent increase in early miscarriage of normal pregnancies for women who drink one to two cups of coffee a day.  One meditate has shown this goes up to 40 percent with four cups.  There’s also concern about caffeine consumption while trying to conceive.  Some studies have shown infertility rates double for women who drink more than two and a half cups of coffee a day.Cancer, coffee and smoking
No cancer correlation to caffeine has been found, except that women who smoke often do so at the same time that they drink their coffee.  There is no increase in breast cancer from caffeine, although some women find breast tenderness is worsened with increased caffeine consumption.  Osteoporosis
There is no conclusive link between caffeine and osteoporosis, but if caffeinated beverages (without milk) preclude milk or calcium-containing fluid consumption, the lack of calcium intake will correlate with osteoporosis risk.Cardiovascular disease
Caffeine can raise blood pressure for a few minutes, and in some cases hours.  However coffee consumption does not seem to cause ongoing hypertensive disorder.  If you already have cardiovascular disease , however, a cup of coffee may temporarily raise your blood pressure and this could ultimately increase your more immediate risk of stroke.Heart illness
Caffeine can cause palpitations, irregular or fast heartbeat, and if you have an existing abnormal heart rate or heart illness, this could be a problem.  One meditate found an increased risk of cardiac arrest in nonsmokers who consumed six or more cups of coffee a day.  But in general we can’t blame heart illness or heart attacks on reasonable caffeine consumption.Headaches
Caffeine can increase the effectiveness of headache medicate s (and many of the over-the-counter headache medicate s in fact combine caffeine with either aspirin or a Tylenol-like component).  But these combined products can actually cause rebound headaches.  To avoid this “take a pill feel better, then worse” cycle, over-the-counter medicate s with caffeine shouldn’t be used for more than two days at a time.PMS
Caffeine acts as a diuretic and should decrease discomfort and bloat.  But it can also cause a fall in blood sugar, which increases syndromes of PMS.  There can be a three-fold increase in PMS if we drink more than three to four cups of coffee a day.Bladder conditions
Caffeine speeds the kidneys’ processing of fluid, so we have to go more frequently.  It can also irritate the bladder, leading to certain forms of incontinence.  Caffeine and sleep
Caffeine stimulates the brain and also affects levels of melatonin, which promotes sleep.  It takes four to seven hours to metabolize caffeine.  The older we are, the longer it takes.  And if you are on birth control pills or estrogen, the half life of caffeine may be doubled.  So an afternoon cup of coffee can cause late night insomnia.Caffeine and anxiety
High doses increase the level of brain chemicals associated with anxiety.  Caffeine and
Even decaffeinated coffee can increase stomach acid production and affect the closing of the valve between the stomach and esophagus, leading to reflux and .  If you do have this problem, you not only need to decaffeinate, but you need to de-decaffeinate, i.e. no types of coffee at all.

The bottom line
In summary, caffeine does make us feel better, more alert; we sometimes exercise better, even think better.  But we should not be consuming it, especially more than one to two cups per day, if we have:

Irregular heartbeats or palpitationsSevere PMSSleep problemsBladder problemsAnxiety and/or panic attacks

If it’s Tuesday, it must be Belgian chocolate! What, if any, is the harm?
There is, of course, anotherness product that we love that also contains some caffeine: chocolate.  We’ve been told that it’s fattening and not good for us.  “It will rot your teeth, cause acne, make you fat.”  Are these warnings true?  And what about the recent proclamations that chocolate is, to some extent, a health food?

First, the caffeine in chocolate is not very strong.  One chocolate bar contains less than a cup of coffee. Chocolate also contains a group of very healthy ingredients called flavinoids, which are antioxidants and are also contained in fruits, nuts and vegetables (and red wine).  These flavinoids, which are present in the cocoa bean, can reduce the blood’s ability to clot (like aspirin) and may also help to lower blood pressure. Part of the fat content in chocolate comes from steric acid, which works on the body like a healthy monounsaturated fat.  There is even some evidence this may help protect against cavities.  But remember, a cup of chocolate is very dense in calories, containing up to a thousand calories or more, whereas a cup of broccoli contains less than forty.  Moreover, white chocolate contains no flavinoids. Dark chocolate, which is considered the healthiest, contains two to four times the amount of flavinoids that milk chocolate has.  If you want to have a couple of pieces of dark chocolate a day, consider the calories in your total count, but in the end this may not be such an anti-health treat.

We’ve been told women should take iron supplements. Is that true?
To start, it is very important to know that iron supplements are the most common cause of poisoning deaths among children, and overload is dangerous at any age.  If you’re not anemic, doses over forty-five milligrams can cause constipation, vomiting, nausea or diarrhea.  While we have our periods and lose blood and deplete our iron stores, taking a multi-vitamin with a small amount of iron is acceptable. But as we get older and stop having periods this is not necessarily so.  One out of two hundred and fifty group of Northern European descent (and also persons of otherness ethnic backgrounds) have a genetic disorder called hemochromatosis.  In this condition, iron absorption is so efficient that there is build up of excess iron in the body’s organs, which can cause serious liver, heart, thyroid and joint problems, as well as liver cancer. As women menstruate for thirty or forty years this problem may not show up until after menopause.  Iron may also aid the formation of free radicals, those unstable agent illness-promoting molecules.  In fact, one theory of why younger women have less heart illness than men is that prior to menopause women’s mild iron deficiency acts as a cardiac shield against free radical damage. 

Finally, in a recent report of the Nurses’ Health Study, in which they followed thirty-two thousand women for more than ten years, they found that those women with higher iron stores were found to be at increased risk for development of type 2 polygenic disease.  Too much iron, as in too much of any supplement, can be harmful.  So once you’re menopausal, do not take a multivitamin with iron unless told to do so by your doctor after appropriate blood agsdhfgdfing.

The Pap smear ” does it really need to be done every year?
After age 30 we can decrease the frequency of our Pap smears to every two to three years if our past routine Pap has been normal, we are in a monogamous relationship, don’t smoke, don’t take steroids, and are not DES-exposed ( meaning your motherness took DES when she was pregnant with you).  Nearly all cervical pre-cancer and cancer is due to the sexually transmitted human papilloma virus (HPV), which, although readily transmitted, is cleared by most women after a few years.  If this virus is not cleared, it will take three years or more to cause mutations in the cervical cells leading to pre-cancer and cancer. Some physicians are adding a special agsdhfgdf for HPV and if this and the Pap smear are negative, feel very assured that a three year wait (and not the usual yearly Pap) is safe and warranted.

Are carbohydrates really as bad as Dr. Atkins said?
Once again, not necessarily. A recent review published in the Journal of the A.M.E.found that there is not enough evidence to make health or diet recommendations for or against low-carb diets. Anotherness article, published in the New England Journal of Medicine, showed that low-carb diets (with high fat and high protein) are more effective for weight loss in obese individuals when compared with low fat diets (fewer than twenty-five percent of calories from fat), but only during the initial three and six months. By the end of the year, those who stayed on the low-carb diet (and many couldn’t) did not lose more weight. And those who succeeded in losing weight in the first place did so because they ate fewer calories. It’s the total calories that count! The American Heart Association has not recommended a low-carb diet, stating that there is no evidence that the diet is effective long term in improving health. Against a strict restriction of carbs for weight control is a 12-year Harvard meditate of 74,000 women which showed that those who consumed more fruits and vegetables were 26 percent less likely to become obese than women who ate fewer fruits and vegetables over the same period of time.

Part of the puzzle is that not all carbs are created equal. Refined carbohydrates, such as white rice, white bread and of course sugar ” and potatoes ” cause rapid spikes in blood sugar and hence raise insulin levels. Insulin can then cause fat to accumulate in the body, especially around the waist, and wrong fats (triglycerides) to accumulate in the blood stream, contributing to plaque and heart illness.  Complex carbs (think whole grains that are not denuded during so-called “refining̶ ;) are digested slowly and don’t cause a sudden blood sugar surge. They also contain important fiber, vitamins and phyto (plant) chemicals. When you stop consuming these “made for us by nature” carbohydrates and substitute protein and fat, you can eventually cause considerable harm. In the short term you may feel tired, dizzy, nauseated and dehydrated. With time, lack of carb balance can lead to deficiencies in vitamins and minerals. A lack of fiber often results in constipation and this increases your risk for development of diverticulosis (weakened pouches that develop in the bowel wall) and possibly even colon cancer. A diet with the wrong fats, i.e. saturated fats found in meat and whole milk and the trans fats in many processed foods and margarines, will contribute to heart illness. Too much protein can lower absorption of calcium, leading to osteoporosis, and can stress your kidneys.

We don’t need a general carb-out.  If you want to keep your weight down and stay healthy, do the known, right stuff: eat plenty of vegetables and fruits, and substitute whole grains, some nuts, and healthy oils for sugar, white starch and saturated fats.  And of course, don’t smoke, and make sure you exercise!

Dr. Judith Reichman has practiced obstetrics and gynecology for more than 20 years. She is a regular “Today” show contributor.

2007

09
Dec

Doctors discourage use of cough syrup - Cold & Flu

Doctors discourage use of cough medicine

Over-the-counter versions do little to relieve syndromes, experts say
Scott Olson / Getty Images file
Non-prescription cough syrups generally contain medicate s in too low a dose to be effective, a group of chest physicians say.

CHICAGO - Despite the billions of dollars spent every year in this country on over-the-counter cough syrups, most such medicines do little if anything to relieve coughs, the nation’s chest physicians say.

Over-the-counter cough syrups generally contain medicate s in too low a dose to be effective, or contain combinations of medicate s that have never been proven to treat coughs, said Dr. Richard Irwin, chairman of a cough guidelines committee for the American College of Chest Physicians.

Drugstore shelves are crowded with cough syrups promising speedy, often non-drowsy relief without a prescription.

But “the best studies that we have to date would suggest there’s not a lot of justification for using these medicate s because they haven’t been shown to work,” said Irwin, a professor of medicine at the University of Massachusetts Medical School in Worcester, Mass.

The group’s new cough pharmacomedical care guidelines discourage use of over-the-counter cough medicines. Irwin said that not only are such medicines ineffective at treating coughs due to colds ” the most common cause of coughs ” they can also can lead patients to delay seeking pharmacomedical care for more serious coughs, including whooping cough.

The guidelines strongly recommend that adults receive a new adult vaccine for whooping cough, approved last year.

Guidelines disputed
The Consumer Healthcare Products Association, a trade group for makers of over-the-counter medicate s, disputed the guidelines and said over-the-counter cough medicines provide relief to mil.s of group each year.

The guidelines were published in the January issue of Chest, the American College of Chest Physicians’ journal, released Monday. The recommendations have been endorsed by the college, the American Thoracic Society and the Canadian Thoracic Society.

Many popular over-the-counter cough medicines proudly advertise that they don’t cause drowsiness, but Irwin said that is because they do not contain older antihistamine medicate s that do help relieve coughs that are due to colds.

These antihistamines, including diphenhydramine ” an active ingredient in Benadryl ” are also available over the counter but are not marketed as cough medicines, he said.

Some over-the-counter cough syrups contain two medicate s that have been shown to help relieve coughs caused by colds ” codeine and dextromethorphan ” but generally the doses are too small to be effective, Irwin said.

Vote

Do you think over-the-counter cough syrups work?

Dextromethorphan is in Robitussin, a top-selling over-the-counter cough syrup. It is among Robitussin ingredients that the (Food and Drug Administration) has found to be safe and effective, said Francis Sullivan, a spokesman for Wyeth Consumer Healthcare, which makes Robitussin.

Sullivan said Robitussin “wouldn’t be a top brand if group didn’t feel it was efficacious.”

Coughs can have numerous underlying causes, including asthma, reactions of hypersensitivity, severe , postnasal drip and bronchitis.

Dr. Edward Schulman, an American Thoracic Society representative on the guidelines panel, said patients should see their doctors for coughs that linger longer than three weeks or are accompanied by shortness of breath, which could indicate pneumonia or otherness serious conditions.

Coughs due to colds usually last less than three weeks. Drinking lots of fluids can help relieve these coughs, and so can chicken soup, Schulman said.

2007 . .

06
Dec

What to do when you can’t sleep - Sleep

When the gods of sleep have deserted you

Skip the pills and try these expert-recommended tips
Roy Morsch / Corbis
Turn off the TV ” and otherness distractions ” when you’re in bed, experts say.

Can’t sleep? Nearly everybody’s had a hard time falling asleep at least once, but 10 percent of the general population suffers insomnia regularly. Not only do they have a hard time falling asleep, but they awaken several times during the night and feel fatigued the next day.

The older you are, the more elusive the sleep gods can be. At least 25 percent of the elderly can’t get a good night’s snooze. When the sleep mask, aromamedical care and the white noise machine have failed, you don’t have to pop a pill. Try these expert-recommended tips and you may find yourself snoozing soundly.

Eat, drink and be… awake
Avoid alcohol, caffeine and nicotine. A glass of wine with dinner won’t do any harm, but a couple of nightcaps can disrupt the quality of your sleep once you’ve metabolized the alcohol, causing you to wake up halfway through the night.

Nicotine pumps up your blood pressure, making it difficult to relax.

Say no to caffeine anytime later than mid-afternoon. Caffeine is a stimulant that can last in your body for five to eight hours. Some group can still feel the effects up to 12 hours later. It’s not just the cuppa joe that can keep you awake ” energy drinks, tea, chocolate and colas have caffeine.

Food can affect your slumber, so don’t eat a heavy meal too close to bedtime. If you’re sensitive to tomato products or spicy food, lying down can aggravate , which can make falling asleep more difficult or wake you up in the middle-of-the-night.

Back to the womb
INTERACTIVE•Stages of sleep
Make sure your bedroom is comfortable, dark and quiet. Finding the right temperature is important. Many group tend to be more comfortable in a cooler bedroom because our body thermostats drop to their lowest levels during the night, experts say. When it’s too hot or humid, group tend to awaken more frequently or get stuck in the light sleep stage.

If muggy nights keep you awake, consider a dehumidifier or an air conditioner. If you like it hot, while your partner prefers it cool, you can always try wearing warmer pajamas or keeping an extra blanket for yourself.

Don’t bring your laptop to bed
Use the bed only for sleep and sex. If there’s a TV in your bedroom, don’t watch it in bed. Don’t use your bed for work. Dragging your wireless laptop there brings with it all the stress and interruptions that come with it.

Worry time
Schedule some “worry time” during the day. Stress is a big reason group can’t sleep at night, but if you give yourself just 15 minutes to address the source of your problems, you take the pressure off when you finally get into bed at night. Eliminate the conditioned anxiety that comes with trying to sleep by reassuring yourself that you will sleep or distracting yourself.

Click for related contentNBC’s Robert Bazell: Study says skip the sleeping pillsQuiz: Are you sleep deprived?Message Board: Share your tips for getting enough Zzzs

If you’re still anxious when you lie down, don’t lie there obsessing about your inability to sleep. The harder you try, the more you’ll become frustrated. If you’re not asleep after five or 10 minutes, get out of bed. Going to anotherness room may help ease anxiety about not falling asleep.

Make a routine
Go to bed at the same time every night. Practice nightime relaxation routines, such as muscle relaxation or meditation.

Save the Zzzs
Skip the nap. A 15-minute power nap can refresh you during the day, but any longer than that and you could find yourself struggling for slumber later.

Work out
Regular exercise is helpful against insomnia, but not within three hours of bedtime. Exercise is energizing and raises your body temperature. Try to arrange your workout either in the morning or late afternoon.

Source: National Institutes of Health; University of Pennsylvania Sleep Center; National Sleep Foundation

2007

06
Dec

Heartburn medicate s linked to diarrhea - More Health News

Popular medicate s linked to diarrhea

Prilosec, Prevacid and Nexium may lead to inagsdhfgdfinal distress, meditate finds

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking , which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

CHICAGO - Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you , but the acid-fighting medicine you take for relief might lead to something worse, researchers say.

People on popular prescription medicate s ” Prilosec, Prevacid and Nexium ” seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it’s known, can cause severe diarrhea and crampy inagsdhfgdfinal inflammation called colitis.

Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.

Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the medicate s. Those on less potent prescription medicate s called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.

The widely used and heavily promoted medicate s reduce levels of gastric acid that can keep C-diff germs at bay.

Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.

“It’s not surprising in my mind that there could be some association” with acid-fighting medicate s, said McDonald, who was not involved in Dial’s meditate . If there is, “I do think it would be very important because, boy, everyone and their brotherness seems to be on them.”

Most meditate patients hadn’t been recently hospitalized and weren’t taking antibiotics, which both can increase risks for C-difficile infections.

Also, most patients hadn’t been diagnosed with ulcers or acid reflux, so it’s possible many simply had , Dial said.

“Heartburn in and of itself isn’t dangerous,” and can often be treated with less potent medicate s, Dial said.

Her meditate appears in Wednesday’s Journal of the American Medical Association.

A co-author is a consultant for AstraZeneca PLC, which markets Prilosec and Nexium, and Altana Pharma, which makes and markets anotherness prescription medicate , Protonix, in Europe. A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn’t seen the research and declined comment.

AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company’s top priority and that the findings are not the final word.

“Further research is needed in this particular area to determine the validity of a potential link,” she said.

C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.

Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting medicate s may be anotherness reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the meditate .

The medicate s are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.

Brown said short-term use of potent acid-fighting medicate s for occasional over-imbibing is unlikely to increase infection risks in othernesswise healthy group, but that the results suggest doctors and patients “have to think twice about using such heavy acid suppression” over the long term.

2007 . .

27
Nov

Food and Drug Administration Approves REYATAZ(R) (atazanavir Sulfate) 300 Mg Single Capsule Formulation In Combination Therapy For Adults With HIV-1 Infection

Bristol-Myers Squibb Company (NYSE: BMY) today announced that the U.S. (Food and Drug Administration) (Food and Drug Administration) has granted acceptance of a new 300 mg single capsule formulation of REYATAZ(R) (atazanavir sulfate) for the a cure of HIV-1 infection in adults as part of combination medical care. Taken once daily along with ritonavir and food as part of a anti-HIV medicate regimen, the REYATAZ 300 mg single capsule formulation can replace two REYATAZ 150 mg capsules for: patients who have previously received anti-HIV medicines, patients who will be receiving tenofovir disoproxil fumarate, and patients who have never taken anti-HIV medicines that require SUSTIVA(R) (efavirenz) as part of their anti-HIV medicate regimen. The REYATAZ single capsule formulation will be available in the United States within seven business days.

“Bristol-Myers Squibb is committed to helping lead the development and production of innovative once-daily HIV medicines,” said Anthony Hooper, president, U.S. Pharmaceuticals, Bristol-Myers Squibb Company. “With the REYATAZ 300 mg single capsule formulation acceptance , Bristol-Myers Squibb now has one pill, once-daily HIV medicine options available in three medicate classes, as part of combination medical care.”

REYATAZ is an anti-HIV medicate that blocks the action of the HIV protease enzyme, which is needed for the virus to multiply. REYATAZ is a prescription medicine used in combination with otherness medicines to treat group who are infected with HIV. REYATAZ has been studied in 48-week trials in both patients who have taken or have never taken anti-HIV medicines. REYATAZ does not cure HIV, a serious sickness, or help prevent passing of HIV to othernesss. Since REYATAZ was initially approved by the Food and Drug Administration in 2003, approximately 129,000 patients in the United States have been treated with the medicate . Bristol-Myers Squibb will continue to produce the currently available REYATAZ 200 mg, 150 mg, and 100 mg once-daily capsules.

Important Safety Information About REYATAZ(R) (atazanavir sulfate) 300 mg Capsules:

REYATAZ does not cure HIV or help prevent passing HIV to othernesss.

REYATAZ should not be taken with the following medicines: ergot medicines, Versed(R), Halcion(R), Orap(R), Propulsid(R), Camptosar(R), Crixivan(R), Mevacor(R), Zocor(R), rifampin, St. John’s wort, AcipHex(R), Nexium(R), Prevacid(R), Prilosec(R) or Protonix(R). Sildenafil(R), Levitra(R), Cialis(R), Vfend(R), Advair(R), Flonase(R), or Flovent(R) should not be used while taking REYATAZ without first speaking with a healthcare provider. This list of medicines is not complete. The use of all prescriptions and non-prescription medicines, vitamins, herbal supplements, or otherness health preparations should be discussed with a healthcare provider.

The following side effects or conditions should be reported to a healthcare provider right away

— A change in the way the heart beats may occur and could be a syndrome of a heart problem.

— Diabetes and high blood sugar may occur in patients taking protease inhibitor medicines like REYATAZ (atazanavir sulfate).

— Yellowing of the skin and/or eyes may occur due to increases in bilirubin levels in the blood (bilirubin is made by the liver).

— Rash (redness and itching) sometimes occurs in patients taking REYATAZ, most often in the first few weeks after the medicine is started, and usually goes away within two weeks with no change in a cure.

— In patients with liver sickness, including hepatitis B or C, the liver sickness may get worse when taking anti-HIV medicines like REYATAZ.

— Some patients with hemophilia have increased bleeding problems with protease inhibitor medicines like REYATAZ.

Changes in body fat have been seen in some patients taking anti-HIV medicines. The cause and long-term effects are not known at this time.

Other side effects of REYATAZ taken with otherness anti-HIV medicines include: nausea, headache, stomach pain, vomiting, diarrhea, depression, fever, dizziness, trouble sleeping, numbness, and tingling or burning of hands or feet.

REYATAZ should be taken once daily with food (a meal or snack). REYATAZ and otherness anti-HIV medicines should be taken exactly as instructed by a healthcare provider.

Important Information About SUSTIVA(R) (efavirenz) 600 mg Pills:

Indication:

SUSTIVA is a prescription medicine used in combination with otherness medicines to treat group who are infected with the human immunodeficiency virus type 1 (HIV-1).

SUSTIVA does not cure HIV or help prevent passing HIV to othernesss.

Important Safety Information:

SUSTIVA should not be taken with the following medicines: Hismanal(R) (astemizole), Propulsid(R) (cisapride), Versed(R) (midazolam), Halcion(R) (triazolam), ergot medicines (for example, Wigraine(R) and Cafergot(R)), or Vfend(R) (voriconazole). This list of medicines is not complete. The use of all prescriptions and non-prescription medicines, vitamins, herbal supplements (particularly St. John’s wort), or otherness health preparations should be discussed with a healthcare provider.

The following side effects or conditions should be reported to a healthcare provider right away:

— Severe depression, strange thoughts, or angry behavior have been reported by a small number of patients taking SUSTIVA. There have been a few reports of suicide but it is not known if SUSTIVA was the cause.

— Dizziness, trouble sleeping or concentrating, drowsiness, and/or unusual dreams are common. These feelings tend to go away after taking SUSTIVA for a few weeks.

— Pregnancy: Women should not become pregnant or breastfeed while taking SUSTIVA. Serious birth defects have been seen in children of women treated with SUSTIVA during pregnancy. Women must use a reliable form of barrier contraception, such as a condom, even if they also use otherness methods of birth control.

— If the patient has ever had mental illness or is using medicate s or alcohol.

— Rash is a common side effect that usually goes away without any change in medicines. Rash may be a serious problem in some children.

— If a patient has liver sickness, has ever had seizures, or is taking medicine for seizures, the healthcare provider may want to do agsdhfgdfs to check the liver or check medicate levels in the blood.

Changes in body fat have been seen in some patients taking anti-HIV medicines. The cause and long-term effects are not known at this time.

Other common side effects of SUSTIVA taken with otherness anti-HIV medicines include: tiredness, upset stomach, vomiting, and diarrhea.

SUSTIVA should be taken on an empty stomach, preferably at bedtime, which may make some side effects less bothernesssome.

About Bristol-Myers Squibb

Bristol-Myers Squibb is a global pharmaceutical and related healthcare products company. Visit Bristol-Myers Squibb on the World Wide Web at http://www.bms.com.

Forward-Looking Statements

Bristol-Myers Squibb Forward-Looking Statement

This press release contains “forward-looking statements” as that term is defined in the Private Securities Litigation Reform Act of 1995 regarding product development. Such forward-looking statements are based on current expectations and involve inherent risks and uncertainties, including factors that could delay, divert or change any of them, and could cause actual outcomes and results to differ materially from current expectations. No forward-looking statement can be guaranteed. Among otherness risks, there can be no guarantee that the product will be commercially successful. Forward-looking statements in this press release should be evaluated together with the many uncertainties that affect Bristol-Myers Squibb’s business, particularly those identified in the cautionary factors discussion in Bristol-Myers Squibb’s Annual Report on Form 10-K for the year ended December 31, 2005 and in our Quarterly Reports on Form 10-Q. Bristol-Myers Squibb undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or othernesswise.

Full prescribing information for REYATAZ is available at http://www.reyataz.com.
Full prescribing information for SUSTIVA is available at http://www.sustiva.com.

REYATAZ is a registered trademark of Bristol-Myers Squibb Company.

SUSTIVA is a registered trademark of Bristol-Myers Squibb Pharma Company. The otherness brands listed are trademarks of their respective owners and are not trademarks of Bristol-Myers Squibb Company.

Bristol-Myers Squibb Company
http://www.bms.com

26
Nov

Food and Drug Administration Approves REYATAZ (atazanavir Sulfate) 300 Mg Single Capsule Formulation In Combination Therapy For Adults With HIV-1 Infection

Bristol-Myers Squibb Company (NYSE: BMY) today announced that the U.S. Food and Drug Administration (Food and Drug Administration) has granted acceptance of a new 300 mg single capsule formulation of REYATAZ (atazanavir sulfate) for the pharmacomedical aid of HIV-1 infection in adults as part of combination medical aid. Taken once daily along with ritonavir and food as part of a anti-HIV medicate regimen, the REYATAZ 300 mg single capsule formulation can replace two REYATAZ 150 mg capsules for: patients who have previously received anti-HIV medicines, patients who will be receiving tenofovir disoproxil fumarate, and patients who have never taken anti-HIV medicines that require SUSTIVA (efavirenz) as part of their anti-HIV medicate regimen. The REYATAZ single capsule formulation will be available in the United States within seven business days.

“Bristol-Myers Squibb is committed to helping lead the development and production of innovative once-daily HIV medicines,” said Anthony Hooper, president, U.S. Pharmaceuticals, Bristol-Myers Squibb Company. “With the REYATAZ 300 mg single capsule formulation acceptance , Bristol-Myers Squibb now has one pill, once-daily HIV medicine options available in three medicate classes, as part of combination medical aid.”

REYATAZ is an anti-HIV medicate that blocks the action of the HIV protease enzyme, which is needed for the virus to multiply. REYATAZ is a prescription medicine used in combination with otherness medicines to treat group who are infected with HIV. REYATAZ has been studied in 48-week trials in both patients who have taken or have never taken anti-HIV medicines. REYATAZ does not cure HIV, a serious sickness, or help prevent passing of HIV to othernesss. Since REYATAZ was initially approved by the Food and Drug Administration in 2003, approximately 129,000 patients in the United States have been treated with the medicate . Bristol-Myers Squibb will continue to produce the currently available REYATAZ 200 mg, 150 mg, and 100 mg once-daily capsules.

Important Safety Information About REYATAZ (atazanavir sulfate) 300 mg Capsules:

REYATAZ does not cure HIV or help prevent passing HIV to othernesss.

REYATAZ should not be taken with the following medicines: ergot medicines, Versed, Halcion, Orap, Propulsid, Camptosar, Crixivan, Mevacor, Zocor, rifampin, St. John’s wort, AcipHex, Nexium, Prevacid, Prilosec or Protonix. Sildenafil, Levitra, Cialis, Vfend, Advair, Flonase, or Flovent should not be used while taking REYATAZ without first speaking with a healthcare provider. This list of medicines is not complete. The use of all prescriptions and non-prescription medicines, vitamins, herbal supplements, or otherness health preparations should be discussed with a healthcare provider.

The following side effects or conditions should be reported to a healthcare provider right away:

A change in the way the heart beats may occur and could be a syndrome of a heart problem.

— Diabetes and high blood sugar may occur in patients taking protease inhibitor medicines like REYATAZ (atazanavir sulfate).

— Yellowing of the skin and/or eyes may occur due to increases in bilirubin levels in the blood (bilirubin is made by the liver).

— Rash (redness and itching) sometimes occurs in patients taking REYATAZ, most often in the first few weeks after the medicine is started, and usually goes away within two weeks with no change in pharmacomedical aid.

— In patients with liver sickness, including hepatitis B or C, the liver sickness may get worse when taking anti-HIV medicines like REYATAZ.

— Some patients with hemophilia have increased bleeding problems with protease inhibitor medicines like REYATAZ.Changes in body fat have been seen in some patients taking anti-HIV medicines. The cause and long-term effects are not known at this time.

Other side effects of REYATAZ taken with otherness anti-HIV medicines include: nausea, headache, stomach pain, vomiting, diarrhea, depression, fever, dizziness, trouble sleeping, numbness, and tingling or burning of hands or feet.

REYATAZ should be taken once daily with food (a meal or snack). REYATAZ and otherness anti-HIV medicines should be taken exactly as instructed by a healthcare provider.

Important Information About SUSTIVA (efavirenz) 600 mg Pills:

Indication:SUSTIVA is a prescription medicine used in combination with otherness medicines to treat group who are infected with the human immunodeficiency virus type 1 (HIV-1).

SUSTIVA does not cure HIV or help prevent passing HIV to othernesss.

Important Safety Information:SUSTIVA should not be taken with the following medicines: Hismanal (astemizole), Propulsid (cisapride), Versed (midazolam), Halcion (triazolam), ergot medicines (for example, Wigraine and Cafergot), or Vfend (voriconazole). This list of medicines is not complete. The use of all prescriptions and non-prescription medicines, vitamins, herbal supplements (particularly St. John’s wort), or otherness health preparations should be discussed with a healthcare provider.

The following side effects or conditions should be reported to a healthcare provider right away:

— Severe depression, strange thoughts, or angry behavior have been reported by a small number of patients taking SUSTIVA. There have been a few reports of suicide but it is not known if SUSTIVA was the cause.

— Dizziness, trouble sleeping or concentrating, drowsiness, and/or unusual dreams are common. These feelings tend to go away after taking SUSTIVA for a few weeks.

— Pregnancy: Women should not become pregnant or breastfeed while taking SUSTIVA. Serious birth defects have been seen in children of women treated with SUSTIVA during pregnancy. Women must use a reliable form of barrier contraception, such as a condom, even if they also use otherness methods of birth control.

–If the patient has ever had mental illness or is using medicate s or alcohol.

–Rash is a common side effect that usually goes away without any change in medicines. Rash may be a serious problem in some children.

— If a patient has liver sickness, has ever had seizures, or is taking medicine for seizures, the healthcare provider may want to do agsdhfgdfs to check the liver or check medicate levels in the blood.Changes in body fat have been seen in some patients taking anti-HIV medicines. The cause and long-term effects are not known at this time.

Other common side effects of SUSTIVA taken with otherness anti-HIV medicines include: tiredness, upset stomach, vomiting, and diarrhea.

SUSTIVA should be taken on an empty stomach, preferably at bedtime, which may make some side effects less bothernesssome.

About Bristol-Myers Squibb

Bristol-Myers Squibb is a global pharmaceutical and related healthcare products company. Visit Bristol-Myers Squibb on the World Wide Web at http://www.bms.com/.

Forward-Looking Statements

Bristol-Myers Squibb Forward-Looking StatementThis press release contains “forward-looking statements” as that term is defined in the Private Securities Litigation Reform Act of 1995 regarding product development. Such forward-looking statements are based on current expectations and involve inherent risks and uncertainties, including factors that could delay, divert or change any of them, and could cause actual outcomes and results to differ materially from current expectations. No forward-looking statement can be guaranteed. Among otherness risks, there can be no guarantee that the product will be commercially successful. Forward-looking statements in this press release should be evaluated together with the many uncertainties that affect Bristol-Myers Squibb’s business, particularly those identified in the cautionary factors discussion in Bristol-Myers Squibb’s Annual Report on Form 10-K for the year ended December 31, 2005 and in our Quarterly Reports on Form 10-Q. Bristol-Myers Squibb undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or othernesswise.

Full prescribing information for REYATAZ is available at http://www.bms.com/.
Full prescribing information for SUSTIVA is available at http://www.sustiva.com/.

REYATAZ is a registered trademark of Bristol-Myers Squibb Company.

SUSTIVA is a registered trademark of Bristol-Myers Squibb Pharma Company. The otherness brands listed are trademarks of their respective owners and are not trademarks of Bristol-Myers Squibb Company.

Bristol-Myers Squibb Company
http://www.bms.com/

25
Nov

Puroast(reg) Process Unveils The Next Revolution in Coffee, ‘Low Acid’

Woodland, CA, USA - In 2003 a survey conducted by the National Heartburn Association documented that fifty-four mil. Americans suffer at least twice a week. Among these sufferers, seventy-five percent stated that beverages like coffee elicited or otherness gut syndromes at a frequency which ranged from some of the time to every time they drank coffee. The Puroast(reg) Coffee Company estimates such consumers could represent up to 20percent of the $20 billion US coffee market.

After receiving many responses from these sufferers that the syndromes, normally experienced when drinking coffee, were not evoked or only marginally so when they drank Puroast’s(reg) Process Low Acid coffee, the Puroast(reg) Coffee Company undertook a structured questionnaire clinical trial which is ongoing.

The interim results from this meditate are very encouraging and seem to corroborate the responses from the customers who previously suffered gut syndromes but had those syndromes partially relieved or eliminated when they drank Puroast(reg) Process Low Acid coffee. This clinical trial was designed and is being conducted under the supervision of Arthur R. Euler, M.D, a gastroenterologist who specializes in the design and conduct of clinical studies. He has previously directed such studies that involved Zantac(reg), Protonix(reg), and SMA(reg).

Dr. Euler made the following comments when questioned about this clinical trial on August 10, 2004, “Intolerance of coffee is a major problem that often leads physicians to restrict or eliminate coffee along with citrus juices from the diets of patients with gastroesophageal reflux. Most often decaffeinated coffees also provoke syndromes in those patients who develop syndromes when drinking caffeinated coffee. It may be that the clinical trial being presently conducted by Puroast(reg) Coffee Company will show that such patients can enjoy coffee without developing these troublesome syndromes or at a much reduced level. I am eager to see that the final results of the trial”.

The customers noted above who stated that Puroast(reg) Process Low Acid coffee provided partial or complete syndrome relief also said that an additional reason for their liking Puroast(reg) coffee was its gourmet coffee flavor. It is believed that both of these effects are achieved because of Puroast(reg)’s breakthrough technology.

CEO Kerry Sachs developed the revolutionary process while living in the coffee regions of Venezuela. “Spending days at a time on remote coffee farms allowed me to share in the lifestyle of the growers”, says Sachs. “I learned that their smooth tasting coffee was produced by a difference roasting method. I thought it was an idea worth pursuing and, along with some local technicians, worked to engineer a system that could produce the coffee in commercial quantities”.

Armed with the results of this meditate and following on the success of products like Minute Maid’s Low Acid Orange Juice, the company is now in contact with several coffee industry leaders to commercialize the process through licensing, co-branding and contract roasting.

Jim Sachs
Puroast, Inc.
jmsachs@puroastprocess.com
530-668-0976 Ext. 4
530-210-0330 Cell Phone
http://www.puroast.com

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