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Hi sir, my self Mukesh 26 year old ,I felt regular digestive problem like thin stool ,dakar ,pls tell me that how I can improve my digest system ,and which food is best in empty stomach at morning to eat.
Ulcer pain can be uneasy and unbearable at times. It is caused by a bacterium known as the H. Pylori. Pain medication, lifestyle changes, and healthy eating habits can ensure pain relief from this condition. Here is a list of 4 best ways to get instant pain relief from an ulcer:
- Medication - H. Pylori is often found in the digestive tract. Doctors suggest various combinations of antibiotics kill this bacterium. Some of those include tetracycline, levofloxacin, metronidazole, and tinidazole. These are prescribed as per the resistance rate of the bacteria. There are other sets of medication that blocks acid production in the body. These drugs which commonly go by the name of PPIs include esomeprazole, lansoprazole, and pantoprazole. The third set of medications reduces acidity in the stomach and gives instant relief. They are readily available over the counter and goes by the name antacid. The final line of medicines that are often prescribed by doctors includes Cytotec and Carafate. They protect the tissue lining of the intestine and the stomach.
- Consumption of cranberry - Cranberry has multiple health benefits. One of those includes the ability to fight against bacteria of the urinary tract. They also do not allow the bacteria to settle on the surface of the bladder. Cranberry in the form of juice, supplement and as a whole can be consumed daily to get relief from the stomach ulcer. It should be taken in specific quantity as too much of cranberry consumption can upset the stomach. Packaged cranberry juice from the market can be avoided as they contain high level of fructose which can unsettle the stomach.
- Flavonoids - A compound known as bioflavonoids are known to be extremely helpful for pain relief from an ulcer. These compounds naturally occur in many vegetables and fruits such as soybeans, berries, apples, legumes, green tea, broccoli and berries. Bioflavonoids available in red wine and citrus food should be strictly avoided as they can trigger ulcer pain. Bioflavonoids should be taken in measured quantities as too much consumption of it can cause harm in blood clotting. It can be consumed in the form of supplements if the body doesn’t receive the same from the daily diet.
- Deglycyrrhizinated licorice - This compound is nothing but licorice with the sweet flavour pulled out of it. A study showed that they are capable of completing curing the ulcer containing bacteria by inhibiting their growth. Deglycyrrhizinated Licorice is available in the form of candy and can be consumed once the pain starts. Supplements too are available in the market. Not more than 2 ounces of Deglycyrrhizinated Licorice should be consumed in a day as they can cause fluctuation in blood pressure and lead to heart diseases. If you wish to discuss about any specific problem, you can consult a general physician.
Hi doctor, I am suffering from fatty liver, breathing problem, chest pain, remembering problem. Please advise me.
I was undergone anal fistula surgerybefore 10 years but sometimes it gets swollen and gets puss. What to do?
1. Start your day with a glassful of warm water mixed with one tablespoon of freshly squeezed lemon juice. You can also add half a tablespoon of honey to it. Lemon juice acts as a purifier and reduces ama in the alimentary tract.
2. Lassi or buttermilk is excellent for digestion. It improves the digestive flora without hindering the microcirculatory channels of the human body. Buttermilk is best taken during lunch, it should not be consumed after sunset.
3. Have a small slice of fresh ginger with very little freshly squeezed lemon juice. It helps in stirring up the digestive fires and enhances appetite before meal time. If you find it difficult to eat ginger directly, then squeeze out ¼ teaspoon of ginger juice and mix it with ½ teaspoon of lemon juice and have this mixture about half an hour before meal time.
4. Never skip breakfast. Have fresh fruits, boiled vegetables and cooked cereal in breakfast. This is light for the stomach and helps in keeping the digestion fires alive and active all through the day.
5. There are some spices with aids digestion, try to include them as ingredients while cooking your meal. Spices such as turmeric, coriander powder, dried ginger, cumin and ajwain aids digestion as well as helps in flushing out toxins from the body. They also help in better absorption and of nutrients. There are some foods that are difficult to digest, like lentils, they must always be cooked along with above mentioned spices to prevent flatulence.
6. Most people are addicted to caffeinated drinks such as tea and coffee. Try to replace them with herbal teas. Start having a fragrant fennel tea after you have you lunch to improve digestion. If you find fennel good to taste, then chew some seeds after you have your meal.
7. Avoid having snacks between two meals. Your gastrointestinal system needs time to rest as well as recharge in between meals as well as after a meal. If you really feel the need to snack in between then have only fresh fruits as they are easy to digest. In Ayurveda fruits are not recommended after sunset.
8. Have soaked grains, seeds, nuts as well as lentils in warm water for about half an hour to an hour. This makes them simpler to digest.
9. You must eat heavy food items such as cheese etc during lunch meal. The digestive fires are most active during the daytime, they start going into slumber by nightfall.
10. Ice or cold drinks douse the digestive fires, must avoid them at all times. You can sip warm water or water at room temperature throughout the day. It is believed that warm water is exceptionally good for the stomach, it aids digestion and purification.
I have rectal pain from the past 10 days and it was severe pain while passing stool and bleeding. I have consulted a doctor and he prescribed some Amoxicillin antibiotic and zerodol tablet along with one stool softener syrup freelex. After 3 days also it wasn't reduced and he gave me another antibiotic with more power along with zerodol. Now it is a bit okay. He says it's fissure and needs surgery. Does it really required? Around 3 years back the same situation has come and I have used drotin tablet along with flagyl 400 based on the prescription by another doctor n it got cured in 4-5 days. Can you please suggest the permanent solution for this problem?
Cirrhosis of liver is slow and gradual replacement of normal healthy liver tissue with scar tissue which results in poor liver function and blockage of flow of blood through liver which comes from intestines. As more scar tissue replaces normal healthy liver, liver begins to fail.
What causes cirrhosis?
- Alcohol: Amount of alcohol which can cause liver damage varies from person to person, however those who consume alcohol for long in significant amount are more prone to develop liver damage.
- Hepatitis B or hepatitis C: Caused by hepatitis B and C viruses, respectively, which are acquired by contact with contaminated blood (like needlestick injury, blood transfusion, injection drug abuser), sexual contact with infected person and from mother to child during childbirth.
- Non-alcoholic fatty liver disease (NAFLD): Caused by presence of extra fat in liver (after excluding significant alcohol intake) which causes inflammation and scarring leading to cirrhosis. Usually seen in patients who are overweight or obese, having diabetes, high fat in blood, high blood pressure or metabolic syndrome.
- Drugs causing liver injury.
- Others: Autoimmune hepatitis (body`s own immunity acting against liver), Wilson disease (build up of copper in body), hemochromatosis (excess of iron in body), certain bile duct disorders, etc.
What are the symptoms of cirrhosis?
- Early disease can present with nonspecific symptoms like weakness, fatigue (loss of energy), decrease wish to take food, vomiting or nausea, weight loss, etc.
- Advanced disease can present with fluid accumulation in legs (edema) or abdomen (ascites), facial puffiness, yellowish discoloration of eyes or urine (jaundice), redness of palm (palmer erythema), decrease urine output, small red lesions on skin, easy bleeding following trauma, blood coming out of mouth/anus/other body site, black colored feaces, mental confusion, flapping tremors of hand, etc. In men it can cause impotence, breast enlargement and shrinking of testis.
What are the complication of cirrhosis?
Portal hypertension: It is a common complication of cirrhosis which is due to increased pressure in portal vein. Portal vein is main blood vessel which carries blood to liver from stomach, intestines, spleen, gallbladder and pancreas. Because of scar formation in liver the normal flow of blood from these organs to liver is hampered. As a result of blockage of blood flow to liver there are few complications which can arise like accumulation of fluid in abdomen (ascites) and legs (edema), formation of enlarged veins (varices) in food pipe (esophagus), stomach, etc., enlargement of spleen (splenomegaly), mental confusion/altered behavior/altered sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).
- Increase risk of infection because of immune system dysfunction.
- Development of liver cancer (Hepatocellular carcinoma)
- Easy brusibility or bleeding following light trauma.
- Gall bladder stone formation
- Metabolic bone disease
What are the stages of cirrhosis?
- Compensated cirrhosis: Liver damage is damaged but no abdominal swelling (ascites), blood in vomiting or black/red color feaces (variceal bleed), altered behavior/sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).
- Decompensated cirrhosis: Presence of abdominal swelling (ascites), blood in vomiting or black/red color feaces (variceal bleed), altered behavior/sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).
How cirrhosis is diagnosed?
Your doctor will take good history and do proper physical examination. If there is suspicion of cirrhosis then he will subject you to some blood test, ultrasound abdomen, fibroscan/elastography, upper GI endoscopy and if needed CT scan or MRI of abdomen or liver biopsy.
Ultrasound of abdomen in cirrhosis may shows coarse liver echotexture, nodular liver surface, dilated portal vein or collateral, enlarged spleen or abdominal fluid (ascites).
How to prevent cirrhosis?
Best way to avoid development of cirrhosis from predisposing stage of liver illness is to recognize and treat early. Few advices to keep liver healthy are:
- Dietary modification: Eat healthy balanced diet. Avoid high calorie food or drinks, saturated fat, sugar and refined carbohydrates. Keep yourself hydrated.
- Lifestyle modification: Maintain healthy body weight. Avoid being overweight or obese. Aerobic exercise (like brisk walk 30-45min/day atleast 5days/week) regularly helps to lower liver fat.
- Avoid: Avoid use of contaminated needles, sharing of items of personal hygiene (like shaving razors, toothbrush, nail clippers, etc), use of illicit drugs, self medication with over the counter drugs or using drugs beyond doctor`s advice.
- Practice safe protected sex
- Motivate others: to stop drinking and follow hand hygiene and doctor`s advice.
- Hand hygiene: Wash hand with soap and water regularly before eating, after going to toilet and after touching dirty objects.
- Vaccination: For hepatitis A or hepatitis B, if you are not vaccinated or not already infected or unsafe antibody titre. Transmission rate of hepatitis B from mother to child at birth can be reduced with vaccination and immunization of newborn starting within 12 hours of birth as well as by using antiviral drugs (if indicated).
Prevent others from getting infected from you if you harbor virus causing liver damage.
How to treat cirrhosis?
Treatment of cirrhosis is based on cause of cirrhosis and complication of cirrhosis. Main aim of treatment in early stage of cirrhosis is to slow the progression of cirrhosis and prevent complications development
- Stop alcohol, antiviral drugs for hepatitis b or hepatitis C, proper sugar level if diabetes, steroid or other medications for autoimmune hepatitis, medications to reduce copper from body in patients with Wilson's disease, etc.
- Drugs to lower portal pressure (beta-blocker or nitrates), drugs to remove fluid from body (diuretics), drugs to lower ammonia level for encephalopathy (lactulose and others), drugs to improve kidney function (albumin, terlipressin and others).
- Opt for liver ransplant, If cirrhosis is life threatening or treatment of cirrhosis complication is ineffective.
- Low salt high protein diet
- Stop alcohol intake even if you have other cause of cirrhosis.
- Stop smoking
- Avoid over the counter drugs (especially pain killers)
- Vaccinate if not done already or infected
If you wish to discuss about any specific problem, you can consult a gastroenterologist.