Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

Type: Gastric cancers can present as one of the following types - 

Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.

Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly  

 Helicobacter Pylori  bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

Early Stage   can present with one or more of the following non-specific symptoms/ signs -

Dyspepsia (Indigestion),
Stomach/ Epigastric discomfort,
Bloated feeling after eating,
Mild Nausea/ Vomiting,
Blood in Vomit (Haematemesis),
Heartburn,
Weight loss (Cachexia)
Anaemia,
Occult blood in stool/ Melaena,
Advanced Stage   presents with one or more of the following symptoms/ signs -
GI Bleeding with black tarry stools (Melaena),
Persistent Nausea/ Vomiting,
Blood in Vomit (Haematemesis),
Early Satiety,
Anaemia,
Loss of Appetite (Anorexia),
Weight loss (Cachexia),
Persistent pain in the abdomen,
Fluid build-up in the peritoneal cavity (Ascites),
Edema of the lower extremities,
Liver Enlargement (Hepatomegaly)/ Jaundice,
Difficulty swallowing food (Dysphagia)
Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer - 

Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
Blood: Hb- may be low, ESR   raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
Stool: Occult blood may be +ve
Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
Gastroscopy/ Biopsy: Clinches the diagnosis.
Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
Bone Scan: Helps detect osseous metastasis (bone mets), if any.
Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

Gastric Cancer - In a Nutshell!

Constipation usually refers to the troublesome bowel movement. It is normally referred to a condition where you defecate less than normal. Most people usually experience this at some point, yet it is not considered very serious unless it becomes a persistent problem. Instead of immediately turning to some medicine or laxative, (which usually worsens the issue) attempt some basic home solutions to get rid of your inconvenience, and prevent it from returning. Some of the most effective home remedies to get relief from constipation are:


Oil: Start your day by taking 1 tablespoon of olive oil. It works best when you have an empty stomach, so have it before you eat anything else. In case that you forget, wait until later when you have not eaten for some time. You can blend it with a bit of lemon juice. 
Lemon juice: The citrus extract in lemon juice acts as a stimulant for your digestive system and can flush out toxins and undigested material that may have developed along the walls of the intestine. Avoid blending the juice with water, as this may dilute the effect of the former. 
Caffeine: Caffeine is a natural solution for the digestive system. One or two cups are fine, however, ensure you do not try too hard. Consuming a lot can have the reverse impact. Coffee is a diuretic and makes you urinate more frequently and as often as possible. Yet, it can have a negative impact too. In case that you drink it in excess, it can bring about blockage by dehydrating the body and drawing out water that would otherwise soften your stool for easy passage. 
Fiber: Natural foods have a tendency to contain a huge amount of fiber. To put it plainly, fiber is a material that cannot be processed and it acts like a sponge. It draws water from its environment, making it swell, which makes the stool soft and adds bulk and mass to it, which helps it pass normally. 
Aloe Vera: It is best to use aloe vera gel straight from the plant itself. The gel straight from the plant is more concentrated than processed aloe juice so do not use more than 2 tablespoons. In case that you do not have an aloe plant, then drinking aloe juice can accomplish similar results. 
Baking soda: Baking soda lies at the heart of home cures. It is so flexible, and it practically does its work 95% of the time, as per many medical studies. It works well for constipation (and abdominal pain as a rule) since it is a bicarbonate. It will urge air to leave you somehow and calm pain from the pressure. It additionally re-alkalizes the stomach, killing the acid to some degree and helping waste pass through your gut.

Ayurvedic Remedies to Help You Get Relief from Constipation

Gastroesophageal Reflux Disease (GERD) is a form of digestive disorder, which affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe. GERD incorporates the return of the contents of the stomach back to the oesophagus or food pipe. The functioning of the lower oesophageal sphincter is disrupted.

Causes

Hiatal hernia is a common cause of GERD. An unhealthy lifestyle and diet may also lead to GERD. Intake of an excess amount of chocolates, fried food, coffee or alcohol triggers the chance of a reflux. GERD also occurs in obese people and pregnant women.

Symptoms

Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning chest pain which starts from behind the breastbone and reaches up to the throat. The feeling can be defined as food coming back to the throat with a bitter, acidic taste. The burning sensation may last as long as two hours.

Other symptoms include:

    Excess saliva secretion
    Chronic conditions of sore throat
    Laryngitis
    Gum inflammation
    Tooth cavities
    Unpleasant breath

In order to diagnose GERD, several tests may be conducted . They are:

    An X-Ray of the upper part of the digestive system.
    Endoscopy to examine the inner part of the oesophagus.
    Ambulatory acid test for monitoring the amount of acid within the oesophagus.
    An oesophageal impedance test to measure substance movement inside the oesophagus.

Treatment

    A person must make several changes to his daily lifestyle and diet plan for treatment of GERD.
    Food and beverages like chocolates, fatty food, coffee, alcohol and peppermint should be avoided in order to reduce the weakening of the lower oesophageal sphincter. Several food items irritate the damaged oesophageal lining and should also be avoided. They include citrus fruits, tomato and pepper.
    Smoking cigarettes results in weakening of the lower oesophageal sphincter and should be stopped to reduce GERD.
    One should elevate the head of the bed on which he or she sleeps on blocks measuring 6 inches. This reduces the heartburn as gravity minimizes stomach reflux to return to the oesophagus.
    Over the counter medicines can be used to cure GERD. Antacids are a good example and neutralize the acid in the oesophagus and stomach, reducing heartburn. Combining antacids with foaming agents is also effective. A foam barrier is formed over the stomach, preventing the occurrence of acid reflux.
    Medicines for reducing acid in the stomach are prescribed in cases of chronic GERD, which include H2 blockers by the likes of cimetidine, famotidine or nizatidine.

GERD is a digestive disorder, which causes disruption in digestion, as reflux from the stomach is returned to the oesophagus. Proper treatment measures should be taken.


Gastroesophageal Reflux Disease (GERD)

Soreness or swelling that occurs on the inner lining of the stomach is commonly referred to as Gastritis. The main characteristics of this condition include severe stomach pain, constipation, blood in the stool and diarrhoea. The development of gastritis can also cause stomach ulcers. There are many reasons why gastritis or functional abnormality of the stomach is caused, and the main causes include:

Food Poisoning
Consumption of Alcohol, Fried foods and Caffeine
Intake of steroids and Drugs
Allergy to Certain Foods
Physical stress due to flu or some surgery
Unbalanced and Stressful Lifestyle
Symptoms of Gastritis
The main symptoms that occur due to gastritis include discomfort and burning sensation, pain in the stomach, vomiting, poor digestion, dyspepsia, acidity and headache. Some people even experience a feeling of fullness in the upper abdomen after eating food. If any of these conditions last longer than a week, it is advisable to visit a doctor to determine the cause.

Home remedies

It is very necessary to adopt a healthy lifestyle and eating small and frequent meals is always better than eating large three meals in a day.
It is always better to avoid foods that irritate your stomach and hence it is best to avoid fried, acidic and spicy foods.
One of the major reasons behind the occurrence of gastritis is stress. It is necessary that we be trained to cope with this condition and perform relaxing activities that would calm our body and mind like yoga and meditation.
Treatment for Gastritis
It is always better to intake foods like cheese, cereal, baked potatoes, soup and chicken instead of carbonated beverages and painkillers to eliminate this condition. Aloe Vera juice can also be consumed as it is good for treating gastritis problem, and it is very important at first to start with a small amount of the juice.

Use of Special Herbs for Treatment of Gastritis

Asparagus is an excellent herb that is identified to be an antispasmodic, and that reduces the burning sensation in the stomach. The hyperacidity of the digestive system is also reduced by intake of this herb.
Herbs like cardamom provide a soothing effect to the stomach, and are also very beneficial for heartburn.
Many individuals  take fennel seeds after their meal which is very efficient in soothing the stomach and it also facilitate the digestion process. Moreover, it reduces flatulence and even helps in relieving excess acidity.
Ginger, Indian Gooseberry, Licorice, Rhubarb and Bitter Chamomile are other herbs that can be used to treat gastritis effectively.

Gastritis - Easy Home Remedies that Help You Treat it

Almost all of us have experienced bloating, gas or an upset stomach. Yet some people experience this problem at a chronic level. Gas occurs in the stomach and intestines due to breakdown of food into energy. All of us pass gas, however some people do more than others. An average person passes gas 5-20 times a day.

An upset stomach can often cause problems and can be a difficult battle for many people. Although the symptoms of gas problems often relate to an improper diet, yet other factors may be also responsible.

Causes and Symptoms of Gas Problems

Swallowing air: The swallowed air which is not burped out, passes through the digestive system and is released through the opening of the anus. Hiccups can also occur if you have swallowed excessive air.
Diet: The reaction of different foods varies from one person to another. Also foods that lead to odorous gas may also vary from person to person. Yet, spicy foods and dairy products are the most common causes of gas. Example - Beans, cabbage, onions, radishes, eggs, carbonated drinks, sugar, packaged foods etc.
Medications: Certain medicines and supplements, including prescription drugs, can lead to gas problems and bloating. Further, medications which change the hormonal balance in the body can also cause bloating.
Medical problems: Certain medical conditions such as Irritable bowel syndrome or bowel obstruction can also lead to an upset stomach.
Common symptoms of gas problems include gas pain, cramping, bloating, diarrhoea and constipation. In the worst of cases, gas and bloating indicate colon cancer. Such people experience rapid weight loss, anaemia and blood in stools.

Treatment
Modifying your lifestyle, in particular your dietary practices, is essential to a healthy recovery.

Avoiding foods such as spaghetti, oats, bran, barley, banana, bread etc. which contain high fibre content is important.
You can opt for over the counter medications after consulting your physician. Homeopathy and Ayurveda can be also opted as alternative forms of treatment.

Chronic Gas Problem - Facts You Should Know About it

If you are suffering from gastritis, it is important for you to know about the most ideal tips and treatment methods related to the condition. Gastritis is an inflammation, irritation, or erosion of the stomach lining called gastric mucosa. The most common symptoms of the condition include nausea, vomiting and illness in the upper abdomen, right after having a meal. Heartburn, abdominal pain, loss of appetite, indigestion and bloating are other symptoms of gastritis.

Here are 10 tips for treating gastritis using simple home remedies:

Carom seeds: Carom seeds are natural antacids and are effective for curing gastritis. They give relief to the mucous membrane of the stomach from acidity and hyper acidity. Nausea, indigestion and bloating are also treated.
Ginger: Ginger treats gastritis effectively because of its antibacterial and anti-inflammatory properties. It reduces inflammation, treats infections and eases gas, stomach pain and nausea.
Yoghurt: Yoghurt is essential when you are suffering from gastritis. Yogurt containing active live culture is more beneficial in the case of this disease. It contains probiotics, which protect the stomach lining from the bacteria that causes gastritis. Your immune system also gets a boost.
Chamomile: Chamomile tea works wonders in treating gastritis. It contains several essential oils, which are helpful for your digestive system. It also soothes the intestinal walls, giving relief from pain. Stomach inflammation also goes down.
Peppermint: This herb is also efficient for gastritis treatment because of its anti-inflammatory, antispasmodic and antibacterial properties. Its soothing properties reduce inflammation and also help with heartburn, indigestion and nausea.
Strawberries: Strawberries are also beneficial in healing gastritis because of their antioxidant properties and phenolic compounds. They help in preventing the start of stomach lining inflammation.
Holy basil: Holy basil helps in healing acute gastritis because of its anti-inflammatory and antibacterial properties. These help in reducing inflammation and infection. Stomach pain, vomiting, and nausea are also reduced.
Fennel seeds: Fennel seeds help in soothing your digestive system and relaxing your gastrointestinal tract muscles. This is an important part of gastritis treatment. These seeds contain antispasmodic, anti-inflammatory, and stomachic properties and are beneficial in relieving symptoms such as indigestion, intestinal gas, heartburn, and vomiting.
Licorice: This Ayurvedic remedy for gastritis contains anti-inflammatory and soothing properties which help in reducing inflammation. Symptoms such as heartburn and indigestion are also treated. The stomach s inner lining is protected from infection, thereby reducing the risk of ulcers.
Raw potato juice: Raw potato juice is considered to be an important remedy for gastritis because of its antacid and healing properties. The alkaline properties of potato help in reducing cramps, bloating, and other common symptoms of the condition.

Gastritis - 10 Home Remedies For It!

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