If you have a temporary colostomy, you'll need another operation to reverse it at a later date. A colostomy reversal will only be carried out when you're in good health and have fully recovered. This will usually be at least 3 months after the initial colostomy surgery. The reversal may need to be delayed for longer if you need further treatment, such as chemotherapy, or
you have not recovered from the original operation. But there's no time limit for having a reversal, and some people live with their colostomy for several years before it's reversed. Reversing a loop colostomy is a relatively straightforward process. A cut is made around the stoma so the surgeon can access the inside of your abdomen. The upper section of your colon is then reattached to the remaining
section of your colon. An end colostomy can also be reversed, but involves making a larger incision so the surgeon can locate and reattach the 2 sections of colon. It also takes longer to recover from this type of surgery and there's a greater risk of complications. Most people are well enough to leave hospital 3 to 10 days after having colostomy reversal surgery. It's likely to take some
time before your bowel movements return to normal. Some people have constipation or diarrhoea, but this usually gets better with time. You may have a sore bottom after the reversal, but this should improve as you get used to pooing through your anus again. After every bowel movement, it may help if you: Avoid using baby wipes, talcum powder or scented toilet tissues as they can cause further irritation. Other possible problems include needing to go to the toilet more often or more urgently than usual, farting (flatulence), and some
bowel incontinence or leakage. Although a colostomy reversal is usually a smaller procedure than the initial colostomy operation, it still takes several weeks to recover and return to normal activities. Your digestive system may be sensitive after a colostomy reversal. It may help to avoid eating large meals and eating late at
night, and to eat little and often. Certain foods are also more likely to irritate the gut. It may help to limit or avoid: Gradually you can go back to eating a normal and healthy diet. Page last
reviewed: 16 September 2020
We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the use of cookies. Copyright © 2022 Elsevier B.V. or its licensors or contributors. ScienceDirect® is a registered trademark of Elsevier B.V. ScienceDirect® is a registered trademark of Elsevier B.V.  According to the American Cancer Society, colorectal cancer is the third most common cancer in the US. While we have seen a drop in colorectal cancer cases since the 1980s, lifestyle and regular colonoscopy screenings may contribute. A colonoscopy is a diagnostic and preventive tool that examines the inside of the rectum and colon. It’s a beneficial tool everyone should undergo at some point during their lifetime. Here’s when a colonoscopy may be recommended, You Turned 50Was this year the big five-o? If so, you may have been told by your general doctor that you should start adding a colonoscopy to your preventive health routine. Since colorectal cancer risk increases with age, it’s essential that you don’t put this simple procedure off. Healthy individuals at low risk for colorectal cancer will want to turn to their gastroenterologist at age 50 (unless your doctor tells you otherwise). Both men and women will need to undergo this preventive screening. If the results are normal, you won’t need to return for another routine colonoscopy for ten years. You’re 45 with Risk FactorsSuppose you have risk factors predisposing you to colorectal cancer, such as a family history of cancer or a personal history of inflammatory bowel disease (e.g., Crohn’s disease or colitis). In that case, your gastroenterologist may recommend that you start getting routine colonoscopies beginning at age 45 (in some cases, they may even recommend age 40). You Develop Digestive ProblemsIf you’ve noticed persistent bowel changes such as blood in the stool, weakness, fatigue, sudden weight loss and abdominal pain, these could all be signs of colorectal cancer. They can also be signs of other digestive problems that a colonoscopy can easily help your GI doctor detect. A colonoscopy can help detect bleeds, obstructions, inflammation, infections, ulcers and more. We can even remove polyps, stop bleeds and remove obstructions during this procedure. Remember, getting routine colonoscopies starting at age 50 (or earlier) could save your life. Call your gastroenterologist today to schedule an appointment and be proactive about your health. A colonoscopy is an important screening and diagnostic tool. Yet about one in three adults between 50 to 75 have not gotten tested for colorectal cancer. A colonoscopy is the most reliable and effective way to catch colorectal cancer early, and yet people aren’t turning to their gastroenterologist as they should. Here’s what you should know about a colonoscopy, including when you need to start getting these screenings regularly. What is a colonoscopy?This diagnostic exam is the best way for a gastroenterologist to check the health of your gastrointestinal tract. They use a small scope with a camera attached and direct it into the rectum and gently through the colon (lower intestinal tract). The camera allows them to look for polyps or other symptoms of colorectal cancer. This is the most effective way to detect colorectal cancer, and even healthy individuals can benefit from colonoscopies. When might someone need a colonoscopy?There are many reasons why a colonoscopy may be recommended. Here are some of the top reasons to turn to your gastroenterologist for a colonoscopy. You just turned 45 years old: Is it your 45th birthday? If so, you may want to add a colonoscopy to your routine preventive health care. These screenings are the best way to protect you against colorectal cancer, and both men and women should get them. You are genetically predisposed: If you have a personal or family history of colon polyps or colorectal cancer, you will most certainly want to get colonoscopies more often. When you come in for a consultation, we will be able to determine just how often you should come based on your risk factors and the results of past colonoscopies. You're dealing with gastrointestinal issues: If you are dealing with rectal bleeding, abdominal pain, unexplained weight loss, or other gastrointestinal problems, then a colonoscopy may be the best way to detect the cause of your symptoms. If we find any polyps or suspicious growths during your colonoscopy, we can often remove them and biopsy them during this procedure. Whether you have questions about getting a colonoscopy or you need to schedule your upcoming colorectal screening, a gastroenterologist is going to the medical specialist you’ll want to turn to for this test. Protect your colorectal health with this simple procedure. A gastroenterologist is a medical specialist who diagnoses and treats conditions and disorders that impact the gastrointestinal tract including the liver, gallbladder and intestines. If you are dealing with digestive problems, a GI doctor is probably going to be the best doctor to turn to. Here’s when you could benefit from seeing a gastroenterologist, You’re Experiencing Persistent HeartburnDealing with heartburn two or more times a week? If so, your heartburn could actually be a sign of something more serious known as gastroesophageal reflux disease (GERD). Untreated GERD can increase your risk for esophageal cancer so it’s important that you turn to a qualified GI doctor for the proper way to treat heartburn symptoms. If you are dealing with recurring heartburn, using over-the-counter medications regularly is not the answer. A gastroenterologist can help. You’re Noticing Abnormal Bowel IssuesWhether you’re dealing with diarrhea, constipation or a mix of both, we all know that these issues can be uncomfortable and embarrassing; however, it’s important to recognize when these are issues that warrant seeing a gastroenterologist. If you’re experiencing constipation or diarrhea that lasts for more than a couple of days, or if you’re experiencing dehydration due to diarrhea, you should turn to a GI doctor. You Experience Rectal BleedingRectal bleeding may be caused by more minor issues such as a fissure or hemorrhoids but it may also be a sign of internal bleeding. The color of the blood can give you a clue as to where the bleed is coming from. For example, dark blood often comes from the upper GI tract and may be caused by inflammation, gastroenteritis or ulcers. If blood is bright red this typically comes from the lower digestive tract and may be caused by polyps, inflammatory bowel disease, hemorrhoids or rectal prolapse. If you notice frequent or heavy rectal bleeding, you should see a gastroenterologist right away. You Turned 50 Years OldEveryone, regardless of risk factors, should turn to a gastroenterologist for routine colonoscopies. A colonoscopy is the best way to detect early signs of colorectal cancer (a gastroenterologist can even remove polyps during this standard procedure). If you are at an increased risk for colorectal cancer, you should talk to your GI doctor about getting colonoscopies starting at 45 years old. No one wants to deal with digestive difficulties. If you are dealing with any of the situations above, a gastroenterologist can help you make sense of what’s going on and provide you with the treatment you need to feel better. You are getting ready to sit down to dinner and realize it’s taco night. While this would make most people jump for joy, if you suffer from heartburn then the idea of eating anything spicy may preemptively make your chest hurt. You want to enjoy your favorite foods but you know you’re going to pay for it later. If this sounds like you, a gastroenterologist can provide some simple solutions for how to tackle your heartburn. Treating Heartburn YourselfBefore turning to a gastroenterologist you may wish to try controlling heartburn on your own. There are some simple lifestyle approaches you can take to manage mild to moderate heartburn symptoms such as,
Nothing Seems to Be Working. Now What?If these habits don’t improve your heartburn, then it’s time you turned to a gastroenterologist to figure out what is going on and how to treat this problem. Often, a prescription medication like a proton pump inhibitor or a stomach acid reducer is better equipped to target your symptoms and reduce stomach irritation than over-the-counter remedies. Plus, over-the-counter heartburn medications might be great for treating the occasional bout of heartburn, but shouldn't be used more than twice a week. If you find yourself dealing with heartburn two or more times a week, then this is also a sign to see a gastroenterologist. Keeping a diary while making these simple lifestyle changes is a great way to determine what helps your symptoms and what makes them worse. If you do keep a heartburn diary be sure to bring it with you to your doctor's appointment so your gastroenterologist can gain as much insight into your heartburn issues as possible. If you’re suffering from heartburn and can’t seem to manage your symptoms on your own then it’s time you turned to a gastroenterologist who can figure out whether you could have GERD. If left untreated, GERD could lead to more serious complications, so it’s important to get evaluated by a medical specialist. When is a colostomy needed? A colostomy may be something that’s needed for only a short period while other individuals may require a colostomy bag for life. When the colon doesn’t work properly or the bowels need time to heal, a colostomy bag can ensure that stool passes through an opening in the colon and into the bag rather than through the anus. Conditions or health problems that may require a temporary colostomy include:
A permanent colostomy may be necessary for advanced stages of colorectal cancer or untreatable fecal incontinence, or when part of the rectum or anus needs to be removed (often due to disease). A colostomy is a surgical procedure performed by a gastroenterologist or gastric surgeon in which they create an opening in the abdominal wall (known as a stoma) through which a colostomy bag can be connected. When stool passes through the colon it will no longer exit through the anus but instead through a colostomy bag. Do I always have to wear my colostomy bag? Today, clothes can very discreetly hide a colostomy bag so this shouldn’t be a problem and most people feel comfortable wearing their colostomy bag all the time for peace of mind; however, in some instances, you may be able to detect when you’re going to have a bowel movement, and you may decide to use your colostomy bags only during these times. Can you reverse a colostomy? If your colostomy was temporary, your gastroenterologist will discuss the reversal process with you. You will continue to come in for routine checkups and monitoring after your colostomy to determine the best time for a reversal. In most cases, it can take several years before a reversal surgery is performed and your health will be a determining factor in whether this surgery is right for you. If you have questions about colostomy bags, how they work, or how to care for them, call your gastroenterologist today. They can provide you with the information you need to make living with a colostomy bag easier. What are the symptoms of infectious colitis? People dealing with infectious colitis may experience,
What puts someone at risk for developing infectious colitis? If you work in a daycare or nursing facility you may be more at risk for contracting infectious colitis. If you aren’t diligent about handwashing, particularly after using the bathroom, you could also be at risk. You can also become infected by simply consuming contaminated water or foods (common for travelers). Those with weakened immune systems are also more likely to develop infectious colitis. How can I prevent infectious colitis? Make sure that all utensils and cooking spaces are properly cleaned and disinfected. Cross-contamination can also occur when bacteria from raw meat and its juices come in contact with other foods (such as on cutting boards). Never eat raw meat and make sure to thoroughly cook meat. You should also wash your hands regularly and practice good hygiene. How is infectious colitis treated? To determine if you have infectious colitis, and to rule out other gastrointestinal problems, your gastroenterologist will most likely take a stool sample to look for the presence of bacteria or a parasite. A colonoscopy may also be necessary to look at the colon to detect inflammation or to spot other problems that might be going on. The medication that your gastroenterologist provides will depend on the cause of your infection. For example, a bacterial infection can be treated with antibiotics while a parasitic infection will need to be treated with an antiparasitic drug (which may include the use of an antibiotic or antifungal medication). Viral infections will often clear up on their own without treatment. If you are experiencing severe or persistent diarrhea or other bowel changes, it’s important that you don’t ignore these symptoms. Turn to a gastroenterologist right away for a proper evaluation. Celiac disease is an autoimmune disorder that can seriously damage someone's internal organs. Celiac disease occurs when someone's immune system is triggered by the ingestion of gluten, leading to an immune response in the small intestine. In this sense, celiac disease behaves much like an allergy to gluten, although with some serious damaging side effects. Over time, the continuous response to gluten leads to damage in the small intestine lining. This can then prevent the small intestine from absorbing nutrients, also known as malabsorption. Some people with celiac disease won't know until they've already experienced damage to their small intestine. Celiac disease can have symptoms including:
Celiac Treatment and Diet The treatment for celiac disease is a major change in diet and lifestyle. A celiac-friendly diet consists of eating gluten-free foods to prevent the autoimmune trigger of celiac disease. These include eating everyday foods like:
Although it doesn't seem like it, many grains are naturally gluten-free and can be readily enjoyed by people with celiac disease. These include:
Beverages are also mostly gluten-free, including sodas and juices. Wine is also considered gluten-free, especially wine that has been fermented in barrels lined with wheat paste. Beer lovers can also enjoy several gluten-free beer brands. Whatever foods someone chooses to ingest, it's important to first research whether it is gluten-free, or less than 20 parts per million of gluten according to the FDA standard. People with Celiac disease should avoid foods that include:
A quick internet search can lead to online recipes that can help you or a loved one follow a celiac-friendly diet. Some great resources are the Celiac Disease Foundation and the National Celiac Association. The bottom line is this: if it has gluten or if you're unsure whether a portion of food has gluten, avoid it! Luckily, there are many brands of foods that are gluten-free, and everyday foods can be delicious and still be part of a celiac-friendly diet. Understanding the Purpose of a Stool Softener vs. all Laxatives A laxative defines any medicine that facilitates a bowel movement which includes a broad range designed to treat varying levels of severity. A stool softener is a mild (OTC) over-the-counter laxative used to soften the stool for easier passage and less strain. Its use is recommended for temporary, less chronic constipation. Stool softeners work naturally with the body and are better tolerated with fewer side effects. Stronger laxatives such as stimulant laxatives are more appropriate for more severe symptoms. Unlike stool softeners which merely add moisture to the stool to allow for easier movement, stimulant laxatives treat more acute and chronic constipation by directly stimulating nerves in the large intestine. They work faster to bring relief yet can cause side effects such as dehydration, nausea, vomiting, and abdominal cramping. Identify Your Symptoms First It’s important to understand the symptoms and severity of your constipation before choosing a particular laxative. If you are suffering from symptoms such as abdominal bloating, rectal pain, and a frequency of fewer than three bowel movements per week, you may be a candidate for a stronger laxative. However, if you are experiencing temporary difficulty passing stool due to recent surgery, hemorrhoids, or other sensitivities, you may be better suited to taking stool softeners. Your Diet and Doctor’s Advice Before choosing a laxative, it is always important to practice some common measures before resorting to laxatives.
Now that you are better acquainted with stool softeners vs. laxatives, you will understand that all laxatives are not created equal, thus you can make an informed choice. The best medicine, of course, is eating a healthy diet, but if you must choose a laxative, consider your symptoms, research products, and consult with a medical professional. Types of Peptic Ulcers While there are ulcers that can develop in the veins, mouth, and even genitals, we’re going to talk about digestive ulcers or peptic ulcers. Peptic ulcers are open sores that develop in the lining of the small intestines, but can also develop in the stomach or esophagus. There are three main kinds of peptic ulcers:
The Warning Signs Want to know whether your digestive issues could be due to an intestinal ulcer? The most common symptom of a GI ulcer is burning or gnawing pain in the stomach. Other symptoms include:
Your symptoms may vary depending on the type of ulcer you have. For example, people with ulcers in the small intestines may feel worse on an empty stomach (the pain may wake you up in the middle of the night). If you are experiencing any of these symptoms it’s a good idea to see a gastroenterologist for an evaluation. Since these symptoms can also be caused by other conditions including GERD, it’s always best to turn to a GI specialist. Causes of Peptic Ulcers Ulcers often form when there is damage to the lining of the GI tract. This may result from taking certain medication such as NSAIDs or a bacterial infection (H. pylori). If you are someone who takes painkillers regularly this is something to discuss with your gastroenterologist. Treating Peptic Ulcers In most cases, your gastroenterologist will prescribe medication that reduces how much acid the stomach produces, giving the stomach lining enough time to properly heal. Common medications include proton pump inhibitors and h2-receptor antagonists. If a bacterial infection is the culprit, then antibiotics will be prescribed to kill the infection. Do you suspect that you might have an ulcer? If so, the only way to get a proper diagnosis is to see a gastroenterologist who can perform the appropriate testing to figure out what’s going on and to provide you with the treatment you need. When it’s Actually Constipation
Everyone’s different when it comes to how often they have a bowel movement. Some people go three times a day while others only go three times a week, and both are normal; however, if you are having less than three bowel movements a week then you are considered constipated. If stools are dry or hard to pass, these are also signs of constipation. Don’t Immediately Reach for Laxatives While laxatives are often the first thing people try when it comes to treating their constipation you may want to hold off on those for the time being and try these simple hacks:
For people dealing with mild or occasional constipation, oftentimes these simple lifestyle changes are all that’s needed. Not all Laxatives Work the Same Way If you’ve tried the lifestyle and dietary changes above and your bowels still aren’t moving, then you may be considering a laxative at this point. There are different types; however, it’s important to know which ones to use. Fiber supplements are often the easiest on the body (this includes products like Metamucil). Before purchasing laxatives, it’s a good idea to talk with your GI doctor about which one is right for you. Since people can become dependent on laxatives, you must speak with your gastroenterologist if you find yourself regularly dealing with constipation that can only be alleviated by using laxatives. You May Need to See a Doctor While there are many over-the-counter laxatives on the market that can help with occasional constipation, it’s also important to know when to see your gastroenterologist instead. You should consult with your doctor if,
While occasional constipation usually isn’t something to worry about, if this is something that happens to you regularly then it’s worth sitting down with a gastroenterologist for an evaluation. It could mean simply changing your lifestyle to improve your bowels or it could be a sign of a health problem that requires treatment. Here are some ways in which ginger could help your gut. It Could Aid in Digestion Whether your stomach is upset upon waking or you just tried a more adventurous dish at a new restaurant, there are many reasons why your stomach might be feeling a little unhappy. Fortunately, ginger can be a helpful and natural remedy to ease that upset stomach. How? Ginger is believed to speed up the movement of food through the GI tract, while also protecting the gut. It may also ease bloating, cramping, and gas. If you are dealing with an upset stomach, you may want to boil some fresh ginger or add a little ground ginger to some hot water. It May Protect Against Heartburn If you find yourself dealing with that gnawing, burning in your chest, ginger may also keep these problems at bay (or, at the very least, alleviate them). Ginger doesn’t just boost motility of the intestinal tract, it may also protect the gastric lining while reducing stomach acid from flowing back up the esophagus after meals. Most people will experience bloating at some point, particularly after eating. Whether from overheating or from food intolerance, bloating could be alleviated by drinking ginger tea or eating dried ginger. Indigestion is one of the top reasons for bloating, and ginger has the ability to reduce indigestion, which in turn can stop bloat from happening in the first place. People who are prone to bloating may want to add ground ginger to their morning cup of tea or water to prevent this problem from happening during the day. It’s important not to ignore ongoing stomach problems. If abdominal pain and cramping, or other intestinal problems keep plaguing you, then it’s time to see a gastroenterologist to find out what’s going on. While natural remedies such as ginger can be helpful for minor and fleeting bouts of nausea and an upset stomach, they won’t be able to treat more serious stomach issues. Colorectal cancer is on the rise, particularly in young adults. While this is alarming, it is important to know that your gastroenterologist has an effective way to prevent and even detect colorectal cancer early on. A colonoscopy can be used as both a diagnostic tool and as a treatment for the removal of colon polyps and other issues. All people will eventually need a colonoscopy regardless of age or gender. Here are the reasons why your gastroenterologist may recommend getting a colonoscopy, You’re Experiencing Digestive Issues This is a common reason why a colonoscopy is performed. It’s not always possible to figure out the cause of rectal bleeding, abdominal pain, constipation, diarrhea, or other intestinal issues unless a GI doctor takes a look inside. If your issues can’t be diagnosed with a simple physical examination, blood test, or stool sample, then a colonoscopy is probably the best way to find out what’s going on. You Need to Be Screened for Colorectal Cancer If you are 50 years old or older and are at average risk for colon cancer, then your gastroenterologist will often advise you to get a colonoscopy about every 10 years to screen for cancer. Those with an increased risk of developing colon cancer may need to get screened more regularly. Risk factors for colorectal cancer include,
We Need to Check for and Remove Colon Polyps It’s necessary to remove polyps right away to reduce your chances of developing colon cancer. Colon polyps can be easily removed during a routine colonoscopy, but since it can increase your risk for colorectal cancer your gastroenterologist may recommend having a colonoscopy more regularly. If you just turned 50 years old and it’s time to schedule your routine colonoscopy, or if you’re dealing with digestive issues, a gastroenterologist is the ideal medical specialist to turn to. Don’t wait to get the preventive care you need to protect against colorectal cancer. no longer contract to push food along. If you or someone you know has achalasia, a gastroenterologist can provide you with ways to manage your symptoms. What are the symptoms and signs? The most common signs of achalasia include,
If you or someone you love is having difficulty swallowing or experiencing other symptoms of achalasia you must see your gastroenterologist right away. How is achalasia treated? Achalasia requires treatment to prevent the condition from getting worse. As you might imagine, not being able to properly eat or drink anything can have detrimental effects on a person’s health and nutritional needs, as well as increase a person’s risk for aspirational pneumonia and lung infections (this is more common in seniors). Common treatment options include:
Since those with achalasia have a slightly increased risk for esophageal cancer, you must talk with your gastroenterologist about regular cancer screenings. If you or a loved one is experiencing difficulty swallowing, you must turn to a gastroenterologist who can perform the appropriate tests to find out whether a problem with the esophagus might be to blame. What is ulcerative colitis? Ulcerative colitis (UC) is a chronic bowel disease that causes flare-ups of inflammation and bleeding ulcers in the colon and rectum, which can affect your ability to digest food. Ulcerative colitis is one of the two main types of inflammatory bowel diseases (IBD). What are the signs and symptoms of ulcerative colitis? Are you dealing with unexplained and persistent stomach pains accompanied by diarrhea? This can be an early warning sign that UC. In the very beginning, you may notice minor symptom flare-ups that can easily be attributed to a variety of other problems. So, it isn’t always easy to spot the signs of UC right away. If you’ve been dealing with diarrhea and stomach pains that come and go or that last for days on end, it’s a good idea to see a gastroenterologist. If UC goes untreated or undiagnosed, you may start to notice nausea, loss of appetite, or unexpected weight loss. Ulcerative colitis also causes symptoms that affect other systems of the body besides the digestive tract. Those with ulcerative colitis may also develop,
How is ulcerative colitis treated? While there is no cure for ulcerative colitis, your gastroenterologist can prescribe medications, therapies or surgery, and recommend lifestyle changes that can help with symptom remission and reduce the number and severity of flare-ups. Treatment plans for UC typically include,
When in doubt, call a gastroenterologist. A gastroenterologist specializes in diagnosing and treating conditions that affect the gut including ulcerative colitis, and they can help you get the answers and care you need to make living with ulcerative colitis more manageable. Hemorrhoids are serious (and literal) pain in the butt. Of course, certain factors can predispose people to have hemorrhoids. If you’ve had them before chances are fairly good that you are looking for ways to make sure you never have to deal with them again. From the office of our gastroenterologists, here are some helpful tips for preventing hemorrhoids in the future. Add more fiber to your diet You might think you’re getting enough fiber in your diet, but you could be very wrong. In fact, only 1 in 20 Americans is getting the proper amount of fiber intake every day. Of course, dietary fiber isn’t just important for improving digestion, it can also help to soften stools so they are easier to pass. Fiber can also prevent constipation, which is often a cause of hemorrhoids. Get Your Body Moving Exercise provides an array of benefits, and better gut health is just one of them. Even if you aren’t prone to hemorrhoids, regular aerobic activity will increase blood flow to the intestines and stave off constipation. Just remember to wait about 1-2 hours after eating before you work out. Practice Good Hygiene How you clean down there may also affect your predisposition to hemorrhoids. Of course, you should always be practicing good personal hygiene and thoroughly cleaning after you use the bathroom. Of course, along with proper hygiene, it’s also a good idea to take a shower at least once a week in the evening right before going to bed, making sure that you are giving your backend a little extra (but gentle) cleaning. Avoid Straining and Heavy Lifting You may be surprised to discover that lifting heavy objects or straining can also put too much pressure on the anus, which can lead to hemorrhoids. While any doctor will recommend exercising for its many health benefits, you mustn’t be straining or pushing too hard. Enjoy a Sitz Bath If you do find yourself dealing with the beginnings of hemorrhoids, you may want to run a bath with Epsom salts, which can help to alleviate pain, discomfort, and inflammation. While certainly not as pleasant, a cold bath can also have positive effects, as it can both numb the area to reduce pain and also stimulate blood flow. If you are dealing with painful hemorrhoids and you aren’t finding relief through home care, then it’s time to speak with a qualified gastroenterologist who can provide you with more effective strategies for soothing and easing your symptoms. If you’re dealing with heartburn, one of the first things your gastroenterologist will examine is your diet. While certain foods can exacerbate heartburn and make it worse, certain foods can improve and ease acid reflux symptoms. Some of these foods include: Foods that are high in fiber such as oatmeal aren’t just amazing for your digestive tract, they may also prevent heartburn from brewing in the first place. Plus, whole grain foods can help satiate your appetite for longer, which means that you are less likely to go for snacks and other foods that could cause a nasty bout of acid reflux. So, start your morning right with a hearty bowl of oatmeal. And perhaps you may even want to add a…. Just like vegetables, a banana is a low-acid and high alkaline fruit that is also great for the digestive tract. If you battle with heartburn, bananas can help prevent stomach acid production while also helping things run smoothly through the digestive system. Whether you prefer ginger sprinkled into your morning smoothie, a soothing cup of ginger tea or fresh ginger grated into your water, this magical vegetable reduces inflammation and can aid in preventing and treating heartburn as well as calm an upset stomach and ease nausea. Fibrous vegetables such as spinach, broccoli, potatoes, and asparagus are alkaline, which helps to keep stomach acid in check. This is also because these delicious and nutritious foods are low in sugar and fat, which means they are friends to those with heartburn. We all know that yogurt has amazing probiotic properties, providing your gut with the good bacteria it needs to stay healthy and strong. Good bacteria can also improve how your immune system functions, staving off germs and infections, while also coating and easing stomach acid. Whether you have questions about your current heartburn-friendly diet or you’re having trouble getting your acid reflux under control, a gastroenterologist will be able to provide you with proper long-term medication and lifestyle changes that can help. You may benefit from a colonoscopy if:
Healthy individuals at moderate risk for colorectal cancer should start getting screened by 50 years old (yes, women too!). While men are more at risk for colorectal cancer, women can also get this form of cancer and should make getting screened an important part of their preventive healthcare. You will be placed under conscious sedation while undergoing a colonoscopy, so you will most likely not remember any part of your procedure. During the procedure, your gastroenterologist will carefully place a colonoscope, a thin tube with a camera at the end, into the rectum, and guide it into the large intestines (aka the colon). This procedure allows your doctor to be able to examine the lining of the intestines to look for polyps, bleeds, ulcers, or other issues you may be dealing with. If polyps are found, they can be removed during your colonoscopy. While age, ethnicity, and gender can play a role in your colorectal cancer risk level, there are other factors as well; however, these factors can be altered by simply improving your lifestyle. These factors include:
If the results of your colonoscopy are normal then you probably won’t need another one for about 10 years; however, those at an increased risk for colorectal cancer may want to get screened before age 50 and consider getting screened more regularly. This is something that you should discuss with your doctor. What is constipation? In general, constipation is the inability to pass stool regularly. Often, changes in daily routine, travel, and a diet low in fiber leads to fullness and pain in the abdomen, sluggishness, super-hard stools, and even bleeding and hemorrhoids produced by straining. Experts at the Cleveland Clinic say that 2.5 million Americans annually see their primary care physicians because they are constipated. What causes constipation? Many factors play into this gastrointestinal complaint. Poor hydration and an age-related slow metabolic rate are common causes, as are:
Pinpointing the reasons Your constipation may signal an underlying disease condition, and it can lead to physical issues such as rectal prolapse and hemorrhoids if left untreated. Your gastroenterologist will want to review all your symptoms; so be specific about your bowel movements, when your constipation started, and what, if anything, relieves it. He or she may run tests, such as X-rays or colonoscopy, to look for structural abnormalities or disease processes. How can you deal with constipation? John Hopkins Medicine says that most constipation responds to:
Some gastroenterologists recommend biofeedback techniques for their constipated patients. With biofeedback, the individual learns how to strengthen and to use his or her pelvic floor muscles more efficiently. Manage your constipation A healthy gut means a healthier, happier you. To learn more about constipation and other common GI problems, contact your gastroenterologist. You Are What You Eat Changing your diet is a great way to keep your stomach in shape. You’re going to want to eat at least seven servings of fruits and veggies daily. It doesn’t matter what form they are in or how they’re cooked, they are rich in fiber and important chemicals. When you do eat grains, go for healthier options! Whole grains give you much more fiber per serving. Put a limit on how much meat you’re eating. Choose fish or poultry instead of red or processed meat. Smaller portions are also better. Pay attention to how much sugar and animal fats are in your meals. Try to replace them with foods rich with probiotics. These produce healthy bacteria that provide sustenance and fight off the bad bacteria. Lifestyle Changes for a Healthy Stomach Like with all health issues, making changes to how you live your life is a great way to improve yourself. Your gastroenterologist recommends the following tips. One of the first things you need to change is your sleep schedule. Not getting enough sleep is linked to certain digestive disorders, including obesity. Adults should aim to get eight hours a night. It’s also smart to try to keep a consistent sleep schedule. This keeps your internal clock running perfectly. Try getting more exercise every day. Even if it’s something as simple as taking a small ten-minute walk. Keeping your weight in a normal range guarantees healthy gut bacteria. Does your job stress you out? Or maybe overwhelmed at home? This can take a toll on your gastrointestinal health. Stress can lead to increased instances of heartburn. There are certain activities you can do to minimize your stress. Treatment for Mild Heartburn Your gastroenterologist starts by focusing on your symptoms. These concentrate on prevention, with certain diet and lifestyle changes. You need to first start by evaluating what you eat. Avoid these foods if you suffer from heartburn:
Antacids are over-the-counter stomach acid reducers that help when experiencing bouts of heartburn. There are also risk factors for experiencing heartburn, including being overweight, smoking, pregnancy, and excessive alcohol intake. Following certain guidelines is the ideal way to keep your heartburn at bay. These include eating smaller meals on a more frequent basis, avoiding lying down after eating, wearing loose clothing, and avoiding activities that involve bending down or lifting. Heartburn as an Indicator of GERD If heartburn is left to progress without intervention, it develops into gastroesophageal reflux disease (GERD). You need to stop severe heartburn complications in their tracks. Otherwise, they result in severe inflammation and ulceration of the esophagus, scarring, and Barrett's esophagus. Cancer becomes a possibility without the help of a gastroenterologist. Treatment for GERD Treatment is a mixture of the preventive measures listed above alongside pharmaceuticals. Your gastroenterologist may prescribe medications known as PPIs or H2 blockers. These work to stop the overproduction of acid in the stomach. Alginate drugs are another option. They create a barrier within the stomach that protects it from stomach acid. Antacids are the most popular and common over-the-counter treatment for heartburn. They provide a short-term reduction of stomach acidity. There are dozens of different brands and types of antacids. This includes formats like liquid, gels, and regular pills. Consider contacting a gastroenterologist if you experience throat problems like soreness, pain when swallowing, nauseous, wheezing, a persistent cough, and bad breath. These are other common symptoms of GERD. One of the most effective screening methods for detecting the earliest signs of colorectal cancer is through a colonoscopy. A colonoscopy allows a Who should get regular colon cancer screenings? Men and women who are between the ages of 45 and 75 should see their gastroenterologist for regular colon cancer screenings. While there are other methods for screening for colon cancer (e.g. stool test; flexible sigmoidoscopy) a colonoscopy is the most effective and accurate screening tool available. If a patient has never had polyps or other precancerous warning signs they may not need to get further colorectal cancer screenings after age 75. Patients with risk factors may require additional routine screenings after the age of 75. Of course sometimes it’s necessary to get a colon cancer screening before 45 years old. You may benefit from getting tested earlier if:
If you have any risk factors it’s important that you talk with your gastroenterologist to find out when you should start getting regular screenings and which screening is right for you based on your health coverage. What should I expect from a colorectal cancer screening? As we mentioned, the most common screening tool for colon cancer is a colonoscopy. During this procedure we will insert a thin flexible tube (called an endoscope) into the rectum and gently guide it through the large intestines. At the end of this endoscope is a camera. This camera will allow your GI doctor to look for polyps and other problem. If polyps are found they can be removed during your colonoscopy. If nothing is found during your diagnostic testing, a colonoscopy can take as little as 30 minutes. The patient will be under the effects of conscious sedation throughout the procedure. Do you have questions about getting a colonoscopy? Is it time to schedule your first routine colon cancer screening? If so, then call your intestinal doctor today. Diverticulitis is a condition in which small pouches or sacs called diverticula form in the large intestine, or colon, and become inflamed. When the sacs are Symptoms & Causes The exact cause of diverticulitis is unclear. However, there seems to be a link between a diet too low in fiber and the development of diverticulitis. When fiber is lacking in the diet, the colon works harder to move stools through the intestinal tract. It is possible that the pressure from the increased effort to move the stool can lead to the formation of diverticula along the interior of the color or large intestine. Maintaining a diet with sufficient fiber intake can potentially help prevent diverticulitis. Various symptoms can be associated with diverticulitis. Abdominal pain is a common symptom and tends to be felt primarily on the left side. Other symptoms associated with diverticulitis include:
Treatment A variety of options are available for treating diverticulitis. For less severe cases, a combination of antibiotics, pain relievers and a liquid diet can be sufficient to resolve the diverticulitis. More serious cases of diverticulitis in which patients cannot drink liquids can require a hospital stay. While in the hospital, all nutrition will be obtained intravenously. Avoiding eating and drinking by mouth gives the bowel time to rest and recover and can help clear up the diverticulitis. If the condition is still severe, surgery might be required. Diverticulitis can result in a lot of pain and discomfort. Fortunately, there are treatments that can provide relief. See a gastroenterologist for diagnosis and a treatment plan. A polyp: you may have heard of this condition, but remain unsure on what exactly it is. Most commonly developed in the colon, polyps are small clumps of cells that grow inside various parts of the body. Although some polyps are benign, others can develop into cancer, making it crucial
What exactly are colon polyps? As mentioned above, polyps are small clumps of cells that generally develop in the nasal passage, uterine lining, vocals cords, stomach lining, and most commonly in the colon lining. Projected to develop in fifty percent of the population over time, colon polyps come in two distinct categories:
Although colon polyps generally do not show any immediate symptoms, some warning signs certainly do spring up over time. These signs include:
How can I stay healthy? Given that polyps usually do not exhibit any symptoms until late into their development, the best course of defense against this potentially deadly condition is to receive regular colonoscopies once you reach the age of 50. A colonoscopy is a minor procedure in which a small, camera-equipped tool is inserted into the anus so that a doctor may examine the colon. If any polyps are discovered, the doctor can then remove them and send a sample to the lab for a biopsy. In the event that the sample tests positive for cancer, your doctor can discuss any further steps that need to be taken. Concerned? Give us a call! If you are in need of a colonoscopy, be sure to give your local gastroenterologist a call and receive the treatment that you need! If you’ve been dealing with gastroesophageal reflux disease (GERD) and you have either been ignoring your symptoms or haven’t been able to get them under control then you could end up dealing with Barrett’s esophagus, a serious complication of GERD that causes the lining of the esophagus to mimic the lining of the There are no unique symptoms associated with Barrett’s esophagus, as many of the symptoms are the same as they are for GERD; however, a reason that patients shouldn’t ignore symptoms of GERD is that Barrett’s esophagus can increase the likelihood of developing an extremely serious and life-threatening cancer of the esophagus. Symptoms to be on the look out for include:
Even though Barrett’s esophagus is not a common complication of acid reflux, if someone experiences persistent acid reflux this can alter the cells within the esophagus over time to resemble the cells found in the lining of the intestines. You may be screened with Barrett’s esophagus if you have some of these risk factors:
A gastroenterologist will guide a small flexible tube, known as an endoscope, into the throat and down into the esophagus. This is performed under light sedation. At the end of the endoscope is a camera that allows a gastroenterology doctor to take a biopsy of the lining of the esophagus. The biopsy sample will be tested for cancer or any precancerous cells. If Barrett’s esophagus is detected in the sample, further endoscopies may be required in the future to detect early warning signs of cancer. Treating Barrett’s Esophagus While this condition cannot be reversed there are ways to at least slow down or even prevent the condition from getting worse by getting your acid reflux under control. This can be done through a variety of lifestyle changes (e.g. quitting smoking; changing diet; losing weight) and either over-the-counter or prescription medications (e.g. H2 blockers; proton pump inhibitors). If you are dealing with acid reflux a few times a week then it’s time to turn to a gastroenterologist for more information. By getting your GERD under control as soon as possible you could prevent complications such as Barrett’s esophagus. Call your gastroenterologist today. Peptic ulcers, or stomach ulcers, are breaks or holes in the lining of the stomach. An ulcer in the first part of the intestines is known as a duodenal ulcer. An ulcer in the stomach is known as a gastric ulcer. If you think you may have an ulcer, you should see a gastroenterologist. Gastroenterologists are specialists 1. Burning pain- The most common peptic ulcer symptom is a burning sensation or gnawing pain in the middle of your abdomen. The pain may come and go for several days or weeks. Even though discomfort may be mild, peptic ulcers can worsen if they aren’t treated. Taking antacids can relieve the discomfort, but it will keep coming back until the peptic ulcer is treated by a doctor. 2. Nausea- The symptoms of peptic ulcers may include nausea. Nausea is a feeling of sickness with an inclination to vomit. Nausea has many possible causes. Some common causes of nausea include appendicitis, infection, reactions to some medicines, migraines, food poisoning or intestinal blockage. 3. Vomiting- The symptoms of peptic ulcers may include vomiting. Vomiting after consumption of food may be caused by an ulcer, food poisoning, or gastritis (inflammation of the stomach lining). Usually, vomiting is harmless, but it can be a sign of a serious condition. Some examples of serious conditions that may result in vomiting include Acute liver failure, appendicitis, Pancreatic cancer, or intestinal blockage. 4. Discolored stool- Blood in the stool is often a sign of a problem in the digestive tract. Blood in the stool may come from any area along your digestive tract. A stomach ulcer can cause discolored stools that appear darker or bloody. A bloody stool may indicate that your stomach ulcer is growing in size or is becoming more severe. 5. Heartburn- Another symptom of peptic ulcers is heartburn. Heartburn is a condition that's caused when stomach acid flows up into your esophagus. This leads to a burning discomfort below your breastbone or in your upper belly. Your doctor will prescribe medications to relieve your symptoms and help your ulcer heal. If you have any of these signs and symptoms, you should seek treatment. A visit to the gastroenterologist will bring the relief you need. Peptic ulcers can not only be uncomfortable causing you pain but can also lead to other complications that may be dangerous. 1. Change your diet. Stay away from beverages and foods that commonly cause heartburn. A good way to work out what beverages and foods trigger your heartburn symptoms is to keep track of what you eat. Common offenders include tea, coffee, tomatoes, garlic, fatty foods, spicy foods, milk, chocolate and peppermint. 2. Don't overeat. Overeating can trigger heartburn. Big meals put pressure on the muscle that helps keep stomach contents from backing up into the esophagus. The more food you eat, the longer it takes for your stomach to empty, which contributes to acid reflux. Try eating five small meals a day to keep reflux at bay.
3. Avoid alcohol. Alcohol can trigger heartburn. Alcohol can relax the sphincter muscle at the lower end of your esophagus, causing stomach acid to flow up into your esophagus If your aim is to unwind after a long day at work, try exercise, stretching, listening to soothing music, or deep breathing instead of drinking alcohol. 4. Lose weight. If you overeat, lose weight- but be sure to consult your doctor before starting a vigorous exercise program. The increased risk of heartburn is thought to be due to excess abdominal fat causing pressure on the stomach. 5. Stop smoking. Nicotine is a muscle relaxant. Nicotine can relax the sphincter muscle, causes acid from the stomach to leak upward into the esophagus. Nicotine gums, patches, and lozenges are healthier and safer than cigarettes, and they are less likely to give you heartburn. 6. Contact your doctor. Your doctor may suggest antacids for occasional heartburn. Sometimes, more powerful prescription medications such as proton pump inhibitors or H2 blockers and are needed to treat chronic heartburn. When all else fails, surgery may be required to repair the LES. Chronic heartburn can affect your daily activities and make life frustrating and miserable. Don't hesitate to contact a gastroenterologist about heartburn. What is diverticulitis? Normally, we pay no attention to our large intestines, but if you have symptoms of diverticulitis, you're well aware of your bowel. Painful, inflamed bulges in the intestinal wall, diverticula are worrisome and potentially dangerous. If your physician suspects you have this GI condition common in the over-60 population, seek Symptoms of diverticulitis Diverticulitis is serious infection which requires medical attention. Symptoms include:
When infection is severe, the individual puches of the intestinal wall may rupture, spilling bowel contents into the abdomen. This is a medical emergency and may require treatment with IV antibiotics and even surgery to repair the tears. Being proactive with diverticulitis Certainly, age is a factor in development of diverticula. Genetics, obesity and a sedentary lifestyle add to this GI problem, says the American Academy of Family Physicians. However, gastroenterologists advise that dietary changes help decrease the chances of infection and rupture. In other words, you can live well even with diverticulosis by lowering your intake of fermentable carbohydrates such as:
In decades past, physicians recommended that patients with diverticulosis avoid seeds, nuts, corn and other foods which could collect and fester in the small intestinal pouches. More recent research, however, indicates that this may not be the case but that patients should keep track of foods which seem to increase symptoms. Just as with Irritable Bowel Syndrome (IBS) and other complaints of the gastrointestinal tract, diverticular disease improves with increased daily intake of water, a high fiber diet, and probiotic supplements (which add "good" bacteria and yeasts to the gut). Exercise always improves GI health and overall well-being, too. Diagnosing diverticulitis Your gastroenterologist is the best person to see for precise diagnosis of this common condition. A barium enema, colonoscopy, sigmoidoscopy and CT imaging help your specialist determine the exact cause of your symptoms and how to proceed with treatment--both for acute flare-ups and for long-term management of diverticulitis. Take control Your gastroenterologist encourages you to know more about your intestinal health and to stay on top of conditions such as diverticular disease. Be proactive about all aspects of your health for a longer, better life! Is it constipation? Is it diarrhea? Frankly, when a patient complains to his or her physician about GI problems, the doctor has to wonder, "Is it Irritable Bowel Syndrome?" If you alternate between infrequent and too frequent bowel movements, you may need evaluation by a gastroenterologist. An expert in all things from About IBS and its symptoms Unfortunately, no one knows the real origin of Irritable Bowel Syndrome. However, it definitely is a cluster of symptoms which millions of people in the US--more women than men--suffer, before the age of 50. The International Foundation for Gastrointestinal Disorders reports that stress appears to increase symptoms; however, anxiety and a high-pressure job or life circumstance do not actually cause the condition. Besides constipation and/or diarrhea, individuals with IBS have:
What you can do Your primary care physician may refer you to a GI doctor for additional evaluation. This specialist will listen to your symptoms; so be sure to tell him or her what they are, when and how often they occur, how long they last and what, if anything, helps. The doctor may order blood work, including a complete blood count to check for anemia, an indicator of bleeding in the GI tract. Also, he or she may wish to look into your intestine via colonoscopy. This common examination introduces a lighted, flexible tube through the entire length of the large intestine. It allows the doctor to visualize and take photos of the lining of the bowel and to biopsy areas as needed. Treatments for IBS If you are diagnosed with Irritable Bowel Syndrome, you can manage your symptoms. No, IBS cannot be cured, but rest assured that many patients live well with this GI condition. Many gastroenterologists ask individuals to eliminate suspect foods such as:
On the positive side, you may gradually increase your intake of fibrous dietary choices such as:
The doctor may recommend easy-to-take fiber supplements such as Fibercon or Metamucil which regulate the water in the bowel and normalize stools. Probiotics--natural supplements containing beneficial bacteria and yeast--are a common part of an IBS regimen. Feeling better If you suspect you have Irritable Bowel Syndrome, or are just not sure what's going on with your digestive health, consult a board-certified gastroenterologist. This highly-skilled doctor will get to the source of your issues, answer your questions and help you function at your best. 1. GERD- GERD is a digestive disorder in which stomach acid or bile irritates the food pipe lining. Symptoms include heartburn, hoarseness, and trouble swallowing. Some foods and beverages are known to cause reflux. If you're at risk for GERD, avoid fatty foods, acidic foods, spicy foods, chocolate, and caffeinated beverages. Being overweight and obesity are also causes of GERD. 2. Cancer- Diet can also directly affect your risk of stomach and bowel cancer. Some foods, such as processed and salt-preserved foods, and red meat can increase the risk of developing stomach and bowel cancer. While others, such as vegetables and fruits, are especially potent cancer fighters. Choosing whole-grain breads, cereals, and pastas instead of refined grains, and eating poultry, fish, or beans may also help lower your risk of stomach and bowel cancer. 3. Gallstones- Slimming down (if you're overweight) and changes to your diet may help prevent gallstones. Gallstones are hardened deposits of bile inside the gallbladder. Because cholesterol plays a role in the development of gallstones, you should avoid eating too many foods that are high in saturated fat. Eating too many foods that are high in cholesterol and fat and not enough of a high-fiber diet can increase your risk of gallstones. 4. Ulcerative Colitis- Eating a high-fat diet increases the risk of developing ulcerative colitis. Ulcerative colitis is a digestive disease that results in inflammation and ulcers in your digestive tract. Symptoms of ulcerative colitis include fatigue, rectal bleeding, anemia, diarrhea, abdominal pain, and feeling an urgent need to take a bowel movement. It's a serious disease that can cause dangerous complications if you don't get the right treatment. 5. Diverticulosis- Diverticulosis is a condition in which protruding pockets develop in the digestive tract. These pouches form when high pressure inside the large intestine pushes against weak spots in the intestinal wall. A high-fiber diet will reduce the risk of developing diverticular disease. Symptoms of diverticulitis include abdominal pain, diarrhea, constipation, bloody stools, fever, nausea, and vomiting. Diverticulitis can become serious, requiring hospital admission. We really are what we eat! Swap those poor eating habits over for better ones. A healthy diet provides important minerals, vitamins, and nutrients to keep the body healthy. You can start making proactive changes to your diet today that can benefit your digestive health now, and throughout your entire life. Gallstones are a very common problem. You're at risk of developing gallstones if you're overweight or obese, female, or 40 or over. Gallstones are hardened deposits of bile inside the gallbladder. Many people with gallstones are unaware that they have them, as they produce no or little symptoms. For some people, however, 1. Abdominal Pain Symptoms of a gallstone may include severe abdominal pain. This pain goes and comes back repeatedly. The pain often occurs after eating and can last a few hours before it resolves. Chronic, ongoing pain that persists beyond a few hours may also occur, and may indicate a severe gallbladder problem. 2. Referred Pain Gallstone pain can cause referred pain to the upper back and right shoulder. The pain usually comes on suddenly and may last for several hours. Prescribed painkillers are used to relieve pain associated with gallstones. You may also be given advice about eating a healthy diet to help control the pain. 3. Jaundice Jaundice is a symptom of gallstones. Jaundice is a yellowish appearance of the whites of the eyes and skin due to high bilirubin levels. If a stone moves out of your gallbladder and one of your bile ducts and blocks the bile flow, jaundice occurs. Sometimes the gallstone passes from the bile duct on its own. If it doesn't, you may need to have gallbladder surgery. 4. Vomiting A gallstone can cause nausea and vomiting, which may relieve some of the abdominal pressure and discomfort. Pain that occurs with appetite loss, nausea, vomiting, and a fever may suggest the presence of infection or inflammation of the gallbladder. Vomiting and diarrhea also occur with food poisoning and the flu, but the pain tends to come and go rather than be constant. If you're experiencing the symptoms of a gallstone, you should notify your gastroenterologist right away. When a gallstone blocks your bile ducts, it can cause excruciating pain, which means you need emergency care right away. Diarrhea is very common. When you have diarrhea, your bowel movements are loose and watery. In most cases, diarrhea lasts a couple of days. Chronic diarrhea is diarrhea that lasts longer than two weeks. When diarrhea lasts for weeks, it can indicate a serious disorder. Although diarrhea is usually not serious, it can become 1. Replacing lost fluids- Chronic diarrhea is treated by replacing lost fluids and electrolytes to prevent dehydration. Adults with diarrhea should drink water, sports drinks, sodas without caffeine, or fruit juices. Fluid can also be delivered through a vein (intravenously) if the dehydration is severe. 2. The use of medication- Your doctor may prescribe antibiotics and medications that target parasites to treat parasitic or bacterial infections. If a virus is causing your diarrhea, antibiotics won't help. Pain relief medications can help alleviate fever and pain. Your doctor may also prescribe medications to treat an underlying condition that may be causing your chronic diarrhea. 3. Treating medical conditions- How doctors treat chronic diarrhea depends on the cause. Chronic diarrhea is sometimes caused by an underlying medical condition that requires treatment. Common conditions that cause diarrhea include irritable bowel syndrome, Chrohn's disease, ulcerative colitis, inflammatory bowel disease, celiac disease, and chronic pancreatitis. 4. The use of probiotics- Your doctor may recommend probiotics to treat diarrhea. Probiotics are good bacteria that are very similar to the bacteria that are already in your body. Probiotics reduce the growth of harmful bacteria and promote a healthy digestive system. If your gastroenterologist recommends probiotics, talk with him or her about how much probiotics you should take and for how long. Chronic diarrhea can affect your daily activities and make life frustrating and miserable. Don't hesitate to contact a gastroenterologist about diarrhea. A visit to the gastroenterologist will bring all the relief you need, with little hassle or expense. Having trouble going to the bathroom? Find out what might be to blame. Constipation is an annoying and embarrassing problem that all of us will experience at some point. Constipation is when you are unable to have a bowel This problem isn’t usually something to worry about, as it usually resolves itself on its own. Of course, there are times in which you may want to turn to a gastroenterologist for care. What causes constipation? This usually happens when the stool moves too slowly through the digestive tract, making it difficult to expel. Causes of constipation include:
There are also certain factors that can increase your chances for chronic constipation:
How can you prevent constipation? If you deal with constipation regularly there are some ways to help lessen the chances for this problem. Make sure that you are drinking enough water throughout the day and include a lot of fiber-rich foods in your diet such as whole grains, fruits and vegetables, and beans. Stay away from processed foods, and make sure you are staying active. When should I see a doctor? It’s a good idea to give your GI doctor a call if you’ve been experiencing constipation for over 3 weeks or if lifestyle modifications such as drinking more water or adding more fiber to your diet just aren’t working. It’s also important to see a specialist as soon as possible if your constipation is accompanied by pain or if you see blood on the toilet paper (this could be a sign of hemorrhoids or an anal fissure). If you are experiencing chronic or severe constipation it’s a good idea to turn to a GI specialist who will help you get to the root of the problem and help get your digestive tract moving in the right direction. This diagnostic procedure could determine the root cause of your digestive issues. An upper endoscopy is a simple procedure in which your gastroenterologist will insert a small, flexible tube that contains a camera in the mouth and guide it carefully An endoscopy is also a great tool for being able to detect inflammation within the digestive tract, as well as ulcers and tumors. You may benefit from an endoscopy if you are experiencing:
An upper endoscopy is a much better and more accurate diagnostic tool for detecting growths and other abnormalities within the lining the digestive system than x-rays. Furthermore, many gastrointestinal issues can often be treated during the endoscopy. This includes the biopsy and/or removal of polyps, opening up narrowed areas of the esophagus or stomach, removing objects or obstructions within the intestinal tract or stopping a bleed. Before your procedure, your gastroenterologist will give you detailed instructions to follow. This includes not eating or drinking anything for eight hours before your endoscopy. Patients with certain conditions such as a history of endocarditis (an infection of the heart valve) or those with artificial heart valves may need to take antibiotics beforehand to reduce their risk for an infection. Patients who take medications may still take their medication before the procedure with a little bit of water. An endoscopy is performed under sedation so you won’t feel anything or remember the procedure. It’s important that you bring someone with you who will be able to drive you home afterwards, as sedation’s effects can last up to eight hours after. Prior to the procedure, a local anesthesia may be sprayed in the back of the throat to numb the area. You will then receive a combination or pain and sedation medication through an IV. Then the thin endoscope will be placed in the mouth and directed through the esophagus into the stomach. The procedure takes approximately 15-20 minutes. If you are experiencing symptoms of bleeding, ulcers, or other issues within the digestive system, an endoscopy can be an amazing tool for determining what’s going on and what can be done to treat the problem. C. difficile (Clostridium difficile) is an infection that should be talked about more often than it is despite the fact that it infects half a million Americans each year. While C. diff bacteria can be found within the gut of healthy individuals the healthy gut bacteria work to keep the potentially harmful bacteria in check. C. diff spores However, sometimes circumstances arise in which C. diff bacteria are able to multiply within the gut. This most often occurs in someone who is taking antibiotics because while antibiotics are being used to fight an infection it can also kill off some of the healthy bacteria in our gut. Unfortunately, C. diff bacteria are resistant to many kinds of antibiotics, giving it free range to thrive and multiply quickly within the gut. These bacteria, particularly in larger numbers, can also produce toxins. It’s usually the toxins themselves that lead to symptoms such as diarrhea, stomach cramps, nausea, and fever. C. diff infections can range from mild to severe. In milder cases, patients may liken their symptoms to an infection within the stomach (also known as gastroenteritis). These symptoms may be mild and self-limiting, lasting anywhere from a couple of days to multiple weeks. Usually, medication or treatment isn’t needed in order to treat the infection. However, those dealing with severe diarrhea, blood in the stool, severe abdominal pain, fever, and dehydration should seek the care of a gastroenterologist as soon as possible. While these symptoms can be indicative of several different gastrointestinal issues, if you suspect that you might have a C. diff infection it’s important that you seek immediate medical treatment. Since most people have C. diff within their gut, if it isn’t causing any issues then no treatment is necessary. As we mentioned before, those dealing with minor symptoms may be able to let the issue run its course. Those with severe infections may need to be hospitalized. If you are still taking the antibiotics that may have caused this problem then you will most likely need to stop taking it so that the healthy gut bacteria have a chance of returning and making the gut healthier. Those with severe diarrhea or colitis (inflammation of the colon) may be prescribed very specific antibiotics known to kill the C. diff bacteria. In the meantime, make sure you are drinking enough water and fluids to keep your body hydrated. If diarrhea is severe, your doctor may need to give you fluids and nutrients through an IV. Luckily, most people dealing with this infection will be able to fully recover, even if they don’t get treatment; however, those who are older or have a weak immune system should seek medical attention as soon as possible if they suspect an infection. While symptoms can be unpleasant, they will usually go away in a few weeks. What is GERD? Whenever you eat food, it travels from the esophagus to the stomach. Once food enters the stomach, the stomach produces acid to break up the food. Of course, in healthy individuals the food travels from the stomach to the intestines; however, if you have GERD then the acid and food contents actually flow back up to the esophagus from the stomach, irritating the lining of the throat and causing a nasty case of heartburn. What are the symptoms? Heartburn is a classic symptom of GERD. Heartburn is a burning in the chest that also affects the lining of the throat. Heartburn sometimes produces an acidic or bitter taste in the mouth. Symptoms may get worse if you eat a big meal, consume something spicy or lie down immediately after eating. How is GERD diagnosed? In some situations a gastroenterologist may be able to determine that you have GERD based on the symptoms you describe and through a simple physical exam; however, sometimes a diagnostic test is required in order to determine whether your symptoms are truly caused by GERD or something else. An upper endoscopy is one common diagnostic procedure performed to check for signs of inflammation or damage to the lining of the esophagus, which are indicative of GERD. What are my treatment options? Your treatment plan will most likely consist of lifestyle modifications and medications. Lifestyle modifications If you are overweight or obese you may be at a higher risk for developing GERD. It’s important to lose that excess weight and to maintain a healthy weight to reduce your symptoms. Quit smoking if you are currently a smoker. Make sure to eat slowly and eat smaller meals. Don’t lie down immediately after eating and eat about three hours before going to bed. Also, there are certain foods that can trigger heartburn symptoms including chocolate, caffeine, alcohol, tomato sauce, garlic, or fatty and spicy foods. Limit or avoid any of these foods if they are known to cause you heartburn. Medication Those with milder symptoms may be able to use an over-the-counter antacid or medication to manage their symptoms; however, if symptoms are moderate-to-severe, or if you have damage to the lining of the esophagus, then you’ll need a stronger medication to reduce or even prevent the production of stomach acid until the damage has healed. If you deal with heartburn on a regular basis or can’t seem to get heartburn under control it’s important that you turn to a GI doctor who can help you find the proper treatment option to prevent digestive complications and to make mealtimes more enjoyable again. Hepatitis C is an infectious disease that causes liver inflammation, sometimes leading to serious liver damage. Most people have no symptoms right after they have been infected, and since any symptoms are likely to go away in a few weeks, you may not know you have Hepatitis C for a long time. Here are 1. Jaundice Jaundice is a yellowish appearance of the whites of the eyes due to high bilirubin levels. Normally bilirubin gets broken down in the liver and released from the body in the stool. But if the liver is damaged, it cannot properly process bilirubin. 2. Dark Urine Urine naturally has some yellow pigments called urobilin or urochrome. The color of the urine can vary when certain medications are taken and when foods of certain types are consumed. Chronic dark-colored urine can be related to serious liver conditions, including Hepatitis C and cirrhosis. 3. Chronic Fatigue The severity of this fatigue differs from person to person. Some individuals are able to work, but then feel burned out in the evening. Some people spend a large amount of time sleeping. However, someone people feel very tired after a good night's sleep. The fatigue associated with Hepatitis C often improves with treatment. 4. Aches and Pains Some people with Hepatitis C experience abdominal pain. Many suffer from aches and pains in their joints. A variety of different joints can be involved but the most common are in the wrists and hands. The pains can range from mild to severe. In such cases, medications can be used to ease the pain. 5. Poor Appetite Loss of appetite implies that hunger is absent. Your appetite may worsen if you have cirrhosis or liver failure. Loss of appetite can also be caused by other diseases and conditions. Some of the conditions can be temporary, such as appetite loss from the effects of medication. 6. Low-grade Fever Everyone gets a fever from time to time. Most usually don't indicate anything serious. However, some people with Hepatitis C experience a low-grade fever (fever up to 102°F). You should book an appointment with a doctor if you've had a fever for more than three days. 7. Cognitive Changes Some people with Hepatitis C experience problems with concentration, short-term memory, and completing complex mental tasks such as mental arithmetic. Studies have shown that about half of those with Hepatitis C experience cognitive disturbances. Many people are surprised to learn that they have been infected with Hepatitis C. Some people feel overwhelmed by the changes they need to make in their lives. At a time when life feels out of control, remember that you can take an active role in your health- and your life. What your gastroenterologist wants you to know The right time to get a colonoscopy is if you are over 50 years old, or if you have a family history of colon cancer. There are also signs and symptoms to pay attention to which may indicate the need for a colonoscopy. You should see your gastroenterologist to schedule a colonoscopy if you have:
A colonoscopy is the primary screening tool to determine if you have colorectal cancer. A colonoscopy also helps to diagnose colorectal cancer at an early stage, when it is more easily treatable. Don’t delay having a colonoscopy because the longer you wait, the more serious colorectal cancer becomes. The American Cancer Society states that colorectal cancer is the third leading cause of cancer-related deaths in this country, with over 49,000 people dying from the disease this year alone. A colonoscopy typically requires you to be sedated. A long, ultra-thin flexible tube is inserted into your rectum and guided up through your intestines. The tube contains a camera at one end which allows your gastroenterologist to view your colon, remove polyps or take a small sample of tissue for biopsy. When you come in for your colonoscopy, be sure to bring a driver with you to take you home, and plan on spending 2 to 3 hours in the office. The procedure takes about 45 minutes, and additional time is required for you to recover from sedation. Remember that early diagnosis is made possible by having a colonoscopy and that early diagnosis is critical to start early treatment. You don’t want to be a cancer statistic, so if you are over 50 or have a family history of colon cancer, take the time to schedule your colonoscopy. Protect your health by calling today! Which disorder is characterized by the presence of Cobblestoning intestinal examination?Cobblestoning mucosa and aphthous or linear ulcers characterize the endoscopic appearance of Crohn's disease. Ulcerative colitis presents with diffuse continuous involvement of the mucosa.
What is the significance of propulsive movements in the large intestine quizlet?Propulsive movements allow for the nutrients to travel down the tract while segmentation breaks down the food particles in order to be able to absorb the nutrients.
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Which disorder of the large intestine may require laparoscopic surgery to unwind the intestine?
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