Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.


Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.


Symptoms-
The symptoms of lactose intolerance are:
Bloating; on consumption of milk over a period of time
Diarrhea is also very common
Stomach pain
Nausea


Diagnosis-
It is self -diagnosable; just strike out foods containing lactose from your child s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must ve been lactose intolerance.
However, it can be tricky as many non-dairy products also contain lactose.
If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.


Treatment-
This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the  lactose- free  milk variety for your child.


Lactose Intolerance in Kids

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

Constipation is a irritating problem that mostly occurs due to the absence of adequate amount of fibre or water in your diet. It is caused by slow movement of food through the digestive tract. Constipation can occur due to poor bowel habit, eating less fiber, medications, hormonal issues or some other disease.


Here are some common solutions that can seriously help you out in constipation:
Yogurt: Excellent source of probiotics, which contain beneficial bacteria are a great remedy for constipation. However, you can take the humble homemade yogurt full of beneficial bacteria in your meal every day and get relief from constipation.
Oatmeal Tea: When things are severe, oatmeal is fibrous, honey is healing and moisturizing and chamomile is an anti-inflammatory agent, which soothes the stomach. Together, they can stop severe constipation. So, take a cup of water and add three teaspoons of oatmeal, a tea bag of chamomile and two teaspoons of honey. Drink 2-3 times a day if your problem is severe.
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, stool is 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.
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.
Coconut oil and flaxseed: A great combination coconut oil is a wonderful hydrating agent and eases stool. Flaxseeds help in the elimination of toxins, excess fat and cholesterol from the body. So in one tablespoon of coconut oil add half a teaspoon of flaxseeds, chew well and eat this every morning.

Need Relief From Constipation - 5 Ayurvedic Remedies at Your Rescue

Your stomach is lined with a mucosal membrane known as the mucosa and due to a variety of factors, it may become inflamed. This inflammation may cause a lot of problems and complications which are grouped under gastritis.
Symptoms of gastritis

Upper abdominal pain,
Hiccups
Diarrhea,
Nausea
Heartburn
Constipation
Reduction of appetite
Blood in the stool amongst the others
Gastritis can be quite debilitating and limiting for the people affected by it.

The Ayurveda approach
Ayurveda is a holistic form of medicine which takes into account many factors rather than just the physical disposition and symptoms that strives to cure the patients of the illness in a well-rounded manner. To this effect, Ayurveda helps you treat this problem with multiple angles of attack such as herbal medications and special cleansing therapies among many others. Let s take a look at some of the methods usually employed in various combinations among the patients.

Changes in diet: Consuming any diet which has a lot of spicy and rich foods over prolonged periods may result in gastritis and other problems. If you already have gastritis, then certain other types of food also need to be excluded such as tea, coffee, sour foods, chilies and buffalo milk among others. These food groups are excluded as they may increase the acidity of the stomach which may cause an escalation of the problems. Some of the foods that may help with gastritis are grapes, pumpkins, bitter gourd, pomegranate, melons and cucumber, etc.
Natural remedies: Some natural remedies that can be very effective in dealing with the symptoms of gastritis are mentioned below
Ajwain and rock salt have been an age old remedy in treating multiple gastrointestinal disorders and can be effective in this case as well.
Lemon juice is also very effective in treating symptoms or gastritis and also reducing inflammation.
Take amla, ginger, and licorice either in a raw form or as a dried option or mixed with other things such as milk or honey. These help in regulating and reducing the acidity within the stomach.
Ayurvedic medications: There are many specialized Ayurvedic medications which can be used to treat gastritis such as:
Amalaki choorna
Avipattikara choorna
Sootashekhara rasa
Sukumara Ghrita
Dhatri Lauha
However, you should consult a specialist Ayurveda doctor as they can prescribe the correct medications for you after studying your specific symptoms.

Gastritis - How Ayurvedic Remedies are Helpful?

Constipation is when a person has difficulty passing stool or has very dry stool. With processed and refined food habits on the rise, constipation is also becoming a rampant problem. The food passes through the large intestine, where a large part of the water is reabsorbed and stool is formed. This is expelled from the body, and if there is constipation, this passage of stool can be difficult, painful, and may be accompanied by bleeding too.

Constipation is common in children as well as among the elderly. Children eat a lot more junk compared to adults. As age progresses, elders begin losing teeth and they chew less which leads to indigestion and thereby constipation. Treating constipation should be a conscious effort as it does not have a single remedy. A combination of dietary changes including all aspects like fiber, water, caffeine etc. can help in treating constipation effectively. 

As the first thing in the morning, drinking a glass of lukewarm water is good. Add some baking soda to this, if you are feeling bloated, it aids in cleansing the bowels.
Ginger tea is another great remedy to induce bowel movements in the morning.
A glass of warm milk with a little honey or sugar is a good remedy for constipation.
Warm water or milk with Isabgol husk at bedtime helps bowel movements in the morning.
Applying a few drops of lukewarm castor oil over the navel when going to sleep can help in easy passage of stools in the morning.
Guava, pears, oranges, grapes, papaya, apples, and other fruits add roughage to the diet and help in easy passage of stools.
Soak some raisins in hot water, cool it, crush and strain them. This is very effective for treating constipation in children.
A glass of carrot juice or papaya juice is very useful in treating constipation.
Drink about 8 to 10 glasses of water to avoid constipation. The artificial juices and canned drinks do not count in this, as they only make it worse.
High-fat, processed foods, alcohol, and caffeine are major causes of constipation. So one should avoid them to a large extent.
Including small amounts of olive oil, castor oil, and ghee help in lubrication and easy passage of the stools.
Triphala, which is a popular Ayurvedic preparation, can be mixed with warm water and consumed to prevent constipation. Given its bitter taste, you can add a small amount of honey to it. It has antibacterial, antifungal, and anti-parasitic properties. This helps in overall cleansing of the colon and is not just a short-term remedy.
Yogasanas like pavana muktasana, yoga mudra, dhanur asana, and vajrasana have major benefits on the digestive system, including releasing accumulated gas and passage of stools.
Following these tips and maintaining dietary and lifestyle discipline is very effective in providing long term remedy from constipation.

Constipation - 13 Natural Ways It Can Be Treated!

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.

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

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

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