Digestive disorders are sometimes incredibly common and walk out to visit an internist, long-term medication, horrible examinations and even surgery. Who has a problem to the intestine feels sick and unable to function. Stomach problems are a concern for both the doctor and patient, especially if there is no conclusive diagnosis can be made and the patient can go home with fibers in a powder or antacids.
Apart from special diseases of the gastrointestinal tract, tumors, inflammation and specific diseases, there are many common conditions that give rise to significant symptoms that can interfere with moderate to severe daily life, and sooner or later end up at the doctor. Below are some common diagnoses.
In irritable bowel syndrome, spastic, or there has been for a long time existing alternating or continuous abdominal pain around the navel, or to one side of the abdomen, usually the left. There is thereby also fall within any of the following symptoms: bloating, alternating bowel habit, when pressing on the abdomen one or more very painful pressure points, nausea, belching, rumbling and flatulence. The disorder results from a disturbance in the peristalsis of the intestines, and the cause is unknown. The course of the disease is prolonged and often intermittently and is much more common in women than in men. There are no triggers known but some believe that certain foods the symptoms do start, so it is advisable to check the diet. Medications are not working. Sometimes it is done colonoscopy if the symptoms persist or there is slimming.
Upset stomach characterized by an increase in the amount of heartburn, pain in the stomach, nausea, bloating and vomiting. In the first place, the diet needs to be examined because of some foods has led to formation of more gastric acid. Think of spices, citrus fruit and fatty foods. Next, there is usually required an antacid, a so-called. Proton pump inhibitor such as omeprazole, if ordinary remedies on the basis of magnesium do not work. This type of medication suppresses gastric acid production but noticeably affect the underlying reason for the symptoms. If this also does not work and the symptoms persist, an endoscopy is usually done, especially if the patient is older, or if there is suspicion of a specific disorder. In predominantly heartburn symptoms at night is advisable to raise one side of the bed anyway.
A common cause of stomach acid burning is Hiatus hernia, a diaphragmatic hernia, which occurs in 1 in 3 people. The factor, which is demonstrated by the endoscope, actually means a wide opening to the stomach entrance causing the heartburn has free reign to flow upward, possibly resulting burping and acidic. Another possibility is a Helicobacter infection, which causes inflammation and ulceration of the stomach wall and optionally duodenum. This bacillus, the helicobacter pylori, is responsible for the infamous 'ulcer' which has nothing to do with stress. Helicobacter presence is demonstrated by taking a cut from the stomach lining away and put them in culture. It is treated with a drug cocktail.
Remember to always antacids if your body really does a disservice if you help the natural and useful stomach acid production to soap. Swallow this medication so only occasionally and certainly not every day for weeks or months, because in stopping this type of medication returns gastric acid production in full regalia and complaints ten times very similar, after which you fall back on the same medication. Consequence: vicious circle and addiction to antacids. Medications that the community locks cost money, which do not address the cause and therefore are only symptoms.
The presence of gallstones is often discovered by accident. In some cases, however, there are severe symptoms that increases the suspicion of gallstones. These are: Acute attacks of pain in the right upper abdomen radiating to the back, accompanied by nausea and vomiting. This is called biliary colic. A galsteentje is then become jammed in the output of the gall bladder or in the bile ducts. Sometimes gallstones go hand in hand with a yellowish discoloration of the skin and whites of the eyes, also known as jaundice. Because the bile by blockage of a gallstone can no longer digest the food comes out instead in the blood. In that case there is question of a decolorized stool.
Gallstones can cause infections with high fever and give a lot of pain, or only vague symptoms. Suspected his above symptoms after eating fatty foods, egg, chocolate and fried vegetables or cabbage. Ultrasound examination of the gallbladder is recommended. If there are stones which complaints can give it surgically removed, sometimes by endoscopy as it only involves the removal of a stone. Should it decide to complete removal of the gallbladder can be done using keyhole surgery or conventional surgery. In that case, no new bricks are formed. Gallstones are more common in women, with obese patients and the elderly.
An ileus is a life-threatening disorder of the passage of food in the intestine, in that the passage is obstructed somewhere. It caused severe symptoms, which can occur in both the small and large intestine. Sometimes there is a partial ileus, sometimes a total. Mechanical obstructions can occur with tumors, adhesions, twists or abdominal wall fractures. In this case, creates strong bowel movements as the intestine the food is trying to get through. The intestine is very active and can sound like a gurgling sink. The second form, namely, paralysis of the gut is in fact also a hindrance and arises when the movements of the intestine are reduced or even absent. Causes abscesses, peritonitis, vascular occlusion, pancreatitis, medication or anesthesia-complication after abdominal surgery.
In all cases, ileus associated with severe abdominal pain, vomiting, swollen and tender abdomen and the absence of stools. It looks like vomit bile colored bowel contents can be brown or black. In a cripple intestine there is a constant stomach ache and a belly that had just set but not very pressure sensitive. Furthermore, this belly silent. Ileus is very dangerous because the intestinal wall can burst and part of the intestine can die. Therefore it is created an abdominal X-ray survey, and until surgery is decided. Sometimes it also needs a colonoscopy or a scan.
The cecum is from two to twenty centimeters long and is also called the "worm-shaped appendage. The piece consists mainly of intestinal lymphoid tissue and is a blind ending section in the lower right abdomen. Due to this location, micro-organisms can not gain access in the cecum and cause inflammation. When appendicitis is abdominal slow or fast very painful. Pain often begins in the middle of the abdomen to move subsequently to the right and downwards. There is nausea, vomiting and fever. There is a risk of the risk of peritonitis, if the intestine is perforated. Therefore it follows from this diagnosis, an operation in which the appendix is removed and the symptoms disappear immediately.
All sorts of intestinal problems may arise in the case of lactose intolerance, think of abdominal pain, diarrhea and bloating. Lactose is found naturally in milk. For the digestion the body produces the enzyme lactase to. If too little of this substance is created, the lactose can not be properly digested and the body can not absorb it. This is called lactose malabsorption. As in childhood is often apparent that it comes to this condition. Often it is inherited, but it may also be caused by an intestinal infection. At a tenth of the Dutch and many people from the Far East and the area around the Mediterranean is this intolerance. The symptoms are noticeable when consuming milk and milk products. The condition should not be confused with cow's milk allergy, which is an allergy to cow's milk protein and requires a strict diet.
In celiac disease, there is a hypersensitivity to gluten so that the mucosa of the small intestine can be damaged. Gluten is found in wheat, oats, rye, barley and spelled. In an intolerance nutrients are not properly absorbed. The condition is usually apparent in childhood and is associated with underweight, stunted growth, vitamin deficiencies, anemia and many stomach problems such as nausea and chronic diarrhea. Sometimes there is only diagnosed after decades in which the symptoms are not recognized as celiac disease. The diagnosis is made by means of examination of removed pieces of mucosa from the small intestine. The treatment consists of a lifelong gluten-free diet which makes the mucosa recovers. The condition is not uncommon, as many as 80,000 Dutch have of which only 10,000 are registered. The disease is inherited in a way or another.
A food poisoning occurs after eating contaminated or spoiled food, makes you ill and created quite suddenly. The symptoms are nausea, vomiting, crampy abdominal pain, diarrhea and fever. These occur within eight to 24 hours after ingestion of the food. Notorious is the salmonella bacteria found in meat, eggs and milk. Another possibility is the staphylococcal bacillus which is also usually spread by poor hygiene. In non-European countries will be arranged for food poisoning, especially vacationers fall victim to poor hygienic conditions. If diarrhea is on the foreground, is called traveler's diarrhea. Caution is advised in water, dairy products, fish, ice cream and fresh fruit and vegetables. If symptoms do occur, try to keep drinking to avoid dehydration. A food poisoning them may take a few days, longer duration studies may be required to find out which bacteria is involved.
The presence of diverticula in the colon is common. It is assumed that it is caused by years of too low a fiber intake and symptoms of constipation. Half of the sixty year olds have diverticula and almost everyone at the age of eighty have this condition. Only a small percentage develop symptoms, however, and an even smaller proportion being operated it. Diverticula are bulges in the wall of the large intestine, usually in the left and final part. The diverticula can ignite. Symptoms include abdominal pain lower left, diarrhea, cramping, changes in bowel habits and sometimes rectal bleeding. Many of the symptoms are similar to those of a spastic colon, and are therefore difficult to distinguish them. Upon ignition of the protrusions formed fever and chills. The condition is treated with a high fiber diet and any medication for the pain, but with diverticulitis antibiotics and follow a stricter diet. In some cases, surgery is necessary that the affected part of the intestine is removed.
"We do not have a diagnosis at this time except for the stomach discomfort."