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!

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.

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

4 Natural laxatives to cure constipation

In recent years there has been a rise in gastrointestinal disease due to lifestyle changes. Conditions like irritable bowel syndrome, gastroesophageal reflux disease, nonalcoholic fatty liver, cancer of colon, liver and pancreas have been affecting the young and the elderly equally.

The advancement of medical science has given rise to a series of laparoscopic surgeries relating to gastrointestinal diseases. These surgeries are minimally invasive compared to open surgeries. Let s have a look at the various forms of gastrointestinal surgeries.

Conditions Cured through Gastrointestinal Surgeries:

Gastrointestinal surgery can be used to prevent and treat the following health disorders.

  Peptic ulcer disease
  Barrett s Esophagus
  Hiatal hernia
  Radiation bowel injury
  Gastrointestinal tumours
  Inflammatory bowel disease
  GERD
  Achalasia
  Malignant disease of the pancreas
  Malignant disease of the biliary tract
  Infectious disease of the colon and rectum

Types of Gastrointestinal Surgeries:

Some examples of gastrointestinal surgeries include  

  Colon Cancer Surgery   It may involve local excision which is done in the early stage of colon cancer. Here the doctor inserts a cutting tool into the colon to remove the cancerous growth. Colectomy is the next stage that is performed only when the cancer has spread to the nearby tissues.

  Oesophagal Cancer Surgery   It includes esophagectomy or removing the oesophagus partially leaving the patient with the ability to swallow.

  Gall Bladder Cancer Surgery - It involves four stages of treatment namely Cholecystectomy, Surgical Biliary Bypass, Endoscopic Stent Placement and Percutaneous Transhepatic Biliary Drainage. Each procedure is performed at different stages depending on the severity of the condition.

  Liver Disease Surgery   Liver disease surgery involves Partial Hepatectomy, Liver Transplant and Ablation used at different stages of cancer.

  Pancreatic Cancer Surgery   The four stages of pancreatic cancer surgery includes Whipple procedure, Total Pancreatectomy, Distal Pancreatectomy and Gastric Bypass.

Apart from these open surgeries, the laparoscopic procedures include  

  Laparoscopic Adrenalectomy
  Laparoscopic Appendectomy
  Laparoscopic Nephrectomy
  Laparoscopic Splenectomy

Benefits of a Gastrointestinal Surgery:

  Minimally invasive due to which scarring is less
  Shorter recovery period
  Reduced chances of infection
  Reduced chances of reoccurrence of the disease

Most of these benefits apply specifically to the gastrointestinal surgeries performed using the laparoscopic technique.

With the rampant increase in gastrointestinal diseases among the masses the wide ranges of gastrointestinal surgeries have made treatment and prevention easier and more accessible.

Gastrointestinal Surgery - Everything About It!

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

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

With the super busy lifestyle that everybody is gravitating to, there is less and less time for everything, including cooking and eating. Thus, more and more processed foods are finding their way into our refrigerators, as they can just be picked up and eaten anytime hunger pangs are felt. And, we do not immediately realize that processed foods are devoid of all the essential ingredients. What we end up eating has less fiber, more salt, and more preservatives (generally not very safe for all), all leading to an unhealthy lifestyle.

Refined flour, white sugar, cheese, canned juices, frozen foods, cheese laden pizzas and breadsare all yummy, but not something that is readily accepted and digested by your stomach. Try eating pizza with loads of cheese for two days and experience the bloated feeling for yourself. Not to scare you, but imagine this; you would have to eat an entire medium pizza to get 2 g of fiber. Where as, your body requires about 25 to 40 g of fiber per day for regular health maintenance.

Biologically, our digestive system requires a lot of fiber, which adds to the roughage. This is very important as it helps in digestion and aid in cleansing the bowel later. The function of the large intestine is to remove water and essential ingredients when food passes through it. Junk food passes through quite quickly, thereby, leading to loss of water and ingredients. A lot of digestive issues are also related to lack of fiber in the food, like polyps, colon cancer, irritable bowel syndrome, high cholesterol, and obesity. 

Most of us are aware, but tend to ignore the fact that junk food is as the name suggests, junk. There is hardly anything of nutritious value in it. On the contrary, it contains lots of salt, fat and artificial chemicals, which though, make it very tasty, but has zero nutrition value. 

Try to eat only junk food for about a week regularly, and you will surely feel:

1. Bloated (a lot of gas due to indigestion)
2. Dehydrated (excessive salt needs more water, which we don't realize)
3. Constipated (lack of fiber leading to reduced bowel movement)
4. Weak and lousy (due to lack of nutrition)

This of course does not include the harmful effects on skin, hair, looks, etc. It does not mean you have to stop eating junk completely and eat only healthy food all the time. The human body is adaptive and can adjust to a lot of variations. It is not wise to try the example above (eating pizza for a week), however, binging on junk food once a week would definitely not hurt. Use your discretion as nobody knows your body as well as you do.

Constipation and Junk Food

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