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

Acidity is an ailment that troubles most people regardless of the absence of any other medical condition. It causes discomfort in the chest region along with heart burn and indigestion. If you are distressed with acidity, you may consider undergoing Ayurvedic treatment which would help in alleviating the problem to a great extent.

1. Tulsi leaves:
  Tulsi leaves help in stimulating the stomach for production of more mucus and are also rich in anti-ulcer properties which cause a significant reduction in the effects of gastric acid.
  It is recommended to chew 5 to 6 clean Tulsi leaves when you have acidity to soothe the stomach.

2. Bananas:
  The potassium content in ripe bananas helps in eliminating sudden bouts of acidity.
  Bananas also aid in relieving constipation problems and cause healthy bowel movement.

3. Cumin seeds:
  Cumin seeds which are commonly used in cooking dishes have anti-inflammatory properties that aid in soothing the digestive tract.
  These stimulate saliva production, boost metabolism and relieve the problem of bloating along with other discomforts caused by gastric troubles.
  You may chew a few cumin seeds when troubled with acidity or boil them in water and drink the solution.

4. Cold milk:
  The richness of calcium in milk aids in reducing acid problems and absorbing the acid which has already been produced.
  It helps in providing instant relief from the burning sensation owing to its coldness.
  But it is important to drink it plain without any additives like sugar.

5. Cloves:
  Cloves are known for their calmative properties which help to improve the process of peristalsis by which food moves down the stomach.
  When you put a clove in your mouth, just bite it once to help in releasing the extracts which would reach your digestive tract and immediately lower down the acid reflux.

6. Ginger:
  If you do not find raw ginger to be very pungent, you can keep a candied ginger slice in your mouth for instant relief from acidity.
  If you feel that you wouldn t be able to chew raw ginger, you can boil it in water and drink it after it cools down.
  Ginger can be also eaten with a small piece of jaggery to help the juice reach the stomach and alleviate the acidity.

7. Mint leaves:
  Commonly referred to as  pudina , mint leaves are known for lowering the acid content and improve digestion.
  If you feel that an acid attack is imminent, you can chop down a few mint leaves and boil it in water and drink the solution for eliminating bloating problems.

These few Ayurvedic remedies can help in soothing acidity along with its other symptoms.

Acidity - 6 Amazing Home Remedies That Can Help!

The word colic directly refers to the colon. Colic pain is a sharp abdominal pain followed by bouts of crying usually occurring in infants below the age of one year. The pain only last for a short period of time ranging from a few weeks to a couple of months. Very few number of babies will cry endlessly indicating towards an underlying condition.

It is mainly characterized by sharp crying for supposedly no apparent reason, irregular sleep patterns, and restlessness or owing to deviation from normal postures. The apparent causes of colic pain include indigestion and negative reaction of the sensitive gut to the breast or formula milk, although no concrete cause of the state has been discovered.

Doctors often suggest home remedies such as swaddling, pacifiers, holding and comforting the baby and more frequent feedings to reduce the condition. Since it is so common among infants and relatively less harmful, no proper medication is usually given. Physicians suggest mothers to reduce the content of caffeine, alcohol or spice in their diet. Sometimes a warm bath, burping the baby or going on more frequent walks is useful. Background music draws the attention of the baby and hence drives their focus, away from the abdominal pains.

Colic pains are mainly treated by care rather than medicine. The baby is made to feel comfortable and the distress is reduced just by being around the infant. The primary care giver plays an important role in consoling the child and helping them get through the sudden pain which further plays a significant role in personality development. Colic pains are extremely short lived and probably one of the first few challenges of parenthood. They are primarily dealt with care and feeding except in extreme cases where medicinal cures such as lactase drops and simethicone drops are used to treat the abdominal pain.

Colic Pain - How To Treat It

The gallbladder can be found under the liver and is a pear shaped organ. This four inch organ is responsible for storing bile, which is a combination of the various fluids as well as fat and cholesterol. These are essential for the body and its metabolism, as the bile helps in breaking down the food that enters the digestive system. With the help of the gallbladder, this bile divides the food into smaller parts within the intestine. This ensures that the energy released by the food is more easily absorbed into the bloodstream. There are a host of problems that can attack the gall bladder including stones, infection and more.

Let us find out the symptoms of a gallbladder attack and the various ways in which it may be successfully treated.

    Pain: One of the most common symptoms of a gallbladder attack includes pain. This can be felt in the section that lies in the middle and the upper right portion of the abdomen. The patient may initially experience mild pain that comes and goes intermittently. Eventually, if the pain is not treated, it can start to radiate on a constant basis and hold the patient in its grip.
    Nausea: Nausea and vomiting are also common symptoms of any gallbladder related problem. Chronic cases usually end up experiencing these symptoms. Nausea and vomiting in such conditions are a result of digestive problems like acid reflux which can be caused due to the gall bladder condition.
    Fever: If there is an infection in the gall bladder, then the patient may also experience fever and chills. This will require immediate treatment and the prescription of antibiotics. If it is not treated on time, the problem can become serious and dangerous.
    Loose Motions: Diarrhoea is a problem faced by many patients suffering from this condition along with jaundice and lighter coloured stools.

Treatment: Mostly, doctors will recommend surgical methods to deal with gall bladder attacks and conditions. A laparoscopic surgery may be conducted to remove the gallbladder. Also, medication will be prescribed to dissolve the gallstones that may have been caused by cholesterol. The patient will also have to undertake many lifestyle changes in order to successfully treat this condition over a period of time.

One will have to avoid greasy and oily food. Also, the fat intake of the patient will have to be reduced so that the cholesterol build up does not affect the gallbladder again. The patient will also have to add fibre to his or her daily diet, in the form of fruit and oats. This will help in improving the bowel movements as well.

The Symptoms and Treatment of Gallbladder Attack

The stomach produces strong hydrochloric acid which plays a major role in the digestive process. This acid is contained within the stomach by the closing of a valve in the lower oesophagus. A higher-than-normal concentration of the acid is quite common and it could be due to various reasons that cause acidity, some common ones being obesity, eating large meals, certain acidic foods like citrus fruits, alcohol, smoking, pregnancy and aerated beverages.

The symptoms of acidity include heartburn, a bloated feeling in the stomach, burping, hiccups, nausea and weight loss. An important thing to notice is that acidity is not a disease, but a symptom of an underlying disease. Unless there are serious structural issues, most cases of acidity can be managed with dietary and lifestyle changes. Some of the best, yet simple and effective ways to deal with acidity are listed below.

Habit of eating smaller, but frequent meals. Eating one large meal is one of the main causes of acidity. Eating smaller frequent meals gives the stomach time to digest the food and also avoid acidity.
Avoid eating close to bedtime. When you go to bed with a stomach full of food, you are sure to end up with acidity. A minimum of 3 hours should lapse between the last meal and the bedtime. This gives sufficient time for the stomach to clear the contents.
Sleep with the head of the bed slightly elevated. Raising the head of the bed ensures there is no regurgitation of food, thereby preventing acidity.
Daytime nappers with acidity issues can try to sleep in a recliner or on a chair to prevent acidity attacks.
Manage weight through weight loss measures including diet and exercise. Obesity is one of the main reasons for acidity, and managing weight can help control acidity.
Smoking is a major cause of acidity. The negative pressure created during smoking helps regurgitation of acid, causing heartburn. Quitting smoking can help relieve long-term acidity symptoms.
Alcohol is another substance that aggravates acidity, and reducing or quitting can help in relieving acidity.
Baking soda, aloe juice, banana, chewing gum, mustard, almonds, and chamomile are some natural remedies to relieve acidity.
Most people have certain foods which are the triggers for acidity. Identifying these and avoiding these can also be a good way to manage acidity.
Acidity is a major concern during pregnancy. The bloated feeling is worsened by the acidity and the developing baby.
Clothes which have tight belts or are tight around the waist can be another reason for acidity.
While acidity is a common issue, it also is something that can be easily managed. Try the above measures and see your heartburn reduce.

Acidity - 11 Ways You Can Deal With It!

Life can be tough when living with Crohn s disease as it is a chronic condition. Especially with the disease is marked by phases of relapse and remission, it requires a long-term management to keep the symptoms in check. Though the flare-ups can be typically contained using medications, some of the patients with severe symptoms or complications arising from the illness would require surgery.

Before we proceed with the surgical management of the disease, it is essential to understand what Crohn s disease is in case you are not aware of it. It is a chronic illness in which the intestine or the bowel have become inflamed or marked with ulcers and sores and is a part of disorders collectively known as inflammatory bowel disease(IBD).

When does Crohn s disease require surgery?
Typically, patients who are suffering from complications of Crohn s Disease may require surgery. This may include the formation of a scar that is causing the bowel to narrow down and leading to obstructions, extensive bleeding from the intestine, perforation in the bowel wall or the formation of fistula or abscess. The fistula may be formed in the connecting area between two body parts that do not meet. Also, a condition known as toxic megacolon where the large intestine or the colon becomes severely stretched out causing the toxins to spread all through the blood requires surgical intervention.

What are the different surgical options available for Crohn s disease?

The surgery chosen for Crohn s disease is dependent on various factors such as where the disease has affected, how severe the disease is and most importantly what complication will be treated by the surgery. Here are some of the types of surgeries done for treating Crohn s disease:

Strictureplasty: If the small intestine is affected by the disease, it may show up in the alternating areas of the bowel. Strictureplasty is a surgical way of widening the narrow area of the small intestine into a portion which has been affected by the disease. It doesn t involve removal of the intestine.
Resection: This is yet another surgical process where the affected part of the intestine is removed. It may be required when the stricture has become elongated. The removal of the diseased portion of the intestine may be able to offer some relief from the symptoms.
Colectomy: This surgery refers to the removal of the entire colon, and it is done when the disease is severe and extensive.
Proctocolectomy: When both rectum and colon are affected, both these parts are removed by a process called proctocolectomy. When this process becomes necessary, the waste materials drain into the bag which is emptied every day.
Since, the surgical intervention aims to manage the disease, your doctor would be able to recommend the most suitable option as per your condition.

Crohn's Disease - How Surgical Management Can Help?

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