Gastroesophageal reflux disease is a condition which occurs due to unhealthy food habits and sudden lifestyle changes. This condition causes the stomach acid to travel in a reverse direction and enter the esophagus. If changes in your food habit and lifestyle do not cure you of this condition, then a surgical procedure is recommended.

What are the different surgical methods of treatment for gastroesophageal reflux disease?
The different forms of surgery that can be used to treat this condition have been explained below:

Fundoplication: Fundoplication is one of the most common surgical methods recommended to patients suffering from gastroesophageal reflux disease. The lower esophageal sphincter or LES is tightened with the help of this surgery. The strengthening procedure is accomplished by wrapping the upper part of the stomach around the outer part of the lower esophagus. Both open and laparoscopic surgical options are available for this surgery.
Transoral Incisionless Fundoplication or TIF: In this surgical procedure you do not have to undergo any incisions. A barrier is made between the esophagus and the stomach. This barrier will work to prevent the acid of the stomach from entering the esophagus. A special device is inserted through the mouth of the patient which helps in creating several folds at the base of the esophagus, these folds form a new valve or barrier. Thus you do not have to undergo any incisions at all if you opt for this procedure. Those who are looking for a non-invasive method to treat their gastroesophageal reflux disease, this procedure is no doubt one of the best.
Bard EndoCinch System: This is a special type of surgery that is accomplished with the help of an endoscope. Although it is not one of the common methods to treat the problem. In this procedure, several stitches will be made in your lower esophageal sphincter so that they result in the formation of valves.
Stretta Procedure: This procedure is also performed with the help of an endoscope. But this is an outpatient procedure and you will be discharged on the same day. A flexible tube is inserted into your esophagus and the other end of this tube has an electrode. This electrode will help in heating the tissues of your esophagus. It will also form small cuts in it. The scar tissue that results from this procedure helps in stopping the acid from flowing in the reverse direction. It also strengthens the muscles that are present in the surrounding area.
These surgical procedures are very successful and have the ability to give you long-term results. Many complications such as the inflammation of the esophagus, can be avoided if you opt for a surgical treatment as a cure for gastroesophageal reflux disease. 

Gastroesphageal Reflux Disease - How Surgery Can Be Of Help?

Protein is said to be a building block for the body. That being said, a high protein diet can either have some great results to show, or some terrible consequences. As long as a person is willing to learn more about it, only the former will appear!

When a person thinks of a diet which is high in protein, the automatic association is with the famous Atkins diet. This diet is not only high in the amount of protein consumed but is low in the relative amount of carbohydrate.

Who is it for?

A high protein diet is best if a person is looking to build little muscles and does not consume enough protein in his or her current or normal diet. However, studies have found that only professional endurance athletes showed any benefits from a hike in their consumption levels of protein, and that too they could have received these benefits by just eating more food. So, it is fair to say that the normal person is not likely to need more protein than what he or she already gets from his/her diet.

It can be bad too, in addition to this, if a person has an amount of protein which is beyond what is good for him or her according to the activity level, it can be quite bad. This is because a lot of the sources of protein from which most people fulfil their requirements also happen to be quite high in terms of the saturated fat content, which can put the heart at a great amount of risk. Moreover, gout can also occur and it is something that is not curable but can only be managed. A person who is considering the prospect of going on a high protein diet should take these possible side effects into due account prior to making his or her decision regarding the same.

The modest increase in the protein part of a person s diet can be good, and there are a variety of ways a person can increase it by having some simple munch food items such as almonds. Things like these can serve well as snacks and can go a long way in preventing a person from overeating on something less healthy just due to his or her being ravenously hungry. Another option is Greek yogurt and chia seeds, which can be added to almost anything! 

Making small changes in the diet can help in fulfilling the protein requirements. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

High Protein Diet - Things You Must Know!

Water effectively constitutes 70-75% of human bodies and keeps us protected from many harmful things. But many people have a frequent question: is it alright to drink water before you brush your teeth? Will it harm your body? Let us discuss the same in this article.

Many people believe that they should not drink water before brushing their teeth because of the bacterias present in saliva after you wake up. But this is a myth and it does not have any scientific logic. When you drink water after waking up before brushing, your saliva goes with the water down into the stomach which results in the killing of the bacteria due to the high acid content inside it. Therefore there is absolutely no harm if you drink water before brushing teeth.

If you are familiar with Japanese culture then you must know that the Japanese drink two glasses of water every morning immediately after they wake up. Drinking water immediately after you wake up without brushing your teeth does not harm you in any way. Doctors always recommend drinking two full glass or at least one, on an empty stomach. There are several benefits your body receives when you consume water every morning after you wake up.

Drinking water every morning has its own long list of benefits. Let us have a look at them-

Boosts your immunity- Drinking water every morning strengthens your immunity system. Helps you to fight diseases and germs much better.
Clears the bowels- After your drink water in the morning, you will get an urge of flushing out your bowels. This way the bowels remain clear and you do not face any constipation issues.
Speeds up metabolism- Your metabolism gets boosted when you drink water resulting in faster digestion and metabolic rate. It also keeps you hydrated through the day.
Prevents headaches and migraines effectively and it also helps in preventing colon infection because your bowels get cleared easily.
Helps in weight loss- Drinking water every morning helps you to lose weight by a significant margin due to the fact it occupies the stomach killing the desire to eat much in the morning.
Beneficial for skin- Increase in the freshness of your skin complexion which water delivers if you drink it every day in the morning. It flushes out the toxins and dead cells which helps in increase of new and fresh body cells.
Thus as you can see the long list of benefits you will receive if you drink water every day after you wake up.

Is It Alright To Drink Water Without Brushing Your Teeth?

The production of gas in the body is a natural process as long as it is within normal limits. Whether it makes you burp or causes flatulence, excessive gas can be embarrassing. Gas can also make you uncomfortable and cause bloating. This is simply the buildup of excessive gas in the stomach before it is ready to be released. Here are a few simple tips that can help you prevent the buildup of excessive gas.

Avoid eating gaseous foods: Beans, broccoli, milk, cheese and fruits like pears and apples; these are some of the foods to avoid if you suffer from frequent bouts of gaseousness. This is because they contain fiber and sugar that is difficult to digest and creates gas. If you cannot avoid them completely, try steaming them instead of frying or baking them. Some people may also react to certain food combinations such as fruits and proteins by producing gas. Keeping a food diary may help identify such combinations.
Drink a glass of water before meals: Drinking water while you are eating can hinder digestion. When water mixes with solid food, it interferes with the way stomach acid breaks down food. Instead, drink a glass of water half an hour before your meals. In this way, the water flushes your system and prepares it for the digestion process.
Eat slowly: Grabbing a bite on the go is one of the leading causes of indigestion. When you eat anything, ensure that you chew it properly and do not swallow large bites of food. This prevents air from collecting in your stomach and thus prevents gaseousness.
Probiotics: Probiotics boost the production of  good gut bacteria  that is essential for digestion. Probiotics can also help ease bloating. If you suffer from gas, try including probiotics like yogurt, pickles, kimchi and buttermilk in your diet or get yourself a probiotic supplement.
A cup of chamomile tea: Chamomile not only calms the body but can also fight indigestion and gas. A cup of chamomile tea after a heavy meal helps speed up the digestion process. This helps relieve bloating, as the faster the stomach is emptied, the faster gas can move out of the stomach and into the intestines. Fennel, dill, peppermint and ginger can also be used as alternatives to chamomile.
Digestive aids: Gas is a fairly common problem faced by a number of people and hence digestive aids are easily available over the counter. Look for medication that contains activated charcoal or digestive enzymes.
If gaseousness persists over a long period of time and is not eased by any of these remedies, consult a doctor at once.


Intestinal Gas - How It Can Be Treated?

GERD is a digestive disorder that affects the lower esophageal sphincter, which is the ring of muscle between the esophagus and stomach. Gastroesophageal reflux is the backward flow of acids from the stomach into the esophagus. Doctors believe that some people usually suffer due to a condition called hiatal hernia. Pregnant women usually suffer from heartburn or acid indigestion caused by Gastroesophageal Reflux Disease.

The primary goals in the treatment of this disease are relief from symptoms, healing of erosive esophagitis and prevention of complications of esophagitis. The symptoms include heartburn and regurgitation. The setting includes a proton pump inhibitor (PPI). Patients suspected due to GERD with non-cardiac chest pain are recommended to have diagnostic evaluation before institution of therapy. For diagnosing GERD, barium radiographs should not be used.

The other points that must be remembered to diagnose GERD are
1. Endoscopy is recommended only in case of alarming symptoms. Even in typical symptoms, the upper endoscopy is not recommended.
2. For preoperative evaluation, esophageal manometry is recommended, but it has no role in diagnosing GERD.
3. Ambulatory reflux monitoring is a test that can assess association of reflux symptoms.

Management:
The suggested lifestyle modifications for the patients with GERD are

    Weight loss is recommended for patients who are overweight. So, avoid large meals and decrease dietary fat intake.
    Avoid alcohol, chocolate, onions, garlic, acidic foods and peppermint.
    Do not lie down within 3 to 4 hours after meal (recommended for nocturnal GERD patients).
    For symptom relief and to heal erosive esophagitis, a 8-week course of PPIs is the therapy of choice.
    Medications that help in potentiating GERD symptoms, including alpha-adrenergic agonists, nitrates, calcium channel blockers and theophylline should be avoided.
    For patients without diagnostic evaluation, therapy for GERD other than acid suppression, including prokinetic therapy should not be used.
    For patients with partial response to PPI therapy, additional symptom relief can be achieved by increasing the dose twice daily or switching to a different PPI.
    It is recommended to elevate the head of the bed 10 to 20 cm.
    Avoid wearing clothes which are tight around the waist.
    If patients experience heartburn relief, Histamine-receptor antagonists (H2RA) therapy can be used as a maintenance option in patients without erosive disease.

Some surgical options
1. For long-term therapy for patients suffering with GERD, surgical therapy is the best treatment option.
2. In patients who have no evidence of erosive esophagitis, preoperative ambulatory pH monitoring in mandatory.
3. Gastric bypass is the preferred operation for patients who are suffering with obesity and are contemplating surgical therapy for GERD.

Apart from these, there are potential risks that are associated with PPIs such as switching them can be considered in setting of side effects and the therapy can be a risk factor for Clostridium difficile infection.

Management of Gastroesphageal Reflux Disease (GERD)

The human digestive system is a very complicated and sizeable component of the body. It starts right at the beginning of the mouth, ending at the rectum. Some of the major responsibilities of the digestive system include absorption of essential nutrients and elimination of wastes.

Not only do digestive problems have embarrassing and unwanted symptoms, serious, chronic diseases can be caused if the minor problems are not treated.

Some digestive problems are listed below:

GERD: This is a burning sensation that results from acids in the stomach being squirted into the oesophagus. A burning sensation is felt, right from the chest to the end of the throat. Frequent heartburns can lead to GERD (Gastroesophageal Reflux Disease), symptoms of which include dry cough, sore throat, chest discomfort and difficulty in swallowing.
Bloating: This is caused due to the presence of excess gas in the colon, small intestines or the stomach.
Dyspepsia: This is an uncomfortable feeling or pain which occurs in the upper abdominal regions, mostly a result of excess food intake. It is commonly referred to as indigestion. Dyspepsia can be discomforting and if prolonged, medical assistance should be opted for.
Chronic Constipation: Persistent constipation (chronic) is a sign that there is a problem with the elimination of wastes. This usually happens when the colon is unable to move or pass stools. Other major causes of chronic constipation can be changes in your usual diet, various eating disorders, Irritable Bowel Syndrome and excessive consumption of dairy products among others.
Food Intolerance: This occurs when the digestive system is unable to tolerate certain food items. This condition is different from food allergies as it only affects the digestive system. Some of the common symptoms include diarrhoea, headache, gas and vomiting.
Possible Serious Conditions-

A gastroenterologist is a type of doctor that specializes in diagnosing and treating diseases involving the digestive system. If you continue to experience digestion problems, it s time to make an appointment.

More serious signs could mean an emergency medical problem. Those signs include:

bloody stools
continuous vomiting
severe abdominal cramps
sweating
sudden, unintentional weight loss
These symptoms could be an indication of an infection, gallstones, hepatitis, internal bleeding, or cancer.

Medications-

You may be able to overcome digestion problems with treatment and lifestyle changes. Certain diseases of the digestive system might be long-term, but medications can help alleviate symptoms.

Identifying specific digestion problems and talking with a gastroenterologist can go a long way in terms of helping your doctor give you a proper diagnosis. Remember, you don t have to put up with constant digestive issues.

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