A Gastroenterologist is a physician with dedicated training and unique experience in the management of diseases of the gastrointestinal tract and liver. If you are planning to visit one, you most likely have a problem in one or many organs like esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. 

Visit your doctor to understand the severity of your condition and the course of treatment, as it is obvious that during this time you must be suffering from anxiety and you may not ask the questions arising in your mind. That is why you need to prepare in advance for your first visit with a gastroenterologist. Being an active partner in the doctor patient relationship is bound to have its benefits. Here are some handy tips:

1. Come mentally prepared: Don't let the anxiety get to you. If you need some extra help calming down, try yoga or meditation. You can simply go out on a walk alone to help you focus your thoughts. This is just like any other doctor visit. The good part is that you are taking the first step in easing your discomfort and starting treatment, so go with a positive mind.

2. Maintain a diary of symptoms: It is likely that you are experiencing discomfort from past few days or weeks before you finally realize the need to seek out a specialist. Try to remember as much as possible about the symptoms you experienced in a chronological order. Write down any over the counter medicines you've tried or anything unusual that you may have consumed in the past week. 

3. Take stock of your medical history: It is likely that your doctor may want to know about any historic conditions you've suffered that may or may not relate to your present condition. Many ask you to fill out forms during your first time patient registration which includes many minor details about your medical past. List down any allergies, especially food allergies you have. 

4. Take stock of your recent medical tests: Bring your latest blood tests and imaging tests (X-rays, ultrasounds, MRIs, and CT scans) with you for the doctor's visit. If you have a pre-existing condition like diabetes, thyroid or you suffer from other chronic conditions like increased uric acid, carry your most recent medical reports with you. 

5. Make a list of questions for the doctor: In most cases, the first visit is a crucial factor in determining whether you want to continue the course of treatment with a particular doctor. This comes out of your ability to trust the doctor, his knowledge and diagnosis and an overall comfort level that comes with how well he handles your questions. Start by making a list of questions you want to ask about your specific condition and course of treatment and see if you get satisfactory answers. 

6. Brace yourself: If you want to suggest a treatment option, make sure you read up all about it before you tell the doctor.

6 Tips For Your First Visit With A Gastroenterologist

Urinary Incontinence is the sudden urine loss that occurs involuntarily in women. Some of the factors which cause urinary incontinence are pregnancy, menopause and childbirth. It should be noted that urinary incontinence by itself is not a disease, but is a symptom of other underlying disorders such as diabetes, infections and other conditions.

Causes of temporary cases of urinary incontinence include:
1. Constipation
2. Urinary tract infections
3. Excess consumption of alcohol and caffeine
4. Consuming carbonated drinks
5. Use of artificial sweeteners
6. High doses of vitamin B and vitamin C
7. Being on sedatives, muscle relaxants, blood pressure and heart medications
8. Eatables which are too spicy, acidic or sugary

However, persistence of incontinence might be due to a more serious condition. Some of the causes are stated below:

Age: The bladder muscles tend to weaken with age. This affects the bladder s urine holding capacity.
Pregnancy: Hormonal changes and increase in weight during pregnancy can cause incontinence.
Menopause: Oestrogen is responsible for the healthy maintenance of the lining of the urethra and bladder. The onset of menopause causes the oestrogen hormone levels to drop. The gradual damage of the bladder tissues causes incontinence.
Childbirth: The bladder control muscles are weakened during normal vaginal delivery, thus leading to incontinence.
Obstruction: Occurrence of tumours in the urinary tract can block the normal flow of urine which can cause incontinence.
Hysterectomy: The same ligaments and muscles support both the bladder as well as the urethra. With removal of the uterus by hysterectomy, the pelvic floor muscles are deteriorated. This leads to urinary incontinence.
Neurological disorders: Conditions such as multiple sclerosis (autoimmune disorder in which the immune system destroys the protective sheath of the nerves), Parkinson s disease (disorder affecting motor functioning of the body), brain tumours, spinal injury or strokes are capable of causing incontinence.

Different forms of urinary incontinence are classified on the basis of their symptoms:

Urge incontinence: Urge or urgency incontinence occurs when there is a leak before the person reaches the toilet.
Stress incontinence: Small amounts of urine leak out during normal physical movements such as sneezing, coughing and exercising. This happens because of the minimum stress exerted on the body, and hence, the name.
Functional incontinence: Sudden leakage of urine occurs due to external deterrents or physical disabilities such as not being able to find a toilet.
Overactive Bladder: This is characterized by frequent and urgent urination.
Overflow incontinence: A full bladder, at times, leads to unexpected leakage.
Transient incontinence: If urine leakage occurs due to temporary situations such as infections, or new medications.

Did You Know - Constipation Can Also be a Sign of Urinary Incontinence

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

Curd is a staple in every household in India; whether it is served with piping hot parathas or by itself after a meal. The simple food item is packed with a number of nutrients and helps in increasing the health benefits in your body.

Here are a few reasons why you should be eating curd, almost every day:

Probiotics help in digestion: Curd, being rich in probiotics (good bacteria), improves digestion as it kills all the harmful bacteria in the digestive tract and aids the proliferation of good bacteria. Probiotics also help in the prevention of various digestive issues such as cramps, bloating and abdominal pain caused due to Irritable Bowel Syndrome.
Promotes weight loss around the belly: A hormone called cortisol, also called the  stress hormone  persuades the fat cells to produce more fat around your belly area. Consuming a cup of curd daily increases the amount of calcium in your body which limits the release of cortisol, thus, helping you lose weight. Curd also retains one-third of lean muscle mass which helps you maintain your physique post those dropped kilos for a longer time.
Curd strengthens your immunity system: A cup of curd is loaded with good bacteria which is essential for fighting off germs, thereby making your immune system stronger and more persistent. Making curd a part of your daily diet is a great idea as it is effective in preventing yeast infections around the vaginal area.
Toughens up your skeletal system: Like all dairy products, curd is rich in calcium which is necessary for strong bones and teeth. Apart from calcium, curd is rich in phosphorous and together, they quicken the bone growth process and helps in preventing arthritis and osteoporosis.
Helps in improving cardiovascular health: Eating curd helps in improving cardiovascular health as it discourages the spread of cholesterol around the arterial area, thus, reducing the risks of a coronary disease. Curd reduces hypertension which is a pre-cursor to most heart ailments.

5 Reasons You Should be Eating Curd Daily 

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.

5 Common Gastric Problems Experienced By Diabetics!!

Gastroenteritis, also commonly referred to as infectious diarrhoea, is a gastric disorder. The gastrointestinal tract, which comprises of the small intestine and stomach gets inflamed. Gastroenteritis is indicated by the symptoms such as diarrhea, acute vomiting and pain in the abdomen. Fever, exhaustion and dehydration are also observed. This disease usually lasts not more than two weeks. It is also called the stomach flu. Infections caused by virus, bacteria, parasites or fungi may lead to gastroenteritis. Viruses account for this disease the most. This disease is transmitted mainly from food items and contaminated water. Important electrolytes like sodium and potassium are lost from our body.

The most common remedy in case of gastroenteritis is having ORS. However, homeopathy is also considered very effective if you have got infectious diarrhoea. Homeopathic medicines are considered very safe and result yielding in case of gastroenteritis. Homeopathy is a form of medicine, which is always given preference by all experts, as it is natural with no side effects. After conducting various surveys, it has been proven that homeopathic treatment is far more effective than other forms of medication for gastroenteritis.

Here is a list of the best homeopathic remedies for the treatment of gastroenteritis. There are many categories of homeopathic medicines for diarrhoea each with their own significance.

1. Aconite: This must be used for diarrhea caused in the season when the days are hot, and the nights are comparatively cold. The symptoms appear in the middle of the night. Heavy diarrhoea along with high-intensity  fever occurs and anxiety.
2. Aloe: This remedy should be used in case of a continuing urge for stool because of weakness of the anal sphincter. Mucus is accompanied along with pain in the rectum area. In case of adults, this diarrhoea is also characterized by blue hemorrhoids.
3. Arsenicum album: This medicine is used in case of food poisoning. The affected person feels cold, tired and panicky. Vomiting and diarrhoea take place after midnight. Burning pain in the abdomen is also observed.
4. Cinchona: Used in case of diarrhoea with the presence of excessive exhaustion and abdomen gas. The abdomen gets bloated up. 
5. Ipeca: When there is nausea and non stop vomiting or your mouth gets filled with saliva, Ipeca can be used. Thirst is lost, and the color of the stool may be green or bloody.
6. Podophyllum: This medicine is usually used by tourists in case of diarrhoea.  Abdominal vibration and frequent stools are indicated. The stool is characterized by an unpleasant smell.

Homeopathy is a very effective category of medication when it comes to gastroenteritis, however, still it is advisable to get regular full body check up done.

Best Homeopathic Remedies for Gastroenteritis Treatment

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