Dr. Mitchell S. Cappell

One class, called proton pump inhibitors (PPIs), blocks acid from being pumped into the stomach, according to Dr. Mitchell Cappell, chief of gastroenterology at William Beaumont Hospital in Royal Oak, Mich.
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"I think we have to address whether acid-suppressors should be used in every patient," Cappell said. "They cost money, they have side effects and they're being used all the time for very weak reasons."

However, he said, it's important for people to realize that even though the risk of hospital-acquired pneumonia was increased with acid-suppressors, the overall risk remains low. He said the study's findings also need to be confirmed with additional research.

"Even an uncommon side effect can occur when drugs are used in a lot of people," he said.
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SOURCES: Shoshana Herzig, M.D., chief medical resident and general medicine fellow, Beth Israel Deaconess Medical Center, and instructor in medicine, Harvard Medical School, Boston; Mitchell Cappell, M.D., chief, gastroenterology, William Beaumont Hospital, Royal Oak, Mich.; May 27, 2009, Journal of the American Medical Association

According to Mitchell S. Cappell, M.D., Ph.D., director of the division of gastroenterology at William Beaumont Hospital, there are three medical situations in which an enema may be medically appropriate: in preparation for medical procedures such as colonoscopy, in an elderly debilitated patient whose colon is impacted with stool, and in cases of colonic volvulus, when the colon twists upon itself.

"I would caution that there are no proven medical benefits [to colon cleansing] in general.Stool is a normal part of life, and we are meant to handle it in our colon," Cappell says.

In several medical conditions, colonic hydrotherapy can be highly dangerous, according to Cappell.These include toxic ulcerative colitis in which the colon is highly inflamed, an extremely dilated colon, colonic obstruction not due to impacted stool, and peritonitis (generalized infection of the abdomen from an intestinal leak or tear).

"I would caution a person, if they have medical symptoms, to see a physician first to see if they have a medical disease," Cappell says.

You may skilled in eulogistic from losing a infrequent pounds and clearing abroad your intestines, but detox diets and purgatives can be sinister, warns Mitchell S. Cappell, M.D., Ph.D., chief of gastroenterology at Beaumont Hospital in Royal Oak, Mich.

Meanwhile, drinking excessive amounts of water can overload the blood with fluid, putting pressure on the heart, says Dr. Mitchell Cappell, chief of gastroenterology at William Beaumont Hospital in Royal Oak, Mich.

One class, called proton pump inhibitors (PPIs), blocks acid from being pumped into the stomach, according to Dr. Mitchell Cappell, chief of gastroenterology at William Beaumont Hospital in Royal Oak, Mich.
...
"I think we have to address whether acid-suppressors should be used in every patient," Cappell said. "They cost money, they have side effects and they're being used all the time for very weak reasons."

However, he said, it's important for people to realize that even though the risk of hospital-acquired pneumonia was increased with acid-suppressors, the overall risk remains low. He said the study's findings also need to be confirmed with additional research.

"Even an uncommon side effect can occur when drugs are used in a lot of people," he said.

Mitchell Cappell MD PhDAssociate Professor of MedicineVice Chairman of MedicineChief of the Division of GastroenterologyWoodhull Medical Center