Problems of the large intestine are very common and patients should usually consult gastroenterologists for the proper diagnosis and treatment

1. Bleeding per rectum: Bleeding through the anal canal or rectum is usually the most common problem of the patients. It can be due to following reasons: 

A. Piles also known as Hemorrhoids: Hemorrhoids are dilated venous channels of the anal canal. They occur due to long term constipation or chronic cough or due to less fibre intake in the diet. Sigmoidoscopy or proctoscopy is required for diagnosis. Treatment options include medicines and high fibre intake, Injection therapy(Sclerotherapy) for stopping bleeding from piles and Stapler hemorrhoidectomy if the piles are large.

B.  Polyps: Polyps are soft tissue growths seen in the large intestine. They are usually silent but can present with bleeding or anaemia. Polyps usually grow slowly in size and large polyps can turn into cancer of large intestine also known as colorectal carcinoma. Colonoscopy is required for the diagnosis. The gastroenterologists can diagnose the presence of polyps by colonoscopy. Smaller polyps can be removed by polypectomy by gastroenterologists without the need for open surgery. However large polyps or those polyps with suspicion of cancer require surgery.

C. Large intestine Ulcer: They can occur due to early cancer, SRUS, Infections or drugs. They require colonoscopy for the diagnosis. The gastroenterologists usually take Biopsy from the ulcer to know the cause of the ulcer. The mere taking of biopsy does not mean cancer and biopsy samples are seen in the microscope for better diagnosis.

D. Ulcerative Colitis and Crohn s disease: Ulcerative colitis is one form of Inflammatory bowel disease (IBD). The other IBD is known as Crohn s disease. Whereas ulcerative colitis involves only large intestine, Crohn s disease can involve any part of the gastrointestinal tract including small intestine. Ulcerative colitis and Crohn s disease present with Loose stools(diarrhea), bleeding , abdominal pain, weight loss, Anemia and Perianal fissures and  fistula. The diagnosis of IBD is challenging and involves blood tests, CT Scan abdomen, Colonoscopy with biopsy and clinical history. Management includes Medicines which control the inflammation such as Pentasa, Rowasa, Mesacol etc. Severe disease requires additional drugs such as Azathioprine and Anti TNF sich as Infliximab and Adalimumab. Occasional cases require surgery such as those with tight stricture of the intestine, severe dilatation of Large intestine (also known as Toxic megacolon), excessive bleeding, the disease not responding to medical management, or presence of cancer with IBD.

E. Anal fissures: Cut in the anal skin (fissure) causes severe pain in the anal area during passing motions. It is usually due to constipation or straining. It is usually treated by Gastroenterologists initially by medicines and ointments. If the pain continues Surgery is required named as Lateral internal sphincterotomy (LIS).

2. Loose motions or Diarrhea: Excessive passing of liquid motions is known as diarrhea or commonly lose motions. It is usually due to Infections caused by contaminated food and water. It is usually self-limiting. Severe cases with dehydration require admission for IV fluids and antibiotics for the infection. Loose motions for more than 6 to 8 weeks is known as chronic diarrhea. It is evaluated by blood tests and colonoscopy. Usual causes include tuberculosis, celiac disease, ulcerative colitis, microscopic colitis, Malabsorption such as chronic pancreatitis and small bowel bacterial overgrowth.

3. Irritable bowel syndrome (IBS): IBS is very common and at least 20 to 30 percent of Indian patients suffer from it. Symptoms include altered bowel habits such as diarrhoea or constipation, abdominal pain which is usually relieved or increased by defecation. Weight loss or bleeding is not the feature of IBS. Few simple blood tests are required and good medicines are now available for IBS. Few cases may require colonoscopy to rule out alternative causes of the symptoms.

Understanding colonoscopy: Colonoscope is a flexible tube with a camera at its tip to see the inside of the large and small intestine. Bowel preparation is required at least 8 hours before the procedure so that the inside of the large intestine can be seen clearly without the interference of stools.colonoscopy is an OPD based procedure where the patients are discharged the same day. A colonoscopy helps in evaluation symptoms of the large intestine such as loose stools, bleeding and abdominal pain.

In Detail About Colorectal Disorders!

Gallstones are solid deposits/stones of digestive fluids that form in the gall bladder. The size of these stones varies from person to person. While some people may develop only one stone in the bladder, others may develop multiple gallstones simultaneously.

Signs you must watch out for-

Abdominal pain
Pain in the back or between the shoulder blades
Vomiting and nausea
Heartburn
Bloating and indigestion
Change in bowel movement
Dark urine
Fever and chills
Rapid heartbeat
Yellowish skin and pale eyes (Jaundice)
These are the most common symptoms that a person with gallstones encounters. One should consult the doctor right away upon experiencing these symptoms. If ignored for long, these signs can aggravate and lead to further complications.

Complications that may arise from gallstones-
There are quite a few complications of gallstones, including the following-

Cholecystitis- when gallstones become stuck at the neck of the gallbladder, it causes inflammation.
Obstruction in the pancreatic duct- a gallstone blocking the pancreatic duct can cause pancreatitis followed by intense abdominal pain.
Blockage in the bile duct- if the gallstones create a blockage in your bile duct, the outcome may be an infection or jaundice.
Gallbladder cancer- people, who have a history of gallstones, are more likely to develop gallbladder cancer.
Treatment of Gallstones-
Gallstones can certainly be treated, if diagnosed early in time. To confirm the diagnosis, your doctor may perform a CT scan, X-ray, Ultrasound or an ERCP. Once the condition is diagnosed, your doctor will recommend a surgery to remove the stones in the gallbladder (known as Cholecystectomy). The preferred choice of surgery includes the following-

Laparoscopic removal- In most of the cases, the doctor adopts this minimally invasive approach to remove gallstones. First, he makes a small incision in the abdomen. He will then insert a tube-like instrument with an attached camera into the gallbladder to have a clear sight of the gallstones, and surgically remove them from the gallbladder.
Open surgery- This is performed under general anesthesia. During this procedure, a single, long incision of roughly 3-6 inches is made on the upper side of your right abdomen. The tissues and muscles are pulled back to divulge the gallbladder. The gallstones are then removed, and the incision stitched up. Open surgery is performed when laparoscopic surgery is not suitable for the patient.
Gallstones cannot be managed with just diet and medications. A surgery is usually needed to remove the stones and cure the patient. For Laparoscopic surgery, the rate of success is nearly over 95%. Identify the symptoms before it aggravates, and consult a doctor for treatment.

Gall Stones - Is Surgery The Only Treatment?

Bloating and gas are most commonly caused due to indigestion as well as excessive accumulation of gas in the abdomen region. This can lead to a feeling of tightness and swelling, along with debilitating pain and discomfort, in some extreme cases. The other causes for bloating and gas may include wheat or gluten allergy, irritable bowel syndrome, food that gives rise to flatulence, lactose intolerance as well as severe conditions like acid reflux.

Homeopathy is an age old medical science that seeks to treat these and many other kinds of ailments with the help of its natural medication. However, in order to get the right treatment, it's important to visit the doctor and allow him to examine you properly and prescribe the right combination of medicines. The better the doctor understands your condition and symptoms, the better treatment he can offer.

Bloated abdomen refers to a feeling of fullness, tightness and distension of abdomen. There is also an excessive accumulation of gas in abdomen. Bloated abdomen can be painful, with cramping as well. 

The main causes behind bloated abdomen are constipation, Irritable Bowel Syndrome, wheat allergy, taking flatulent (gas-forming) food, overeating, food intolerance like lactose intolerance, and acid reflux (Dyspepsia). 

Over-the-counter instant gas-relieving pills and tonics can only provide very temporary relief, the causative agents remain firmly in place. Homeopathic medicines can completely cure bloatedness or bloated abdomen. Made from natural substances and free from any side effects, Homeopathic remedies for bloated abdomen can provide complete recovery by striking at the root of the problem, while ensuring there is no recurrence.

Homeopathic Treatment for Bloating and Gas-

Homeopathic medicines are very efficient in treating bloated abdomen. Sourced from natural substances, Homeopathic remedies are very beneficial in treating cases of bloatedness. Homeopathy provides complete recovery from bloatedness. The Homeopathic treatment for bloated abdomen is also of great help in releasing the wind from abdomen, thereby providing relief to the patient. The pain in the abdomen, burning and other associated symptoms also disappear with the use of natural Homeopathic medicines. Here is a list of some medicines that your homeopath might use to treat gas and bloating-

Graphites: This is one of the most commonly used and most efficient elements in Homeopathy. Graphites can help in treat abdomen bloating, which is accompanied by constipation on a prolonged basis. When this gas gets obstructed, instead of being allowed to see itself out of the body, the gas gets accumulated and causes a lot of discomfort and pain within the abdomen. Also, when there is an offensive odour in the gas that manages to pass through, one can use this medication.
Carbo Veg: This is one of the best homeopathic ways of resolving bloating and gas. This medicine is most commonly prescribed when there is belching along with the gas accumulation and bloating. The wind that accumulates in the abdomen may also give rise to breathing difficulties for many patients, in which case such a medicine is known to work wonders.
Abies Can: This is a natural Homeopathic cure for painful bloating which also comes with heart palpitations. In such cases, the doctor may prescribe this medicine to fight the gas that is busy burning in the abdomen. Other symptoms treated by this medicine include a sudden spike in the appetite as well.
Magnesium Phos: This medicine can help in treating gas and bloating that becomes colicky and gives rise to a lot of unbearable pain eventually. Also, it can be used for treating a feeling of fullness in the stomach due to the accumulation of gas. Further, the other symptoms treated by this medication include belching and hiccups.
Raphanus: When the gas obstructs the normal digestive process of the abdomen. This medicine can also be prescribed for successful treatment. It can also be used when the abdomen becomes hard due to the gas, which does not escape as flatulence or even as burps.
China: This is a Homeopathic medicine that can help in relieving symptoms like fullness, tightness, pain and even heaviness in the abdomen. It helps the patient in passing better motions so that the symptoms may be eliminated.
Homeopathy is an age old medical science that seeks to treat these and many other kinds of ailments with the help of its natural medication. However, in order to get the right treatment, it's important to visit the doctor and allow him to examine you properly and prescribe the right combination of medicines. The better the doctor understands your condition and symptoms, the better treatment he can offer.

Homeopathic Remedies for Bloating and Gas

Foods that make your stomach bloat

Do you feel your stomach bloat after meals? if you notice, this doesn't happen after every meal? only at times. And at other times when you eat specific foods. Well, there are foods cause your stomach to bloat, so the wise thing to do is to know about them and avoid them! 

Here are a few of the biggest criminals:

1. Cold drinks: yes, these carbonated drinks have numerous side effects on your health. One of them is that they bloat your tummy. Beer happens to fall in this category too.

2. Dairy products: for the lactose intolerant, dairy products are almost like poison. The intolerance can be mild, moderate of severe, but one of the symptoms is gas. You can try to limit your consumption of dairy products.

3. Apples: apples and pears are known to contain high percentage of fiber. While they are important for us and should be eaten, if is good to know that they can affect sensitive tummies. Eat bit by bit, and if it helps, peel the skin and then eat.

4. Few veggies: while they are excellent health foods, asparagus, cabbage and broccoli are vegetable which cause gas in the stomach, which in turn leads to bloating of the tummy.

5. Sodium: sodium is also another reason for bloated tummies, so it is advised to limit salt intake.
6. Fast foods: fast foods like sausages, fried foods, ice cream, sweetened products, etc are known to cause the belly to bloat.

7. Rice preparations: rice is known to swell up inside the stomach once it gets water, hence making the stomach feel bloated.

8. Hard drinks: alcohol is also said to add on weight near the stomach and make it feel bloated.


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The 8 Foods That Bloat Your Belly!

Irritable bowel syndrome which is referred to as IBS, in short, is a set of health symptoms that occur at the same time. These symptoms include abdominal pain, changes in bowel movements such as diarrhoea and constipation. You may experience these symptoms in the digestive tract without noticing any visible signs. An irritable bowel syndrome is a disorder that occurs as a result of interactions with the brain and the gut; this is related to functional gastrointestinal disorders. Therefore, irritable bowel syndrome is a type of functional gastrointestinal disorder. The problems can result in the gut-turning extremely sensitive. This alters how the muscles contract in the bowel movements. There are certain home remedies that you can adopt in order to gain some relief from irritable bowel syndrome which is as follows:

A Fiber-Rich Diet: Fiber-rich food items can provide relief from a case of constipation. But at the same time it can cause gas, and in case you are a person already suffering from gas, it will increase it. It can lead to cramping as well. Once you start having fiber-rich food items such as beans, vegetables and fruits, try to gradually increase the amount in your daily diet. If you want to avoid the discomforting feeling of bloating and gas you can take fiber supplements instead. Also, make sure that stay miles away from food items that show even the slightest chance of triggering your symptoms.
Time Matters: Skipping meals is never a good idea when it comes to your health. Also, make sure that you eat your meals at a fixed time every day. This practice will keep your bowel in proper functioning order. For patients suffering from frequent episodes of diarrhoea, eating small portions of food every few hours is a good option and for people suffering from constipation eating bigger portions of high-fiber foods will be extremely beneficial to facilitate smooth movement of the food through the intestines.
Exercise Every Day: Exercising every day is a very healthy practice that ensures a healthy mind and body. Exercising not only stimulates body functions such as contractions of the intestines but also de-stresses you and relieves you from depressive thoughts.
Include Probiotics: According to recent studies, it has been found that Probiotics can aid in providing relief from symptoms of irritable bowel syndrome (IBS). Probiotics are termed as  good bacteria  that normally reside in the intestines and can also be found in yoghurt. There are also dietary supplements available that contain a considerable amount of Probiotics.

Irritable Bowel Syndrome (IBS) - What To Expect

Food is one of the most common ways of getting an infection, and so the stomach is more prone to infections than other body parts. Whether it is eating raw or uncooked foods or unhygienic foods, the stomach bears the brunt of one s bad food practices. The only consoling factor is that it is equally easy to treat a stomach infection if some simple measures are adhered to. 

Read on to know some of the easiest and most effective ways to treat a stomach infection.

Drink it right: What you drink and how you drink makes a lot of difference to the way your stomach infection will respond. The vomiting, diarrhoea and sweating is robbing the body of a lot of fluids, and so replenishing this fluid along with minerals is very essential. Ensure you drink a lot of clear liquids like water, coconut water, clear soups, sports drinks, and other energy drinks. Electrolyte replacement can be added to improve their efficacy. Herbal teas like ginger tea and peppermint tea are highly recommended to soothe the stomach too. At the same time, avoid caffeine, strong black tea, alcohol, and chocolate as they are detrimental to the already affected stomach.
Eat right: Even on a regular basis, you are what you eat. So, when your stomach is already infected, eating right assumes a lot more importance. Go easy on the stomach and give it something easy to digest, yet of high nutritional value. Banana, rice, apple, and toast (abbreviated as BRAT) is very easy and packs in good nutrition for the recovering stomach. Avoid a lot of fibres, fatty foods, greasy foods, sugars, and dairy products which are hard for the stomach to digest. Eat small meals, but eat a lot more frequently than you otherwise would.
Rest well: With the body losing a lot of fluids and nutrition along with it, the body would naturally feel very tired and fatigued. Let the body run its course, and give it the rest it demands. In the next couple of days, once the virus has run its course, this will resolve.
Medications: Stomach infection is usually caused by a virus, and so antibiotics do not play a curative role here. However, if you have high fever or body aches, Tylenol or acetaminophen can be used sparingly. If diarrhoea or vomiting is severe, loperamide or promethazine can also be used. However, this should be substituted with sufficient rest and nutrition (solid and liquids).
If these are not helping and you are not able to keep the food down, visit the doctor. Sometimes, a day or two in the hospital may be required for complete cure and recovery.

Stomach Infection - Easy Tips To Help You Treat It!

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