Posts for category: Gastroenterology

By Mid-Valley Gastroenterology
December 06, 2018
Category: Gastroenterology
Tags: Heartburn  

Got heartburn? Heartburn, also known as acid indigestion, is a form of indigestion felt as a burning pain in the chest. It's caused when stomach acid flows up into your esophagus. More than just a minor discomfort, acid indigestion can reduce quality of life. The following tips will help you rid yourself of heartburn.

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.

By Mid-Valley Gastroenterology
November 02, 2018
Category: Gastroenterology

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 your esophagus through your stomach and intestines, a GI doctor can uncover the reasons behind bowel issues, including IBS.

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:

  • Bouts of gas
  • Bloating
  • Nausea
  • Pain
  • Cramps
  • Mucus in the stool
  • Fatigue
  • Intolerance to a variety of foods, including those containing gluten and lactose (dairy)
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:
  • Alcohol
  • Dairy products
  • Chocolate
  • Caffeinated drinks
  • High fat or fried foods
On the positive side, you may gradually increase your intake of fibrous dietary choices such as:
  • Beans
  • Legumes
  • Oats
  • Bran
  • Yams
  • Whole grains
  • Barley
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.