Many times we forget about the importance of our health in the race to pursue our careers and goals. We take our bodies for granted and keep working them without stopping for a breath. While some may have mastered this art, there are many who may not be able to cope with such a lifestyle and may end up falling ill. The most common problem that most people suffer from is stomach upset, gas, or stomach pain, and all of this may be because of not eating right or having irregular eating habits.

It is due to such problems that people fall ill and then go to the doctor with a problem that may take much longer to treat. However, if the patient starts to check in with the doctor before the stomach pain worsens, it may be easier to treat because very often the pain arises from stomach ulcers. Ulcers are sores that are caused on the lining of the stomach or the oesophagus or even on the intestines. In serious cases, the sores may cause great damage to the stomach and may lead to much worse issues. However, with the right intake of food, the damage may be controlled in combination with medicines and treatment from experts.

Foods to avoid
In controlling the spread of stomach ulcers or peptic ulcers, it may be important to know the food that should be avoided so that the medicines and treatments taken for controlling the problem may work better. Here is a list of foods that you should avoid:

Hot beverages such as tea, coffee, cocoa and milk should be avoided because they cause acid imbalance in the stomach.
Anything that may contain caffeine should also be avoided.
Alcohol should be completely avoided by those suffering from peptic ulcers.
Citric or sour drinks such as grape or orange drinks should also be avoided for remaining at ease.
Any spicy powders or seasonings, such as pepper, chilli powder and garlic should be excluded from the diet.
Anything that is made from milk or cream and is extremely fatty in nature should not be consumed.
Flavoured cheese that is strong and spicy should not be eaten.
Meats that include high levels of fat or those that are highly seasoned should be completely avoided.
Chillies or peppers in any form should be kept away from your diet.
Anything that is made from tomato should also be avoided, such gravy, sauces or raw tomatoes.
When you start to keep your diet clean and healthy, it may be much easier for your doctor to cure you of stomach ulcers.


Stomach Ulcer - 10 Types of Food You Must Avoid!

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?

Abdominal pain can be triggered by a number of factors. Sometimes, it's mild enough to be overlooked while at others, the pain can be debilitating. Most abdominal problems start with the same symptoms and hence the cause of this pain can be a little difficult to pin point. In many cases, the location of the pain can help understand the factors that are triggering it.

Generalized pain can be simply be triggered by indigestion. On the other hand, it could also be a symptom of a number of illnesses like irritable bowel syndrome, appendicitis, viral gastroenteritis and intestinal obstructions etc. However, the former are more common. This type of pain resolves itself without medical intervention.

In other cases, abdominal pain can be localized to the upper or lower abdomen on the right or left side or in the centre of the abdomen. This sort of pain is usually sporadic and comes and goes with great intensity. In most cases, this sort of pain is a symptom of a serious problem and should not be ignored. One of the most common examples of localized abdominal pain is the pain caused by appendicitis in its later stages. Severe pain that is located just above the centre of the belly button could be a sign of pancreatitis. A burning sensation and severe cramps in the center of the stomach could point towards stomach ulcers that could cause perforations if left untreated. Other causes for this type of pain include endometriosis, ovarian cysts, angina, kidney infections and a spleen infection.

Mild stomach pain whether localized or general can be relieved using home remedies and does not often require medication. However, if the pain is severe or if it comes on suddenly, you must immediately consult a doctor. Another reason to consult a doctor is if the pain persists for more than 24 hours. If the pain is accompanied by black or bloody stools or vomiting and nausea, do not ignore it. Black stools are often an indicator of the presence of blood in the digestive tract. Abdominal pain that worsens with movement or is tender to touch is also something that should be shown to a doctor. Other reasons to consult a doctor are abdominal pain with persistent vomiting following meals and unexplained weight loss and a loss of appetite.

The bottom line is, that when it comes to abdominal pain, it's better to consult a doctor and be told that there's nothing to worry about rather than self medicate and wait for it to worsen.

Abdominal Pain & When To Consult A Doctor

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

Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner s ulcers are seen only in people with intestinal cystitis, it s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the  loo  as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner s ulcers are both a diagnosis of exclusion. This means that they re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner s ulcers.

Hunner's Ulcer In Urinary Bladder - How They Can Be Treated?

Gastroesophageal reflux disease, or gerd, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. Gerd is caused in the muscle that lies between the oesophagus and the stomach, when the acid is produced in the stomach, it starts to flow backwards. For patients suffering from gerd, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, amongst others. So what does one do to deal with gerd? here's a brief list!

Obesity: being overweight and obese are two of the most important factors that contribute to discomfort in gerd patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.

Alcohol and smoking: the muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a gerd patient.

Go gluten free: adopting a gluten free diet can help you cut out ingredients including grains and dairy products that contain more protein than what your digestive tracts can handle.

Other dietary measures: in order to handle gerd effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit so that it can pass through the digestive tract faster.

Smaller and well timed meals: eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with gerd to prevent the onset of backward flowing of stomach acids.

Exercise: ensuring that you do not take a nap or lie down right after a meal and putting in a small amount of exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.

Making lifestyle changes is one of the best ways to deal with gerd. Yet, it would be best to see a doctor regarding severe cases where the symptoms do not abate and medication may be required.

How To Deal With GERD

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