Posts for category: Gastroenterology
Acute pancreatitis strikes suddenly, causing severe pain and vomiting. More than 300,000 people are admitted to U.S. hospitals every year due to acute pancreatitis, according to The National Pancreas Foundation.
What causes acute pancreatitis?
If you have gallstones, you may be at increased risk of developing acute pancreatitis. The condition can occur when stones get stuck in the common bile duct and prevent pancreatic fluids from flowing freely. Stones can also force bile to flow back into the pancreas, which may damage it.
You may also develop acute pancreatitis if your calcium or triglyceride levels are very high, or you have an autoimmune disorder, infection, an overactive parathyroid gland, cystic fibrosis or regularly take certain medications. High alcohol consumption can cause pancreatitis, particularly if you've been a heavy drinker for years. In some cases, the cause of acute pancreatitis can't be determined.
What are the symptoms of acute pancreatitis?
Pain from acute pancreatitis is felt in the upper part of the abdomen, although it can extend to your back. The pain may be mild at first, but may become severe and constant and may worsen after you eat or drink alcohol. Other symptoms include fever, nausea, vomiting, diarrhea and a rapid pulse. Prompt treatment is essential if you experience any of these symptoms. The condition can cause bleeding, infections and may even damage your kidneys, lungs and heart if the attack is severe. Although most people recover from acute pancreatitis, the condition can be life-threatening.
How is acute pancreatitis treated?
If your condition is caused by gallstones, you'll need surgery to remove the stones. In some cases, surgery may also be needed to keep your bile ducts open. If you're admitted to the hospital, you'll be given fluids to prevent dehydration caused by vomiting and diarrhea and may receive medication for nausea and pain. Foods and beverages are usually stopped for one to two days after you're admitted to the hospital.
Changing your medications, avoiding alcohol and addressing the causes of high triglyceride or calcium levels may help prevent further bouts of acute pancreatitis. If you have numerous attacks of acute pancreatitis or continue to drink alcohol, the condition can become chronic.
Although it's not always possible to prevent acute pancreatitis, you can reduce your risk by exercising regularly, following a healthy diet and avoiding heavy consumption of alcohol.
Dealing With Hepatitis B
Have you been diagnosed with Hepatitis B? Hepatitis B is an infection of the liver that is caused by the hepatitis B virus. The virus is passed from person to person through semen, blood, or other body fluids. There is no cure for acute hepatitis B. There are many things patients can do to improve their health and protect their liver. The following tips will help you get started on the path toward improved health and well-being.
1. See your healthcare provider regularly. Schedule regular visits with your doctor to stay on top of your health and the health of your liver. People with Hepatitis B can live full lives by taking good care of themselves and getting regular checkups. Getting checkups is an important part of staying healthy.
2. Avoid drinking alcoholic beverages. Avoid drinking alcohol if you have Hepatitis B. Most people know that the liver acts as a filter and can be damaged by drinking too much alcohol. Studies show that alcohol increases HBV replication, promotes damage to the liver and increases the likelihood of developing cirrhosis.
3. Talk to your doctor before taking OTC drugs. Check with your doctor about any OTC drugs or non-hepatitis B prescription medications before taking them to make sure they're safe for your liver. Talk to your doctor before taking any vitamins, supplements, or herbal remedies because they could interfere with your prescribed medications or even damage your liver.
4. Avoid breathing in fumes to protect your liver. Avoid inhaling fumes from paint, household cleaning products, glue, nail polish removers, and other potentially toxic chemicals that could damage your liver. Make certain you have good ventilation, cover your skin, use a mask, and wash off any chemicals you get on your skin with water and soap as soon as possible.
5. Eat a healthy diet to protect your liver. Eat a balanced, healthy diet of fruits, whole grains, lean meats, fish, and vegetables. Try to avoid saturated and trans fats. Cruciferous vegetables like cauliflower and broccoli have been shown to help protect the liver against environmental chemicals.
6. Talk to your doctor about medication. Your doctor may recommend antiviral medications to treat Hepatitis B. Antiviral drugs can help fight the virus and slow its ability to damage your liver. Antiviral drugs approved for treatment of chronic hepatitis B include lamivudine, adefovir, telbivudine, entecavir, and tenofovir. These drugs are taken by mouth. Talk to your healthcare provider about which medication might be right for you.
7. In severe cases, a hospital stay is needed. In some cases, an acute hepatitis B infection can be very severe. For acute Hepatitis B, medical professionals usually recommend rest, fluids, adequate nutrition, and close medical monitoring. Severe symptoms may require hospital treatment. A very small number of patients with acute hepatitis B infection will develop liver failure. They will require a liver transplant to prevent death.
8. Talk to your doctor about interferon injections. Interferon injections. Interferon alpha-2b is the form of the drug that works against chronic hepatitis B infection. It's used mainly for young patients affected by chronic hepatitis B or women who want to get pregnant within a few years. Interferon should not be used during pregnancy.
If you think you might have hepatitis B, don't worry, help is available. Search for a gasterontologist in your area and schedule a consultation. Hepatitis B treatment has improved the lives of many people. And it will do the same for you!
A hiatal hernia is when the stomach bulges through an opening in the diaphragm. Some people don’t even now that they have a hiatal hernia because it doesn’t always produce symptoms; however, some people find out that they have a hiatal hernia once they are dealing with persistent heartburn and indigestion. These symptoms are more likely to occur because a hernia makes it easier for the acids within the stomach to travel back up through the esophagus, which results in heartburn.
In most cases, self-care treatments and medications are enough to alleviate the symptoms associated with a hiatal hernia; however, if the hernia is large then the patient may require surgery. If you are dealing with persistent or severe indigestion and heartburn there are many reasons why this may be happening. While it doesn’t necessarily mean that you have a hiatal hernia it’s a good idea to see a gastroenterologist to find out what may be causing your acid reflux.
How to Treat a Hiatal Hernia
Before treating a hiatal hernia your gastroenterologist will need to diagnose your condition first. There are several tests that can determine whether you may have a hernia. These tests include a barium swallow, an endoscopy and a pH test. Once your GI doctor has determined that you have a hiatal hernia the next step is to create a treatment plan to manage your symptoms.
Again, there are a lot of people with hiatal hernias that don’t even know it because they aren’t experiencing symptoms. If your hernia isn’t causing you problems then treatment is rarely necessary. If you are dealing with gastroesophageal reflux disease (GERD) as a result of your hiatal hernia then there are some lifestyle modifications you can make to reduce your symptoms. These changes include:
- Eating smaller meals
- Losing excess weight if you are overweight
- Avoiding citrus, acidic, and spicy foods
- Limiting fried, fatty goods
- Limiting caffeine and alcohol
- Quitting smoking
- Eating about 3-4 hours before bed or lying down
- Elevating your head six inches above the rest of your body while sleeping
- Avoiding tight clothes, which can put too much pressure on your stomach
You may even choose to take an over-the-counter antacid after eating to reduce stomach acid. Of course, these over-the-counter medications shouldn’t be taken for more than two weeks. You gastroenterologist can also prescribe a stronger antacid that you will be able to take whenever you need it to neutralize stomach acid or to block acid altogether.
Hiatal Hernia Surgery
Surgery for a hiatal hernia is not often necessary; however, if you’ve been dealing with severe reflux that isn’t alleviated with lifestyle changes or medications then surgery may be the only option. If blood flow to the part of the stomach that is sticking through the esophagus is cut off, then surgery will also be required.
If you are dealing with persistent acid reflux and indigestion it’s important to talk with your gastroenterologist to find out if a hiatal hernia could be to blame.
While an embarrassing condition, hemorrhoids are rather common and will happen to the majority of us at some point during our lifetime. This condition occurs when the veins around the rectum or anus swell. Even though this problem is harmless it can be painful. There are many reasons why someone may deal with hemorrhoids. Those who lead a sedentary lifestyle are more likely to develop hemorrhoids. Those who are obese or deal with constipation regularly, as well as pregnant women are also prone to hemorrhoids.
Hemorrhoids can either develop inside the rectum (internal) or around the anus (external). You may be dealing with hemorrhoids if you experience:
- Bright red blood during bowel movements
- Anal itching and soreness
- Pain and swelling around the anus
- A tender lump around the anus
Sometimes hemorrhoids will go away on their own; however, it’s important to know when to see a gastroenterologist for treatment. After all, some of these symptoms could also be caused by other conditions. If you are dealing with rectal bleeding or pain it’s a good idea to see a GI doctor who will be able to perform the proper tests to confirm whether you have hemorrhoids and to rule out any other intestinal problems.
One way to prevent hemorrhoids is to prevent straining during bowel movements and constipation. In order to do this you must staying hydrated and eat a healthy, high-fiber diet. Staying active and losing excess weight can also improve gut health. If you sit for the majority of the day it’s important to get up and move around to take pressure off the veins of the anus.
In terms of treatment, the goal is to reduce pain, inflammation and irritation so the area can properly heal. This involves eating a high-fiber diet. You can also use an over-the-counter hemorrhoid cream, which can numb the area and reduce discomfort. Soaking for 10-15 minutes in a sitz bath can also ease symptoms. With the proper treatment and care hemorrhoids will often go away in about a week. If you don’t experience relief, or if your symptoms are severe then it’s time to see a gastroenterologist.
In some cases, surgery is necessary in order to treat complications (e.g. blood clots) of hemorrhoids or to properly address bleeding, painful, or persistent hemorrhoids. A gastroenterologist can perform these simple outpatient procedures right in their office.
If you are experiencing symptoms of hemorrhoids and not experiencing relief from over-the-counter medications and at-home care then it’s time to see a GI doctor for treatment.
The pancreas is an organ that we don’t often give much thought to and yet it’s quite important. After all, it is responsible for releasing digestive enzymes into the small intestines to help with digestion. It is also instrumental in releasing both insulin and glucagon into the blood, which influences metabolism and determines how effectively the body turns food into energy; however, certain lifestyle choices and health problems could lead to an attack of pancreatitis.
What is pancreatitis?
This condition is rather rare and occurs when the pancreas is inflamed. In most cases, this condition is acute and can be treated; however, sometimes it can become chronic. Damage to the pancreas will occur if the digestive enzymes are activated before the reach the intestines, causing the enzymes to destroy the pancreas.
What are the symptoms of pancreatitis?
Acute pancreatitis often causes upper abdominal pain that may get worse after eating and may radiate to your back. Your abdomen may be tender to the touch and you may feel nausea. Sometimes these symptoms are accompanied by a fever and rapid pulse.
Those who have chronic pancreatitis will notice the same abdominal pain that’s present in acute cases, as well as oily stools (known as steatorrhea) and unintended weight loss. If you are dealing with any kind of persistent abdominal pain it’s important to schedule an appointment with your gastroenterologist. If the pain is severe or makes it difficult to stand up straight, you need immediate medical attention.
Of course, there are many conditions and injuries that can lead to upper abdominal pain, so it’s important that you consult your doctor as soon as possible. If it is pancreatitis, this will often require hospitalization, so this requires immediate medical attention.
What causes pancreatitis?
There are certain conditions and habits that can increase your likelihood for developing pancreatitis including:
- Cystic fibrosis
- High calcium levels (usually occurs in those with hyperparathyroidism)
- High triglyceride levels
- Abdominal surgery
- Pancreatic cancer
Sometimes the cause of pancreatitis is unknown. However, it is possible for this condition to lead to more serious complications such as an infection, diabetes or kidney failure if it isn’t properly treated.
How is pancreatitis treated?
As we mentioned above, most people with pancreatitis will need to be hospitalized. During hospitalization, the treatment plan will include:
- Fasting for a couple of days (this will help your pancreas recover)
- Pain medications
- IV fluids
Once we have addressed your condition, we will then try to find the root cause. Based on the cause we may recommend additional treatment or surgeries including:
- Surgery to remove obstructions of the bile duct
- Pancreas surgery to drain fluid and remove diseased tissue
- Gallbladder removal (if gallstones caused your pancreatitis)
- Quitting alcohol or finding an alcohol treatment program
If you are dealing with unexplained abdominal pain or other digestive problems it’s important that you turn to a gastroenterologist who can figure out what’s going on. Call to schedule an appointment today.
What is a Flexible Sigmoidoscopy?
A flexible sigmoidoscopy is a critical diagnostic tool to evaluate the health of your large intestine, or colon. An ultra-thin, flexible tube called a sigmoidoscope is inserted in the rectum and guided up through the intestine.
The tube contains a tiny camera at the end which provides the doctor with a view of your sigmoid colon, which is the last two feet of the large intestine. The sigmoidoscope also allows the doctor to take samples of tissue for later biopsy. Tissue biopsy is the definitive way to determine whether there are precancerous or cancerous changes in your tissue cells.
The sigmoidoscopy procedure is often combined with a colonoscopy because the sigmoidoscope doesn’t show the entire colon, only the lower portion. Sigmoidoscopy may be recommended over colonoscopy because it often doesn’t require anesthesia and is a faster procedure than colonoscopy.
A flexible sigmoidoscopy can be used to determine the cause of intestinal problems like abdominal pain and bowel issues like diarrhea and constipation. It is also used to look for abnormal growths or polyps. It is also a vital tool to screen for colon and rectal cancer.
Flexible sigmoidoscopy may be recommended if you are over 50 years old to help detect colon and rectal cancer in the early stages, when it is the most treatable. Colorectal cancer is the third leading cause of cancer-related deaths in the United States, according to the American Cancer Society. Each year, about 150,000 new cases are diagnosed in this country, and 50,000 people will die of the disease.
The flexible sigmoidoscopy procedure is a safe, effective way to determine the health of your sigmoid colon. It is a vital tool in maintaining your good health. If you are having abdominal issues, or you are at least 50 years old, a flexible sigmoidoscopy can help you. Your doctor can tell you more about flexible sigmoidoscopy and other procedures to help you feel better.
Though many people never know they have one due to lack of symptoms, a hiatal hernia can cause complications which can affect your daily life. Knowing the signs and symptoms of this condition can help you spot its presence, alert your gastroenterologist, and get the treatment you need.
What is a hiatal hernia?
Your chest and abdomen are separated by a large muscle called the diaphragm. The esophagus passes through a small opening in the diaphragm and brings food from the mouth, down the throat, and into the stomach. A hiatal hernia occurs when the stomach pushes through the hole and begins bulging out of the other side, into the chest. Though small hiatal hernias are often nothing to worry about and do not produce symptoms, larger hernias may cause potentially serious complications.
Do I have a hiatal hernia?
A small hernia often does not produce any symptoms at all. However, larger hernias can cause some issues that can affect your day-to-day life:
- Difficulty swallowing
- Chest or abdominal pain
- Regurgitation of foods (into the mouth)
- Acid reflux
- Vomiting blood or passing black stool
- Shortness of breath
If you think you have a hiatal hernia, you should see your doctor to ensure that you receive the care you need.
How does a gastroenterologist diagnose a hiatal hernia?
It is not uncommon for a gastroenterologist to find a hernia while investigating the cause of heartburn, abdominal pain, or other symptoms. Some diagnostic tools they may use include x-rays or upper endoscopy. They will also gather your medical, family, and lifestyle history to further investigate the cause of your symptoms.
Hiatal Hernia Treatments
If a person with a hernia does not experience any symptoms or complications, they may not need any treatment at all. However, if the patient begins experiencing discomfort, their doctor will probably suggest beginning treatment for their condition. Medications, such as antacids or medication to reduce the body’s acid production, can help with symptoms of a hernia. In more severe cases, a surgical procedure to repair a hernia or make the hole in the diaphragm smaller may become necessary.
Your gastroenterologist can help you find the best treatment plan for you. If you think you have a hernia or are experiencing uncomfortable symptoms such as recurrent acid reflux or heartburn, you should speak with your doctor.
Tummy troubles? When some people are diagnosed with celiac disease, they also discover that they are lactose intolerant and have difficulty digesting milk and dairy products. Read on to learn all about lactose intolerance and celiac disease and their symptoms. Gastroenterologists are doctors who specialize in the diagnosis and treatment of digestive disorders, including lactose intolerance and celiac disease.
Lactose Intolerance Overview
Lactose intolerance is a condition in which people have digestive symptoms after eating or drinking milk or dairy products. People with lactose intolerance are unable to fully digest the sugar in dairy products. Lactose intolerance is caused by a deficiency of an enzyme in the body called lactase. Lactose intolerance is not serious. Your doctor may do a breath, blood or stool test to find out if your problems are due to lactose intolerance.
Symptoms of Lactose Intolerance
After drinking or eating dairy products, you may feel sick to your stomach. You may also have loose stools or diarrhea, gas, pain, or cramps in the lower belly, rumbling or gurgling sounds in the lower belly. or swelling in your stomach. If you are lactose intolerant, you may still be able to eat or drink small amounts of milk. Some individuals do better if they have dairy with a meal.
Celiac Disease Overview
Celiac disease is a disorder triggered by consuming a protein called gluten, which is rye, barley, and wheat. When an individual with celiac disease eats foods that contain gluten, an abnormal immune reaction is triggered that damages a small part of the intestine called villi. Long-term complications of celiac disease include intestinal cancer, liver disease, and malnutrition, which can lead to osteoporosis and anemia. The longer people go untreated, the greater the risk for long-term complications.
Symptoms of Celiac Disease
Many individuals with celiac disease have no symptoms. Digestive symptoms, including stomach bloating, flatulence, pain, diarrhea, constipation, nausea, vomiting, and irritability are more common in children. Adults may experience numbness in hands and feet, joint or bone pain, fatigue, anxiety, depression, canker sores inside the mouth, seizures, itching, and a skin rash.
If you are experiencing any symptoms of lactose intolerance or celiac disease, make an appointment with a gastroenterologist. Get your life back on track by receiving the best treatment available. A visit to the gastroenterologist will bring all the relief you need, with little hassle or expense.
Wondering if you have hemorrhoids? Hemorrhoids are very common, especially among people ages 45 to 75. Hemorrhoids are inflamed and swollen veins around the anus or in the lower rectum. One of the main causes of hemorrhoids is straining when you’re trying to have a bowel movement. Other contributing factors include heredity, diarrhea, chronic constipation, pregnancy, and aging. Here's how to tell if you have hemorrhoids.
1. A lump near the anus- Although many individuals have hemorrhoids, not all experience symptoms. External hemorrhoids are felt as swelling or a hard lump near the anal area. Internal hemorrhoids protrude with bowel movements; usually, they return to the inside by themselves.
2. Painless bleeding- Hemorrhoids can cause bleeding. If you have hemorrhoids, you may see blood in the toilet bowl or on the toilet paper. Rectal bleeding is also a symptom of diverticulitis, colitis, colon polyps, and colorectal cancer. If you experience rectal bleeding, you should see a doctor. An evaluation and proper diagnosis by a gastroenterologist is important any time bleeding from the rectum lasts for more than a few days.
3. Itching around the anus- Hemorrhoids can cause severe itching around the anus. Initial treatment of anal itching is directed toward relieving the soreness and burning. Your gastroenterologist may prescribe hydrocortisone cream, gel, foam, or ointment or rectal suppositories to treat itching.
4. Pain or discomfort- Pain is a common symptom of external hemorrhoids, especially during bowel movements or when sitting. Internal hemorrhoids are typically painless, even when they produce bleeding. When hemorrhoids are painful, it’s hard to think about anything else. Your gastroenterologist may prescribe pain medication, hydrocortisone cream or rectal suppositories to ease your pain.
Why suffer? If you think you may have hemorrhoids, you should schedule an appointment with a gerontologist right away. The symptoms hemorrhoids cause are hard to ignore. Thankfully, there are many treatments that can provide relief.
You would love to just be able to sit down and enjoy a meal, but you know that not long afterward you are going to be dealing with the burning, gnawing pain in your stomach caused by heartburn. No matter if this is something that you have been facing for a while or this is a new issue you are dealing with, it’s important that you have a gastroenterologist that can help you figure out what’s going on.
It’s important to understand that heartburn isn’t a condition but a symptom of gastroesophageal reflux disease (GERD), in which stomach acid travels back up through the esophagus causing burning and irritation of the esophageal lining.
So, what are the leading culprits of heartburn? There are quite a few things that could cause this issue including:
- Certain foods or drinks: Everything from alcohol and caffeine to acidic and spicy foods can exacerbate heartburn symptoms. Diets that are high in fatty or fried foods can also make heartburn worse.
- Medications: There are certain over-the-counter medications that can also cause heartburn to flare-up.
- Smoking: Smoking cigarettes can actually affect how the lower esophageal sphincter functions, allowing stomach acid to travel back through the esophagus.
- A hiatal hernia: A condition in which some of the stomach protrudes into the chest.
- Pregnancy: Pressure placed on the abdomen during pregnancy could increase your chances of heartburn.
- Obesity: Having any additional pressure placed on the abdomen, which is common if you are overweight or obese, can bring on a nasty bout of heartburn.
Fortunately, there are many ways in which to reduce the severity and frequency of heartburn. Turning to a GI specialist is the best approach, as they can provide you with a variety of lifestyle changes and medications based on your symptoms, current health, lifestyle, and how much damage has already taken place within the esophagus.
From there, they will create a tailored treatment plan with a medication that will either greatly lessen the amount of acid the stomach produces or temporarily block stomach acid from being produced to help promote healing within the esophagus.
Lifestyle changes may include eating smaller meals, not eating right before bedtime, avoiding exacerbating foods or drinks, losing excess weight, and quitting smoking.
Don’t let heartburn make you dread sitting down to enjoy your favorite meals. There are so many ways in which to get your heartburn symptoms under control. If you are having trouble finding the right treatment option for you don’t hesitate to turn to a gastroenterologist for guidance and treatment.