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Digestive Disorders: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The digestive process is complex and takes place in the digestive tract and involves a number of organs. It begins with the esophagus that helps to carry food to the stomach. A number of different organs like the pancreas and the gall bladder produce digestive juices that help to break down the food for digestion. Digestive problems can occur at any stage of the digestive process. Gas is formed as a natural corollary of the digestive process and is passed out through your mouth or through our anus. Some foods tend to produce more gas than others. This is why is important to avoid consuming certain types of food. Unnecessary build-up of gas in the stomach and intestines may cause you to feel bloated. Bloating may lead to serious complications in the future. That is why it should be treated by incorporating some changes in the lifestyle.You can take lactase supplements, alpha-galactosidase, simethicone and probiotics.

Heartburn is caused due to indigestion and can make you feel really uncomfortable. You can avoid fatty and oily foods and aerated drinks if you are suffering from this condition and take some medication. Peptic ulcers cause stomach pain and can cause internal bleeding and may also cause a hole to be formed in the stomach wall. Normally, 10-14 days of antibiotic treatment together with acid reduction therapy works to alleviate this condition. Gallstones are made of cholesterol and bile salts and may require treatment in some cases. Removal of gallbladder can be done through laparoscopy and also via mouth or vagina without any external incision. Other disorders include constipation, diarrhea, hemorrhoids and others.

However for acute digestive disorders, the key treatments are gastric electrical stimulation and islet auto-transplantation for chronic pancreatitis.

How is the treatment done?

Gastric electric stimulation or GES is performed in patients who suffer from gastroparesis due to diabetes or any other cause. This method uses a device implanted in the abdomen to send mini electrical impulses to the smooth muscles and nerves of the lower stomach. Gastroparesis is the condition where the nerves and muscles of the stomach are affected and this delays the emptying of food from the stomach to the small intestine. It can happen in people with diabetes or nervous disorder and sometimes, the cause is not detected.

A pocket-watch size device is inserted in the abdomen by means of a surgery that generally lasts for 2-3 hours. Sometimes surgeons choose to use minimally invasive methods rather than going for an open abdominal surgery. In the former case, a small incision is made and a viewing tube called a laparoscope is used to guide the entire procedure. A neuro-stimulator is implanted in the right side of the abdomen while two insulated wires are implanted in the muscle wall of the stomach. It is then routed under skin to the neuro-stimulator and connected. The wires transmit low-energy electrical impulses to the stomach once the device is activated. The doctor activates and programs the device externally using a hand-held programmer. The doctor can adjust the frequency and energy of the nerve impulses according to the requirement of the patient. Most people, however, do not feel the electric impulses.

Chronic pancreatitis requires auto-islet transplantation after a total pancreatectomy which is the removal of the entire pancreas. Chronic pancreatitis is a serious condition which causes inflammation of the pancreas that worsens over time and leads to permanent damage. It gradually impairs a patient’s ability to digest food and make pancreatic hormones. During islet autotransplant, the patient’s own cells are kept separate from the pancreas. They are put back when the patient starts receiving insulin.

Who is eligible for the treatment? (When is the treatment done?)

GES or gastric electrical stimulation is done when a person is diagnosed with gastroparesis due to diabetes or some other unknown cause. It can also be done if someone is suffering from chronic nausea, vomiting or both.

This treatment can also be initiated if a person has not responded to medication or if/she is intolerant towards medication. It should also be kept in the mind only those people capable of undergoing surgery should be given gastric electrical stimulation.

Those people who suffer from chronic pancreatitis are eligible for islet autotransplantation. Furthermore, if you have to take medication to treat other forms of digestive disorders, it is always good to consult a doctor first.

Who is not eligible for the treatment?

Gastric electric stimulation can only be undertaken by those patients who have the ability to withstand a surgery. People without such physical tenacity are not eligible for this treatment.

Islet autotransplantation for the treatment of chronic pancreatitis involves pancreatectomy. This procedure can induce permanent diabetes due to its effect on insulin. Thus people with diabetes or people at risk of developing diabetes should refrain from undertaking this treatment.

Are there any side effects?

Heartburn patients are generally prescribed H2 blockers which reduces the amount of acid that a stomach intakes. However, there are a number of side-effects of consuming H2 blockers: they can cause constipation, diarrhea, headache or nausea and vomiting. Islet autotransplantation involves the complete removal of the pancreas. This exposes the patient to the risk of developing permanent diabetes. A patient will then have to take insulin shots or to use an insulin pump for the rest of their lives. Gastric electrical stimulation may cause pain at the implant site, infection, stomach wall perforation, lead obstruction of intestines, lead/device problems and lead penetration, irritation, inflammation, uncomfortable stimulation, tissue damage and others.

What are the post-treatment guidelines?

Gastric electric stimulation helps to reduce symptoms of chronic intractable vomiting and nausea related to gastroparesis. But it is not a complete cure in itself for gastroparesis. It helps to reduce symptoms but patients generally need to take medication and follow a special diet to control the symptoms even after undergoing this surgery. Islet autotransplantation may induce permanent diabetes in some people. Those people will have to take insulin shots or will have to use an insulin pump for the rest of their lives.

How long does it take to recover?

Most patients are discharged within 1-5 days of gastric electrical stimulation procedure. However, as this surgery is not an end in itself, a person will have to go to the doctor for regular check-ups. Other digestive disorders like gas, heartburn, constipation and diarrhea may be treated within a time span of a few hours to a few days with the help of proper medication and a proper diet. The islet autotransplantation procedure is complex and a person may require quite some time to recover.

What is the price of the treatment in India?

Common digestive disorders like heartburns, gas, constipation or diarrhea can be effectively treated with the help of some medicines which do not cost much. Medicines for indigestion and heart burn are available within a price range of Rs 50-100. However, islet transplantation for treating acute pancreatitis is expensive and may cost about 10,00,000 – 12,00,000 rupees. Gastric electric stimulation may cost around 6 lakh rupees in India.

Are the results of the treatment permanent?

Common gastric disorders like gas, constipation, diarrhea and heartburms are more often than not the result of lifestyle irregularities. Thus there is seldom a permanent solution to such problems. Gastric electric stimulation is not an end in itself and patients will require medication and routine check-ups to keep the symptoms of gastroparesis at bay. Islet transplantation procedure may cause to reduce chronic pancreatitis but it tends to have a lot of side-effects.

What are the alternatives to the treatment?

There is no such alternative to islet autotransplantation as these method is adopted only when all other options fail. Chronic gastric stimulation is used to treat gastroparesis. Alternative methods to treat gastroparesis may include changes in the diet of the patient and medications. Such medications like metoclopramide and erythromycin can be used to stimulate the stomach muscles. Other drugs that help to contain nausea and vomiting may include prochlor perazine and diphenhydramine.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range: Rs 300000 - 550000

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Stomach Inflammation - 5 Ways To Get Relief Quickly!
Do you feel bloated like a whale? Do you have a burning sensation in your stomach that makes you want to bend over constantly? This inflammation of your stomach could be caused by a number of reasons. One of the most common scenarios can be that you may have had a little too much to drink the last night or eaten too much spicy food or just eaten something that may have inflamed your stomach. Worry not, stomach inflammation can be easily treated. Here are a few home remedies that can help: Probiotics: Ever wondered why your grandmother told you to eat a bowl of curd if your stomach was out? Curd is rich in probiotics. These introduce good bacteria to your digestive system and help improve digestion. They also aid in regulating bowel movements and speed up the healing process. Apart from curds, foods such as kefir, Kimchi, and kombucha are also rich in probiotics and can help relieve the inflammation to a great extent. Green tea: Amongst other things green tea also helps soothe the digestive system. It also improves digestion. Studies have shown that drinking a cup of warm green tea even just once a week can make a significant difference for gastritis patients. To improve the taste, you could add a spoonful of honey to the tea. Honey also has a number of potential health benefits for your digestive system. Eat smaller meals: Eating heavy meals with large gaps between them can be one of the major causes of inflammation. So, if you ve been suffering from recurring gastritis attacks, consider eating smaller meals with shorter gaps between them. Also, pay attention to what you re eating. Avoid foods that make you feel bloated and that are difficult to digest. If you do not know what foods trigger such a response, start maintaining a food journal. This will help you identify the foods that don t suit your digestive system. Garlic Extract: Garlic has a number of health benefits. This herb is also great for an upset stomach. Garlic extract can help remove H. pylori from your stomach. This is the strain of bacteria most commonly responsible for stomach inflammation. To benefit from this crush a few pods of raw garlic and drink a teaspoon of the juice extracted. Alternatively, you can buy garlic extract from an Ayurvedic store. Ginger: Ginger also has antibacterial and anti-inflammatory properties that can help treat stomach inflammation. To benefit from this chew a piece of raw ginger followed by a glass of water. Alternatively, boil a piece of ginger with water and milk; drink this tea to get relief from inflammation.
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Amazing Benefits of Cucumber Salad With Food!

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Taking a balanced diet not only helps in maintaining overall health also helps in curing indigestion. The right mix of carbohydrate, protein, water, fat, vitamin, salt and fiber is important for the body to function well. Apart from maintaining a healthy diet, it is also essential to refrain from food that triggers indigestion. Here is a list of worst food for digestive health: 1. Dairy Products: Dairy Products contain a protein called the casein. This protein can be highly allergic and inflammatory. Its strong insulin response can hold up fat and makes someone look fatter than his usual self. Lactose, the carbohydrate found in milk is extremely difficult to digest. If you are lactose intolerant, you should make it a point to stay away from dairy products such as kefir and yogurt to ensure smooth digestion. 2. Gluten: This protein molecule is found in barley and wheat. Gluten is extremely difficult to break and has the capability to create a lot of damage. The unbroken molecules of gluten cause inflammation and bloating. People, who have GI issues, should definitely eschew gluten to ensure food digestion. 3. Sugar: Patients suffering from indigestion should stay away from sugar related products such as candy, cake and crackers. Intake of sugar product increases the rate of inflammation, feeds harmful bacteria and suppresses the immune system. No wonder it is one of the worst food to consume, if you are suffering from indigestion. 4. Fake fats: Fake fats are extremely difficult to digest and make the cell membranes more rigid. It can also show symptoms such as cramps, loose stools and bloating. 5. Gums: Guar and xanthan gum are proved to be responsible for causing colitis. People with bowel disease are strongly suggested to stay away from gums and thickeners in order to avoid indigestion. 6. Soy: Soy possesses protein inhibitors. It is an enzyme that restricts digestion. The carbohydrate content of the soy does not get recognized by the GI system. This leads to bloating, cramps and gas. 7. Nightshade vegetables: Vegetables such as potato, bell pepper and tomatoes contain a compound called solanine. The latter is known to be responsible for indigestion. People with a compromised GI should not consume these vegetables at all. 8. Red Dye: May fast food item contain a red dye which is known to decrease the production of energy, disturb nerve signaling and is an inflammatory agent. 9. Sweeteners: Fake sweeteners show GI symptoms such as bloating and gas. Replacing this with sugar is not at all a good idea since it causes indigestion over a period of time. 10. Legumes and beans: Legumes and beans contain compounds called saponins and lectins respectively. They are a major cause of a leaky gut and inflammation.
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Popular Questions & Answers

My son is facing gum in stool for last 4 days, he is going motion daily 10 times some times like water and some times normal, and he is getting stomach pain some times, I am using o2 antibiotic and vizylac, but the problem is still occurring, what should I do.

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Hello, your son is suffering from amoebic dysentery, Give him bhel sharbath or bhel candy and liver tonics Let him have more n more liquid diet.

Sir, m jo bhi kuch kha lu lekin mujhe kuch bhi khaya piya nhi lgata h aur toilet jana padta h bar bar m kai bar doctor ko dikha chuka hu lekin har bar vo dawai change kr deta h.

Dr. Jayvirsinh Chauhan 97% (7857 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi Gulshan... Vese bhi allopathic davai kitni bhi Lelo isme koi fark nahi padega... Homoeopathic treatment karvaye... Iska Sabse best ilaj bahi he...

Am suffering from gas, not digesting properly daily three to four times going to washroom. Can you please suggest me what should I do?

Dr. Jayvirsinh Chauhan 97% (7857 ratings)
MD - Homeopathy, BHMS
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you should consult for homoeopathic treatment.. Now it is indigestion which in future can become serious problems... And alloapthic treatment is never curative... Better take homoeopathic treatment properly.. you can consult me through lybrate.. Tillt hen you can start with natrum Phos 6X tds..

I have digestive system problems, gases,bloating, constipation and early signs of piles. Please refer me patanjali products, effective and convenient.

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Dear Mr. lybrate-user You have problems with your liver it seems. In order to improve your metabolism you need to do certain primary care such as 1. Drink butter milk along with jeera and dhania powder adding little bit of hing morning and evening 2. Bite a small piece of adrak dipped in common salt chew it well 20 minutes before meals. 3. Drink warm water 4. Take meals only if you are hungry Please contact privately for medicines.
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