Frequently Asked Questions

 

Heartburn

Ulcers

Acid Reflux Disease

Constipation

Crohn's Disease


Heartburn

What does heartburn feel like?

Oftentimes heartburn feels like food is coming back up from the stomach or gets stuck part of the way. Heartburn, as its name implies will feel like a burning sensation in the upper part of your stomach. Many times the activity will leave behind a bitter or acidic taste in your mouth. The burning sensation can last for a few minutes or few hours. Almost everyone is afflicted with heartburn at some point in their life; particularly after overeating or eating spicy foods. However, if your discomfort or stomach pain is: prolonged, chronic, you notice blood in your stool, weight loss for no apparent reason, problems swallowing, or vomiting, see your physician as soon as possible.

What are the common causes of heartburn?

In its simplest form heartburn is a plumbing or backflow problem. There is a valve between the stomach and your esophagus that keeps food from the stomach from working its way back into the esophagus (throat) malfunctions and allows this to happen. The problem is that the contents of the stomach have acids from the stomach in it and these acids will cause irritation and pain associated with heartburn. Heartburn is the manifestation or symptom of conditions such as gastro esophageal reflux disease (GERD). Another is peptic ulcer disease which is a sore or even hole that forms on the lining of the stomach or small intestine. Occasional heartburn is something that everyone experiences at one time or another. Chronic pain or heartburn is something you should seek consultation from your physician for.

What can make my heartburn worse?

Your diet preferences play a big part in the level and frequency of your heartburn. Spicy, greasy, fatty foods, overeating, coffee, and alcohol can trigger the backup from the stomach and set off symptoms of heartburn. Also, gravity itself can play a part in the backflow problem. For instance, if you lie down after eating, the horizontal position of your body can actually make it easier for the food from your stomach to backflow back into your esophagus. If you do lie down shortly after eating try elevating your head. In other words, try keeping the gravitational flow toward your stomach. As you've probably heard, stress and smoking can even aggravate your symptoms of heartburn.

What can I do to improve my heartburn?

More often than not the most controllable behavior that your can implement to improve symptoms of heartburn is your diet. Avoid those foods that trigger your heartburn such as; spicy foods, chocolate, coffee, alcohol, fatty foods, fried or greasy foods, citrus, mints, even carbonated beverages. Also, eating smaller portioned meals will help. As rule of thumb, eating smaller portions more often is better than overeating at any time. Avoid eating right before going to bed. If you smoke... stop. And do what you can do to eliminate stress.

When do I contact my doctor about my heartburn?

When you experience prolonged stomach pain or stomach pain that returns frequently. Any significant weight loss, loss of appetite, any type discharge of blood via vomiting or in your stools, or if you feel any type of knot or lump in your abdomen could be the signs of a more serious problem.

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Ulcers

What about aspirin and concern about ulcers?

Aspirin and other anti-inflammatory drugs may aggravate ulcers or ulcer like symptoms because they may irritate the lining of the stomach to some degree. The most direct answer is that if you are using aspirin or like drug on the direction of your physician, you should consult with your physician concerning any symptom of ulcers or the possibility thereof. As such, your doctor may want you to take an additional medication to protect your stomach from the affect of aspirin on your stomach lining. To help minimize the problem, don't take your aspirins on an empty stomach.

Can the foods you eat such as spicy foods actually cause ulcers?

In the past, this was very much the conventional wisdom. However, today it is known that peptic ulcers are almost always caused by a bacterial infection of the stomach lining. Some medications and/or excessive smoking have been implicated in causing the actual ulcer formation. Once you do develop an ulcer, the aforementioned irritants such as spicy food and stress can make your symptoms worse.

So... ulcers are caused by an infection?

The majority are. The infection is by the ‘H. pylori' bacteria. This bacteria weakens the stomach lining which allows the acid to actually damage the stomach or the wall of the small intestine. The presence of these bacteria doesn't necessarily equal the development of an ulcer. However, you will certainly increase your odds with such personal habits as smoking and alcohol consumption. The majority of ulcers resulting from the ‘H. pylori' bacteria can be effectively treated and cured within a couple of weeks.

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Acid Reflux

What is acid reflux disease?

The term Acid reflux refers to a backflow problem from the stomach to the esophagus. Food substance that come from the stomach contain acids that the esophagus is not designed to handle and they can eventually do damage to the lining of the esophagus. Most everyone experiences some level of Acid Reflux from time to time. Periodic occurrences are generally referred to as heartburn and are accompanied by a ‘burning' sensation at the top of the stomach area. Acid Reflux disease is the condition when there is enough frequency and severity of this backflow problem that it impacts a person's life and/or does indeed damage the esophagus.

Is this a new disease?

Acid Reflux has been around since as long as heartburn, but has indeed become a more widely used term over the past few years. Also known as GERD, Acid Reflux has become the term of choice because it accurately describes what is physically happening within the stomach and the esophagus.

What are some symptoms?

First and foremost is heartburn. Experiencing regurgitation of acidic or bitter contents into your mouth is also a symptom that can also include difficulty with swallowing or even painful.

What's the difference between and Acid Reflux disease heartburn?

Acid Reflux is a disease with heartburn as the most common symptom. Frequent heartburn that disrupts lifestyle and risks damage to the esophagus generally defines Acid Reflux as the disease. Your doctor should make the determination.

What makes Acid Reflux disease symptoms worse?

Food and beverages stimulate the stomach to produce digestive acids that can backflow (reflux) into the esophagus. Lying down right after eating can make your refluxing worse because you'll lose the assistance of gravity in keeping your natural stomach acids down.

Does spicy food cause acid reflux disease or worsen acid reflux?

Spicy foods or otherwise do not cause Acid Reflux, but they do seem to aggravate the symptoms in many people. All meals stimulate the production of natural stomach acids and increase the opportunity for some to reflux into the esophagus. Spicy foods are often times implicated in worsening the symptoms of Acid Reflux. For some people this may be the case, or it may not. Every patient has different reactions to different influencing factors. If working within your diet helps, that's great. If you've tried very specific and even restrictive diets without positive results, you should seek medical advice on handling the disease.

What is the relationship between smoking and Acid Reflux?

Smoking itself doesn't cause Acid Reflux. In fact, there is hardly any evidence that would suggest that it even worsens the symptoms.

Can taking other medications aggravate Acid Reflux?

They certainly can. Any medication that would affect the emptying the natural acids from your stomach or that would promote the production of stomach acids can worsen your Acid Reflux. If you suspect that you may be experiencing Acid Reflux and you are taking medication for other conditions, be sure to advise your doctor of your symptoms and your concerns.

If I suffer from Acid Reflux, what should I avoid?

Knowing what certain foods (if any) seem to aggravate the disease is helpful. Also, try to avoid lying down after eating a meal, wearing tight fitting clothes, or even just bending over. Any of these can present the opportunity for your Acid Reflux to flare up. Essentially, making notes of what seems to trigger your reflux and then avoiding them is not only helpful but your notes or journal will also be very helpful for your doctor as well.

Is there a cure for Acid Reflux disease?

At this time there is no cure for Acid Reflux disease. In some cases it can be directly related to a specific aggravating factor and will leave when these factors are removed. However, in most cases Acid Reflux is chronic to some degree. It can, however, be managed effectively in most cases via lifestyle and/or medications. In some sever cases, surgery can become an option, but this should be discussed thoroughly with your physician.

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Constipation

What is constipation?

Generally if a person has three or fewer bowel movements in a week and when they do the stools are hard and dry, they are defined as constipated. Physically you may feel sluggish and full and your stools are difficult or even somewhat painful to pass. Conversely, some people are of the idea that they should complete a bowel movement daily. This isn't necessarily true because each person's metabolism, diet, and lifestyle is quite different. At one time or another, every experiences constipation for a brief time and it is not serious. And there are easy steps you can take to help prevent the onset.

What can I do about constipation?

Most all cases of constipation are related to what a person eats, drinks, and how much exercise or activity they get. The following are some preventative measures you can take against becoming constipated:

More fiber in your diet with fruits, vegetables, and grains. Add more fiber to your diet gradually so that your body has a chance to become accustom to the change. The other side of the equation of adding more fiber to your diet is to reduce the intake of foods that have little or no fiber such as, dairy products, most snacks, and processed foods.

Drink plenty of water and other fluids such as fruit and vegetable juices. Liquid in the body will help keep the stool softer and easier to pass. Not all fluids are good fluids – caffeine and alcohol tend to dry your system.

Exercise – helps your body and your digestive system. A good daily walk can be a very good choice.

Pay attention to your body. Don't bypass or ignore urges to have a bowel movement

Laxatives – only if your doctor suggests this is what you should do. Always consult with your physician on these matters, even with over the counter medications. Especially if you are currently taking other medications under your doctor's advisement.

How does fiber help in constipation?

Unlike many foods, fiber is not directly digested by the stomach. It passes on to the large intestine where it will actually draw moister into the processing stool keeping it softer and easier to move along and eventually pass.

Do women suffer from constipation more often than men?

Yes they do. In fact, as much as three times more. It's thought that because the differences in the female reproductive system and the hormones involved, the muscular movements of a woman's colon can be slowed down at various times during their natural cycles.

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Crohn's Disease

What is Crohn's Disease?

Crohns Disease causes inflammation of the digestive or gastrointestinal (GI) tract. This disease can affect any part of the entire digestive tract. Pain resulting from the inflammation can cause the intestines to empty frequently resulting in diarrhea. Crohns Disease is also called inflammatory bowel disease (IBD). IBD is a more general term for diseases that cause the inflammations in the intestines. Because of its similarity to other digestive disorders such as Irritable Bowel Syndrome (IBS) and Ulcerative Colitis, diagnosing Crohns Disease can sometimes be difficult to get a handle on.

What causes Crohns Disease?

When it comes to Crohns Disease, at this time there are no proven direct causes. Theories include family history or genealogy, the immune system, and environmental and/or a complex combination of them. Patients with the disease generally exhibit immune system anomalies; however the difficulty in diagnosis posed becomes; are the anomalies the cause or the effect.

What are the symptoms of Crohns Disease?

The symptoms may vary from person to person however, some of the most common are; abdominal pain (feeling cramped), frequent bowel movements (Diarrhea), and even rectal bleeding.

What are the complications of Crohns disease?

Because the disease swells or thickens the intestinal wall (and even leave scar tissue that builds up), this causes blockage to occur. Beyond the blockage, other complications can occur such as; bowel peroration, formation abscesses, fistulae, cancer of the bowel, and intestinal hemorrhage.

How is Crohns disease diagnosed?

Physical examination and testing. Blood tests are done to check for anemia, which could indicate bleeding in the intestines. High white blood cell count is a sign of inflammation or infection in the body. Stool samples will also be tested for the presence of blood. Your doctor may do an upper gastrointestinal (GI) to examine the small intestine. A colonoscopy may also be done so your doctor can visually inspect the large intestine. By performing the colonoscopy, your doctor will be able to see any inflammation or bleeding. Also your doctor may want to biopsy a sample of the intestinal lining as well.

What is the treatment for Crohns disease?

Symptoms and the severity of Crohns disease of course vary from patient to patient. Also treatments consideration will also take into account any complications or responses that occurred during a previous treatment. Most patients with Crohns disease experience periodic activity and severity of the symptoms. Medications are generally used at this point to get the activity back into remission. As to which treatments are used will depend upon the location and the severity level of the disease. Advanced cases involving persistent blockage, abscess, and fistulae may require surgery.

Is Crohns Disease caused by emotional stress?

There is no evidence to support stress, tension or anxiety is responsible for the disease. The mind and body connection however, can be an influencing factor in the course of this or any disease.

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