Tag Archives: gastrointestinal issues

Diverticulitis

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Diverticulitis is caused when the diverticula- irregular bulging pouches in the colon wall develop over time and become inflamed, tear, swell, and become infected. Diverticula can form due to spasms or straining.

Pain in the lower abdomen is a common symptom of diverticulitis. Other symptoms include:

  • Nausea and vomiting
  • Fever
  • Tenderness in the abdomen when touched
  • Changes in stool which include constipation or diarrhea
  • Rectal bleeding
  • A distended abdomen

Diverticulitis is more common in people over 50. Other factors that put you at risk of diverticulitis include:

  • Obesity
  • Smoking
  • A low-fiber diet
  • A high-red meat diet
  • Heavy alcohol use
  • Lack of exercise.
  • Low vitamin D levels
  • Certain medicines such as steroids, opioids, and nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen sodium.

Many conditions can cause pain and other symptoms related to diverticulitis. A healthcare provider will perform a physical exam where they gently touch different parts of the abdomen to learn where the pain and tenderness are.

They may also order laboratory tests to determine what is causing your symptoms and use them to rule out other conditions and make a diagnosis. These tests include:

  • Blood tests for signs of infection and immune system activity.
  • Urine test
  • Stool test
  • Pregnancy test
  • Liver enzyme test to rule out liver disease.

A CT scan can show inflamed diverticula, abscesses, fistulas, or other complications.

There are many ways to help prevent diverticulitis including:

  • Exercising regularly.
  • Eating a high-fiber diet.
  • Maintaining a healthy weight.
  • Drinking plenty of fluids.
  • Limiting alcohol use and quitting smoking.

Treatment for diverticulitis depends on the severity of the condition. Uncomplicated diverticulitis is when there are mild symptoms and no complications, and you can be treated at home. A healthcare provider will recommend a liquid diet and then a gradual increase to low-fiber solid foods. You may also be prescribed antibiotics.

Complicated diverticulitis is when the symptoms are serious and there are signs of complications. You will need to be in the hospital for treatment.

Surgery on the colon may be performed if complicated diverticulitis is diagnosed. Other reasons surgery may be needed include:

  • Complications include ruptures in the colon wall, fistulas, or other serious tissue damage.
  • There were multiple episodes of uncomplicated diverticulitis.
  • You have a weakened immune system.

Surgery is usually performed laparoscopically. Two procedures used for treating diverticulitis include:

  • The diseased section of the colon is removed. The remaining healthy tissues are connected to recreate a complete colon.
  • The healthy section and the diseased section are separated. The healthy section is directed to an opening in the abdomen wall. Waste is collected using a colostomy bag giving the diseased section time to heal. When it is healed, the two sections are reconnected, and the opening in the abdomen wall is closed.

If you are experiencing signs and symptoms of diverticulitis and would like to schedule an appointment with a physician at Flushing Hospital, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

GERD AWARENESS WEEK

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Perhaps there is no other day of the year associated with eating more than Thanksgiving. With so much attention being paid to food consumption, it is fitting that this week we also raise awareness about a health condition that affects the digestive system.

November 18-24, 2019 has been designated Gastroesophageal Reflux Disease (or GERD) Awareness Week. GERD, is a very common disorder that occurs when stomach acid or bile flows into the food pipe and irritates the lining.

After it is swallowed, food travels down the esophagus where it stimulates cells in the stomach to produce acid and pepsin (an enzyme), which aid the digestion process. A band of muscle at the lower part of the esophagus, called the lower esophageal sphincter (LES), acts as a barrier to prevent the back-flow. Gastroesophageal reflux occurs when the LES is weak or relaxes inappropriately, allowing the stomach’s contents to flow up into the esophagus.

Chronic heartburn is the most frequently reported symptom of GERD. Acid regurgitation (refluxed acid into the mouth) is another common symptom. Other symptoms can include belching, difficulty or pain when swallowing, or water-brash (sudden excess of saliva). GERD may also lead to chronic sore throat, laryngitis, throat clearing, chronic cough, and other oral complaints such as inflammation of the gums and erosion of the enamel of the teeth.

Dietary and lifestyle choices can contribute to GERD. Certain foods and beverages, including chocolate, peppermint, fried or fatty foods, coffee, or alcohol may trigger reflux. Studies show that smoking can relax the LES and contribute to this condition. People who are obese are more prone to developing GERD symptoms.

Doctors recommend lifestyle and dietary changes for most people needing treatment for GERD. Along with lifestyle and diet changes, your doctor may also recommend over-the-counter remedies, or, in serious cases, prescribe medications designed to reduce acid in the stomach.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Pregnancy and Gastrointestinal Issues

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Gastrointestinal issues are common during pregnancy.  This may be due in part to several factors such as an increase in hormones or the limited amount of abdominal space available for digestive organs to function normally.

As your baby grows, your organs will rearrange themselves to accommodate uterine growth.   The enlarged uterus displaces the stomach, esophagus and intestines which can contribute to reflux of gastric contents or other digestive problems.

Hormonal changes can also contribute to digestive problems.  Pregnant women produce high levels of the hormone progesterone. This hormone causes bowel muscles to relax and can affect their ability to work efficiently.

These changes in a woman’s body during pregnancy may cause the following symptoms to develop:

  • Nausea and vomiting
  • Constipation
  • Acid Reflux
  • Diarrhea

If you are experiencing these symptoms, speak with your doctor right away.  Your doctor will determine if they are pregnancy-related and recommended the best treatment options for your health.

To schedule an appointment with a doctor at Flushing Hospital Medical Center, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.