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

There is hardly any individual across the world, who has not experienced abdominal pain. In most instances, these aches are not very serious and can be diagnosed and treated by addressing the underlying condition. It is very crucial to recognize the symptoms which are severe and know when an individual should seek medical assistance. 

Most common causes of abdominal pain: 

Some of the most common causes of abdominal pain include Indigestion, infection, menstrual cramps. It may also be due to food poisoning and allergies, irritable bowel syndrome, gas formation and bloating, lactose intolerance, pelvic inflammatory disease or ulcers and hernia, gallstones and kidney stones, urinary tract infection, Crohn s Disease or gastroesophageal reflux disease. 

Some patients have abdominal pain but the source of pain lies in the spine. These patients are often seen by multiple doctors and have undergone many tests but their diagnosis is never established. These patients should visit a pain specialist to reach a diagnosis and treatment plan. They have conditions like neuropathies or facet joint arthritis which cause abdominal pain due to a condition known as referred pain. 

Symptoms of abdominal pain that are cause for concern: 

Abdominal pain along with any sign of dehydration or fever or is unable to pass stools.
Abdominal pain associated with tenderness in the abdomen, painful and frequent urinations or persistent loose motions or bloody/ tarry stools. 
Severe or recurrent abdominal pain. 
Determining the cause of abdominal pain and treating it.

Detailed medical history and thorough physical examination would be performed. Further tests like USG, Endoscopy etc may be needed to reach a diagnosis. 
The treatment of abdominal pain is entirely dependent on the cause of the pain.

Abdominal Pain - Know the Causes Behind It!

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.


Don't Confuse Fissure With Fistula!

Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat.

Fatty liver is a common condition among people. A study from coastal regions of India found ~ 25% of healthy persons had patients had fatty liver on ultrasound.

It can occur at all ages including childhood, highest prevalence is in 40 50 year age group. Prevalence more in patient who are obese and in diabetic patients.

Types of Fatty Liver

1 Alcoholic fatty liver: This condition occurs when there is a heavy consumption of alcohol. Gastroenterologists recommend abstention from alcohol for this condition to subside. If the patient continues to consume alcohol, then liver cirrhosis may develop.

2 Non alcoholic fatty liver (NAFL): One may develop a fatty liver even if one is not an alcoholic. The liver in some cases is unable to process the fat in cells causing them to build-up on the organ.

When more than 10% of the liver is made of fat then this condition is called Non Alcoholic Fatty Liver (NAFL).

Non alcoholic steatohepatitis (NASH): When fatty liver is associated with inflammation in liver patient is said to be having Non alcoholic steatohepatitis. NASH is a more advanced stage of NAFLD, and has a higher risk of progressing to liver cirrhosis or hepatocellular carcinoma (HCC). These condition display symptoms like jaundice, vomiting, nausea, loss of appetite and abdominal pain. Blood test (LFT) shows raised enzymes level. Approx 5-8% of the Indian population has NASH. Consult a doctor if you are experiencing any of these symptoms.

3 Fatty liver during pregnancy: Occurring mainly in the third trimester, the symptoms of this condition are vomiting, nausea, pain the right part of the abdomen and jaundice.

Symptoms

During the early stages (fatty liver) of the disease, patients usually have no symptoms directly related to liver disease. However, people may experience a vague abdominal discomfort. If their liver is inflamed (NASH) then they may display symptoms of poor appetite, weight loss, pain in the abdomen and disorientation.

What causes fatty liver?

The most common cause of fatty liver is alcoholism. When the human liver is unable to metabolize fat fast enough or when there is an excess accumulation of fat on the liver cells then the liver becomes fatty. However, intake of high-fat foods may not result in a fatty liver.

Predisposing factor:

1 Diabetes mellitus

2 Obesity or being overweight

3 Hyperlipidemia or the condition where there are high levels of fat in the blood

4 Genetic reasons

5 Rapid loss of weight

6 Drugs: Aspirin, steroids, tamoxifen, tetracycline etc. cause side effects which also leads to fatty liver

7 Nutritional status (eg, overnutrition, severe malnutrition, total parenteral nutrition [TPN], or starvation diet)

8 Other health problems (eg, Hepatitis C infection, celiac sprue and Wilson disease)

Know More About Fatty Liver!

Screening for cancer of the colon or large intestine and rectum is a proven way of saving a person from the impacts of colorectal diseases. This is partly because colon cancer is something that can be prevented if detected at an early stage and the polyps which may advance to cancer are removed properly. Thus if you are turning 50 soon, be prepared to present yourself for a screening colonoscopy that will help you ensure good health and well-being. It may sound uncanny, but do you know that 50,000 people across the world die from colorectal cancer every year, and it is ranked second in terms of cancer-centric deaths.

Understanding the importance of having colonoscopy
You may wonder how a painful, invasive, embarrassing, uncomfortable and time-consuming health test may be called a present. There are reasons enough. A screening colonoscopy is able to expose a cancerous tumour that's presently under way and cast light on the chances and risk factors that may precede it. When you choose to intervene early, you have the power to nip those risks at their budding stage, much before those malicious cells become malignant.

Spreading of the colorectal cancer
Your large intestine is really a big and last organ of the gastrointestinal system where the small intestine discontinues. Its primary function is to remove the water out of the leftover solids of digestion and get rid of them in the form of stool. Cancer may start to develop anywhere within the tube that expands 5 feet long and squares the vacant area of the abdomen. The large intestine expands up towards the right side, i.e. the ascending colon and then turns left through the liver, i.e., the transverse colon, bending down right at the spleen on its left, i.e. descending colon and loops to the middle, i.e., the sigmoid colon before it runs across the rectum and ends at the anus.

People who need a colonoscopy
To simplify matters, it can be said that all adults are at a potential risk of the colorectal cancer, including those people who lead a healthy life. But some people are at a higher risk. Those individuals have a specific gene mutation that predisposes them to develop into numerous polyps. The risk is also high with people who are first-degree relatives of a person diagnosed with cancer before the age of 50. People with Ulcerative colitis, various types of inflammatory bowel diseases and Crohn's disease are also at a higher risk.

Colorectal cancer is a serious ailment and screening colonoscopy is a feasible means of detecting any polyps that may be cancerous in the future. Speak with a reputed gastroenterologist today to stay ahead of the disease.

When Should You Start Having Colonoscopies?

Acidity or acid efflux refers to a sharp pain and burning sensation in the center of a person s chest. Often referred to as heartburn, this disorder affects millions of people across the world. Even though suffering from acidity once in a while is more or less normal, a frequent case of acid reflux may be indicative of a more severe underlying condition.

Here is a look at some of the common reasons behind your recurring acidity.

Lying down after a meal: A meal requires a bit of time to get digested. Before digestion, the acid is contained in the stomach using the diaphragm. However, if you lie down right after having a meal, the diaphragm may or the lower esophageal sphincter (LES) may open up, causing the stomach acid to spill into the chest. This can alleviate acidity symptoms. Similarly, a particularly heavy meal can also cause acidity.
Obesity: People who are overweight or obese have a greater risk of suffering from acidity compared to those who maintain an ideal body weight. So, start exercising and losing the extra pounds if you have been suffering from acid reflux for quite a while now.
Certain foods: Citrus fruits and vegetables contain citric acid, which help in increasing the overall acidic level in the stomach. Other foods, which should be avoided and can be a cause for acidity include chocolates, garlic, mint, onions, oily and fatty foods. You do not have to stop having these foods completely, but you should try to avoid them as much as possible.
Certain beverages: Alcohol consumption can often lead to acidity. It is best to avoid regular alcohol consumption and even if you choose to have a peg or two, make sure it is only for a limited period of time. Regular or excessive consumption of other artificially sweetened drinks, carbonated drinks and even tea or coffee, can also lead to acid reflux syndrome. If you partake any of these drinks, try to reduce the amount and ingest as little as possible.
Pregnancy: Pregnant women undergo a plethora of changes in their bodies. Some are visible from the exterior, while the others happen inside the body. A range of hormonal changes occur at this point in time which can cause certain problems in the body. One of the major hormones linked to acid reflux during pregnancy is progesterone. This hormone is vital for the proper growth and development of the fetus, but the hormone also slows down the rate of digestion. 

5 Sure Shot Reasons Behind That Acidity 

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