If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.

So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.

What is anal fissure?
An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.

What is anal fistula?
Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.

Symptoms of anal fissure and anal fistula
Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.

For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.

Treatment options
To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.

Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly.


Is It Fissure Or Fistula? Don't Get Confused!

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!!

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?

The uneasy feeling in our abdomen, feeling inflated or growing in size is a common problem faced by people anywhere in the world. Medical professionals refer to this as  bloating,' i.e., a feeling of a full, tight, abdomen. The abdominal system includes organs such as the stomach, liver, pancreas, gallbladder, intestines, etc. It is when the gastrointestinal tract is filled with gas, pain due to bloating arises. Such bloating brings pain in different parts of the body (which would be continuously shifting) along with a feeling of a swollen tummy (though not physically swollen actually). 

This article shares the common causes of bloating and tries to help its readers find a solution.

Overeating: Many of us can recall exactly how many times we have ignored the level of consumption in a particular meal and then felt an irritable stomach pain. Overeating refers to the consumption of food more than the amount of energy an organism can produce in one process. Along with weight gain and obesity, bloating might also result from overeating. The fact is, overeating is completely voluntary, and hence, a person can choose to avoid over-consumption of food and thereby, the pain from bloating.
Lactose intolerance: The terminology might not be familiar, yet over 65% of the global population is lactose intolerant. It varies with age and gender, and anyone has either of the four different types of lactose intolerance   primary, secondary, developmental, and congenital. Though lactose intolerance does not cause damage to the gastrointestinal system, inability to digest thesugar in milk (lactose) can cause abdominal pain, bloating, diarrhea, etc.
Irritable bowel syndrome: People with irritable bowel syndrome (IBS) are yet to know what caused it in the first place. Though the exact causes of IBS are yet to be known, many doctors blame the miscommunication between the brain and the intestinal tract of a person which causes abnormal expansion and contraction of the intestinal walls. This results in irritable pain and abnormal bowel movement. 
Two cases might arise due to IBS

The abnormal movement of the intestinal walls might speed up the excretion process and hence, the passage of stool   diarrhea.
The spasms might slow down the excretion process resulting in constipation.
Irritable bowel syndrome (IBS) can occur over the years, and the absolute cure is yet to be found. Additional symptoms of IBS are   bloating and excess gas, pain in the lower belly, mucus in stools, etc.

Solutions to bloating
Bloating can be easily taken care of if the person is ready to implement certain dietary changes. For example, avoiding gassy foods such as cabbage, broccoli, lettuce, reduces the formation of gas in the stomach. Limiting the amount of fatty foods and foods with high fiber content, quitting milk products (if lactose intolerant), can help a lot. A diet plan, getting active and regularly exercising can help to eliminate the problem of gas and bloating.

Conclusion
Even though bloating can be uncomfortable and painful at times, it is not a cause for concern. Bloating can be remedied quite easily with a proper diet chart and routine exercise.

Bloating - Why It Happens?

Peptic ulcer disease is a form of disease in which painful sores or ulcers are developed in the lining of the stomach or in the duodenum, which is the first part of the small intestine. Complications include severe blood loss and perforation of the stomach and intestines.

What can cause peptic ulcers?
Ulcers occur due to the imbalance of digestive fluids in the stomach or duodenum. Usually, ulcers are caused by the infection due to bacteria known as Helicobater pylori.
Here are the factors which may lead to peptic ulcer:

    One can use painkillers, which are known as nonsteroidal, anti-inflammatory drugs, by the likes of aspirin, naproxen, ibuprofen and several others.
    These kinds of ulcers may also occur due to excessive production of acid from gastrinomas.
    Excessive alcohol consumption may also cause peptic ulcer.
    Smoking cigarettes and chewing tobacco may cause such ulcers.
    Sometimes serious illness may cause peptic ulcer as well.
    Radiation treatment of the affected area may also lead to peptic ulcer.

What are its signs and symptoms?
There are several symptoms of peptic ulcer. They include the following:

    People experience a sensation of burning or gnawing pain in the upper or middle part of the stomach, between meals and during night time.
    Bloating is experienced.
    A feeling or sensation of heartburn.
    Nausea and vomiting are likely to be accompanied.
    In severe cases of peptic ulcer, dark or black stool is produced because of bleeding.
    The patient may vomit blood.
    Weight loss and abdominal pain are indicated, especially in the upper to mid abdomen region.
    Indigestion and change in appetite are also noticed.
    There is pain in the chest.

How to treat them?
Peptic ulcers can be treated in various ways, which include medication, lifestyle changes or surgery.
1. Lifestyle changes: Elimination of substances which lead to peptic ulcer should be avoided. Smoking and drinking should be restricted. Certain NSAIDS may lead to ulcer, and they should be stopped.
2. Medication: Proton pump inhibitors help in reducing acid levels, which allow healing of the ulcer. Different types of PPI are esomeprazole, dexlansoprazole, omeprazole, pantoprazole and iansoprazole.

Several antibiotics may also be used when a patient has helicobacter pylori infection. Several combinations of antibiotics may be used for the treatment. Bismuth may be used as well.
Upper endoscopy can be done as a part treatment of ulcer to cure bleeding ulcers. In case the ulcer creates a hole in the stomach s wall, surgery is required. Peptic ulcer is a serious health condition and if not treated properly, it can cause several health hazards. There are several treatment options for peptic ulcer, and you should opt for the one that suits you the best.

Peptic Ulcers - 6 Possible Reasons Behind them

The largest internal organ in the body, the liver, is also one of the silent heroes, which performs close to 500 functions. It produces energy, fights infections, gets rid of wastes, and is a metabolic factory.

There are four major types of liver diseases out of which alcoholic liver disease accounts for about 40% of them. Other types include non-alcoholic liver disease, viral hepatitis and autoimmune (chronic) hepatitis.

Risk factors: The severity of drinking habit is directly proportional to the chances of developing alcoholic liver disease. People who consume more amount of alcohol are more likely to develop the disease. However, it is also not necessary that every person who consumes alcohol develops liver disease.

Following are obvious risk factors for developing alcoholic liver disease.

1. Alcohol dependency: While enjoying a drink is not barred, getting the body dependent on alcohol for regular functioning is definitely a no-no. The rate of developing the disease in people dependent on alcohol is as high as 70%.

2. Females: The way alcohol is metabolized in females could have an effect on the higher risk they face in developing alcoholic liver disease.

3. Obesity: Excessive weight puts additional stress on the metabolic effects of the liver and therefore has a higher tendency to develop alcoholic liver disease.

4. Family history: Strong familial history increases the risk of developing alcoholic liver disease.

Symptoms: The difficulty in diagnosing the disease lies in the fact that there are no clear-cut symptoms that can indicate the diagnosis. Initial general symptoms include fatigue, poor appetite, abdominal pain, nausea, weight loss, loss of energy, and red spider nevi (spider-like blood vessels) on the skin.

As the liver function continues to worsen, there are additional symptoms like swelling of the legs due to fluid accumulation, swelling of the abdomen, jaundice (yellow mucous membranes and skin), redness of palms, impotence, breast swelling, easy bruising, cognitive problems and clay-colored stools. This stage will see liver scarring and subsequent cirrhosis. The second set of symptoms is more diagnostic. An experienced practitioner will be able to suspect and diagnose the alcoholic disease with a detailed history and some liver function tests.

Treatment: If identified early and alcohol habits are reversed, the damages of the liver can be completely reversed. In addition, the following lifestyle changes are suggested:

1. Low-salt diet

2. Hepatitis vaccines (A and B)

3. Medications to manage fluid retention, spontaneous bleeding and infections as the case may be

4. Excessive fluid accumulation in the abdomen may require removal

5. Shunt in the liver to repair blood flow

6. If cirrhosis stage is reached, a liver transplant may be required

While there are many ways to manage alcoholic liver disease, prevention is the best way. Limiting alcohol consumption can definitely help in the prevention of the disease.

All About Alcoholic Liver Disease

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