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Diabetes is a systemic disease that affects almost every part of your body. Of these, the digestive system is the most badly affected. While gastrointestinal disorders are commonly experienced by everyone, diabetics have a much higher risk of suffering from indigestion, food poisoning, gallstones and ulcers. Some of the most common gastrointestinal problems experienced by diabetics are:
- Gastroparesis: High blood sugar levels can damage the vagus nerve that controls the emptying of the stomach. As a result fo this damage, the muscles of the stomach and intestines do not work optimally leading to a condition known as Gastroparesis. This is a condition where the stomach is not able to empty itself properly and the digestion process is slowed down. Gastroparesis can cause bloating, nausea, pain in the abdomen, heart burn and a loss of appetite. It can also cause undigested food in the stomach to harden and form lumps that block food from moving into the intestines. This disease cannot be cured but can be managed with medication and a special diet.
- Ulcers: Stomach ulcers can be described as open sores that develop on the inner lining of the stomach, oesophagus and beginning of the small intestine. These ulcers form as a result of bacterial infections. Diabetes weakens a person’s immune system thus reducing their ability to fight these infections and increasing the risk of developing ulcers. Diabetes also increases the risk of bleeding from these ulcers and secondary infections that may arise from it.
- Yeast infections: Diabetics are extremely vulnerable to yeast infections. This is aggravated by fluctuation in blood sugar levels and can extend from the mouth to the oesophagus. Common symptoms of this type of yeast infection are pain in the throat and difficulty swallowing. It may also cause heartburn and intestinal bleeding if left untreated.
- Celiac sprue: This condition creates gluten allergies and causes the inflammation and thinning of the small intestine’s mucosa. In some cases, this condition may interfere with the absorption of food and lead to diarrhoea and weight loss.
- Diabetic diarrhoea: Patients who have been suffering from diabetes for a few years may experience an increased urge to pass stools frequently. This is usually related to gastric problems in the colon which cause fluids to move at a faster than normal speed through the small bowel and colon. It may also be caused due to the secretion of fluids in the colon and improper absorption of food. If you wish to discuss about any specific problem, you can consult a doctor.
Hi. Is there any problem in smoking? I have fatty liver. I took med udiliv150 for a month. Sgot and sgpt are coming down now. Can I drink again?
Hello doctors. Sir muze anus me bht burning or pain hota h. bleeding nhi hoti h. Ye problem 1 year se h doctor ko dikhya unhone scope dal kr cheque kia lekin na muze piles h or na hi fissure h.doctor ko bhi samz nhi aa rha h kya reson se yh ho rha h.and I am a student. And meri long sitting hoti h study ko lekr. Kya long sitting k karan ya kbhi kbhi constipation hota h iski vjh se ho rha h .doctor ka bhi ye khna h ki stree k karan bhi yhi ho skta h .meri diet bhi achi h pani bhi achi amount me piti hu. Aisa me kya kru jisse meri problem solve ho jaye. Kya muze yoga ya meditation start kr dena chaiye .usse benefit hoga? please help me.
Excessive gas can be defined as bloating, belching, flatulence and burping. It does not matter what you call it but what matters is how you treat it and get relieved from the embarrassing symptoms.
Here are some ways in which you can avoid gastric problems:
- Avoid eating foods that can cause gas or acidity. The vegetables which are known to cause acidity are Brussels, onions, garlic and broccoli; dairy products like cheese, milk, ice cream and whole grains can cause acidity. The reason is that these products have fiber, starch and sugar which cannot be digested easily thus causing pain in the intestines. Fruit which contain sorbitol and aerated drinks should also be avoided. Eat everything but in moderation.
- Avoid drinking before meals as the stomach acids are lost and the food cannot be digested well. Water and liquids should be had half an hour after a meal for a better digestion.
- Food should be eaten slowly. Eating and drinking fast allows a lot of air to go in the stomach with the food. This in turn can cause a stomach pain.
- Over the counter drugs can be taken for immediate help in digestion. These medicines contain enzymes which aid in digestion. The enzyme works to dissolve the sugar that is found in many vegetable and fruit.
- Do not fill air in the stomach. Some habits like chewing gum, drinking from a straw, smoking causes the air to fill in the stomach, thereby, leading to gas.
- Artificial sweeteners such as Sorbitol should be avoided as these are difficult to digest and can easily lead to a feeling of bloating.
However, all the pains might not be due to gas and could be a sign of something serious. These could be:
- Lactose intolerance: This is the inability to digest milk and milk products. The sugar in the milk known as lactose and cannot be digested easily.
- Irritable bowel syndrome: People who suffer with pain in the lower abdomen constantly might be suffering from IBS.
- Colon cancer: If the pain lasts too long then getting a screening done is a good idea to rule out if one is suffering from colon cancer or not.
- Upper gastrointestinal disorders: If one gets belching occasionally then it is alright but a constant belching might be a sign of gastrointestinal disorder in the upper tract. These could be gastro esophageal reflux disease (GERD), gastroparesis, or peptic ulcers.
One of the most severe illnesses included in the larger group of diseases, is known as inflammatory bowel disease (IBD). Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.
Types : Crohn's disease is subdivided into five types, each having its own set of symptoms:
- Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
- Gastroduodenal Crohn's disease: People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
- Crohn's Colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas.
- Ileitis: This type of Crohn's disease affects the ileum and the symptoms are identical to those of ileocolitis.
- Jejunoileitis: In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.
Causes: Although there are many theories about what causes Crohn's disease, none of them have been proven. However, there have been a few possible causes which have been identified. These include:
- Immune system problems
- Genetic disorders
- Environmental factors, such as: a) Certain edibles, b) Viruses or harmful bacteria, c) Smoke.
Symptoms: The primary symptoms of Crohn's disease include the following:
- Diarrhea: Diarrhea is a common problem for people with Crohn's disease and can occur for about 10 to 20 times a day in severe cases.
- Blood in your stool: In rare cases, you might notice blood in the toilet bowl or darker blood mixed with your stool.
- Fever and fatigue: In more intense cases, you may develop a fever. You may also feel tired or have low energy.
- Abdominal pain and cramping: You may experience anything from slight discomfort to severe cramping and intermittent belly pain, including nausea and vomiting.
- Anemia: Due to a reduction in iron level caused by bloody stools a person can turn anemic.
- Reduced appetite and weight loss: Abdominal pain and cramping can affect both your appetite and your ability to digest food, which leads to severe weight loss.
- Perianal disease: Erratic appearance of small tears in the anus are called anal fissures.
Sir, I am 19 years old, Today I saw a drop of red blood in my stool first time. Pls suggest me what should I do.
Hi my spouse is suffering from frequent pain from last 2 and a half months near the rectum area. Colonoscopy done and it was normal also MRI done which shows little disc but doctor told it's with every person above 30 years. She takes Gabaneuron, Gabapentin, osteovin D3, ashwagandha, shelcal. But still she is in pain. Also she is in Lactation to a 1 year baby. Please help me i'm very sad regarding this and I love her so much, and I don't want to see her in this pain.
Hi doctor, I'm seeing small swelling lump in anal outside, in between the two bumps. I was not able to seat properly and it is paining like hell. I have seen from stool blood is not coming. I went to pharmacy they have given DOXY-1 L- Dr. FORTE. But that is not helping me. Can you help me on this also please suggest the doctors and hospitals for consultation. Thanks
My father is facing from gas problem and when he eat something he constantly fat every time and he doesn't feel to eat anything (Appetite is low)
I am 27 years unmarried female. I feel fitness and pain while at the time of stool, after stool and before going to stool. I am not satisfied completely after the excrete. I have lower abdomen pain also before stool.
I am a 26 year female software engineer professional. For more than a month now I have a severe problem of belching. Every time I burp food comes into my mouth n I have to spit it. I have constipation problem too and stomach bloats a lot. It makes me feel uncomfortable entire day. I have tried suggested medicines but nothing seems to work for me. Please help.
Sir my father had digestion problem for 4 years we do not take any medication. He had gas trouble problem continuously. His stomach. He can digest some food. He always saying that he had motion trouble everyday. Past month he suffered from severe motion ailments but its ok now. Major issue was gas trouble doctor. He was suggested to take laxative powder. Pls help us doctor.
I am a 33 year old and I have been drinking alcohol almost alternate days over the last 1 year. Recently underwent a Liver function test and the results were as follows (Those in high level) Bilirubin T- 2.64 Bilirubin D-0.8 SGOT-54 SGPT-102 ALBUMIN-5.1 Rest of the things are under the normal level and looks fine. I would like to know if I am in a phase to give up alcoholic intake and move on. Please help me.
The term cirrhosis refers to liver scarring due to various diseases and conditions such as chronic alcoholism and hepatitis. Each time the liver gets injured, it tries to repair itself, resulting in the formation of the scar tissue. With the progression of cirrhosis, a number of tissues generate making the task of liver difficult. Since the liver is an important organ of the body due to its functionalities such as detoxification and nutrient generation, reduced function of liver poses a serious threat to the body.
Symptoms of liver cirrhosis:
Unfortunately, cirrhosis doesn’t portray any conspicuous symptoms that can be easily identified until the scarring has reached a level of threat. Some of the common signs and symptoms of this disease include fatigue, nausea, itchy skin, drowsiness, enlarged breasts, testicular atrophy, fluid in the abdomen, bleeding from the mouth, leg swelling, redness in palms etc.
Causes of liver cirrhosis:
There could be an array of reasons for the occurrence of liver cirrhosis. The major causes include an accumulation of fat in the liver, chronic alcoholism and chronic hepatitis. Some of the other reasons include cystic fibrosis, bile duct deformation, Wilson’s disease, hemochromatosis, schistosomiasis, continuous consumption of medicines such as methotrexate, a disease involving glycogen storage and Aalagille syndrome.
Complications involved in liver Cirrhosis:
- High blood pressure: Cirrhosis results in slow blood movement through the passage of the liver resulting in an increased pressure on the vein that is responsible for carrying blood from the intestine to the liver. This increases the blood pressure in the body.
- Swelling of abdomen and legs: Portal hypertension can result in accumulation of fluid in the leg and the abdomen due to the liver’s inability to producing an important protein known as the albumin.
- Spleen enlargement: Portal hypertension is responsible for changing the shape of the spleen. Decreased count of WBC and the platelets indicate towards portal hypertension and cirrhosis.
- Bleeding: Portal hypertension doesn’t let the blood flow in its normal path. It directs the blood to flow through smaller veins. The veins, in turn, swell and burst to cause a massive amount of bleeding.
Liver cirrhosis doesn’t get detected easily. It is often diagnosed with a routine blood test. Some of the lab tests that can help to identify cirrhosis include blood work to check organ function of liver and kidney. Your doctor might suggest other tests such as MRI scan, CT scan or liver biopsy.
Treatment for the underlying cause of liver cirrhosis is done to keep the disease under control. A doctor might treat you for weight loss, alcohol dependency, complications related to hepatitis, portal hypertension and hepatic encephalopathy. For advanced cases where the liver stops functioning, a doctor might suggest a patient go for a liver transplant. If you wish to discuss about any specific problem, you can consult a gastroenterologist.