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Hi Sir, What is the precise diet for ibs? I'm having frequent episodes of diarrhea. Cannot take milk & wheat items.

Hi Sir, What is the precise diet for ibs?
I'm having frequent episodes of diarrhea.
Cannot take milk & wheat items.
Warm wishes be on bland diet like porridge consumption of fruits and juices like pomegranate vegetables salad like cucumbers can help you to heal and over come the problem.
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Hi, I have indigestion and stress problem my doctor said I have IBS he suggested me pantakind flux daily in the morning, gifaxin 400 in morning and knight, gut ok at knight, ava at night, and etizola 0.25. When I take gifaxin 400 my food does not digest feeling heavy on chest. Please tell me is it gifaxin side effect?

Hi, I have indigestion and stress problem my doctor said I have IBS he suggested me pantakind flux daily in the morni...
Gifaxin tablet side effects vomiting headache dizziness nausea. Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit (eat whole fruit not juice), a cup of curd/milk etc 5. Take simple food like rice n dal in dinner. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc.For more details, you can consult me.
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Bowel Resection Surgery - How Is It Performed?

Bowel Resection Surgery - How Is It Performed?
The bowel is a very important part of your body within the digestive system as it plays a vital role in the absorption of nutrients and minerals within your body as well as excreting toxic matter. The bowel contains the small bowel or small intestine as well as the large bowel or the large intestine. However, parts of the bowel may be infected or damaged in such a manner that they may need to be removed in order to save further worsening. Thus, the removal of sections of the bowels is known as bowel resection surgery.

How is bowel resection surgery performed?

In this procedure, sections of either the large intestine or the small intestine are removed which have either become diseased, infected or have malignant growths within them. The doctors and surgeons first identify the sections that need to be removed and then perform the surgery wherein a section of the tissue is excised and then two ends of the bowel are stitched together to form a new section of continuous small intestine or large intestine.

Types of bowel resection
There are two types of bowel resection, namely small bowel resection performed on the small intestine and large bowel resection performed on the large intestine. The indications for both of them are mentioned below:
Small Bowel resection: Some of the cases wherein small bowel resection may be required are as follows:

Cancerous or benign polyps or growth
Precancerous growths and polyps
Damage to the small intestine due to injuries
Congenital defects in the small intestine
Blockages in the intestine
Growth of ulcers, bleeding, and infection within the small intestine
Infections within the intestines
Other disorders of the small intestine
Large bowel resection: Large bowel resection is also carried out due to many of the same reasons as mentioned above. However, some of the specific reasons for large bowel resection are mentioned below:

Colon cancer
Diverticulitis, disorder that specifically affects the large intestine
Bowel inflammation or ulcerative colitis
Abnormal twisting of the bowel also known as volvulus
Intestines which slide into another section of the intestine; also known as intussusception
Risks of the bowel resection
Like any other surgery, bowel resection also carries its own risks just as any other form of surgery. Some of the common risks of bowel resection are

Adverse reaction to anesthesia
Heart attacks or strokes during the operation
Excessive bleeding among others
Specific risks for large and small bowel resections are mentioned as follows:

Small bowel resection: Certain common risks include accumulation of pus in the abdomen, internal bleeding within the intestine after surgery, diarrhea, infection of the incision area and the stitched area breaking open among others
Large bowel resection: In this case, tissues protruding through the cut causing an incisional hernia is the most common element of risk. Nearby organs may be damaged as well; scar tissue, problems with the passage of material within the colon among others are some of the other complications.
However, these issues occur rarely and resections are performed very successfully and quite regularly by surgeons.
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Stomach Cancer - Know The Symptoms & Causes Of It!

Stomach Cancer - Know The Symptoms & Causes Of It!
Cancer is one of the most fatal diseases in the world. Stomach cancer is also known as 'Gastric cancer'. Like other diseases, it is crucial that it gets identified in the early stages and gets treated before it reaches the incurable stage. Like other forms of cancer, the exact cause of stomach cancer is still not yet known. However, certain things make stomach cancer more likely to happen.

The possible causes of stomach cancer are given below:

Some of these causes apply to nearly all forms of cancer. However, some of them only apply to stomach cancer.

Bad diet
Stomach surgery for an ulcer
Type-A blood
Epstein-Barr virus infection
Exposure to certain materials in certain industries
Helicobacter pylori bacteria
Some of the symptoms of stomach cancer are:

Stomach cancer like all other forms of cancer has various stages and it is crucial that it is diagnosed in the early stages so that the progression of it is stymied. At first, the symptoms of stomach cancer include indigestion, loss of appetite, slight nausea, heartburn and the feeling of being bloated after a meal.

However, indigestion and heartburn, doesn't always mean that you have stomach cancer, but if these conditions persist, you should visit a doctor to rule out the possibility of stomach cancer.

The growth of the tumor in your stomach can lead to various serious symptoms too, such as:

Stomach pain
Blood in your stool
Weakness or exhaustion
Diarrhea and constipation
Weight loss for no apparent reason
Swelling in your stomach
Trouble in swallowing
Eyes and skin turn yellowish
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Ulcerative Colitis - How To Avert It?

Ulcerative Colitis - How To Avert It?
Ulcerative Colitis is one of the severe and chronic forms of Inflammatory Bowel Disease (IBD) that can throw life in jeopardy. The condition that mainly affects the rectum and the large intestine can cause severe inflammation, ulceration, and abscess formation. The ulceration or the inflammation of the colon and the rectum left unattended for too long can give rise to deleterious consequences including damage and perforation of the colon, osteoporosis. Various studies also suggest that ulcerative colitis can increase the risk of a person suffering from colon cancer.

Like most of the IBD, there is no definite cure for ulcerative colitis. The illness is a chronic condition and can flare up or recur at any point in time. Though medications may help to control the damage and the complications triggered by ulcerative colitis, surgery may be essential in case of

Severe damage to the colon.
The nonsurgical treatments could do little to improve the conditions.
There is an increased risk of colon cancer.
Ulcerative colitis has resulted in Toxic megacolon (a life-threatening condition where the large intestinal muscles have dilated with some swelling).
There are extreme discomfort and bleeding.
Surgeries to deal with Ulcerative Colitis

In the case of Ulcerative Colitis, the nature of the surgery depends on the extent to which the colon or the rectum or both have been affected and damaged.
In the case of extensive damage with a high risk of colon cancer, the surgeon may perform Proctocolectomy or colectomy
Colectomy may involve
Removal of all of the colon- Total Colectomy
Removal of the diseased part of the colon- Partial Colectomy.
Following the excision, the surgeon may carry out necessary rearrangements to reconnect the remaining portion of the colon to the abdomen through an opening known as stroma (the procedure is known as colostomy).
In the case of Total Colectomy, the small intestine will be connected to the abdomen by a process known as Ileostomy.
Proctocolectomy involves the removal of both the rectum and colon to avoid further aggravation.
Following the proctocolectomy, the surgeon may carry out Ileoanal Anastomosis (Ileal Pouch-Anal Anastomosis). In this procedure, a pouch is created using a small part of the small intestine. This pouch is then connected to the anus to help in the elimination of the wastes.
General precautionary measures to control Ulcerative Colitis
Making healthy lifestyle and dietary modifications can go a long way to control ulcerative colitis and the associated symptoms.

Spicy foods can worsen the incidence of ulcerative colitis. Enrich your diet with lots of fruits, vegetables (squash, avocados, fish (especially salmon and tuna), meat, dairy products, olive oil, walnuts, flaxseed oil, almonds.
Make sure the diet is a low-fiber diet.
Avoid alcoholic and caffeinated drinks and beverages, foods high in sulfur content, refined sugar.
Research suggests stress and lack of physical activities can aggravate the ulcerative colitis. Mediation and daily exercise can produce fruitful results.
Make sure your sleep is not compromised (6-8 hours daily).

Bariatric Surgery - Know Forms Of It!

Bariatric Surgery - Know Forms Of It!
Bariatric surgery is a procedure that involves modifications to the digestive system so that the food intake can be restricted or the nutrients absorbed by the body is reduced. This surgery is recommended when exercise and diet may not cause the desired results with weight loss.

Bariatric surgery is a group of surgeries that are a procedure to reduce weight in the body.

The various types of surgeries that come under this category are -

1. Gastric bypass - The most common bariatric surgery, gastric bypass is a procedure used to reduce the size of the stomach pouch in the body. Once the size is reduced, it leads to reduced consumption of calories. This procedure also causes alterations in the behaviour of the gut hormones resulting in appetite reduction.
2. Adjustable Gastric band -This procedure involves placing an inflatable band around the upper stomach to make a small stomach area above the band. This causes one to feel full just after eating a small amount of food.
3. Sleeve gastrectomy - in this procedure, almost 80% of the stomach area is removed surgically, resulting in a small stomach pouch being left. It reduces the stomach size which causes an overall reduction in the number of calories. Modifications also occur in the behaviour of the gut bacteria linked with reduced appetite.
4. Biliopancreatic Diversion with Duodenal Switch - This procedure involves surgical removal of a large area of the stomach along with bypassing a major portion of the smaller intestine. This procedure may reduce fat absorption of up to 70%. The behaviour of the gut hormones changes resulting in a decrease in appetite and improved satiety.


Various complications may result from this surgery such as -

1. May cause infections in the body
2. Clots may form in the blood
3. It can result in bowel problems
4. Ulcers can form in the stomach
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Crohn's Disease - Know More About Its Causes, Types And Symptoms!

Crohn's Disease - Know More About Its Causes, Types And Symptoms!
One of the more severe illnesses included in the larger group of diseases known as inflammatory bowel disease (IBD), Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and young adults.

Crohn's disease is subdivided into five types, each having its own set of symptoms:

1. Ileocolitis - The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease - People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's colitis - This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
4. Ileitis - This type affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis - In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Despite the uncertainty as to the nature of the specific causes of Crohn's disease, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors, such as:-
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

The primary symptoms of Crohn's disease include the following:
1. Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
2. In rare cases, there may be blood in your stool.
3. In more intense cases, you may even develop a fever.
4. Cramping and intermittent belly pain.
5. Anemia, due to a reduction in iron levels caused by bloody stools.
6. Weight loss.
7. The erratic appearance of small tears in the anus called anal fissures.
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I was not emptying my bowels at all so my gynic gave me lactulose solution taking that for three days. Yet I am emptying very little of the stools with a lot of strain. Please help what should I do next?

I was not emptying my bowels at all so my gynic gave me lactulose solution taking that for three days. Yet I am empty...
Please check your thyroid levels periodically and titrate the medication take plenty of water with proper spacing every one hour and eat fruits daily.
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Hello mam, mere brother ko spleen jada badh gaya hai jo ki doctor bol rahe hai ki cancar huwa hai. Aap batye ki spleen hat sakta hai ki nhi.

Spleen enlargement kafi sare karani se hota hai jaise ki anemia ,malaria ,congestive heart disease ,sickle cell anemia jo ki proper dawa lene se kam ho jata hai.
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I wake up very early in the morning to rush to the wash room to clear my bowels why is it so ,what do I do it disturbs my sleep.

I wake up very early in the morning to rush to the wash room to clear my bowels why is it so ,what do I do it disturb...
If you want to treat it permanently thn take constitutional medicine for 3 month thn you will feel better. For proper casetaking and prescribe a suitable medcine consult with me.
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