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Irritable Bowel Syndrome

  • Irritable Bowel Syndrome
    • What Indian foods can I eat if I have irritable bowel Syndrome?
      • Diet is a very important aspect of IBS. Many of the symptoms of IBS like pain, bloating and diarrhea maybe related to foods. There are a number of other mechanisms for IBS too but we will keep present discussion on food.
      • There are a group of foodstuffs known as FODMAP. These get fermented within the bowel and produce gases which in turn produce the symptoms. I am attaching a food chart for your convenience. This list if not exhaustive and you can search more on FODMAP diet on the internet.
      • Now this diet is very restrictive in the Indian scenario and it is difficult to adhere to it on a long term basis. I suggest you start cutting whatever you can and slowly re-start one item at a time till you can tolerate. This will be on a trial and error basis till you yourself discover your comfort level.
    • C:\Users\DELL\Desktop\Social media\FODMAP.pngSince last two years, I am suffering from irritable bowel syndrome. I have taken lots of medication of allopathy and ayurvedic but it did not have any affect in my condition. I’m tired of medicine now. What should I do?
      • Irritable Bowel Syndrome (IBS) is very common condition. The severity of IBS can vary from mild, moderate and severe. Based in your description, you have moderate or severe IBS.
      • IBS is a very “heterogenous” problem. It means, there is no single cause in all patients that explains the symptoms and there is no universal cure. What works in one patient may not work in the next. You may need to explore more options before you find what suits you the best.
      • Fortunately, there are a ton of options now available.
      • There is a brain-gut axis. A connection between your abdomen and your brain which carries signals both ways. So, e.g. an upset stomach can cause depressed mood and frustration and on the other hand anxiety and lead to heartburn and constipation.
      • Using only medicines that target your gut may not be sufficient and you may need to target both the brain and gut together for more effectiveness. Also, don’t rely on medicines alone. You have to try relaxation, exercises and dietary changes also.
      • Seek the help of an expert to guide you in this journey of IBS.
      • https://qph.fs.quoracdn.net/main-qimg-b6f66e4acc6c801c4b1829a74f17f6ab
  • Acid reflux (GERD)
    • How do I cure my acid reflux without the use of drugs?
      • Before you stop the use of medicines, please consult with a gastroenterologist
      • Please view the video below which I have made specifically to help patients of reflux disease (GERD)
      • Please note that it is not possible or safe for everyone to stop medicines.
      • https://www.youtube.com/watch?v=Dwup5wa-JnE
    • How do I cure my GERD for good?
      • While, a “cure” to GERD (Acid Reflux disease) is not possible, it can be managed. Dietary and lifestyle modifications are helpful in a majority of people, but still medicines may be required. Please consult a specialist for this.
      • In a country wide survery the following food items were found to worsen GERD.
      • •Meats consumption (risk 1.9 fold)
      • •Fried food (risk 1.9 fold)
      • •Spicy foods (risk 4.1 fold)
      • •Aerated drinks (risk 2 fold)
      • •Tea/ coffee > 3 cups/day (risk 1.4 fold)
      • Follow the modifications below to help you with GERD.
      • Diet:
      • •Avoid fried foods and non-vegetarian food
      • •Avoid aerated drinks
      • •Avoid >3 cups of coffee or tea per day
      • •Avoid very spicy foods
      • •Eat smaller portion of meals at frequent intervals
      • Addictions
      • •Stop oral tobacco products
      • •Stop smoking
      • Exercise
      • •Regular exercise and weight loss will reduce reflux to a great extent
      • Activities
      • •Avoid activities that involve bending forwards especially after meals
      • •Avoid stressful activities
      • Sleep
      • •Elevate the head end of the bed by 30 degrees or alternatively, put a wedge/slab under your bed to elevate it by 6 inches.
      • •Avoid sleeping immediately after meals
  • Constipation
    • Why do we have suffer from constipation? What is the main reason for constipation?
      • Constipation is a complex symptom. I will try to simplify.
      • Just like when a car doesn’t work, there can be multiple different reasons behind it. Like problems with fuel, ignition, engine etc. Constipation can result from a variety of reasons. Some may have more than one reason co existing too.
      • Constipation is very common with about 15–20% of population self reporting it in a recent survey in Chandigarh.
      • It is broadly divided into primary and secondary constipation. Primary are those causes when there are no obvious causes found on investigations like blood reports, ultrasound etc.
      • Secondary constipation is caused due to some reason like medicines (drug- related), due to some blockage or narrowing of intestine (mechanical), diabetes, thyroid problems etc. These have to be identified and treated early.
      • Primary is further divided into various types based on some special tests. These are not routinely available. Of this dyssynergic defecation is common in upto 40% of cases of constipation. It results from muscular incoordination and can be treated by biofeedback.
  • https://qph.fs.quoracdn.net/main-qimg-7b6dbe4acc26e493480fb64b8aee715c

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