Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.
Conditions which might cause acute abdomen pain are:

Meckel's diverticulitis or Acute appendicitis
Acute cholecystitis
Ectopic pregnancy
Acute pancreatitis.
Peptic ulcer disease
Diverticulitis.
Intestinal obstruction, including paralytic ileus (adynamic obstruction)
Pelvic inflammatory disease.
Gastrointestinal (GI) haemorrhage
Gastroenteritis.
Acute intestinal ischaemia/infarction or vasculitis.
Acute urinary retention
Renal colic or renal tract pain
Testicular torsion
Abdominal aortic aneurysm
Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
Rare causes might include thromboemboli, phytobezoar, and phytobezoar
Diagnosis of abdominal pains:

Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
Following tests can be done to rule out the condition causing the abdominal pain:
Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
Crossmatch or group and save
Pregnancy test in women of childbearing age
Blood cultures
Peritoneal lavage in case of an abdominal trauma
Urine analysis
X ray of the abdomen, ultrasound, CT scan
ECG and cardiac enzymes
Laparoscopy should be a routine procedure

Don't Ignore the Acute Abdominal Pain

Abdominal Laparoscopy is a surgical diagnostic procedure, which is used to examine the organs inside the abdomen. It is an invasive procedure, but only small incisions are made.
The procedure is usually done in the hospital and the patient is given general anaesthesia to make the procedure pain free. The laparoscope is inserted through an incision in the abdominal wall. As it moves along, the image of the inside of your abdomen is then seen on the monitor. After the exam, laparoscope and instruments are removed and the cuts are closed. Laparoscopy is usually done as an outpatient procedure. This means that you will be able to go home the same day.

Why Is laparoscopy performed?
Laparoscopy is often used to identify the source of abdominal pain. It is usually performed when x-rays or ultrasound are unable to determine the root cause of the problem. Laparoscopy allows your doctor to see inside your body in real time and helps to diagnose or help discover what the abdominal problem is.

Tips to deal with laparoscopic surgery

Before Surgery

    The first and the foremost thing is to prepare yourself for the surgery by watching some videos and going through some blogs on it as doing so will help you clear your doubts
    Do not eat or drink anything 8 hours before the procedure
    Make sure someone accompanies you on the day of the surgery
    Fix your Pre Op appointment to ask any questions or address any concerns regarding the surgery, anaesthesia, etc
    Shave the area where the surgery will be performed. This will substantially reduce itchiness
    Lastly, prepare your hospital bag and discuss it with the person who is going to accompany you so that he/she knows what all you packed

After Surgery

    Don t lie down in bed all the time. Keep yourself active by moving every two hours as it promotes healing and helps eliminate gas pain
    Wear comfortable clothing
    Do not take bath for a week. However, you can take a shower 24 hours post surgery
    Drink at least 1.5 to 2 litres of water per day to prevent constipation. If constipated, take a stool softener.
    While sneezing or coughing, hold a pillow against your stomach to lessen the pain
    Roll onto your side and sit up using your arms for support and then stand up
    Don t drive for two weeks
    Refrain yourself from intercourse, douching, and swimming
    Make sure to visit your doctor 2 to 3 weeks post surgery to make sure your wounds are healing

It might take some time for the wounds to heal, but in case of any prolonged pain do remember to consult your doctor immediately.

Easy Tips to Deal with Abdominal Laparoscopy

Irritable bowel syndrome or IBS includes a group of medical symptoms. These include abdominal pain and changes in the pattern of bowel movements. The symptoms mostly continue for a long period of time and are divided into four types depending on diarrhoea or constipation symptoms.

Irritable bowel syndrome causes several negative effects on our health and should be treated as soon as possible. IBS is caused because of various reasons and factors. They are as follows:

Digestive problems: Food is moved through the digestive system with the help of squeezing and relaxation movement of the intestinal muscles in a certain rhythm. In case of IBS, this process is altered and food moves through the digestive system very fast or very slow. When the food moves too fast, diarrhoea is caused as there is not enough time for absorption of water from food. In case of slow food movement, constipation occurs as a result of too much absorption of water. Disorders such as malabsorption of bile acid may also cause IBS in some cases.
Psychological factors: Psychological factors also play a vital role in IBS. When a person is overtly emotional or is suffering from intense stress or anxiety, then these emotions trigger chemical changes in the body which affect the proper functioning of the digestive system. This is not likely in all people who get IBS. People who did not have IBS before, may undergo changes in bowel movements because of immense stress and tension. Many people who have undergone a traumatic experience such as abuse, neglect or a childhood disease can get IBS. These traumatic events or experiences in the past made these people more sensitive to stress, which may result in IBS.
Several triggers of IBS: There are several food items and drinks, which may trigger the symptoms of IBS in a person. These triggers vary from person to person. The most common ones include alcohol, aerated drinks, chocolates, drinks which contain caffeine like coffee or cola, processed snacks such as crackers and biscuits and fried foods, which contain a lot of fat. You should maintain a food diary for identification of triggers that may lead to IBS in your everyday diet. Stress is also an important trigger which may lead to IBS. You should try to find ways to get rid of stress and must avoid over stressing.
Irritable bowel syndrome or IBS results due to several reasons which may be physical or psychological. If you experience symptoms of IBS, you must try to detect or diagnose the reason and then look for proper treatment while consulting with your physician.

Irritable Bowel Syndrome - Causes Behind 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

Irritable bowel syndrome (IBS) or spastic colon is a rather common intestinal tract disease which is characterized by sharp pain in the stomach, stomach gas, diarrhea or constipation. It is a chronic condition whose exact cause, although unknown, is sometimes attributed to the dysfunctional production of the neurotransmitter, dopamine.

There is no particular treatment for IBS. However, the symptoms can be brought under control through various methods. The symptoms of IBS can be controlled by making lifestyle changes such as incorporating certain modifications to your diet and reducing or managing stress levels. For severe symptoms, you may require medications.

Patients may also consider homeopathic treatment for a rather wholesome effect and lesser side effects. The purpose of homeopathic treatment is to stimulate the body s inner self-balancing mechanisms. In order to achieve this, this person must be provided with the right solution at the right time. Since homeopathy aims at treating the root cause of the problem, the treatment is stretched over a longer period of time. Additionally, homeopathy functions by stimulating the natural healing capabilities of the body. Some of the common homeopathic medications that can be used to treat IBS are listed below:

Pulsatilla: Prepared from a medicinal plant known as wind flower, Pulsatilla is effective in the cure of IBS with its remedying effect on the gastrointestinal tract.
Nux Vomica: This too is derived from a plant and has a positive effect on the digestive and nervous system, thereby being effective in the treatment of IBS.
Sulphur: It is one of the most common choices among homeopathic practitioners for IBS. Sulphur affects the digestive tract and is helpful in the treatment of intestinal gas and constipation. It is usually prescribed for individuals who are rather thin and physically weak.
Lycopodium Clavatum: This is mainly prescribed for people with diarrhea and stomach gas. This drug acts specifically on the gastrointestinal tract
Asafoetida: This drug is prescribed when there is a fairly common constriction in the bowel muscles.

Irritable Bowel Syndrome - 5 Homeopathic Remedies For It

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

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