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Gastroesophageal Reflux Health Feed

Now I am taking nexpro rd 20 in the morning for my patulous ge junction problem for 2 months, but some side effect like diarrhea, allergy and pimple on back side also seen, I also used pantodac dsr, pan 40 ,for this medicine same case seen, so what is the alternative medicine for my problem as problem not going after stop the medicines. Pls help Me.

Dr.Siddharth Jain 95% (243ratings)
Liver Transplant, Surgical Gastroenterology, Fellowship in Abdominal Multi Organ Transplant Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Gastroenterologist, Delhi
Now I am taking nexpro rd 20 in the morning for my patulous ge junction problem for 2 months, but some side effect li...
If you have a lx ge junction/ gerd recurring after stopping pantaprazole. You will benefit from surgery for gerd.
2 people found this helpful
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Gastrointestinal Surgery - Know Forms Of It!

MBBS, MS - General Surgery, DNB ((Surgical Gastroenterology), Diploma In Laparoscopy
Surgical Gastroenterologist, Mumbai
Gastrointestinal Surgery - Know Forms Of It!

In recent years there has been a rise in gastrointestinal disease due to lifestyle changes. Conditions like irritable bowel syndrome, gastroesophageal reflux disease, nonalcoholic fatty liver, cancer of colon, liver and pancreas have been affecting the young and the elderly equally.

The advancement of medical science has given rise to a series of laparoscopic surgeries relating to gastrointestinal diseases. These surgeries are minimally invasive compared to open surgeries. Let’s have a look at the various forms of gastrointestinal surgeries.

Conditions Cured through Gastrointestinal Surgeries:

Gastrointestinal surgery can be used to prevent and treat the following health disorders.

• Peptic ulcer disease
• Barrett’s Esophagus
• Hiatal hernia
• Radiation bowel injury
• Gastrointestinal tumours
Inflammatory bowel disease
GERD
• Achalasia
• Malignant disease of the pancreas
• Malignant disease of the biliary tract
• Infectious disease of the colon and rectum

Types of Gastrointestinal Surgeries:

Some examples of gastrointestinal surgeries include –

Colon Cancer Surgery – It may involve local excision which is done in the early stage of colon cancer. Here the doctor inserts a cutting tool into the colon to remove the cancerous growth. Colectomy is the next stage that is performed only when the cancer has spread to the nearby tissues.

• Oesophagal Cancer Surgery – It includes esophagectomy or removing the oesophagus partially leaving the patient with the ability to swallow.

• Gall Bladder Cancer Surgery - It involves four stages of treatment namely Cholecystectomy, Surgical Biliary Bypass, Endoscopic Stent Placement and Percutaneous Transhepatic Biliary Drainage. Each procedure is performed at different stages depending on the severity of the condition.

Liver Disease Surgery – Liver disease surgery involves Partial Hepatectomy, Liver Transplant and Ablation used at different stages of cancer.

Pancreatic Cancer Surgery – The four stages of pancreatic cancer surgery includes Whipple procedure, Total Pancreatectomy, Distal Pancreatectomy and Gastric Bypass.

Apart from these open surgeries, the laparoscopic procedures include –

• Laparoscopic Adrenalectomy
• Laparoscopic Appendectomy
• Laparoscopic Nephrectomy
• Laparoscopic Splenectomy

Benefits of a Gastrointestinal Surgery:

• Minimally invasive due to which scarring is less
• Shorter recovery period
• Reduced chances of infection
• Reduced chances of reoccurrence of the disease

Most of these benefits apply specifically to the gastrointestinal surgeries performed using the laparoscopic technique.

With the rampant increase in gastrointestinal diseases among the masses the wide ranges of gastrointestinal surgeries have made treatment and prevention easier and more accessible.

1578 people found this helpful

Gastric Problems - How To Administer It?

MBBS, Diploma Emergency medicine
General Physician, Patiala
Gastric Problems - How To Administer It?

Excessive gas can be defined as bloating, belching, flatulence and burping. It does not matter what you call it but what matters is how you treat it and get relieved from the embarrassing symptoms. 

Here are some ways in which you can avoid gastric problems:

- Avoid eating foods that can cause gas or acidity. The vegetables which are known to cause acidity are Brussels, onions, garlic and broccoli; dairy products like cheese, milk, ice cream and whole grains can cause acidity. The reason is that these products have fibre, starch and sugar which cannot be digested easily thus causing pain in the intestines. Fruit which contains sorbitol and aerated drinks should also be avoided. Eat everything but in moderation.

-  Avoid drinking before meals as the stomach acids are lost and the food cannot be digested well. Water and liquids should be had half an hour after a meal for better digestion.

- Food should be eaten slowly. Eating and drinking fast allows a lot of air to go in the stomach with the food. This, in turn, can cause stomach pain.

- Over the counter, drugs can be taken for immediate help in digestion. These medicines contain enzymes which aid in digestion. The enzyme works to dissolve the sugar that is found in many vegetable and fruit.

- Do not fill air in the stomach. Some habits like chewing gum, drinking from a straw, smoking causes the air to fill in the stomach, thereby, leading to gas.

-  Artificial sweeteners such as Sorbitol should be avoided as these are difficult to digest and can easily lead to a feeling of bloating. 

However, all the pains might not be due to gas and could be a sign of something serious. These could be:

- Lactose intolerance: This is the inability to digest milk and milk products. The sugar in the milk known as lactose and cannot be digested easily. 

- Irritable bowel syndrome: People who suffer from pain in the lower abdomen constantly might be suffering from IBS.

- Colon cancer: If the pain lasts too long then getting a screening done is a good idea to rule out if one is suffering from colon cancer or not.

- Upper gastrointestinal disorders: If one gets belching occasionally then it is alright but constant belching might be a sign of gastrointestinal disorder in the upper tract. These could be gastroesophageal reflux disease (GERD), gastroparesis, or peptic ulcers.
 

2899 people found this helpful

Gastroesophageal Reflux Disease - Know Risk Factors Of It!

Dr.Piyush Ranjan 87% (24ratings)
DM - Gastroenterology, MD - General Medicine, DNB (Medical), MBBS
Gastroenterologist, Delhi
Gastroesophageal Reflux Disease - Know Risk Factors Of It!

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

  • Heartburn
  • Regurgitation of food or sour liquid
  • Dysphagia
  • Sensation of a lump in the throat

Extraesophageal symptoms include:

  1. Coughing and/or wheezing
  2. Hoarseness, sore throat, or
  3. Otitis media
  4. Noncardiac chest pain
  5. Enamel erosion or other dental manifestations
  6. New or worsening asthma
  7. Disrupted sleep

Risk Factors

  1. Obesity
  2. Pregnancy
  3. Hiatus hernia
  4. Scleroderma and systemic sclerosis
  5. The use of medicines such as prednisolone
  6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
  7. A high blood calcium level which can increase gastrin production, leading to increased acidity
  8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

  1. Smoking habit
  2. Eating heavy meals or eating late at night
  3. Eating fatty or fried foods
  4. Drinking certain beverages, such as alcohol or coffee
  5. Medications, such as aspirin
  6. Tight clothes
  7. Increased intra-abdominal pressure

Differential Diagnosis

  1. Heart disease causing chest pain
  2. Laryngopharyngeal reflux OR extraesophageal reflux disease
  3. Infection
  4. Peptic ulcer
  5. Esophageal spasm

Complications

  1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
  2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
  3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
  4. Anemia

How to arrive at the diagnosis?

  • Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
  • Esophageal manometry
  • Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications. Lifestyle modifications include the following:

  • Losing weight (if overweight)
  • Eating small and frequent meals instead of large meals
  • Waiting 3 hours after a meal to lie down
  • Elevating the head end of the bed by 8 inches
  • Avoiding bending or stooping positions

Medications

  1. H2 receptor antagonists (ranitidine, cimetidine)
  2. Proton pump inhibitors (omeprazole, pantoprazole)
  3. Prokinetic agents (aluminium hydroxide)
  4. Antacids (magnesium hydroxide)

Surgery

  1. Transthoracic and transabdominal fundoplication
  2. Placement of a device to augment the lower esophageal sphincter
1334 people found this helpful

Esophagectomy - Know Procedures Of It!

MBBS, MS - General Surgery
General Surgeon, Faridabad
Esophagectomy - Know Procedures Of It!

The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.

Esophagectomy is commonly used to treat oesophageal cancer.

Uses:

Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).

Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.

Some other conditions which require esophagectomy include:

  1. Oesophageal trauma.

  2. Swallowing of cell-damaging, or caustic agents such as lye.

  3. Problematic stomach disorders that make the passage of food to the stomach difficult.

  4. A previously performed esophagectomy was unsuccessful.

Procedures:

There are three ways a surgeon may perform an esophagectomy, which include:

  • Transthoracic Esophagectomy (TTE)

In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:

    • Cancer present only in two-thirds of the oesophagus

    • Barrett’s oesophagus (Abnormal cell transformation in the lower oesophagus)

    • Damage to the oesophagus by swallowing a caustic agent

    • Reflux esophagitis (stomach acids return to the oesophagus) complications

  • Transhiatal Esophagectomy (THE)

In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:

    • To remove the cancerous oesophagus

    • To tighten or narrow the oesophagus in order to make swallowing easier

    • To fix issues in the nervous system

    • To repair frequent gastroesophageal reflux

    • Correct a hole in the oesophagus caused by any caustic agent

  • En Bloc Esophagectomy

In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.

Potentially curable tumours are treated by en bloc esophagectomy.

Outlook:

Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as you stomach size is reduced.

2715 people found this helpful

Heartburn Drug - Can It Lead To Cognitive Problems?

Dr.Sunaina Rohatgi 91% (107ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Delhi
Heartburn Drug - Can It Lead To Cognitive Problems?

If you check the recent scientific studies, then you will come to know that PPI drugs are treated as the popular medicines to treat heartburn troubles but as the side-effect, you will face acute cognitive troubles. Your mental condition might get affected in various ways causing memory or concentration loss, the decrease in brain ability and others. Though, these drugs are very safe but only effectively treating heartburn troubles, especially gastroesophageal reflux disease. 

How Dementia is related with PPI drugs? 
PPI drugs are normally recommended by doctors for treating heartburn issues, but if you are taking these drugs on a continuous basis, then you might face the unwanted signs or symptoms of dementia. This is a hardcore fact, and it has been observed by many reputed researchers of the present age. There are some commonest symptoms that can be observed due to dementia, and some of the prominent ones are as follows:-

1. Beta-amyloid production: Beta-amyloid is a kind of protein and the growth of this specific protein increases to a great extent with the consistent intake of PPI drugs. This protein might lead to an increase in varied dementia signs, out of which the most severe kind of situation is Alzheimer's disease. This disease might get converted into dreadful condition at times, and this is the reason a regular or consistent intake of PPI drugs should be essentially avoided. If you are facing this condition, then you should report about the same to your doctor immediately. This protein is very toxic or harmful to the brain as your mental ability is being adversely affected. 

2. Decrease of vitamin B-12: If vitamin b-12 decreases day by day, then acute mental disturbances will get invited. If you want to avoid this kind of condition, then nothing can be a better option other than avoiding PPI drugs. This is the only reason that doctors never recommend taking these drugs in an excessive limit. In fact, sometimes, these drugs are prescribed along with other potential medicines that can help in maintaining mental health in good condition. If you have got any family history of mental trouble, then you should reveal the same to your doctor so that strong PPI medicines are not prescribed for gastric troubles. In fact, there are few limitations among PPI drugs that are never to be prescribed by doctors and all the doctors should follow the same in a sincere manner.

1613 people found this helpful

Gastroesophageal Reflux Disease - How To Handle It?

Dr.Prashant Saxena 86% (51ratings)
MS - General Surgery, MD - Physician
General Surgeon, Dehradun
Gastroesophageal Reflux Disease - How To Handle It?

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

  • Heartburn
  • Regurgitation of food or sour liquid
  • Dysphagia
  • Sensation of a lump in the throat

Extraesophageal symptoms include:

Risk Factors

  1. Obesity
  2. Pregnancy
  3. Hiatus hernia
  4. Scleroderma and systemic sclerosis
  5. The use of medicines such as prednisolone
  6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
  7. A high blood calcium level which can increase gastrin production, leading to increased acidity
  8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

  • Smoking habit
  • Eating heavy meals or eating late at night
  • Eating fatty or fried foods
  • Drinking certain beverages, such as alcohol or coffee
  • Medications, such as aspirin
  • Tight clothes
  • Increased intra-abdominal pressure

Differential Diagnosis

  1. Heart disease causing chest pain
  2. Laryngopharyngeal reflux OR extraesophageal reflux disease
  3. Infection
  4. Peptic ulcer
  5. Esophageal spasm

Complications

  1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
  2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
  3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
  4. Anemia

How to arrive at the diagnosis?

  1. Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
  2. Esophageal manometry
  3. Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications.

Lifestyle modifications include the following:

  1. Losing weight (if overweight)
  2. Eating small and frequent meals instead of large meals
  3. Waiting 3 hours after a meal to lie down
  4. Elevating the head end of the bed by 8 inches
  5. Avoiding bending or stooping positions

Medications

Surgery

  • Transthoracic and transabdominal fundoplication
  • Placement of a device to augment the lower esophageal sphincter
2665 people found this helpful

Abdominal Disorders - Can Ayurveda Tackle Them?

Dr.Vaidya Akashdeep Gupta 88% (70ratings)
BAMS, PGD PPHC(Post Graduate Diploma in Preventive & Promotive Health Care, NDDY
Ayurvedic Doctor, Meerut
Abdominal Disorders - Can Ayurveda Tackle Them?

If you start sneezing, you know there’s something wrong with your nose. However, if your stomach hurts, there could be a number of factors behind it. The trouble could lie with your stomach, small intestine, large intestine, spleen, liver, etc. The good news is that most of these conditions are fairly easy to resolve. With Ayurveda, you can use things in your kitchen to treat your pain and get immediate relief. Five of the most common abdominal disorders and ways to treat them with Ayurveda are:

  1. Irritable Bowel Syndrome: If you find yourself complaining of nausea, stomach aches, chronic diarrhea or constipation and headaches, you could be suffering from Irritable Bowel Syndrome. According to Ayurveda, this is caused by a buildup of toxins in the body. A simple remedy for this problem is to have a teaspoon of psyllium husk with half a cup of yoghurt after dinner.
  2. Acid Reflux: Acid reflux or Gastroesophageal reflux disease is said to be caused by a dominance of the pitta dosha. Common symptoms of this condition include pain while swallowing and heart burn. To prevent this condition and treat it, you must limit your consumption of alcohol, caffeinated drinks and processed foods. A teaspoon of equal quantities of powdered rock candy, green cardamom and fennel with a glass of cold milk can be a very effective cure.
  3. Food Intolerance: In the case of food intolerances, the ama or toxins in the body can accumulate in the digestive system and keep certain types of foods from being broken down. This, in turn, creates a gas inside the intestines and weakens bowel movement. Many of these allergies can be prevented simply by living a healthier lifestyle. Yoga asanas can also be very helpful.
  4. Constipation: When undigested food accumulates in the digestive system, the vata dosha is impaired. This creates an obstruction and keeps bowel movements from being smooth and regular. To treat this condition, you should eat plenty of fiber rich foods and drink lots of water. Having a tablespoon of castor oil before going to bed can help facilitate bowel movements.
  5. Stomach Ulcers: Ulcers in the stomach refer to eruptions or lesions on the inner lining of the stomach walls. These are typically caused by stress, an unhealthy diet and a bad lifestyle. In most cases, people with elevated vata doshas suffer the most from stomach ulcers. Ayurvedic home remedies for this condition include licorice tea, probiotics, garlic boiled in milk and water and honey.
3195 people found this helpful

Gastroesophageal Reflux Disease - How To Get Rid Of It?

MBBS, DNB ( General Surgery ), DNB - Gastroenterology
Gastroenterologist, Pune
Gastroesophageal Reflux Disease - How To Get Rid Of It?

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

  • Heartburn
  • Regurgitation of food or sour liquid
  • Dysphagia
  • Sensation of a lump in the throat

Extraesophageal symptoms include:

  1. Coughing and/or wheezing
  2. Hoarseness, sore throat, or
  3. Otitis media
  4. Noncardiac chest pain
  5. Enamel erosion or other dental manifestations
  6. New or worsening asthma
  7. Disrupted sleep

Risk Factors

  1. Obesity
  2. Pregnancy
  3. Hiatus hernia
  4. Scleroderma and systemic sclerosis
  5. The use of medicines such as prednisolone
  6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
  7. A high blood calcium level which can increase gastrin production, leading to increased acidity
  8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

  1. Smoking habit
  2. Eating heavy meals or eating late at night
  3. Eating fatty or fried foods
  4. Drinking certain beverages, such as alcohol or coffee
  5. Medications, such as aspirin
  6. Tight clothes
  7. Increased intra-abdominal pressure

Differential Diagnosis

  1. Heart disease causing chest pain
  2. Laryngopharyngeal reflux OR extraesophageal reflux disease
  3. Infection
  4. Peptic ulcer
  5. Esophageal spasm

Complications

  1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
  2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
  3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
  4. Anemia

How to arrive at the diagnosis?

  • Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
  • Esophageal manometry
  • Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications. Lifestyle modifications include the following:

  • Losing weight (if overweight)
  • Eating small and frequent meals instead of large meals
  • Waiting 3 hours after a meal to lie down
  • Elevating the head end of the bed by 8 inches
  • Avoiding bending or stooping positions

Medications

  1. H2 receptor antagonists (ranitidine, cimetidine)
  2. Proton pump inhibitors (omeprazole, pantoprazole)
  3. Prokinetic agents (aluminum hydroxide)
  4. Antacids (magnesium hydroxide)

Surgery

  1. Transthoracic and transabdominal fundoplication
  2. Placement of a device to augment the lower esophageal sphincter
2553 people found this helpful

I need Gastroenterology specially because I suffering from stomach problems. Please suggest to me.

Dr.Col Manoj Kumar Gupta 93% (1818ratings)
MBBS
General Physician, Noida
I need Gastroenterology specially because I suffering from stomach problems. Please suggest to me.
You can visit to any hospital but show to gp first as most of gastric problems are of trivial nature. Need be consult online. Get a usg abdomen.
7 people found this helpful
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