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

One of the most severe illnesses included in the larger group of diseases, is known as inflammatory bowel disease (IBD). Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults. 

Types
Crohn's disease is subdivided into five types, each having its own set of symptoms:
1. Ileocolitis - The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease - People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's Colitis - This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas. 
4. Ileitis - This type of Crohn's disease affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis - In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Although there are many theories about what causes Crohn's disease, none of them have been proven. However, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors, such as:
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: Diarrhea is a common problem for people with Crohn's disease and can occur for about 10 to 20 times a day in severe cases.
2. Blood in your stool: In rare cases, you might notice blood in the toilet bowl or darker blood mixed with your stool.
3. Fever and fatigue: In more intense cases, you may develop a fever. You may also feel tired or have low energy.
4. Abdominal pain and cramping: You may experience anything from slight discomfort to severe cramping and intermittent belly pain, including nausea and vomiting.
5. Anemia: Due to a reduction in iron level caused by bloody stools a person can turn anemic.
6. Reduced appetite and weight loss: Abdominal pain and cramping can affect both your appetite and your ability to digest food, which leads to severe weight loss.
7. Perianal disease: Erratic appearance of small tears in the anus are called anal fissures.

Causes, Types and Symptoms of Crohn's Disease

Also called gluten-sensitive enteropathy and celiac sprue, celiac disease is an autoimmune digestive disorder, wherein the consumption of gluten-based foods leads to damage of the tissues that line the small intestine. This hinders the ability of your body to absorb the essential nutrients from the foods you eat.

Causes
Under normal conditions, the immune system of the body offers protection against external intruders. When individuals diagnosed with celiac disease consume gluten-based foods, gluten resistant antibodies are formed by the immune system. This causes them to attack the linings around the intestines, thus causing irritation in the digestive tract and harming the villi (hair-like structures on the covering of the small intestine which absorb nutrients from the food). This impairs the nutrient absorbing capacity of the individual, thus increasing chances of malnourishment.

Symptoms
Celiac disease has symptoms that vary from patient to patient. Some of the common symptoms include:

A severe skin rash called dermatitis herpetiformis.
Digestive problems such as:
Pain
Gas
Abdominal Bloating
Diarrhoea
Weight loss
Pale stools
Musculoskeletal problems such as bone and joint pain as well as muscle cramps
Seizures
Aphthous ulcers which are basically sores occurring in the mouth
Tingling sensation in the legs which are caused by low calcium and nerve damage
Growth issues in children since they cannot absorb the required amount of nutrients
Irregular menstrual cycles
Other complications associated with celiac disease

Miscarriage or Infertility
Osteoporosis. This is a disease which weakens the bones and causes fractures. It is caused because of a deficiency of Vitamin D and calcium.
Intestinal Cancer
Other birth defects: Such as irregular spinal shape because of the deficiency of certain nutrients, especially folic acid.

Celiac Disease - Signs You Are Suffering From It!

Gastroparesis is a condition when your stomach feels full and heavy even after it has been more than a couple of hours after meal. Generally, it takes maximum 1 &   hours for the stomach to feel empty, but if the time taken for it is more, then this is a condition of gastroparesis. It means there is some change in your normal digestion process.

In this circumstance, the food in your stomach doesn t digest easily and creates a lump. As a result, you have hard time digesting your food. It also means the nerves connected to the stomach are not functioning well. There are a number of reasons for which you can get gastroparesis.

Diabetes is one of the most common causes of making you feel fuller.
Disorders in the nervous system, mainly Parkinson s disease or cerebral attack can create this problem.
Some medicines, especially antidepressants or anti-inflammatory in nature and certain painkillers can cause this problem.
Gastroparesis shows a number of symptoms:

Occasional vomiting as you feel unnecessarily fuller. When you vomit, it gives out chunks of undigested food
A feeling of nausea
You feel full after you have eaten very little
Bloating and pain in your abdomen
There is alteration in the blood sugar level
You don t feel like eating due to loss of appetite
You lose considerable weight as you don t eat much
A possibility of suffering from malnutrition, again due to lack of appetite
How it can be treated?
When you identify the reason for gastroparesis, then treating it becomes easier. If diabetes or nerve disorder is creating the problem, leave it to your doctor to treat. For other causes like lack of appetite, there are some natural ways of treating it.

Have frequent smaller meals. This way you don t push yourself to eat much and at the same time, the body doesn t lack nutrition and energy
Avoid fibrous fruits
Avoid high carbohydrate and high fat foods, which takes time to digest
Intake foods which you can swallow, like soups or stew. They are healthy and are also easy to digest
If the problem still persists, consult your doctor who may prescribe some medicines to stimulate the stomach muscles. They generally have no side-effects. There are some medicines which can control your vomiting and nausea. There are some surgical treatments for gastroparesis, where the doctors place a feeding tube in your small intestine. A gastric venting channel is another option, which helps you to get relief from excessive gas formation in your stomach, thus accelerating the process of digestion.

Gastroparesis - Nausea on Regular Basis Can be a Sign of it

The term cirrhosis refers to liver scarring due to various diseases and conditions such as chronic alcoholism and hepatitis. Each time the liver gets injured, it tries to repair itself, resulting in the formation of the scar tissue. With the progression of cirrhosis, a number of tissues generate making the task of liver difficult. Since the liver is an important organ of the body due to its functionalities such as detoxification and nutrient generation, reduced function of liver poses a serious threat to the body.

Symptoms of liver cirrhosis:
Unfortunately, cirrhosis doesn t portray any conspicuous symptoms that can be easily identified until the scarring has reached a level of threat. Some of the common signs and symptoms of this disease include fatigue, nausea, itchy skin, drowsiness, enlarged breasts, testicular atrophy, fluid in the abdomen, bleeding from the mouth, leg swelling, redness in palms etc.

Causes of liver cirrhosis:
There could be an array of reasons for the occurrence of liver cirrhosis. The major causes include an accumulation of fat in the liver, chronic alcoholism and chronic hepatitis. Some of the other reasons include cystic fibrosis, bile duct deformation, Wilson s disease, hemochromatosis, schistosomiasis, continuous consumption of medicines such as methotrexate, a disease involving glycogen storage and Aalagille syndrome.

Complications involved in liver Cirrhosis:

High blood pressure: Cirrhosis results in slow blood movement through the passage of the liver resulting in an increased pressure on the vein that is responsible for carrying blood from the intestine to the liver. This increases the blood pressure in the body.
Swelling of abdomen and legs: Portal hypertension can result in accumulation of fluid in the leg and the abdomen due to the liver s inability to producing an important protein known as the albumin.
Spleen enlargement: Portal hypertension is responsible for changing the shape of the spleen. Decreased count of WBC and the platelets indicate towards portal hypertension and cirrhosis.
Bleeding: Portal hypertension doesn t let the blood flow in its normal path. It directs the blood to flow through smaller veins. The veins, in turn, swell and burst to cause a massive amount of bleeding.
Apart from these some of the other complications involve jaundice, liver cancer, infections, bone diseases and liver failure.

Diagnosis:
Liver cirrhosis doesn t get detected easily. It is often diagnosed with a routine blood test. Some of the lab tests that can help to identify cirrhosis include blood work to check organ function of liver and kidney. Your doctor might suggest other tests such as MRI scan, CT scan or liver biopsy.

Treatment:
Treatment for the underlying cause of liver cirrhosis is done to keep the disease under control. A doctor might treat you for weight loss, alcohol dependency, complications related to hepatitis, portal hypertension and hepatic encephalopathy. For advanced cases where the liver stops functioning, a doctor might suggest a patient go for a liver transplant.

Liver Cirrhosis - What You Must Know About It?

In modern day societies of intense stress and work pressure, the average diet mostly comprises of street foods, packaged fast foods and processed foods. Such stress and overexposure to a lot of toxins (present in the processed food, fast foods, and street foods) disable the liver from performing its primary function of cleansing the toxic materials through the skin, the respiratory and the digestive system. Besides, this overexposure to toxins also disrupts bile formation, which hinders the absorption of necessary nutrients, resulting in a severe disruption in health. Also, liver is responsible for the proper functioning of the eyes, the brain, the kidneys and the joints in the body. Thereby, it is necessary to include these 7 foods in your diet which help to detoxify your liver from the excessive toxins and allow it to function properly.

    Avocado: Avocados contain a rich amount of the antioxidant glutathione, which helps the liver to fight against the toxins.
    Garlic: Garlic contains a rich amount of selenium and allicin, which helps to cleanse the liver. A little amount of garlic helps in the activating liver enzymes which in turn helps to eliminate the toxins from the body.
    Green tea: Green tea contains a rich amount of the plant antioxidant known as Catechin, which help the liver to function properly. It also helps to protect the liver from the toxins.
    Beets and Carrots: Beets and carrots contain a rich amount of beta - carotenes and plant flavonoids which help to regulate the overall function of the liver.
    Turmeric: A little amount of turmeric in your daily meal helps in the cleansing the liver by helping the enzymes to get rid of the toxic carcinogens.
    Green Vegetables: Green Vegetables like spinach, bitter gourd and chicory contains a rich amount of detoxifying components, which helps in the neutralization of heavy metals which in turn regulates the cleansing ability of the liver. Green vegetables also help in the simulation of the flow of bile.
    Grape Fruit: Grape fruit contains a rich amount of vitamin C and antioxidants which initiates the cleansing process of the liver. Grape fruit also help in the formation of enzymes that destroys toxins like carcinogens.

Cleanse Your Liver - 7 Natural Foods that Will Help You 

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