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!

Many children are affected by constipation; for them, it usually implies pain while passing stool as the stools tend to be hard. In some cases, parents often tend to confuse soiling as diarrhea when it may actually indicate symptoms of impacted constipation (obstruction of faeces). In order to prevent constipation from turning into a chronic problem, make sure your child receives proper treatment at the earliest.

Symptoms of constipation
Constipation in children can be characterized by its symptoms which are:
1. Your child will experience difficulty in passing stools
2. He/she may also experience pain during the process; trace amounts of blood may be present on the nappy.
3. The stool tends to be large in size and hard by nature
4. The child may not have normal bowel habits; he may pass stools less than the normal number of times.
5. Loss of appetite
6. He/she may experience intense pain in the stomach
7. This condition may cause sudden changes in behavior; your child may become irritated or unhappy very easily.
8. He/ she may experience nausea
9. The child may also often soil his/her clothes by passing feces at irregular intervals

Causes of constipation in children
Constipation in children may be caused due to a number of factors, which are:
1. Withholding of stool: In some cases, your child may try to forcefully hold back bowels every time he/she may want to go to the toilet. This may happen due to reasons such as lack of toilet training or not wanting to use toilets at certain places.

2. Diet: A diet devoid of fiber may be the cause behind your child's constipation. Also, not drinking enough water throughout the day may cause the stools to harden, thus causing difficulty while passing them. The fiber content in food adds roughage to the diet and thus, helps in facilitating smooth bowel movements.

3. Psychological problems: Constipation may also be caused due to certain emotional problems and drawbacks, such as certain fears or phobias. An example would be when the child feels the need to go to the toilet at night, but withholds it if he/she has a fear of ghosts. A change in the surroundings such as moving to a new place may also cause bowel problems in your child.

Causes of Constipation in Children

Is Constipation the Only Cause of Piles? + It's Symptoms

Piles, which are also called hemorrhoids, refer to the swelling of the veins near the anus and rectum, which get irritated during bowel movements, causing pain and bleeding during stool motions. The veins near the rectum or the anus may rupture during strained bowel movements and thus, cause the blood to come out with the stool. This can be very painful for the patient and has a very disruptive effect on their lives.

Causes of Piles

There may be many causes for piles or hemorrhoids and the cause may vary from patient to patient. Let's have a look at a few of them.

Straining when passing a stool - This is by far the most common reason for piles and this is what causes the irritation on the veins or causes them to rupture

Chronic Constipation: People suffering from chronic constipation due to gastrointestinal problems may also suffer from piles due to putting pressure constantly to relieve themselves.

Lifting a heavy weight or doing strenuous work: This can also put physical stress on the anus or rectum and cause swollen veins, which may then rupture during the passage of stool.

Pregnancy - Pregnancy causes many hormonal changes in the body and the strain may also result in piles.

Symptoms of Piles

Some of the symptoms of piles or hemorrhoids are:

- Painful bowel movements, which hurt the rectum or the anus, accompanied by general tenderness within the region
- Bleeding or seeping of a bright red color blood onto the stool on the toilet or even on toilet paper
- Itching in the anal areas, which may be continuous or intermittent
- A swelling or lump near the anus, which is painful
- A mucus-like discharge from the anus

There may be one or more factors present in particular cases and if there is a pain in the rectal area, it is best to get it checked out by a doctor as soon as possible.

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Is Constipation the Only Cause of Piles? + It's Symptoms

4 natural laxatives to cure constipation

Constipation is a very common, but irritating problem that mostly occurs due to the absence of adequate amount of fibre or water in your diet. Also, a side effect of certain medications or less exercise can lead to constipation. Whatever may be the cause behind it, you can easily relieve yourself from this stomach ailment without consuming any drugs. Here are some natural laxatives, which are easily available in your kitchen and prove to be very effective in eliminating constipation.

1. Lemon

Lemon contains citric acid, which has the ability to stimulate the function of digestion in your body. The action of lemon on your digestive system enables it to get rid of the toxins and undigested material that generally accumulates on the colon's (the last part of your small intestine) walls, giving rise to constipation as a result.

Directions: collect the juice of 1 lemon in a cup by squeezing it. Fill the rest of the cup with warm water. Drink it every morning.

2. Castor oil

Castor oil is often referred to as a stimulant laxative and is a very useful remedy for constipation. Castor oil enables smooth movement and functioning of the intestines, making it easier for stool to pass.

Directions: drink 1 to 2 teaspoons of castor oil on an empty stomach. It takes about 8 hours to show its effect, so decide which time of the day will be suitable for you to consume it.

3. Aloe vera

Besides acting as a remedy for minor burns and cuts, aloe vera gel also helps soothe your stomach. It functions as a natural laxative by making your stool softer. Moreover, it aids in protein digestion and makes the muscular structure of your intestines stronger, consequently providing relief from constipation.

Directions: have 2 tablespoons of aloe gel every morning by mixing it with your glass of fruit juice, or consume 1 cup of aloe vera juice whenever you feel constipated.

4. Baking soda

Baking soda is an effective cure for gas, pressure and pain in the digestive tract, and stomach ache as excessive air is released from the body by its action. It also functions as a laxative by making the passage of accumulated waste products through the intestines a smooth process. Moreover, stools are loosened and passed without pain on its consumption.

Directions: take a quarter cup of warm water and stir a teaspoon of baking soda into it. Consume the mixture as quickly as you can.

If you would like to consult with me privately, please click on 'consult'.

Related Tip: 4 Major Causes of Constipation in Children (+ 2 Ways to Handle it)

4 Natural laxatives to cure constipation

Constipation is the most widely found problem of mankind. Almost the largest number of drugs, are available for the problem and largest sums of money are spent by people to get rid of it. Even then the medical science does not recognise it as a serious disease. 
To some extent they are correct.  Constipation is not a disease as such. It is merely a condition but it can be responsible for attacks of almost all diseases which are effecting the humans. Unfortunately it is also spreading wildly as the civilization is spreading and eating refined foods is becoming fashionable. Many drugs also cause constipation. If so the prescribing doctor should be immediately contacted for change of the prescription.
The present treatment of the condition is drugs of three different types. A) Lubricating, B) Bulk forming and C) Agitating.
Lubricating drugs include various oils, milk of magnesia etc. These drugs lubricate the elementary canal and/or lubricate the faeces and thus facilitate the movement. These are the least damaging type of drugs. Yet they can make even undigested foods to pass through the system or cause           diarrhoea.   
Bulk forming drugs include isabgol, rice bran etc. When the bulk is increased the faeces move and are expelled faster. It should be remembered that these are just substitutes for the fibre which is lost during various processes adopted in kitchens. It is clearly foolishness to first throw away the natural fibre and replace it by purchasing substitutes from the market. Further rejected natural fibre carries away several essential nutrients with them, which are not replaced by the additives.
The agitating type drugs include several herbs and chemicals which are not acceptable to the system and therefore the system works extra harder to get rid of them. These ultimately tire out the system and weaken it. The weakened system requires more powerful drugs and the endless race starts. Thus this category causes maximum harm to the digestive system. 
It is now obvious that all the above drugs are not the cure for constipation. These have only a onetime effect and can harm the system.  
In fact the cure for constipation lies in life style itself. To get rid of it one should follow the following advice:
1) Avoid refined foods.
2) Eat maximum foods in raw form.
3) Eat lots of salads and fruits so that there is enough fibre in the food.
4) Avoid refined flour (Maida), polished rice etc.
5) Do some regular exercise so that the body, including gut is in good health.
6) Eat sprouted boiled pulses instead of pulses available in the market.
7) Do not peel all those vegetables which can be used without peeling. Even if peeling is absolutely necessary do by minimum possible.
8) Drink sufficient water. (Humans need about 3 litres of water every day).
9) Try discharge faeces twice a day-Morning and Evening.
10) Never ignore an urge. Attend to it as early as possible.
Even then sometimes the faeces become dry and hard. In all such cases instead of applying pressure it is better to take a plain water enema (Douche). It is totally harmless, does not form habit, and convenient to take.
It is very important to get rid of constipation. Since constipation is the main cause of several diseases. 

Constipation - Know Its Naturopathic Treatment!! 

Bowel movement is extremely important for the body. An abnormal bowel movement can lead to a painful, hard and dry stool. If the constipation is accompanied by symptoms such as weight loss, abdominal pain and blood in stool, it should be immediately reported to the doctor. For patients who face chronic constipation, there are some great remedies which can be tried at home to fetch great results: 

Olive oil: Olive oil is a healthy fat that can relieve constipation. It not only stimulates the digestive system, but also ensures that the colon functions properly and constipation is prevented. 1 tablespoon of olive oil should be consumed daily in empty stomach.
Lemon: Fresh lemon is a great agent for the stomach. The citric acid found in fresh lemon acts as a great stimulant for the digestive system. Furthermore, it has the ability to flush out undigested materials and harmful toxins that have queued up along the colon walls. It should be consumed every alternate day with 1 cup of warm water.
Molasses: Blackstrap molasses acts as a great agent for relieving chronic constipation. The vitamin, magnesium and mineral content of the molasses make them a perfect solution for the digestive tract. Due to their high fat content, they should be consumed on alternate days. 1 tablespoon of molasses in water should do the trick for addressing constipation.
Coffee: Apart from the fresh aroma of the coffee, they are a great stimulant for clearing constipation. 1-2 cups of it throughout the day should keep you in a good state. Over-consumption of caffeine, on the other hand, can have an opposite effect on the body. It dehydrates the body and constipation are set into motion.
Fibre intake: Natural fruits, grains and veggies such as apricots, beans, nuts, broccoli, potatoes etc. contain a lot of fibre. The body cannot digest fibre but it acts as a sponge and squeeze water from the surrounding making the stool soft and easy to pass. As a matter of fact, even plenty of water consumption helps the body a great deal in relieving constipation.
Aloe Vera: Aloe Vera has multiple health benefits. One of this includes the soothing effect of the tummy. 2 tablespoons of Aloe Vera on a daily basis should be mixed with hot water and consumed before breakfast. Gel extracted from real Aloe Vera leaf serves a better purpose of relieving constipation that the ones that are available in the market.
Baking Soda: Baking soda contains bicarbonate, which squeezes air from the tummy and relieves an individual from the pressure and the pain. Other benefits of baking soda are its acid neutralising and stomach re-alkalizing effect on the stomach. Baking soda can be consumed with warm water on a daily basis.

Chronic Constipation - 7 Ways You Can manage It!

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