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

The way your day starts can affect your entire day and nothing is worse than fighting constipation in the morning. Along with a feeling of heaviness in the abdomen and bloating, constipation can also cause mood swings and lower your attention span. While laxatives can be temporary quick fixes, they can worsen the problem over time. 

Hence, it is better to treat this disorder with a few simple lifestyle changes and home remedies.

Eat plenty of fibre: A bad diet is one the key factors triggering constipation. Fibre not only fills the stomach, but also helps add bulk to your stool making it easier to pass. Ideally, a person should have 20-40 grams of fibre a day. If you suffer from chronic constipation, you can increase this amount a little as well. As an easy way to increase your fibre consumption is ensure that you eat some form of raw salad with every meal. Other foods that are rich in fibre are oats, almonds, cereals, beans, lentils and fruits.
Ginger tea or mint tea: Ginger is a warming herb, which when had in form of tea can make the body generate more internal heat. This helps activate the digestion process and thereby relieves constipation. The menthol in peppermint has an antispasmodic effect that helps relax the digestive tract muscles and makes it easier for stool to pass through. Dandelion tea can also be used as a mild natural laxative.
Castor oil: Castor oil is a popular natural laxative. This is because one of the components of this oil helps stimulate the small and large intestine. To benefit from castor oil, have 1 or 2 teaspoons of the oil on an empty stomach. You should be able to pass stool within about 8 hours.
Drink plenty of water: Water not only hydrates the body, but also helps food move along the digestive system. Without adequate water, the stool is likely to be hard and difficult to pass. Ideally, you should drink at least 8 glasses of water a day. Do not count artificially sweetened beverages as part of this count as they can actually cause constipation instead of ease it.
Warm lemon water: Lemon juice helps stimulate the digestive system and hence is ideal for treating constipation. When mixed with warm water, it can help eliminate toxins from the body. Adding a little honey to the mixture can also work as a mild laxative. Alternatively, you could add salt in place to honey as this encourages the bowel muscle contraction and is rich in magnesium.

Constipation - 5 Ayurvedic Remedies for Treating it!

While the very mention of the word  Farting  makes some of you cringe and cover your nose, you can t ignore the sheer obviousness of the whole process. It is as natural as eating, drinking, sleeping & other daily habits you associate yourself with. Farting occurs mainly when the air is trapped within your body. Air might be swallowed during eating or from intestinal gas and chemical reactions in the stomach. In hindsight, farting can be a good thing. Don t think so?

Here are 6 reasons for you to believe that farting is actually wonderful and not as gross as you think it might be:

The hydrogen sulphide present in the fart is poisonous and smelly, but if used in small amount, is known to be beneficial in the prevention of heart disorders and strokes.
The smelling farts containing hydrogen sulphide, which is known to be useful for slowing down the ageing process
Farting, openly and without inhibition, while being in a relationship can actually be considered as taking a step forward in terms of honesty and comfort in the relationship. If you can share the process with your other half without hesitation and can accept the pungency that comes with it, then the relationship is definitely working well.
Farting can work as a self-defensive mechanism, as proved by recent researchers.
Holding your fart for a long time might cause uncomfortable conditions, such as bloated bowel movements and haemorrhoids. No matter how much you hold them, the farts will release themselves once you re relaxed, especially when you re sleeping.
Bottom-line: Just let it go. If you wish to discuss any specific problem, you can consult a doctor.

5 Reasons Why Farting is a Wonderful Thing

6 Natural Treatments for Constipation Relief

Constipation can make you miserable. Though medically defined as less than three stools a week or worse, daily bowel movement is essential to keep healthy and feel fresh. Caused by slow movement of food through the digestive tract, constipation can occur due to poor bowel habits, eating less fiber, medications, hormonal issues or some other disease. However, it can be easily fixed with fiber, fluids and frequent exercising. You can try these natural treatments to relieve your discomfort and keep it away:

1. Coconut Oil and Flaxseed - A great combination
Coconut oil is a wonderful hydrating agent and eases stools. 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.

2. Harad or Terminalia Chebula Myrobalan - A Wonder Fruit
An important ingredient of Triphala, harad is a wonder fruit that has amazing health benefits. One of these is relieving constipation. Take the small black variety and roast it with few drops of Ghee and grind to store. 5-6 gms daily with water at night will relieve constipation.  

3. Yogurt - Excellent Source of Probiotics
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.

4. Fiber Fix - Figs and more
Fiber helps to bulk up your stool making the bowel movement faster. Figs are a great source of soluble fiber and you can soak 2-3 overnight and have both the fruit and the sweet water to get regular bowel movement. You can also include high fiber whole wheat bran cereal to your diet for added benefits.
Do not forget to back your fibers with 8-10 glasses of water as you increase your intake.

5. Baking Powder - The Versatile Solution
Baking powder has an alkalizing effect and eases movement through the bowels. Add a teaspoon to   cup of warm water and drink it quickly for best results.

6. 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 Chamomile tea bag and two teaspoons of honey. Drink 2-3 times a day if your problem is severe.

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


6 Home Remedies that Work for Constipation Relief

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

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!!

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