An upper endoscopy can be an uncomfortable procedure. For some patients, the discomfort associated with an upper endoscopy extends well after the exam is done. Excess gas is one of the most common side-effects of upper endoscopy due to the introduction of air into the stomach during the exam. So, how do you get rid of gas after an upper endoscopy? Adopting dietary and lifestyle changes are two main ways to alleviate symptoms. Watching the foods you eat and how you eat certain foods can help manage gassiness after an endoscopy. Using over-the-counter gas relief medication is also a great solution to excess gas. In this article, we talk about the science behind gas in the digestive system, as well as different ways on how to get rid of it. Upper GI Endoscopy: Side EffectsAn upper GI endoscopy (also known as esophagogastroduodenoscopy or EGD) is performed to diagnose disorders and evaluate symptoms in the upper GI. This part of the gastrointestinal tract involves the esophagus, stomach, and duodenum. Upper GI endoscopy is a minimally-invasive procedure that is performed by inserting a long, thin, flexible tube called an endoscope through the patient’s mouth. This travels down to the small intestine for observation. A live feed of the body is projected on a computer screen. Read more: A Complete Overview of Upper GI Endoscopy It is common for patients to experience side-effects after an upper GI. These side-effects include:
Gas and Upper Endoscopy: Why It HappensGas and abdominal bloating are common side-effects of an upper GI endoscopy. This is caused by the introduction of air into the stomach, which could cause discomfort immediately after the procedure. Patients may report more frequent belching as a result of the procedure, which could be a cause for alarm for some patients. However, this is completely normal and will subside as the excess gas exits the body. Passing gas is a natural way of alleviating these symptoms. Patients may even pass gas 10-25 times a day immediately after the upper endoscopy. We recommend staying away from large amounts of food if you are feeling gassy following your upper GI endoscopy. Consuming large amounts of food could only aggravate gassiness, leading to constipation. This is especially true for foods containing carbohydrates that are not properly digested in the small intestine. Consume small meals 24-48 hours after your endoscopy to avoid experiencing constipation. You’re free to resume your regular meals afterwards. What Causes Gas In the Body?Digestion by BacteriaBacteria, fungi, yeasts, and other digestive microorganisms reside in the small intestine. These are responsible for breaking down various carbohydrates. The body has difficulty digesting a specific strain of carbohydrates characterized as FODMAPs (fermentable oligo-, di-, mono-sacchardies and polyols). Bacteria fermentation of FODMAPs lead to gas production, leading to flatulence. Examples of foods high in FODMAPs are beans and dairy products. Individuals with lactose intolerance, for example, are especially sensitive to dairy products, leading to the production of excess gas. Eating HabitsIt’s not just the food we eat that influences gassiness. Even eating behaviors and activities impact the amount of gas residing in the gut. For instance, eating big pieces of food such as bread mean more swallowed air. Eaters who tend to chew and swallow food with open mouths tend to inhale more air than those who eat with their mouths closed. Using a straw and talking while eating are two other ways patients can inhale excess air during a meal. Being aware of your eating habits helps you understand what influences the amount of gas inside your stomach. Is It Normal to Have Gas After an Upper Endoscopy?Almost all patients experience gassiness after upper endoscopy. The symptoms of excess gas in the gastrointestinal system are:
How Long Does Gas Last After Endoscopy?Excess gas takes 2-4 days to be expelled from the body. This is possible through flatulence and belching. After a couple of days, patients should no longer experience gassiness. If you still feel gassy a week after the procedure, we recommend getting in touch with a medical professional to ensure your GI tract is safe, especially if gassiness is accompanied by more serious symptoms. Ways to Get Rid of GasGetting rid of excess gas after an upper endoscopy can be achieved at home. Below are some of the tried and tested remedies to relieve gassiness: 1. ExerciseExercise helps trapped gas move through your intestinal system. It doesn’t have to be intense exercise. Instead of lying down after a meal, take a 20-30 minute walk to exercise your body. Doctors recommend exercising for 20-30 minutes daily, but less frequent exercise is also acceptable in relieving the gut of excess gas. 2. Avoid GumGum and similar snacks introduce air down to the stomach. If you are experiencing gassiness after an endoscopy, refrain from chewing gum for a couple of days so you don’t have to aggravate your current condition. 3. Avoid Carbonated DrinksSoda, beer, and even sparkling water can all aggravate gassiness by introducing more air into the intestines. Stay away from these beverages and stick to flat drinks instead. We also suggest waiting a while before drinking fattier drinks like shakes since these can irritate the stomach after an endoscopy. Coffee and tea should be fine within 24 hours after upper endoscopy. 4. Eat Less FattyFried foods, dairy products, and sugary foods are all culprits for excess gas. Although fat in food doesn’t cause gas, high-fat foods cause bloating and increase gassiness in the stomach. 5. Use Over-The-Counter MedicineFor instant relief, there are various over-the-counter medications patients can take. Alpha-galactosidase (BeanAssist, Beano) are specifically designed to aid in the digestion of beans and similar vegetables. This type of supplement has to be taken before a meal. Other remedies such as simethicone (Gas-X) can eliminate the little gas bubbles in your stomach, making it easier for gas to pass through the digestive tract. Products with activated charcoal such as CharoCaps can also alleviate symptoms, but further research is required regarding the use of activated charcoal in eliminating excess gas. 6. Stop SmokingThe act of inhaling nicotine and exhaling smoke when smoking can also contribute to gassiness. Stay away from cigarettes 2-3 days after your upper endoscopy to prevent excess gas from entering your stomach. Danger Signs: Symptoms to Watch Out ForGas is a common and non-threatening side-effect to upper endoscopy. However, there are other symptoms that could occur after the exam that are signs of serious complications with the GI tract:
Get in touch with a medical professional once these signs become apparent. Book an Endoscopy TodayAt Gastro Center in New Jersey, we are equipped with the facilities to give you a comfortable upper endoscopy. Our medical professionals are trained to ensure that your side-effects are minimized after the procedure. Book an appointment with us today. The post How to Get Rid of Gas After Upper Endoscopy appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/how-to-get-rid-of-gas-after-upper-endoscopy/
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Endoscopy is a medical term that is used interchangeably with other procedures. In reality, endoscopy refers to a range of examinations that involve a camera called an endoscope. So, what is the difference between an upper endoscopy and an endoscopy? An upper endoscopy refers to the endoscopy procedure concerning the upper GI tract. Its goal is to examine the esophagus, stomach, and duodenum. Another gastro endoscopy called the colonoscopy is performed to examine the lower GI tract, specifically the colon. Knowing the difference between an endoscopy and upper endoscopy will help you understand what screening method is applicable to your symptoms. What Is an Endoscopy?An endoscopy is a procedure involving an endoscope, a flexible tube attached with a camera and a light that transmits live images onto a computer. Endoscopy is primarily a screening method used to diagnose and treat diseases. Other procedures can be performed alongside an endoscopy to complete a patient’s treatment or diagnosis procedure. A Brief HistoryHistorians believe that inventions similar to the endoscope were around as early as the ancient Roman and Greek periods. But it wasn’t until 1805 that a device specifically used to examine the gastrointestinal tract was invented. The device known as Lichtleiter or “light guiding device” was created by Phillip Bozzini to examine the pharynx, rectum, and urinary tract. The word endoscope was first used and coined in 1853 when inventor Antoine Jean Desormeaux created a similar instrument specifically designed to examine the bladder and urinary tract. Iterations of the same device have been introduced since then. In 1868, Dr. Adolph Kussmaul used the device to observe the inside of the human stomach, which was the first attempt to do so in human history. In 1881, Johann von Mikulicz and his peers created an endoscope similar to what we have today. However, the flexible iteration of this device only came around in 1932 that allowed stomach examination by using lens and a light to reflect the inside of a person’s stomach. More modern innovations on the endoscopy began in the late 1900s, particularly the photographic gastronomic camera developed by Japanese doctors. New materials such as glass fiber allowed American inventors to find ways to examine the stomach, however, photographic limitations applied, rendering the new material irrelevant. Finally, in 1964, a “gastronomic camera” was created, allowing doctors and surgeons to record stomach contents and view them as photographs. Eventually, gastronomic cameras were replaced by fiberscopes and this lead to the development of videoscopes. With the advent of video cameras and TV display, doctors were able to enhance the process of endoscopy by projecting the live feed of the examination to HD screens. With modern endoscopy, nurses, doctors, and other medical professionals can study the stomach in real-time and make more accurate diagnoses thanks to high-quality resolution technology. Purpose and Applications1. DiagnosisAn endoscopy allows doctors to understand the nature of a disease. Additional procedures, such as a biopsy (the process of removing tissues for further study, usually by a pathologist), may be performed to rule out the possibility of diseases. 2. Screening and InvestigationBleeding, pain, fever, heartburn, nausea, and vomiting can be a cause for concern. An endoscopy is recommended by doctors as a way of verifying the cause for these symptoms. 3. TreatmentAn endoscopy can also be used for treatment purposes. Doctors can use the endoscope to study anatomical changes, especially for structural diseases. Using the camera, doctors can perform visual examination on a site and determine whether the current treatment plan is effective or not. An endoscopy may also be performed to treat certain disorders. For instance, an upper GI endoscopy can be used to treat bleeding stomach ulcers. Endoscopy VS Upper EndoscopyEndoscopy describes a range of medical procedures that use an endoscope, which includes upper endoscopy. Upper endoscopy or esophagogastroduodenoscopy (EGD) refers to the endoscopic procedure studying the upper GI tract. The gastroenterologist inserts the tube through the mouth down to the small intestine to look for ulcers, growth, and other gastrointestinal abnormalities concerning the upper portion of the GI tract. On the other hand, endoscopy refers to any screening procedure that uses a thin, flexible tube with a camera and light attachment. There are many types of endoscopy procedures available that involve other parts of the body. Types of EndoscopyBelow are the various endoscopy procedures done depending on the area being examined, treated, or diagnosed: 1. ArthroscopyPerformed by making a small incision near a joint. An endoscope is passed through the joint to evaluate joint disorders such as arthritis. Arthroscopy is also used to repair joint tears and minor damages. 2. BronchoscopyBronchoscopy is performed to study the bronchial tubes or the large tubes of the lungs branching into bronchus and bronchioles. This is done to look for tumors and growths in the lungs. Other medical procedures can be carried out alongside a bronchoscopy such as a biopsy or dilation. 3. ColonoscopyColonoscopy is one of the most common endoscopy procedures, routinely performed for patients 50 years old and above since they are at a higher risk of developing colon cancer. Patients undergoing colonoscopy are required to drink a colon prep drink to ensure accurate results. A colonoscopy is a procedure performed by inserting the endoscope through the rectum to look for colon polyps as a measure against colon cancer. 4. ColposcopyCervical cancer is often diagnosed through pap smear. Colposcopy is recommended after doctors find reasons for further investigation following a pap smear. During a colposcopy, an endoscope is inserted through the vagina to study the cervix for signs of cervical cancer. 5. CystoscopyDisorders concerning the bladder can be diagnosed through a procedure called cystoscopy. During the exam, a thin tube is inserted through the urethra (the long tube where urine is transported from the bladder) to detect early signs of bladder cancer, for instance. 6. Endoscopic Retrograde CholangiopancreatographyAlso known as ERCP, this type of endoscopy is inserted through the mouth down towards the pancreatic ducts. Unlike the upper GI, an ERCP exam is performed to study the pancreatic ducts in the liver and pancreas. The ERCP can be performed as a minimally invasive, non-surgical method of retrieving gallstones. 7. LaparoscopyA laparoscopy is a known method for removing an appendix, as a treatment for appendicitis. This procedure is also useful in determining a host of disorders concerning organs in the abdominal region, including infertility and liver problems. Laparoscopic surgery refers to the minimally invasive surgery achieved by making a small incision (usually half an inch long) where the laparoscope (camera) is inserted to accomplish the surgery. 8. LaryngoscopyPersistent coughing, throat pain, and bad breath are usually no cause for worry, but can be symptomatic of worse problems concerning the larynx. Laryngoscopy is performed to investigate these symptoms and visualize the larynx, often looking at growths in the throat or vocal cords to understand the cause of the problem. 9. MediastinoscopySimilar to an arthroscopy, mediastinoscopy is performed by making a small incision, this time above the breast bone. This procedure is used to examine the middle of the chest, also for lymph node removal in the case of lung cancer. 10. ProctoscopyThe rectoscope, the tool used during a proctoscopy, is a bit different from the usual endoscope. Instead of a long, flexible tube, the rectoscope is a straight hollow tube with a small light bulb at the end used to inspect minor rectal problems such as hemorrhoids or more serious ones such as a rectal polyp. 11. Upper GI EndoscopyAlso referred to as esophagogastroduodenoscopy (EGD), this procedure is done by inserting a thin tube in the mouth to observe the esophagus, stomach, and duodenum. During an upper endoscopy, doctors may elect to perform other procedures such as esophageal dilation as a treatment for a narrowed esophagus. Learn more: A Complete Overview of Upper GI Endoscopy Tools Used During EndoscopyAside from the endoscope, doctors use other tools to perform an exam. These include:
Advancements in EndoscopyAlthough modern endoscope has gone a long way from its early versions, contemporary inventors are still finding ways to improve the device. The current endoscope requires insertion through the mouth, anus, or by making a small incision in the treatment area. Although minimally invasive, this procedure can be off-putting for patients and could be detracting thousands of others who need to be screened. Advancements in endoscopy exist to eliminate the pain points of current endoscopic procedures. Two note-worthy developments include: Virtual EndoscopyVirtual endoscopy works by using CT and MRI scans to reconstruct an area of the body. Three-dimensional pictures rendered in high quality are recreated to help doctors envision certain problem areas without the need for an endoscope. Virtual endoscopy is currently being used to inspect the urinary tract. While it is yet to replace cystoscopy completely, virtual endoscopies allow for the detection of small bladder abnormalities including lesions less than 5 mm. Virtual endoscopy is also being used as a competitive alternative to colonoscopy. With virtual endoscopy, no sedation is required and doctors are able to examine the entire colon even in patients with tumors. However, polyp screening efficiency tends to decrease with decreasing polyp size. Capsule EndoscopyAnother non-invasive procedure, capsule endoscopy is a unique technology that involves tiny cameras placed inside a capsule, which is swallowed by the patient. As the capsule travels through the intestine, the camera takes multiple photos of the small intestine and transmits these photos on a data recorder worn by the patient around the waist. Among its many benefits, capsule endoscopy allows clear visualization of the esophagus, stomach, bowels, and colon. It is also beneficial in detecting lesions and occult bleeding (bleeding that is invisible to the naked eye). Patients are asked to return to the medical facility 8-10 hours after ingesting the camera to retrieve the recording device. The camera will be naturally flushed out through bowel movement. Although rare, it’s possible for the tiny camera to get lodged in the small intestine, causing obstruction. When this happens, the capsule has to be removed through surgery or an upper endoscopy, depending on the location of the camera. Schedule Your Endoscopy TodayAt Gastro Center NJ, our facilities are fully equipped to perform gastrointestinal endoscopy. Not sure what endoscopy procedure you should get for your symptoms? Get in touch with us today for a consultation. The post Is There a Difference Between an Endoscopy and an Upper Endoscopy? appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/difference-between-endoscopy-and-upper-endoscopy/ An upper endoscopy, sometimes referred to as esophagogastroduodenoscopy or EGD, is a type of endoscopy performed on the upper GI tract. This procedure is considered the golden standard for identifying certain gastrointestinal disorders such as celiac disease. Unlike its lower GI tract counterpart, colonoscopy, an endoscopy doesn’t require patients to prepare with a cleanse. A clear liquid diet is usually enough to ensure the exam’s success. This procedure is currently being used to diagnose anything from stomach cancer to ulcers and is an integral part of maintaining one’s upper GI health. So, are upper GI endoscopies necessary? This depends on your case. Some patients might benefit from blood tests and imaging services, while others might require a definitive visual diagnosis from an upper GI. This is especially true for GI disorders that involve structural abnormalities such as stomach cancer (even in its early stage) and peptic ulcer. Before getting an upper endoscopy, it’s important to understand crucial information that will help you prepare for the procedure. In this article, we discuss everything from costs, to risks, to aftercare in order to prepare for a comfortable and successful upper GI. Introduction to the Upper GIThe upper GI (upper gastrointestinal tract) refers to the organs and mechanisms in the upper tract of the gastrointestinal system. The distinction “upper” and “lower” exists to allow medical professionals to easily identify the site of an abnormality, for example, gastrointestinal bleeding. The organs in the upper GI are:
Upper GI ComplicationsDisorders concerning the upper GI are common. Upper GI complications can arise due to a variety of reasons, creating alarming symptoms that could cause anxiety, pain, and reduced quality of life. For instance, gastro-esophageal reflux disease (GERD) affects about 20% of the U.S. population and is considered one of the most common chronic gastrointestinal diseases. The stomach functions best when the stomach lining called mucosa is able to maintain a balance between acid and mucus secretion. When disrupted, this can lead to ulcers, erosion, and even tumor. The American Cancer Society predicts that 27,510 cases of stomach cancer will be diagnosed in 2019, with less than half of those patients reaching mortality. Although alarming, upper GI disorders are now easily managed thanks to advanced screening methods such as endoscopy. Overview on Upper GI EndoscopyUnderstanding the nature of your upper GI is made possible through a sophisticated method of visual examination. Through an endoscopy, medical specialists can clearly observe the location and condition of an ulcer, growth, infection, or any other GI abnormality. What Is an Upper GI Endoscopy?An endoscopy (also called an esophagogastroduodenoscopy or EGD) is a procedure that uses a viewing tool called an endoscope. The endoscope is a thin, flexible tube inserted through the mouth and is gently moved down to inspect the throat, stomach, and duodenum. This tool is equipped with a camera and a small flashlight, which projects images onto a computer. Some endoscopes are equipped with a colored light to aid in the detection of precancerous conditions. This is referred to as narrow band imaging. Upper GI Fluoroscopy VS EndoscopyCT scans, ultrasounds, and other imaging techniques are also a viable method of diagnosis. For diagnosing abnormalities concerning the upper GI tract, a specialized x-ray called fluoroscopy is used in order to study everything from the esophagus to the duodenum. A contrast material such as barium is ingested which allows the scan to reflect the inside of the body using minor exposure to radiation. Fluoroscopy is performed to detect ulcers, tumors, and inflammation. It is usually recommended after an ultrasound or x-ray has detected an abnormality that needs further probing. Unlike regular x-rays, fluoroscopy uses radiation imaging to examine the GI tract. Unlike an endoscopy, fluoroscopy is a non-invasive procedure. At most, the patient is required to take the contrast material and to restrict diet and relevant medication in order to produce the best results. Fluoroscopy is useful in detecting clearly visible large ulcers. Infections such as those caused by the bacterium Helicobacter pylori may also be detected. However, additional tests are required in order to confirm the bacterial presence. Despite its many uses, fluoroscopy is unable to localize abnormalities and detect smaller growth in the GI tract. On the other hand, an upper endoscopy gives doctors complete visuals of the GI tract, making for a more accurate diagnosis. During an endoscopy, doctors may also perform a biopsy for further study or complete tissue removal. Results are sent back to a lab where pathologists can determine whether the cells are precancerous or show strains of bacterial infection. Upper Endoscopy VS ColonoscopyA colonoscopy is performed to observe the colon, which is found in the lower part of the gastrointestinal tract, whereas an upper endoscopy is performed to observe the esophagus, stomach, and duodenum – all found in the upper GI tract. A colonoscopy is a procedure that also involves an endoscope to investigate the colon. This procedure is done to evaluate symptoms such as rectal bleeding, changes in bowel habits, constipation, and abdominal pain. Unlike colonoscopy, an upper endoscopy doesn’t require bowel cleansing. Although patients are required to undergo a clear diet, patients undergoing an upper endoscopy don’t have to take any laxatives to clean out the upper GI tract. Individuals 50 years old and above are at above-average risk for colon cancer. As such, a colonoscopy is encouraged for all adults, especially for individuals who are more predisposed to developing colon cancer due to genetics and medical history. Read more: Is Colonoscopy Necessary for Everyone? Meanwhile, there is no recommended age for upper GI screening. An upper endoscopy will be recommended to a patient once crucial signs and symptoms show. Reasons For Upper GI EndoscopyAn upper endoscopy may be recommended to satisfy the following: 1. Diagnose DiseasesDoctors may perform a biopsy, a process involving the removal of tissue samples, in order to test for diseases. Bleeding, inflammation, blood loss, and irregular bowel movements can be a cause for concern, especially when these signs are accompanied by other symptoms and worsen with time. As such an endoscopy is performed to diagnose abnormalities in the gastrointestinal tract and rule out the possibility of diseases. 2. Investigate SymptomsPersistent symptoms, both related to digestion and food consumption, can point to problems in the GI tract. As such, an upper endoscopy is performed to locate the source of the problem. The most common symptoms that prompt an upper GI endoscopy are:
3. Treat Disorders and DiseasesAn upper GI endoscopy can also be used as a treatment tool. After discovering an abnormal growth or polyp along the upper gastrointestinal tract, an endoscopy may be performed to remove the polyp from the stomach lining to prevent the polyp from morphing into cancerous growth. An upper GI endoscopy can also be used to treat conditions such as bleeding from ulcers. An upper GI endoscopy can also be used to aid in other treatment methods. For patients with benign esophageal stricture (narrowing of the esophagus), the treatment called esophageal dilation is performed during an endoscopy. What Can Upper GI Endoscopy Detect?An upper GI endoscopy is useful in treating various disorders affecting the gastrointestinal tract. These include: 1. Blockages and other structural problemsPatients suffering from an obstruction in the GI tract may experience nausea, vomiting that contains food and drinks, and constipation. Obstructions can appear on the GI tract as a result of growths blocking food and fluids from passing through the gastrointestinal system. Blockages are common in patients with esophageal and stomach cancer. As such, an upper endoscopy can confirm the presence of a blockage. When found, doctors may perform surgery to remove the obstruction along the GI tract. 2. UlcersUlcers are sores that appear on the lining of the stomach and small intestine. Peptic ulcers are ulcers localized in the upper GI, which includes gastric ulcers (stomach ulcers) and duodenal ulcers (ulcers located in the duodenum). Common causes for ulcers include the presence of the bacterium Helicobacter pylori and long-term overuse of NSAIDs. Patients usually report feeling stomach pain, intolerance to fatty foods and drinks, and heartburn. An endoscope is performed to confirm the presence of an ulcer. Doctors may recommend performing a biopsy in order to rule out the H. pylori bacterium as the cause for the ulcer. 3. Gastroesophageal Reflux DiseaseChronic acid reflux and heartburn are characterized as gastroesophageal reflux disease or GERD. Acid reflux occurs when the lower esophageal sphincter malfunctions, allowing stomach contents to travel back up the esophagus, sometimes reaching the mouth. Patients with GERD report bile-tasting acid traveling back up the esophagus, which can often irritate the esophagus lining. As such, an endoscopy can be instrumental in diagnosing GERD. In an attempt to identify GERD, the endoscopist will be looking for acidic damage along the esophagus lining, as well as hernia and other physical abnormalities. More importantly, doctors will keep an eye out for the symptoms of Barett’s esophagus, a complication that is associated with a higher chance of developing esophageal cancer. Individuals with GERD might experience esophageal narrowing due to prolonged exposure to acid damage. In the event of esophageal narrowing, doctors may perform esophageal dilation (or the stretching of the esophagus) as part of the endoscopy. 4. Stomach CancerAn upper endoscopy is a definitive test in identifying stomach cancer. Used both as a diagnosis and a screening tool, an upper endoscopy may help doctors distinguish cancerous lesions from normal lesions. In its early stages, stomach cancer appears as small and subtle lesions on the stomach lining. Alternatively, stomach cancer may also appear like an ulcer with visible mass or flat parts. Even without the use of other imaging methods, doctors with a trained eye can identify pre-cancerous tissue just by evaluating its structure alone. 5. Celiac DiseaseCeliac disease is a disorder wherein the body is unable to process gluten. As an immune system response to gluten, patients experience inflammation and minor intestinal damage. A blood test is the go-to method for identifying celiac disease. However, test results can sometimes come out inaccurate, at which point an endoscopy would be recommended by the doctor. Small finger-like tissues called villi exist in the small intestine. Individuals with celiac disease usually have fat villi, caused by the body’s adverse reaction to gluten. As such, endoscopists investigate the small intestine and observe whether the villi is flattened or in normal shape. When Is Upper GI Endoscopy Not Useful?Despite its many benefits, an upper GI endoscopy may not be beneficial for patients with the following conditions:
Who Performs an Upper Endoscopy?An upper endoscopy is routinely performed by a gastroenterologist. A surgeon or any other trained medical professional may also perform an upper GI endoscopy. This procedure is usually done in a doctor’s office, hospital, or gastrointestinal clinic. Understanding the ProcedureUpper GI endoscopy involves various components that contribute to its success. Knowing key information about the procedure will help you prepare for your upper endoscopy, ensuring accurate results. Before the ProcedurePatients should inform doctors regarding medical history, medicine use, and family medical history. These variables are important in deciding whether an upper endoscopy is the best screening or diagnostic method for the patient. Medications that may interfere with the test will be suspended. Minor fasting is involved in an upper endoscopy. Patients will be required not to eat or drink 8 hours before the test to ensure test accuracy. Only clear liquids such as water, clear juice, broth, and coffee and tea without cream are allowed. As with a colonoscopy, foods with dye are to be avoided. The use of NSAIDs and blood-thinning drugs before an upper endoscopy is also prohibited. No laxatives and preparations are necessary. A sedative is usually administered during the procedure, typically through an IV line, to help patients relax during the procedure. Arrange a ride home after the procedure. Some medical centers would go as far as to not let patients have the procedure until they prove they have a designated driver. During the ProcedureAn upper endoscopy is an outpatient procedure that is typically performed in 30-60 minutes. During the procedure, doctors will administer sedatives to minimize discomfort and allow relaxation. Doctors may spray an anesthetic to numb the throat in preparation for the endoscope. A mouth guard may be applied to help keep the mouth open. Although endoscopy is a painless procedure, it’s normal to feel some pressure in the throat as the tube makes its way down the upper GI. The gastroenterologist may instruct you to swallow during the exam. The endoscope will project images of your upper digestive tract onto a computer. The doctor will be using this to investigate any symptoms and understand the cause of any abnormality. During an endoscopy, the gastroenterologist may gently inflate your digestive tract in order to navigate the tract more freely. Complications and RisksGastrointestinal PerforationAlthough uncommon, gastrointestinal tearing can occur during an endoscopy. This happens when the endoscope damages the gastrointestinal lining, which could lead to hospitalization. The risk of GI perforation increases when other procedures are performed alongside the endoscopy, such as esophagus dilation. InfectionContamination on endoscopes is possible without proper disinfection and sterilization methods. Bacteria may form on the surface of the endoscope and can be transferred from one patient to another. Despite this, infections from endoscopies can easily be treated with antibiotics. Ask your doctor about preventive antibiotics before the procedure so you don’t have to worry about contracting a bacterial infection. BleedingBleeding from an endoscopy may be caused by a biopsy or any other accompanying procedure. A blood transfusion might be necessary in the event of bleeding. However, this is extremely rare and unlikely to happen in standalone upper endoscopies. Allergies and Sensitive ReactionsNegative reactions to sedatives and anesthesia are possible. It’s important to talk to your doctor about any known allergies to mitigate the risk of complications during the procedure itself. If applicable, discuss your previous surgical history and note instances of allergic or severe reactions to anesthetics and sedatives. Things to Watch Out ForDizziness and disorientation is normal within 24 hours after the procedure. Get in touch with a medical professional if a patient is exhibiting the following problems following an upper endoscopy:
Cost and InsuranceCosts on upper endoscopy vary depending on a patient’s gastroenterologist, city, and facility you are doing it in. On average, an upper endoscopy can cost anywhere from $1,200 to $3,300. This usually includes sedative, anesthetic, and doctor’s fees. Coverage for endoscopies depend on your healthcare plan. Get in touch with your insurance provider and ask whether or not a gastrointestinal endoscopy is covered in your plan. After the Upper GI EndoscopyCommon Side Effects, Recovery, and After CareDoctors may ask you to stay in the medical facility 1-2 hours after the procedure as the sedative wears off. Patients are allowed to leave the hospital after an endoscopy, but will be instructed to rest at home within the day. Avoid any physical activities throughout the day and allow the sedative to wear off completely. We recommend easing into your normal diet at least 24 hours after the procedure. After that, you are free to consume your normal meals. Keep in mind that a sore throat is a common side-effect of endoscopy and will go away in a matter of days. Bloating and nausea are other common side-effects. How Long Do Results Take?Results are typically available 1-2 days after the examination. Additional days may be required if a biopsy was performed alongside the endoscopy. You will get a call from your gastroenterologist asking you to come back to the clinic to discuss the results once a final report has been sent. Understand the State of Your Upper GIYour upper gastrointestinal tract is a crucial part of the digestive process. At Gastro Center in New Jersey, we are equipped with the latest tools and techniques to make your upper endoscopy a comfortable experience. Worried about some symptoms? Book an appointment with us today and get the answers you’ve been waiting for. The post A Complete Overview of Upper GI Endoscopy appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/complete-overview-of-upper-gi-endoscopy/ Watchful eating, regular exercise, medication and antibiotics are traditional methods of managing IBS symptoms. However, more and more patients are recognizing the benefits of intermittent fasting in dealing with IBS. Can intermittent fasting help with IBS? Anecdotal evidence shows that intermittent fasting can indeed improve a patient’s quality of life by reducing pain and discomfort, as well as regulating bowel movements. In this article, we talk about the benefits of intermittent fasting on IBS, and what happens in your body when your intestines aren’t busy digesting food. What Is Intermittent FastingIntermittent fasting (or IF) is an eating pattern with periods or cycles of eating and fasting. Unlike regular meal times, people on an IF schedule fast for a specific number of hours and only eat within a certain window. Intermittent fasting is not concerned with the kinds of food you eat but is more focused on the timing of consumption. Intermittent Fasting VS Regular FastingRegular fasting can be predicated on medical conditions or religious practices. Individuals undergoing a fast go on hours of not eating, sometimes extending to days, in respect to medical prerequisites (when preparing for a colonoscopy) or according to religious mandates (during the holy month of Ramadan). On the other hand, intermittent fasting is a dietary option usually done for its perceived benefits, the most popular of which is weight loss. Unlike regular fasting, intermittent fasting follows a schedule and is recurring. Individuals who adopt IF often make adjustments to their lifestyle, specifically with their meal times, in order to accommodate the cycles of eating and fasting. Read more: Can IBS Cause Weight Gain and What Can You Do About It Types of Intermittent FastingThe key principle of intermittent fasting is limiting your meal times within a certain window. As such, there is no one way to do IF. Below are three of the most popular ways to do IF: 1. 16/8 MethodConsidered by many as the most sustainable way to perform IF. The 16/8 method involves 16 hours of fasting and a window of 8 hours for consumption. The 16/8 window can be adjusted into 14-16 hours of fasting with 8-10 hours of consumption. The 16/8 is sustainable because it already resembles regular feeding patterns. An example of a 16/8 method is eating your last meal at 6 PM and eating your next meal at 10 am. To many people, this eating pattern is already instinctive and doesn’t need to be reinforced. But to those who tend to snack every hour, IF might prove beneficial for their weight loss goals. 2. 5:2 FastingThe 16/8 method requires a daily commitment to the fasting and eating times. Another option called the 5:2 fasting only involves 2 days of fasting every week. Instead of consuming the usual 1,500 – 2,000 calories per day, dieters are expected to eat only 500 – 600 calories for two select days and eat normally for the rest of the week. Although less restrictive, the lower amount of calories consumed twice a week may prove too few for some individuals. The 5:2 fasting is typically not recommended for individuals who need consistently high energy to complete their day to day activities. 3. Eat-Stop-EatEat-Stop-Eat refers to a 24-hour fasting cycle done one to two times a week. Doctors don’t recommend fasting for more than 24 hours for longer than 3 days because this can severely impact your energy levels. Drinking water, coffee, and tea are allowed during the 24-hour fast. Caloric beverages such as energy drinks and shakes are also not allowed. Individuals doing the eat-stop-eat IF are recommended to reach their daily caloric goals on their feeding days. Additional restriction on non-fasting days can increase the chances of failure and lead to binge eating. The Effect of Intermittent Fasting On IBSIntermittent fasting has many known benefits. For people who want to lose weight, IF offers an opportunity to cut down on calories and control one’s relationship with food. But its real health benefits hailed by science go beyond cutting down extra weight. By altering feeding and fasting cycles, the body is able to “take a break” from digesting food. The modern human consumes a significant amount of preservatives from everyday foods. But even without these preservatives, sugars, oils, and salts in the system, the mere quantity of food being digested today is usually enough to upset the stomach, which is especially true for people with IBS. IF allows the body to restart certain metabolic processes that promote better overall health. Studies show that intermittent fasting can decrease inflammatory responses and reduce stress, both of which are crucial in managing gastrointestinal syndromes, specifically IBS. How Intermittent Fasting Can Help With IBSFor the majority of IBS patients, food consumption often triggers symptoms. Diarrhea, bloating, and abdominal pain can occur immediately after eating. Intermittent fasting can help manage symptoms by limiting gut responses to specific meal times. Read more: What Makes Irritable Bowel Syndrome Worse? This means that patients no longer have to endure discomfort throughout the day. Instead of feeling abdominal pain 24/7, patients who undergo intermittent fasting have better control over their symptoms, and can easily make adjustments in order to prevent any episodes. More importantly, IF allows the gut to relax and repair itself by establishing periods of non-consumption. Instead of introducing new foods every 3 hours or so, the gastrointestinal system doesn’t have to work on digesting foods, which for many patients is enough to trigger abdominal pain and distension. With no food to process, the gastrointestinal system doesn’t produce any uncomfortable responses. When done right, intermittent fasting can put an end to urgent bowel movements, constipation, and bloating. Patient Success With Intermittent FastingAlthough more research is needed to make intermittent fasting a definitive solution to managing IBS symptoms, anecdotal evidence shows that IF can significantly improve a patient’s quality of life. Patients report a “lighter” experience due to the eating restrictions necessary to perform intermittent fasting. Patients feel less bloated and less prone to urgent bowel movements. For patients whose sleep is disturbed by untimely bowel movements, IBS has been proven to regulate their toilet visits as long as a strict eating window is followed. One patient affirms that intermittent fasting has helped regulate his bowel movements. With a slow digestive system, food takes a lot longer to process and is often expelled at irregular times. Even then, as is the case with majority of IBS cases, the bowel movement doesn’t relieve the feeling of having to go to the toilet. But with intermittent fasting, patients have reported a significant improvement in abdominal pain, distension, irregular bowel movements, and stool consistency. Benefits of IF for IBS: The Science Behind a Clean GutThe feeling of being “lighter” and “cleaner” after adopting intermittent fasting isn’t just a placebo effect. IF activates certain mechanisms that are difficult to maintain with constant eating. Periods of fasting or “emptiness” allow the gastrointestinal system to resume maintenance procedures that normally wouldn’t be triggered during digestion. The Role of Bacteria in IBSChanges in gut bacteria can interfere with normal intestinal functions, affecting intestinal motility (or the movement of the intestinal muscles) as well as mucus secretion that protects the intestinal lining. Bacterial composition changes depending on a person’s age, environment, eating habits, and drug use. However, bacterial cultures in IBS patients are different from healthy individuals, in that beneficial bacteria are lower in individuals with IBS. In order to control the symptoms, it’s important to promote bacterial balance in the gut in order to restore normal digestive functions. What Is the Migrating Motor Complex (MMC)The migrating motor complex is a series of processes in the gastrointestinal system. Although what triggers the MMC is still unclear, scientists have observed that this kicks in about three hours after the last meal. The MMC’s primary role in the digestive process is to clean out any undigested residual material. Extra bile secretions are also observed during the MMC, which plays a crucial role in maintaining a healthy habitat for beneficial bacterial culture. Bile is also known to manage systemic inflammation, which is useful to patients trying to regulate their IBS symptoms. Here’s a general rundown of what happens when the MMC is activated:
The MMC occurs every 1.5 to 2 hours as long as no food is present. Once food is reintroduced into the system, the MMC stops completely. Instead of “maintenance”, food in the stomach signals your body to redivert its energy to digesting food instead. Is it bad to interrupt the MMC? Yes. Continuous interruptions of the MMC can lead to bacterial build up in the small intestine. Healthier individuals are equipped with the system to fight off any effects of bacterial build-up. However, IBS patients, due to an increased sensitivity, will only suffer the effects of bacterial overgrowth in the small intestine. Increasing Good Bacteria: Firmicutes and IBSIBS patients are no strangers to the world of antibiotics. Prescriptions are taken regularly, often after every meal, to control bacterial growth in the gut. However, some studies suggest that beneficial bacteria can be cultivated in the gut just through intermittent fasting alone. Animal studies and a number of human intervention runs have shown that intermittent fasting can encourage the regrowth of good bacteria and aid in fighting off bacterial attacks. A study involving Salmonella-infected mice reported that an alternate day fasting for 12 weeks resulted in better immune responses and increased mucus production that protected the intestinal lining. The same is also applicable to human hosts. A study found out that an increase in the bacteria Firmicutes is observed after intermittent fasting. Firmicute bacteria are associated with reduced inflammation in the gut. When Is Intermittent Fasting Not Beneficial For IBS?Just like a low FODMAP diet, success with intermittent fasting isn’t guaranteed. Depending on your type of IBS, your stomach might respond negatively to a lack of food. Intermittent fasting may not be useful for patients whose symptoms occur as a response to an empty stomach. Patients who experience acid reflux and abdominal pain due to an empty stomach are not good candidates for intermittent fasting. As with any new technique for managing symptoms, we suggest easing into this new process. Instead of fasting for 24 hours or even 16 hours, we recommend doing shorter fast times in order to evaluate whether or not your stomach is against fasting. In order to preserve the benefits of intermittent fasting, make sure you don’t overeat during your feeding time. Consuming excess calories during your feeding time is only going to make your fasting attempt irrelevant. Stick to a healthy calorie limit and eat foods that won’t aggravate your symptoms. Read more: Irritable Bowel Syndrome: Symptoms and Causes Managing IBS With Gastro Center in New JerseyIBS is a long-term battle that requires patience, understanding, and proactive medical help. At Gastro Center NJ, our goal is to find the right lifestyle modifications to improve your quality of life. Book a consultation with us today to learn more about the different techniques used to manage IBS symptoms, and how intermittent fasting can benefit you. The post Can Intermittent Fasting Help IBS? appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/can-intermittent-fasting-help-ibs/ Exercise might be the last thing on your mind as an IBS patient, but science proves that becoming more active might just be what you need to manage IBS symptoms. However, some exercises are known to worsen symptoms instead of improving them. So, what exercises should you avoid when you have IBS? The rule of thumb is to avoid anything that involves intense movements and rapid bouncing. These include Crossfit, running, ball sports, HIIT circuits, and boxing and martial arts. Despite these restrictions, there are other exercises available to IBS patients that will strengthen the body without negatively affecting your gastrointestinal system. IBS and ExerciseHow Can Exercise Affect IBS?IBS patients experience episodes of diarrhea, constipation, and abdominal pain. These symptoms come and go depending on one’s lifestyle choices. Maintaining a nutritious, IBS-friendly diet and adopting healthy eating habits are the most important factors in managing IBS symptoms. Learn more: Irritable Bowel Syndrome: Symptoms and Causes The relationship between IBS and exercise isn’t so straightforward. On the one hand, exercise has been proven to improve patient symptoms. Engaging in 30 to 40 minutes of exercise daily for at least 3 months is proven to be useful in managing pain and regulating bowel movements. Meanwhile, too much exercise could also exacerbate IBS symptoms. The risk of gut damage increases with exercise duration and intensity, making the gut more vulnerable to pathogenic attacks. Abnormal mucus discharge can occur in the gastrointestinal system, which can lead to bacterial cultivation. Over-exercising can lead to an unstable gut, and as a result, worsen pre-existing IBS symptoms. Can IBS Patients Still Exercise?Yes, provided that the exercise is low to moderate in intensity. In fact, exercise can prove beneficial to IBS patients as long as they choose activities that won’t aggravate the gut. However, not all exercises are created equally so it’s important to be mindful of how certain movements affect your symptoms. We recommend taking an exercise log to help you identify which exercises are worsening your IBS symptoms. Certain alterations to stressful movements can also be done in order to reap the full benefits of a specific exercise, without having to worry about suffering through exercise-induced consequences. Incorporating Exercise In a Patient’s RoutineAs a patient experiencing diarrhea or constipation, exercising might be the last thing on your list. But studies have shown that incorporating an exercise routine, even something as simple as reaching a 10,000 step count every day, is important in managing your overall health. Milder exercises can also pave the way to more advanced exercises. If you aren’t keen on doing yoga or pilates, you can start off with some basic stretching in the morning coupled with light walking. Eventually, your body will get used to the amount of physical activity and you’ll be able to do advanced exercises without any problems. Get in touch with a trainer or fitness instructor who is informed with gastrointestinal problems. Together you can create a fitness routine that will be beneficial for your health while ensuring that your gastrointestinal system won’t be irritated. IBS and Weight GainAnother reason to adopt an exercise routine is to prevent weight gain. Although uncommon, IBS patients may gain excess weight due to hormonal changes and dietary restrictions. With a proper exercise regimen, IBS patients can stay in shape without worsening symptoms. Read more: Can IBS Cause Weight Gain and What Can You Do About It Top Exercises to Avoid, and What to Do InsteadNot all exercises are beneficial to the body, especially for people who are trying to get their IBS symptoms under control. Below are the top 5 exercises to be avoided if you are suffering from IBS symptoms: 1. RunningRunning is the go-to exercise for enhancing cardiovascular strength. It’s also a great way to tone your legs and speed up the fat loss process. However, running might not be the best option for IBS patients. Even with multiple health benefits, running usually leads to abdominal cramping, which may trigger diarrhea and worsen abdominal pain. Jogging might produce a similar effect due to the bouncing motion involving the torso. Alternative: Instead of running, consider something a little more low impact like brisk walking. This exercise is gentle on the knees and won’t require a rapid bouncing motion that may upset the stomach. 10,000 steps daily is the recommended step count for a healthier lifestyle. For a more challenging session, try walking up and down the stairs or an inclined plane in order to increase your heart rate. 2. Sports Involving BallsSports are another fantastic way to get exercise, but unfortunately for IBS patients, the quick rapid movements and roughness that sometimes come from ball sports may prove too irritating for the stomach. Ball sports specifically basketball, volleyball, football (both American and European), and tennis require full body movements that could trigger muscle spasms in the abdomen. This could translate to an irritated stomach for IBS patients. Alternative: Ball sports are beneficial to the body because they combine strength training with cardiovascular exercise. Biking is a low intensity exercise that provides both benefits. It’s a good alternative to running and ball sports because it engages the full body and allows cardiovascular training, without putting stress on the gut. While biking on its own can already be a challenging exercise, you can raise the intensity by going up an inclined path. Just make sure you track your heart rate so you don’t overexert yourself. 3. High Intensity Interval Training (HIIT)HIIT workouts usually come in the form of 5-10 exercises done in 60-second intervals. The idea behind HIIT is to push your body for at least 60 seconds before resting for a 30-second period. Naturally, this kind of exercise can make your gut suffer, leading to diarrhea and abdominal pain. Alternative: Low-intensity alternatives such as yoga and pilates are a great way to engage the muscles, minus the intensity of HIIT. However, beware of poses and moves that require tilting since this might irritate the stomach. You can always talk to your instructor for movement modifications that are safe to IBS patients. 4. Crossfit and Intense Weight TrainingLike HIIT, Crossfit requires powerful, sudden bursts of movement that engages the full body. It’s common for Crossfit athletes to perform 4-8 repetitions of heavy-weight, high-power exercise in order to reap the full benefits of a movement. Similarly, unmodified weight training sessions, especially compound lifts such as squatting and deadlifting, require motions that exert pressure on the abdominal area. Aside from the movement, the intensity alone can prove too stressful to the body and lead to exercise-induced IBS. Alternative: IBS patients don’t have to steer clear of weight training altogether. But instead of compound lifts, focus on lower weight and high repetition movements in order to build muscle. Replace exercises involving bars and barbells for dumbbells and machines. This way, you take much of the load off from your own body, allowing you to focus your strength on individual muscle groups instead of relying on full and total body strength. 5. Boxing and Martial ArtsBoxing and martial arts involve agile movements and muscle endurance. These sports usually involve sparring with someone, typically a trainer, or sometimes another student in the same class. Needless to say, both activities, like HIIT, are too intense for patients with IBS. Alternative: Instead of high-intensity sports like boxing and martial arts, we suggest switching to physical activities that can still engage full body movement, without the level of intensity usually associated with ball sports. Swimming is one of the best exercises for IBS patients, precisely because it engages both the upper body, back, and lower body muscles, without aggravating the gut. Swimming is also a fantastic exercise for your cardiovascular system, meaning you get a full workout just by doing 10-20 laps. Improving Your Lifestyle, One Step At a TimeWe at Gastro Center in New Jersey are committed in helping you create big changes to your health with even the smallest lifestyle adjustments. With the right fitness program and a suitable nutritional plan, you can manage your IBS symptoms and improve your overall quality of life. Get in touch with us today to book a consultation. The post 5 Exercises to Avoid If You Suffer from IBS and What Are Your Alternatives appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/exercises-to-avoid-if-you-suffer-from-ibs/ Patients with gastrointestinal problems often experience unprecedented weight change as a side-effect of their disorder. Weight gain or loss can occur depending on a handful of factors. For example, patients with IBS experiencing constipation and abdominal pain may keep themselves from eating in order to alleviate symptoms. On the other hand, patients with GERD may find themselves eating constantly in order to suppress acid flare-ups. So can IBS patients experience weight gain? Yes. This could be due to a host of factors involving hormonal activity, diet, and lack of exercise. The good news is that weight gain from IBS is easily manageable with lifestyle changes. How IBS Causes Weight GainWeight change from IBS is likelier to result in weight loss. For irritable bowel syndrome patients, this could be caused by the inefficient nutrient absorption from food and urgent bowel movements that can come right after eating. The discomfort may be associated with food, which could prevent patients from eating. Read more: Irritable Bowel Syndrome: Symptoms and Causes While uncommon, IBS patients can also experience weight gain which involves a few factors. These include: 1. Hormonal ActivityOne study suggests that weight gain from IBS is due to the hormones residing in the gut, specifically those that control appetite. Researchers found that hormones related to appetite are abnormal in IBS patients. Increased food intake and an insatiable appetite could be the result of fluctuating gut hormones. 2. Obesity and IBSSome scientists believe that existing weight problems may contribute to the development of IBS. However, further studies are required in order to properly establish a link between obesity and IBS. Meanwhile, another study pointed out that IBS symptoms are aggravated in obese patients because of the problems in satiation signals in IBS patients. 3. Improper DietPatients with irritable bowel syndrome have more limited food options than healthy people. Dietary restrictions can lead to nutritional imbalance and overeating. Some patients could be consuming more rice, mashed potatoes, and starchy foods more than other food groups in order to alleviate certain symptoms. Even certain fruits and vegetables are considered food triggers for IBS patients, which can make meal preparation more challenging. As a result, patients can stick to eating certain foods which could be calorie dense, resulting in weight gain. 4. Complications With Physical ActivityHIIT (high-intensity interval training) is one of the best ways to lose weight. Unfortunately, it is also one of the easiest ways to trigger IBS symptoms. Exercises that involve running and jumping can also trigger gastrointestinal stress. Patients may find themselves reluctant to hop on a treadmill in fear of setting off symptoms. Weight Gain VS BloatingBloating is a common symptom of IBS and could be interpreted as weight gain. While the actual cause of bloating is still unknown, excessive gas does not actually cause bloating. Other causes could be impaired motility (intestinal muscle contractions that move food and other contents through the walls), bacterial growth in the small intestine, and sensitive abdominal walls to name a few. It’s fairly easy to differentiate bloating from weight gain: bloating often lasts for 1-5 days and is centered on the stomach, while weight gain is apparent in all areas of the body and usually does not recede on its own. Bloating also has the following characteristics:
It is one of the more manageable symptoms of IBS. Below are some tips for dealing with bloating:
How to Lose Weight With IBSPatients with irritable bowel syndrome don’t have to carry the extra weight forever. There are ways to slough off weight from IBS by doing the following: 1. Seek Medical AdviceIt’s difficult to manage weight gain without seeking help from a gastroenterologist. Weight changes related to gastrointestinal problems could be caused by problems not easily resolved by calorie counting. Medical professionals can run tests and identify what exactly is causing weight gain. If it’s hormonal imbalance, your doctor may prescribe supplements to keep your hormones stable. If it’s bacterial growth, your patient can recommend antibiotics to fight off infections. Knowing what’s causing your weight gain is the first step to losing it. 2. Plan Healthy MealsAs an IBS patient, you should strive for a nutritional plan that does not only alleviate your symptoms but is also highly nutritional. It’s challenging to find foods that don’t trigger symptoms while simultaneously preventing weight gain. We suggest getting in touch with a licensed nutritionist who is informed with gastrointestinal problems. Together, you can plan healthy meal plans that are nutritious and well-balanced, while ensuring your symptoms are kept under control. 3. Find Alternative ExerciseAlthough HIIT and most cardiovascular exercises are out of the question, there are other activities that can be done which are safe for IBS patients. Instead of running, you can swim thrice a week to build up cardiovascular endurance and muscle strength. Yoga and pilates are also great ways to engage the body without upsetting the gastrointestinal tract. In reality, IBS patients don’t have to avoid HIIT and muscle training altogether. It’s possible to create versions of the exercise that are easier on the body. Instead of doing compound weightlifting exercises such as squatting and deadlifting, IBS patients can focus on higher repetitions with lower weights instead of shocking the body with powerful movements. 4. Watch Your Eating HabitsDiscomfort from diarrhea and constipation can shape the way we eat. For instance, in order to prevent frequent bowel movements, patients may eat two big meals and not eat for the rest of the day. Patients could also decide to skip meals altogether because of abdominal pain, which could eventually result in overeating. Knowing how symptoms shape eating habits is key in managing weight for IBS, as well as other gastrointestinal disorders. Read more: What Makes Irritable Bowel Syndrome Worse? FODMAP Diet and Other Food RecommendationsFood is a known trigger of IBS. This makes it difficult for IBS patients to find suitable meal choices while maintaining their weight. The problem is that some foods which contribute to weight loss can lead to symptom flare-up. These foods include:
Although these foods tend to produce negative effects in general IBS cases, not all individuals will respond the same way. Before banning certain foods from your diet, we recommend keeping a food diary so you can keep track of the effects foods have on your gastrointestinal system. What Is FODMAP?IBS patients tend to share the same sensitivity to gluten as people with coeliac disease. What was once thought of as a non-coeliac gluten sensitivity turned out to be an intolerance for a specific chain of carbohydrates called FODMAPS. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These components are found in foods in the form of fructose and lactose, to name two, and can be found in both organic and synthetic foods. Nutritionists believe that adopting a low FODMAP diet is the key to a better lifestyle for IBS patients. By lowering FODMAP intake, patients reduce the risk of bacteria fermentation in the large intestine, which can significantly improve bouts of gassiness and constipation. How Long Should Patients Eat Low-FODMAP FoodsIf low FODMAP foods are useful in managing symptoms, then how come nutritionists don’t recommend going on a low FODMAP diet forever? This is because high FODMAP foods can also be instrumental in managing IBS. Those included in the high FODMAP list such as garlic, for example, have strong antibacterial properties that could keep infections away. More importantly, not all high FODMAP foods produce adverse reactions in patients. It doesn’t make sense to completely eliminate high FODMAP foods in your diet, especially since some of these have high nutritional content. Recommended Diet For IBS Weight LossWe recommend starting out with a low FODMAP diet. After 2-3 weeks, start reintroducing high FODMAP foods in your diet in order to understand how each food affects your body, if at all. The following are low in calories and also considered low FODMAP foods: ProteinChicken, beef, lamb, pork, turkey, fish. We recommend sticking with chicken and fish since they have the lowest calories per serving size. Fruits and VegetablesZucchini, potato, cucumber, eggplant, green beans, lettuce, bean sprouts, carrots, blueberries, orange, passion fruit, pineapple, rhubarb, strawberry, grapes, lemon and lime, guava. Other fruits and vegetables have to be consumed in limited servings to remain low FODMAP. These are: broccoli (up to ½ cup), corn (half a cob only), tomato (up to 4 small pieces only), cranberry (1 tbsp). GrainsLook for gluten-free and wheat-free alternatives. Breads such as corn bread and oat bread are also good alternatives. Brown rice and white rice are generally acceptable. Oats are also considered a great source of fiber, while keeping your diet low in calories. Tools like MyFitnessPal and CalorieKing are useful in keeping track of your calorie count. You can choose to build your daily meals around certain calorie counts. The 1,500 – 2,000 range is sufficient for most average-size adults. Ask a nutritionist for more in-depth advice on a healthy caloric range. Exercises For IBS Weight LossDoesn’t Exercise Stimulate Symptoms?Yes, exercise can stimulate the gastrointestinal system and produce reactions. But this doesn’t mean that all forms of exercise are bad for IBS patients. In fact, research shows that regular exercise can help with IBS symptoms. Even 20 to 30 minutes of exercise three times a week is already useful in improving a person’s quality of life. Low-intensity exercises such as swimming, yoga, and pilates are perfect for burning fat without stressing out the gastrointestinal system. Just like food, it’s important to test out which physical activities result in aggravated symptoms so you don’t end up eliminating all of them. What Exercises to AvoidBelow are the top three exercises to avoid when you have IBS:
Manage Your IBS Gain WeightJust because you have IBS doesn’t mean you have to deal with the extra weight. At Gastro Center in New Jersey, we find ways to improve your lifestyle as a person with IBS. With our proactive methods, we can create a diet and exercise plan that fits your needs. Get in touch with us today. The post Can IBS Cause Weight Gain and What Can You Do About It appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/can-ibs-cause-weight-gain-and-what-can-you-do-about-it/ Irritable bowel syndrome can be an intrusive disorder affecting a person’s quality of life. Onsets of diarrhea and constipation are to be expected on a regular, if not daily, basis. Unrestricted dietary choices, physical exertion, and psychological stress are all known triggers for IBS. Consequently, these conditions are also what define military training. Interested individuals with IBS may find themselves unable to participate in military recruitment. However, IBS patients are still eligible for enlistment provided that they prove themselves healthy enough for training and deployment. So, is it possible to join the military even if you have irritable bowel syndrome? Yes, but prospects are suggested to undergo long-term therapy before enlisting for military service. Understanding IBSIrritable bowel syndrome (IBS) is a common gastrointestinal disorder affecting up to 20% of people in the U.S. IBS is characterized by potentially disruptive symptoms such as diarrhea, constipation, and abdominal pain. Irritable bowel syndrome is a chronic condition that has no known cure. Symptoms can be triggered and flare up any time. This might be a deterrent to individuals who are thinking of pursuing a career in military service. On the other hand, there are treatments available that can help with symptom management. Quick IBS Facts
Types of IBSIBS symptoms are sporadic and can vary depending on the most prominent symptoms specific to a patient’s case. Understanding one’s type of IBS makes it easier to manage the disorder and prepare for military training.
There are medications available for all types of IBS. For diarrhea-heavy IBS, medicines such as eluxadoline and alosetron may be prescribed by doctors to help you manage diarrhea. Abdominal pain is a common side-effect. Patients with constipation-dominant IBS can also get medication such as linaclotide and lubiprostone. Both are used to increase fluid uptake in the colon and encourage bowel movement. While medications are a crucial part of symptom management, we recommend lifestyle adjustments for long-term benefits. Patients who adopt dietary changes report significant improvements in their symptoms, even without the help of pain relief medicine. Medical Requirements For Joining The MilitaryThe U.S. Department of Defense laid out various criteria for military eligibility. Medical conditions are listed to help trainees identify whether or not they are qualified for military service. Among automatic disqualifiers are excessive body fat and body mass index, marijuana use, current mental health problems, and injuries to the lower extremities. Below are gastrointestinal conditions that may prevent interested individuals from joining the military:
IBS and Military EligibilityUnder section 5.12 Abdominal organs and gastrointestinal system, under small and large intestine, point 9, the document addresses IBS eligibility with the following criteria: “History of irritable bowel syndrome of sufficient severity to require frequent intervention or prescription medication or that may reasonably be expected to interfere with military duty” Are IBS Patients Allowed to Enlist?Yes, individuals with IBS are eligible for military service provided that they have their symptoms under control. The criteria states that IBS cases of sufficient severity are grounds for disqualification. Patients who have had long-term interventions and haven’t experienced adverse, urgent symptoms for at least 6 months have a high chance of being qualified in military service. Are There IBS Patients In the Military?Yes, there are people with IBS serving in the military. Note that these individuals have passed the criteria by proving that they are able to undergo rigorous training without the help of medical intervention. This is made possible through proper diet, exercise, and a long-term plan that has allowed their bowels to resemble normal functions even without constant medication. How Can IBS Disqualify You From the Military?Irritable bowel syndrome is a chronic disease that can be demanding at times. Without proper planning, symptoms can flare-up and affect everyday living. Military training will be strenuous both psychologically and physically — both of which are known triggers for IBS. Symptom flare-ups will interfere with training and could be grounds for dismissal. Before applying to the military, it’s crucial to take necessary precautions to ensure that you maximize your chances at entering military service. Joining the Military with IBSTalk to a RecruiterYour local recruiter may have more information regarding the specifics of joining the military with IBS. A history of IBS diagnosis and treatment will be necessary to inform the recruiter regarding your case. Treatment options, methods, and evidence of success are key in ensuring you pass the interview and are allowed to train for the service. Know Your TriggersThe first step to overcoming IBS symptoms is knowing your triggers. The top triggers for IBS include:
Keep in mind that prescription medication will not be allowed during military training so it’s essential that you learn how to manage your symptoms even without medication. Follow a ProgramA study shows how aspiring military servants with IBS can still make for great candidates with the help of lifestyle modification. This research includes 89 participants who were diagnosed with IBS on their first screening. Scientists found that 63% of the group reported improved symptoms after military training. The participants were banned from alcohol and nicotine consumption. Regular exercises such as jogging and muscle training were included in their daily routine. Other military trainings such as marching and shooting were also included. All participants followed regular hours. Scientists found symptom improvement in the following areas:
This study illustrates that military training can even improve IBS symptoms provided that a person’s case of IBS is not severe. Following long-term lifestyle changes are necessary in managing IBS symptoms. Without these modifications, IBS patients have a lower chance of enlisting in the military and serving their country due to unprecedented flare-ups. Learn How to Manage Your IBSAt Gastro Center NJ, we can help you enlist in the military by creating a long-term plan for controlling your IBS symptoms. We believe that chronic diseases, no matter how seemingly disruptive, can be monitored, controlled, and eventually resolved with the right treatment plan. Get in touch with us today. The post Can You Join the Military With Irritable Bowel Syndrome? appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/can-you-join-the-military-with-irritable-bowel-syndrome/ Irritable bowel disorder (IBS) is a common gastrointestinal abnormality affecting up to 20% of the U.S. population. Patients experience sporadic episodes of bloating, diarrhea, constipation, and abdominal pain. These symptoms come and go depending on a patient’s lifestyle choices. So what makes irritable bowel syndrome worse? Certain foods such as those high in FODMAP are known to induce IBS symptoms. Other key variables such as stress, lack of exercise, and even hormonal imbalances can trigger symptoms. Below are the top triggers for IBS, and understanding how to manage them: Food and Diet How Can Food Trigger IBS? Patients with irritable bowel syndrome have a difficult time processing food compared to unaffected individuals. Food sensitivities from IBS aren’t caused by an allergy or intolerance. Instead certain foods can lead to an increase in the water uptake in the large intestine, creating a micro-environment where bacteria can thrive. Dietary changes are administered to IBS patients to help soothe cell abnormalities in the gastrointestinal region, while ensuring that the gut is favorable for beneficial bacteria growth. FODMAPs and Other IBS Food Triggers What people thought of as non-coeliac gluten sensitivity in IBS patients turned out to be an adverse reaction to a specific group of short-chain carbohydrates. Researchers from Monash University were able to identify the source of bloating, gas, and diarrhea triggered by certain foods. The scientists discovered a group of carbohydrates that were poorly digested or impossible to absorb in the small intestine, leading to IBS symptoms. When foods containing FODMAPs enter the system, the gut bacteria ferments these carbohydrates, resulting in excessive gas production which can also trigger the other IBS symptoms. This group of carbohydrates are now known as FODMAPs: fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. The FODMAP components in food are: 1. Fructose: Found primarily in high-fructose foods such as some fruits (apples, watermelons, grapes), honey, and corn syrup. The intestine is able to manage fructose absorption when accommodated by glucose. However, some patients have a hard time breaking down fructose altogether, which triggers IBS flare-ups. 2. Lactose: Found primarily in dairy products like milk and cheese. Lactase enzymes responsible for breaking down lactose are lacking in some individuals, resulting in diarrhea and distension. 3 Polyols: Found primarily in synthetic sweeteners and are naturally occurring in certain fruits and vegetables. Common in sugar-free food options and processed foods such as jams and marmalade. Most common forms are erythritol, sorbitol, and mannitol — all of which can be found in most processed food. 4. Oligosaccharides: Found primarily in legumes, wheat, and rye. The human body does not contain enzymes to properly digest oligosaccharides; even individuals without IBS have a hard time absorbing this chain of carbohydrates. Consumption of foods high in oligosaccharides result in bacterial fermentation, which leads to gassiness. Although a low FODMAP diet has been proven to help with IBS symptoms, not every IBS patient will have the same response to high FODMAP foods. We recommend getting help from your dietitian and gastroenterologist before banning foods from your diet. Diet Modifications For IBS Patients IBS patients can still enjoy certain food groups while avoiding trigger foods. For example, those who enjoy their every day milk can still enjoy milk in the form of soy milk or by choosing lactose-free alternatives. Choose cheeses with lower lactose levels such as mozzarella and brie. There are various fruits and vegetables on the low FODMAP list. These include:
In place of wheat and rye, patients can look for gluten-free fiber options such as oats, quinoa, and brown rice. For protein sources, beef, lamb, pork, chicken, and fish are all acceptable options as long as these aren’t cooked and served with high levels of saturated fat. Drugs and Medication How Drugs Worsen Irritable Bowel Syndrome The aggravation of gastrointestinal symptoms after medication abuse isn’t a coincidence. Studies show that gastrointestinal complications can be medication-induced because of how long-term drug usage affects the gastrointestinal physiology. For instance, dependence on non-steroidal anti-inflammatory drugs (NSAIDs) are known to produce toxic ulcers to the intestinal lining, dealing irreversible damage to the system. Improper use of antibiotics can lead to a disruption in the gut bacterial flora, which can make the intestine susceptible to a bacterial infection. A study even suggests that excipients, the “skin” containing the drug in capsule or tablet form can even aggravate IBS symptoms. Variable amounts of lactose can be found in oral medications, which may trigger IBS symptoms. The artificial sweetener sorbitol, which has been identified as a FODMAP, is a key ingredient in liquid oral medication as a sweetener. When ingested, large amounts of these can cause diarrhea, bloating, and constipation. Approved Medication for IBS Patients Not all medication can worsen IBS. There are drugs available for diarrhea, constipation, and general pain relief. These drugs include: 1. Eluxadoline (Viberzi): Best for patients with IBS-D. Reduces muscle contractions and fluid uptake in the intestine, which helps with diarrhea. Possible side-effects include mild constipation and abdominal pain. 2. Alosetron (Lotronex): Also ideal for patients with IBS-D. This drug is prescription-only, and is used for severe cases of diarrhea. Alosetron slows the movement of waste through the bowel, which helps with diarrhea. 3. Rifaximin (Xifaxan): Ideal for all patients with IBS. Used to discourage bacterial infestations, while also alleviating diarrhea symptoms. 4. Linaclotide (Linzess): Ideal for patients with IBS-C. This drug increases fluid uptake in the small intestine. Sometimes used to induce bowel movement. 5. Lubiprostone (Amitiza): Also applicable to patients with IBS-C. Generally prescribed for women patients who exhibit severe symptoms and are not responsive to other treatments. Functions the same way as linaclotide by increasing fluid uptake in the small intestine. A new drug called Blautix is currently undergoing clinical trials and has been cleared for further investigation by the U.S. FDA. Preliminary research showed that the drug resulted in an 82% improvement in affected individuals. The drug is designed to introduce an active bacteria called Blautia hydrogenotraphica in order to remove excess hydrogen in the intestines. Researchers believe that this will reduce bloating and flatulence in IBS sufferers. Hormonal Triggers The Science Behind Hormones and IBS Hormones are chemical messengers being transported throughout the body. They are released by cells and help regulate various bodily functions. A substantial number of studies suggest that hormones may in fact affect IBS symptoms. Two specific intestinal hormones, motilin and cholecystokinin (CCK) are being investigated for potentially eliciting bowel responses immediately after eating. CCK is responsible for stimulating digestion and releasing bile from the gallbladder, while motilin is responsible for controlling intestinal muscle contraction and transporting food through the intestines. An abnormal rise in the production of these two hormones is believed to result in a more reactive gastrointestinal system. One research showed that CCK reactivity is heightened after patients were made to eat a meal high in fats. On the other hand, eating a regular meal and drinking water produced a lower motilin response in patients. These studies show that disrupted hormone behavior can elicit urgent bowel movement in patients. Another study suggests that there might be a link between motilin reactivity and stress. Scientists found that there was an increase in motilin production in response to stressful stimuli. The sex hormones estrogen and progesterone are the most studied hormones in relation to IBS. The gastrointestinal system is built with estrogen and progesterone receptors, so it’s apparent that the intestine can respond to these hormones accordingly. As women are twice as much vulnerable to IBS, more research is being funnelled into understanding how individuals with high levels of estrogen are predisposed to IBS and aggravated IBS symptoms. Menstruation and IBS Bloating, abdominal pain, and changes in bowel movement have been reported by individuals with and without IBS during different phases of the menstrual cycle. During the menses period (the first four to seven days of the cycle) abdominal pain and bloating was increased compared to other phases of the cycle. During this phase, women secrete low levels of progesterone, which is believed to be a “pain blocker” hormone. Individuals also observed more frequent bowel habits during the menses period. This is apparent even in women without IBS.
Anxiety and Stress How Does Stress Affect IBS The impact of stress on IBS has long been a topic of clinical curiosity. A paper published in the World Journal of Gastroenterology showed that there is a direct link between what the researchers called “an irritable bowel and an irritable brain”. The researchers affirmed that IBS is a stress-sensitive disorder. Stress can stimulate the hypothalamic pituitary adrenal (HPA) axis, which can directly affect gut functions. Psychological stress can gastrointestinal interactions with the nervous system, intestinal bacteria growth, and mucus production. Stress can stimulate the hypothalamic pituitary adrenal (HPA) axis, which can directly affect gut performance. Psychological distress among IBS patients and vice-versa is common. There is a strong correlation between psychological disorders such as depression and anxiety with the severity of IBS symptoms. With these fundings, it’s clear that stress management should be a priority of any IBS patient. Soothing IBS With Therapy Cognitive behavior therapy (CBT) alone specifically tailored to IBS patients is an effective way of dealing with symptoms. A promising study showed that patients who had undergone a 12-month therapy session, in person or on the phone, showed significant improvements in their symptoms compared to patients who were undergoing medication alone. One of the trial patients reported that the study “helped [me] understand how techniques [I] had been using to avoid problem foods or difficult social situations” were aggravating her condition. Ultimately, CBT teaches patients to become more mindful and aware of the mind-gut connection. One of the researchers, Dr. Hazel Everritt from the University of Southampton stated that, “The results of this study provide important new evidence of how CBT delivered over the telephone or online can provide an effective treatment for patients living with this chronic and common gastrointestinal disorder.” Researchers are now working towards making IBS-specific therapy treatments more openly accessible to patients. Everyday Stress-Relieving Techniques Therapy isn’t the only stress-relief option available to IBS patients. Below are some techniques patients can do on their own free time: – Keep a diary: It’s important to stay aware of what’s happening between you and your body. Most patients keep a food and symptom log to understand how specific foods trigger certain symptoms. In reality, this can be used for just about any other stimuli. Are you likely to suffer from constipation when you feel stressed? What kinds of social situations make it hard for you to relax? Knowing these things can give you a better understanding of IBS, and in turn a much better control over your symptoms. – Mindful muscle relaxation: Muscle relaxation involves the intentional movement of various muscles throughout the body. This level of mindfulness can help bring down anxiety and help you calm down during stressful situations. Simply close your eyes and feel every part of your body by moving certain muscles. Frown your forehead and visualize every line creasing on your forehead. You can rotate your shoulders and envision your shoulder joints working their way to a full rotation. Whatever muscle you choose to move, the point is to make your brain 100% focused on that particular movement. Physical Activity Does Exercise Help With Irritable Bowel Syndrome? Working out might be the last thing you want to do as an IBS patient, but science shows this can actually be beneficial. A group of patients were asked to do 20 to 30 minutes of exercise three to five times a week. After three months, the active group reported better results than the inactive group. Symptoms worsened in 23% of cases in the inactive group, while only 8% of individuals felt worse after 3 months of exercise. Exercise is also a good way to reduce stress. To maximize your workout sessions, we recommend doing the following:
Top 3 Workouts To Avoid, And What To Do Instead 1. Running: Bouncing up and down may induce cramping in IBS patients. Instead of running, try power walking or swimming. This way, you’re still engaging your cardiovascular system without upsetting your stomach. 2. Weight Training: This is especially true for compound movements like deadlifts and squats. These movements can prove too intense for the digestive system and induce diarrhea in IBS patients. Stick to lighter weights or do machines that won’t require full exertion from the body. 3. High Intensity Interval Training (HIIT): HIIT workouts are designed to keep your heart rate consistently active for 30 minutes and more. Your body might translate this as stress, which can trigger IBS symptoms. As an alternative, do variations on HIIT exercises to make sure they are less intense and more forgiving for your body. Manage Irritable Bowel Syndrome At Gastro Center in New Jersey, we have innovative approaches for managing irritable bowel syndrome symptoms. Get in touch with us today to learn how we can improve your quality of life with dietary modifications, stress-relief techniques, IBS-specific medication, and more. Together, we’ll find better solutions for your IBS symptoms. The post What Makes Irritable Bowel Syndrome Worse? appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/what-makes-irritable-bowel-syndrome-worse/ Irritable bowel syndrome can be a major inconvenience to affected individuals. Without proper intervention, patients can easily suffer depression, social anxiety, and even fecal incontinence. Diagnosing IBS is the key to managing its symptoms. So, how is IBS diagnosed in a patient? Although there are definitive causes for irritable bowel syndrome, specific symptoms are used to properly diagnose this disorder. These include abdominal pain, changes in bowel habits, and changes in the appearance of bowels. In this article, we discuss everything you need to know about IBS — from diagnosis, symptoms and causes, to the myths surrounding this syndrome. What is Irritable Bowel Syndrome?Irritable bowel syndrome, also called IBS, is a common syndrome affecting up to 20% of people in the U.S, and occurs more commonly in women than men. A study suggests that women are more susceptible to gastrointestinal problems, including IBS, because the brain signals responsible for digestion are less responsive and more easily disrupted in women. IBS describes a host of symptoms that include constipation, diarrhea, change in frequency and consistency of bowel movements, and abdominal pain. Symptoms of IBS are episodic and can go away and resurface indefinitely. Irritable bowel syndrome is a chronic condition that can easily be managed through dietary, medical, and sometimes psychological intervention. Early detection is crucial to ensure that your condition is treated before it becomes irreversible. At Gastro Center NJ we perform routine tests and certain procedures, including colonoscopy and upper endoscopy. Are IBS and Diarrhea the Same?Some people believe that IBS and diarrhea are interchangeable terms. In reality, IBS is a syndrome that triggers a host of symptoms due to a sensitive colon, which includes diarrhea. Although chronic in nature, IBS is a syndrome that can easily be alleviated with proper dieting and exercise. Symptoms can be soothed with appropriate lifestyle choices. On the other hand, diarrhea is often acute and occurs as a result of a stomach infection, food intolerance, or medicine overuse. Although there are cases of chronic diarrhea, this alone is not considered a syndrome, and is often linked with a pre-existing condition such as inflammatory bowel disease (IBD). Irritable Bowel Syndrome VS Inflammatory Bowel DiseaseIBS and IBD are completely different conditions. IBS is what is considered as a functional disorder, where the body exhibits symptoms even without any physical problems. Meanwhile, IBD is what is referred to as a structural disease, which means tests are able to reflect visible causes (ulcers, inflammation) for the cause of pain. Inflammatory bowel disease is a chronic inflammation of the digestive tract. The two specific types of IBD are known as Crohn’s disease (inflammation of the digestive tract) and ulcerative colitis (inflammation of the colon lining and rectum with the possible appearance of ulcers). The Difference Between IBS and IBD
Can IBS Lead to Colon Cancer?Although IBS and colon cancer produce the same symptoms, the two are incredibly different conditions concerning the gastrointestinal system. Similar symptoms include:
These symptoms are where the resemblance ends. Colon cancer occurs when growths called polyps grow in the colon lining and attach to nearby organs and lymph nodes. Colon cancer also produces a host of other symptoms that aren’t existent in IBS such as unprecedented weight loss, rectal bleeding, and vomiting. Patients suffering from IBS may also experience rectal bleeding that is likely caused by hemorrhoids that have formed due to overexertion. Unlike in colon cancer, the presence of blood in the stool may be caused by a wound near the anus, not high up in the colon from a bleeding polyp. Read more: Your Blood Can Tell If You Have Colon Cancer Irritable bowel syndrome is a disorder that prevents normal digestive functions. On the other hand, colon cancer is preceded by abnormal rates of polyp growth, which cannot develop from IBS alone. Types of IBSThere are three known types of irritable bowel syndrome. These three classifications describe the predominant symptom associated with a patient’s type of IBS.
Irritable Bowel Syndrome: What Causes It?IBS is a condition diagnosed through exclusion, which means other conditions are ruled out before identifying IBS as the source of discomfort. Gastroenterologists also carefully study details and patterns of the symptoms in order to rule out IBS. While the exact cause of IBS is unknown, there are several factors that are believed to contribute to the development of irritable bowel syndrome. These include: Bacterial InfectionPost-infectious IBS can occur after a patient develops conditions like gastroenteritis or acid reflux. When the bacteria in the digestive tract takes over, bacterial infection can affect digestive function and lead to IBS. Around 10% of individuals who experience bacteria-induced gastroenteritis develop IBS afterwards. Changes In Gut BacteriaBacteria is present in the gut and can be beneficial in keeping “bad” bacteria away while also aiding in digestion. Changes in gut flora may prevent the digestive tract from operating normally. Muscle ContractionsThe intestine is lined with muscles that contract as food travels through the digestive tract. Muscle contractions can affect how the digestive system operates. Longer muscle contractions can pull in more gas into the colon, leading to gas and bloating. Slower, weaker muscle contractions lead to slower food passage, resulting in lumpy stools and constipation. Similarly, fast muscle contractions often mean that more water is being pulled in the colon, which leads to fast digestion and loose, watery stools. Consistent deviation from normal muscle contractions can permanently disrupt the digestive cycle. When this happens, discomfort during digestion may be exacerbated, leading to IBS. Complications With Nervous SystemNormal digestive signals may be misinterpreted by the brain, causing the system to overreact. When this happens, normal digestive functions may result in extra pain, diarrhea, and constipation. These abnormal reactions can become permanent, resulting in irritable bowel syndrome. Can Food Cause IBS?No, there are no studies that support the direct link of food and IBS. On the other hand. contaminated foods and drinks may carry bacteria that could result in IBS symptoms. In reality, irritable bowel syndrome symptoms can only be triggered by food, not caused by it. Depending on the type of IBS experienced by the patient, certain foods may worsen episodes of diarrhea, constipation, or both. In general, these are the foods patients with IBS should aim to avoid:
Can Stress Cause IBS?A study published in the World Journal of Gastroenterology suggests that psychological stress may also inhibit normal digestive functions. Researchers believe that psychological stress affect intestinal sensitivity, altering immune responses and mucus secretion, both of which are crucial factors in safeguarding the intestine from bacteria. Although a direct correlation between stress and IBS has yet to be founded, recent findings point towards abnormal functions in the central nervous system as the main cause for this syndrome. Overstimulation of the system can affect brain-gut interactions, which ultimately changes the way the gastrointestinal system reacts to different stimuli. Researchers also established a strong relation between the IBS severity and psychiatric disorders. They found that stressful episodes tend to coincide with IBS flare-ups in affected patients. Further study is required to pinpoint stress as the primary source of IBS. Given its strong relations, psychological help is often administered to patients with IBS to help manage the symptoms. Tell-Tale Signs and Symptoms1. Abdominal PainIt’s normal for muscles to contract during digestion, but signal interruptions between the brain and intestine can exacerbate this sensation, leading to pain. Patients suffering from IBS have impaired brain-gut connection, leading to abnormal levels of abdominal pain and cramping. This pain is usually situated on the lower abdomen and can be relieved by a bowel movement. 2. DiarrheaDiarrhea is one of the predominant types of IBS, but can easily occur in patients with other types of IBS. For patients with irritable bowel syndrome, abnormal muscle contractions can promote faster bowel movement, leading to more frequent and urgent bowel movements. Some patients report having bowel movements twice the normal amount, and is typically accompanied by watery stools. Mucus secretion can happen to patients with IBS, which could also be present in the stools. Anti-diarrhea medicine can be used to prevent sudden bouts of diarrhea, but is usually not recommended for long-term use. Instead, lifestyle and dietary alterations are prioritized so patients can experience long-term improvements. 3. Constipation and IndigestionConstipation is another predominant symptom in IBS. In fact, 50% of IBS cases are considered constipation-dominant. Constipated patients find themselves on the other side of the spectrum; instead of fast-moving, watery stools, affected individuals report slower and fewer bowel movements that are often dry and lumpy. While rare, the presence of blood in the stool may be caused by a hemorrhoid or an anal fissure from straining during the movement. Patients report having 1-3 bowel movements a week with IBS-C. Laxatives and increased water intake are prescribed to patients experiencing constipation. 4. Bloating and GassinessBloating is a common symptom for both IBS-C and IBS-D type syndromes. Many patients recognize bloating and gassiness as two of the most pervasive symptoms of IBS. A gas flare-up from IBS may last for 2-4 days but can easily be prevented with a conscientious approach towards food. Eating smaller meals more frequently, exercise, and a considerable reduction in fiber consumption are the key approaches to mitigating gassiness for IBS patients. 5. Sensitivity to FoodSymptoms for food intolerance and food allergies can be quite similar, leading to the common assumption that IBS and food allergies are the same. The difference between food intolerance and food allergy is defined by immune response. In food allergies, the body responds to certain food proteins by activating antibodies called Immunoglobulin E (IgE) that “fight” that protein. On the other hand, the discomfort felt from food intolerance isn’t derived from an immune response. Sensitivity to certain food components (lactose in dairy products, for example) result from decreased levels or a lack of enzymes and digestive properties that allow the body to properly break down certain foods. Food intolerance often results in diarrhea. Food allergy, on the other hand, can lead to anaphylaxis — an immune response characterized by loss of consciousness and difficulty in breathing just by merely touching a specific type of food. 6. FatiguePatients suffering from IBS often cite insomnia and fatigue as a side-effect of IBS. In a study involving 160 individuals with IBS, patients reported a decrease in stamina and generalized anxiety as non-intestinal side effects of IBS. Poor sleep quality and stress are perceived as the common reasons for fatigue in IBS patients. When to See a DoctorSymptoms for IBS remain the same and only fluctuate in severity and frequency over time. Experiencing the following symptoms may be signs of a worsening case of IBS or the development of other gastrointestinal complications:
5 Myths About Irritable Bowel SyndromeIncorrect assumptions regarding irritable bowel syndrome are prolific. For instance, IBD and IBS are commonly interchanged, while others believe that IBS is a rare and viral condition. Understanding the science behind irritable bowel syndrome helps with the taboo, considering this is a common disorder that affects millions of Americans, accounting for up to 3.5 million physician visits in the United States alone. Below are the top myths about irritable bowel syndrome, and the truths behind them: 1. IBS leads to other diseasesThere is an ongoing and incorrect understanding that IBS is a precursor to a host of gastrointestinal diseases such as IBD, colitis, and colon cancer. In reality, IBS is a separate condition that does not evolve into any of the aforementioned conditions. These disorders are preceded by different circumstances (in the case of colitis, the intestine is often infected with bacteria, leading to inflammation) that are not related to irritable bowel syndrome. 2. IBS is a rare conditionAccording to the IBS organization, more than 40 million are affected by IBS in the United States alone. An estimated of up to 15% of the world population is affected by IBS. Women are likelier to develop IBS in men, accounting for 2 out of 3 cases of existing IBS cases. 3. IBS is a chronic condition with no possible treatmentsAlthough irritable bowel syndrome is a long-term condition, there are treatment options available for patients who want to keep their symptoms under control. Medication and dietary restrictions are applied to patients depending on their type of IBS. For example, antispasmodics are recommended to patients who experience prolonged episodes of abdominal pain and constipation. It’s possible to improve a sufferer’s quality of life just with lifestyle changes alone. 4. IBS symptoms are limited to the intestineThe presence of IBS can dampen a person’s quality of life, affecting factors that don’t involve digestive functions. As mentioned, a link between poor quality of sleep and IBS have already been suggested by researchers. Patients also report loss of appetite and generalized anxiety as a result of the syndrome. This is why psychological help is often recommended to patients to help them adjust to a life of living with the syndrome. 5. IBS is impossible to diagnoseUnlike other gastrointestinal complications, IBS doesn’t produce physical alterations that can lead to a definitive diagnosis. Instead, gastroenterologists diagnose IBS by eliminating other possible disorders that could potentially be the source of discomfort. This doesn’t mean that the basis of the diagnosis is unscientific. The Rome Criteria, a criteria passed by a group of gastroenterologists at a conference in Rome in 1988, is being used to reach an accurate diagnosis for IBS. A revision, known as Rome IV, was released in 2016. The Rome Criteria pertains to “Recurrent abdominal pain, on average, at least 1 day per week in the last 3 months.” This description is used to observe and categorize the three most telling symptoms of IBS:
Diagnosing IBS40% of referrals to gastroenterologists are due to functional gastrointestinal disorders, and 12% of which are believed to be IBS cases. Physical tests are commonly prescribed to the patient in order to rule out other complications. Understanding patterns and problems in key symptoms are also key in diagnosing IBS. The primary key in distinguishing IBS is abdominal pain located below the chest and above the hips. Pain that changes according to bowel habits is considered a hallmark in IBS diagnosis. The Rome Criteria is used to reach a definitive diagnosis only when there is no apparent intestinal abnormality. In other words, the Rome Criteria is only relevant when there are no known physical and biochemical abnormalities in the gastrointestinal tract. Patients also have to be experiencing the symptoms at least 6 months prior to the diagnosis and is persistent within the last 3 months to be distinguished as IBS. Living with Irritable Bowel Syndrome: How to Manage ItVarious steps are taken in order to mitigate IBS symptoms. These lifestyle changes are known to improve a patient’s overall comfort and quality of life: Reduce Stress: It’s not unusual for physicians to recommend psychological help alongside dietary modifications. Stress could aggravate IBS symptoms, and knowing how to manage day-to-day anxiety and stress can help prevent flare-ups. Relaxation and mindfulness techniques are taught to the patient in order to help the patient regain control and confidence even with IBS. Regular Exercise: Although it may seem counterintuitive to exercise with IBS, some studies suggest that a moderate 20 to 30-minute exercise improve symptoms in patients with irritable bowel syndrome. Patients who underwent a more active physical activity program showed less symptom severity than the group that didn’t have exercise in their routine. Modified Diet: The patient’s type of IBS will inform his or her dietary restrictions. Certain foods are known to trigger adverse reactions in an already irritable intestine. As a result, symptoms are less severe and reactionary, and can even disappear for longer periods of time before resurfacing again. Beat IBS With Gastro Center NJNot sure if you have IBS? Get in touch with us to reach a proper diagnosis today. At Gastro Center NJ, we employ a rigorous medical approach together with comprehensive customer care in order to give you the best level of professional help. Book an appointment with us and learn how to manage your IBS symptoms so you can live your best life yet. The post Irritable Bowel Syndrome: Symptoms and Causes appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/irritable-bowel-syndrome-symptoms-and-causes/ Living with gastritis can be difficult. For people with acute gastritis, they only have to wait a couple of days or weeks before resuming normal eating patterns. This isn’t the case for patients suffering from chronic gastritis. Can I still eat out with chronic gastritis? Of course. The key is knowing your trigger foods and understanding which delicious cuisines are gastritis-friendly. Various tools on the internet, such as apps, can be used to find diet-specific restaurants. Eating out with gastritis may be more challenging, but it doesn’t have to be impossible. Understanding GastritisGastritis is a condition wherein the stomach lining is inflamed. Both lifestyle choices and physiological factors can contribute to the development of gastritis. These include:
Food and Gastritis: How Are They RelatedCertain eating patterns, or a lack thereof, may increase a person’s risk of developing gastritis. A study published in the International Scholarly Research Notices suggests that individuals who practice irregular meal timing over a long period of time have an increased risk of developing gastritis. The body secretes digestive juices according to regular meal timing. When no food is present during the digestive period, the stomach lining becomes more vulnerable to infections. Over the course of time, H.pylori can exist in the interim between food digestion and juice secretion, and develop in the host’s body for many years. Continuous consumption of certain foods may irritate the stomach lining, leading to gastritis. Note that the effects of food are variable and dependent on a person’s tolerance for these kinds of foods. Alcohol is one of the known triggers of gastritis. The presence of alcohol encourages the stomach to produce more acid. When done continuously, the stomach lining may erode, causing inflammation. Spicy and sour foods are believed to have the same effect on the stomach. Contrary to popular belief, food alone can’t treat gastritis. However, dietary modifications are prescribed to help alleviate the symptoms of chronic gastritis. Patients who take a more conscientious approach to eating report significant improvements to gastritis symptoms. Can Eating Out Trigger Gastritis?Acute gastritis is a common complaint among travelers. During vacations, people tend to eat out frequently, consuming large amounts of alcohol alongside fatty and oily foods — foods that may not be a part of their daily meals. As a result, the digestive system reacts to the overwhelming amount of unhealthy food by ramping up its digestive power in order to meet the body’s constant supply of food. The real reason behind acute gastritis among travels isn’t eating out, but the consistent consumption of unhealthy foods in restaurants. In truth, eating out doesn’t have to lead to gastritis. Consuming unhealthy foods in moderation is one way to prevent gastritis from occurring when on vacation. Splitting meals and desserts, swapping out carbohydrates for vegetables, and drinking water instead of sugar-heavy drinks are just some ways to keep the digestive system balanced during travel. Eating the Right FoodsPatients suffering from gastritis don’t have to skip dinner invites indefinitely. Below are approved foods for individuals with gastritis, and are easily available in restaurants: 1. YogurtA study published in The American Journal of Clinical Nutrition showed that consuming yogurt containing Lactobacillus and Bifidobacterium helps treat H.pylori in patients with gastritis. Researchers studied patients infected with H.pylori who were undergoing triple therapy (a treatment involving two antibiotics and one proton pump inhibitor). 86% of patients in a group were able to fight off their H.pylori infection. On the other hand, there was only a 71% reduction of H.pylori infection in the group that didn’t involve routine yogurt consumption. Filling your gut with healthy bacteria helps fight off other bacterial invasions, making the stomach lining less susceptible to gastritis. 2. Fermented MilkA study published in the World Journal of Gastroenterology illustrates how fermented milk can increase the production of the gastric mucus gel layer in mice. This gel layer reduces the vulnerability of the stomach, specifically against gastritis caused by acetyl-salicylic acid. 3. SauerkrautAnother type of fermented food, sauerkraut, can also be helpful in managing gastritis. Lactobacillus plantarum, the dominant bacteria species in sauerkraut, shows anti-Helicobacter properties. Incorporating sauerkraut in a patient’s diet can help prevent H.pylori activity from spreading. 4. BroccoliBroccoli, along with brussels sprouts, contains a nutrient called sulforaphane. Studies prove that these two vegetables contain an interactive strain that can fight off H.pylori infection, including those that are resistant to antibiotic treatment. These two vegetables can also be incorporated in diets of patients with stomach tumors caused by benzo a pyrene. 5. GarlicGarlic has always been known for its antibacterial properties. They provide an extensive antibiotic spectrum, powerful enough to combat H. pylori. A study confirms that the regular consumption of allium vegetables (the group of foods including shallots, leeks, scallions, and chives) shows a much lower incidence rate of H.pylori. Aside from curing the common diarrhea, garlic is also effective in treating bacteria that have become immune to antibiotics. Toxin production can be prevented altogether with garlic alone. 6. Apple Cider VinegarLong-term use of NSAIDs can lead to gastrointestinal imbalance. Drinking apple cider vinegar, the liquid derived from pressed apples, can reverse the damage from NSAID abuse by restoring balance into the gastrointestinal system. The malic acid present in apple cider vinegar alters the acidity in the body. By stabilizing pH levels, beneficial bacteria are able to thrive and protect the body once again. Cuisines Recommended for Gastritis PatientsIndian CuisineIndian food uses numerous spices and ingredients that are known to help fight inflammation. These include ginger, turmeric, cumin, and curry. Indian cuisine also uses yogurt, which is useful in reintroducing good bacteria in the gut. However, indian cuisine can also go heavy on red chilies. Make sure you request your dishes to be less spicy, or just avoid spicy dishes altogether. What to try: Matar paneer, chicken curry, tikka masala, saag paneer Greek CuisineMediterranean cuisine is famous for using fresh ingredients, from leafy vegetables to whole grains. Mediterranean cuisine can be high on fats due to olive oil use so make sure to eat dishes that heavily feature olive oil and butter in moderation. Traditional greek cuisine is served as small plates, similar to tapas in Spain, which are meant to be shared with friends. Smaller plate sizes encourage groups to split up their food instead of eating large amounts of one dish. What to try: Hummus, avgolemono, baked sardines, spanakorizo, tabouli Chinese CuisineChinese cuisine is incredibly variable thanks to the many culinary-rich provinces in China. Not all Chinese food has to be spicy and oily. Steamed dumplings, warm wonton soup, and stir-fried rice are all chinese specialties that won’t upset the stomach. These dishes feature copious amounts of garlic and ginger, as well as vegetables like bok choy and broccoli. Similar to Indian foods, make sure to steer clear of dishes that incorporate large amounts of spices and acid, like the hot and sour soup. What to try: Meat with garlic sauce, steamed veggies in oyster sauce, egg drop soup, xiao long bao Vietnamese CuisineVietnamese cuisine is one of the cleanest, freshest cuisines in the world. Instead of oil, soups are made out of broth. Their spices are composed primarily of cilantro, mint, and basil, which aid in digestion and help ward off inflammation. Vietnamese food is generally lower in calories because of their technique: instead of using oil and frying for flavor and texture, Vietnamese cuisine relies on herbs for natural, “clean” flavor. What to try: Goi cuon, pho, goi ngo sen, steamed fish, banh mi Specialty Restaurants for Gastritis Sufferers: Do They Exist?Finding the right restaurant when dining with someone suffering from gastritis can seem impossible.. Thankfully, there are applications available to help gastritis patients find a suitable dining place. Yelp and OpenTable may provide some insight on a restaurant’s menu, but it’s apps like FindMyMacros that really make a difference. FindMyMacros allows users to discover meals based on nutritional value. The data is collected from other users who log information based on their previous dining experience. With apps like this, people with gastritis can filter through dishes and restaurants that may trigger stomach discomfort. Apps like these are crucial in locating specialty restaurants that can accommodate special diets. An example of which is The Warren, a gastropub in New York City that offers food friendly enough for patients suffering from gastroenterologists. The restaurant is owned by gastroenterologist Dr. Prem Chattoo. In an interview, he mentions that spicy condiments are limited in his menu in order to prevent gastric flare-ups. Although indulgent foods like poutine are present on the menu, Dr. Chattoo gives a healthier twist to hearty dishes by presenting them in smaller plates instead of traditionally big servings. Tips On Eating Out With Gastritis1. Keep a food diary: Different foods produce varying reactions in different people. Knowing which specific foods cause gastric flare up can help you in the long-run. Take note of foods that irritate your stomach and avoid those in the future. 2. Eat smaller meals: Instead of ordering big meals, consider ordering smaller plates to avoid eating too much in one sitting. You can also share food with your friends to make sure you don’t upset your stomach by eating too much. Eating less more frequently is the secret to managing gastritis. By regulating your food intake, you’re able to control your stomach’s acid production, which can help prevent gastric flare-ups. 3. Avoid alcohol: Whether your gastritis is caused by alcohol, NSAIDs, or H.pylori, it’s crucial to avoid alcohol altogether. Alcohol encourages stomach lining irritation and erosion, leading to worse symptoms of gastritis. 4. Use antacids when eating: If you want to be able to enjoy your food while being completely symptom-free, take an antacid before and after meals. This helps keep acid production in check so you can enjoy a night out with friends and family. 5. Stay away from spicy and sour food: As discussed, even the healthiest cuisines use spices and acids to some degree. Navigate around the menu to ensure that you avoid these ingredients. Various alternatives are available without having to sacrifice taste. 6. Look up a restaurant’s menu in advance: The best way to prepare for a restaurant is to anticipate the food in advance. Do your research and look up menu items to pre-select your options. If you’re concerned about a specific dish, you can call the restaurant, learn about the ingredients, and ask for possible alternatives. Find Better Ways to Manage Your GastritisAt the Gastro Center NJ, we believe that your gastrointestinal problems shouldn’t dictate your lifestyle. We’re here to help you understand gastritis and the state of your gastrointestinal health. Book an appointment with us today and let’s start finding solutions together. The post Gastritis Friendly Restaurants: What Are My Options appeared first on Gastro Center NJ. via Gastro Center NJ https://gastrocenternj.com/gastritis-friendly-restaurants-what-are-my-options/ |
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