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Trust Your Gut… 6 Stomach Issues Not to Ignore
We’ve all eaten or imbibed something that
didn’t agree with us, or caught a stomach bug that was settled with rest,
over-the-counter aids and some chicken broth. While many times we can go it
alone and solve a stomach ache ourselves, there are certainly times when it’s
necessary to see a doctor. Dr. Gina Sam is a Gastroenterologist with Mount
Sinai Hospital in New York City and an Associate Professor. She provides
insights on symptoms indicative of common abdominal conditions and advises when
it’s time to see the doctor.
Indigestion
Common symptoms include feeling full fast
during a mean, a slicing pain, burning or tightness between your breastbone and
navel or bloating. The tricky thing with indigestion is that it can be triggered
by something else that is worse. Persistent indigestion may be a side effect of
a medication, caused by smoking, thyroid disease, ulcers, infection,
or gastroesophageal reflux
disease (GERD). “If you rarely have indigestion and feel funny or discomfort
after a spicy meal that may go away on its own. However, if indigestion is a
daily occurrence for more than 2 weeks and is coupled with trouble swallowing,
fatigue or weakness, then absolutely see your doctor to be sure it isn’t due to
something more serious,” advises Dr. Sam.
Lactose
Intolerance
When the small intestine fails to product
enough lactase, an enzyme that digests milk sugar (lactose) food reaches the
colon before it has been processed and absorbed. Undigested lactose interacts
with normal bacteria in the colon leading to diarrhea, nausea, bloating,
cramping, gas and sometimes even vomiting. These symptoms usually begin 30
minutes to two hours after consuming foods or drinks with lactose. Dr. Sam
explains that the challenge with lactose intolerance is that it often leads to
calcium deficiency so it’s always a good idea to see your doctor to create a
plan that explores which foods trigger discomfort and which are still
okay.
Kidney Stones
According to Dr.
Sam, “kidney stones don’t cause symptoms until they pass on from the kidney
toward your bladder. That’s when there may be cloudy or foul smelling urine that
can appear brown or pink. There may also be a frequent need to urinate but the
ability to urinate small amounts. Nausea and vomiting along with fever and
chills are also symptoms. Usually when lower back pain is so severe sleeping and
even sitting is difficult the patient seeks medical attention.” She adds, “When
you have kidney stones you just know something isn’t right, yet sometimes it
takes people longer to see several symptoms before they seek medical
attention.”
Appendicitis
While it’s more common to
people ages 10-20, it can strike at any age. Typical symptom are pain
specifically in the lower right quadrant of the abdomen however, half of those
with appendicitis have pain elsewhere. Also not everyone has his or her appendix
in the same place making the pain site vary. “This is why it is important to
monitor symptoms closely. Many of the symptoms are similar to ones associated
with other conditions such as kidney stone, Crohn’s disease; even ectopic
pregnancy,” offers Dr. Sam. She further explains that the patient can expect
several tests (blood, urine, MRI, CT or ultrasound) to confirm diagnoses. Some
doctors don’t want to risk waiting for test results and based on how the patient
describes his or her own symptoms may opt to surgically remove the
appendix.
Gallstones
Gallstones are stones that form in
the gallbladder, a tiny sac that hangs out under the liver, disgorging bile as
needed to digest fats. These stones cause swelling and can block the duct into
the intestine, resulting in pain. Gallstone pain tends to strike the right side
of the upper abdomen, particularly after fatty meals. Such meals trigger the
gallbladder to contract. “If the gallbladder is inflamed, any contraction of
that nature will be amplified and typically will cause pain to the patient,”
says Dr. Sam
Medication side
effects
“No drug is without side effects
and sometimes that includes abdominal pain.
Oral bisphosphonates, a popular
class of drugs that helps preserve bone density and prevent osteoporosis, can
cause swelling—and therefore pain—in the lower esophagus,”, says Dr.
Sam.
Pain medications known as NSAIDs
(nonsteroidal anti-inflammatory drugs) such as ibuprofen and aspirin can also
cause swelling in the stomach lining and may even lead to ulcers.
Rule of thumb is to
trust the gut. When something
feels more serious, it usually is. Some stomach issues can either be symptoms of
other more serious issues or if left unaddressed, can escalate into something
worse. “Whenever you’re feeling prolonged discomfort and sharp pain it’s worth
seeing your doctor,” advises Dr. Sam.
About the doctor:
Dr. Gina Sam, MD/MPH is an Assistant
Professor in the Division of Gastroenterology, Department of Medicine at Mount
Sinai School of Medicine, New York. She is the Director of the Mount Sinai
Gastrointestinal Motility Center specializing in achalasia, gastroesophageal
reflux, functional disorders, irritable bowel syndrome, gastroparesis, and
anorectal disorders including pelvic floor dyssnergia and fecal
incontinence.
Friday, May 1, 2020
Dr. Fauci on remdesivir for COVID-19: ‘This will be the standard of care’
National Institute of Allergy and Infectious Diseases Director Anthony S. Fauci, MD, said today that data from a multinational randomized control trial showed that Gilead’s investigational antiviral remdesivir “has a clear-cut significant positive effect in diminishing time to recovery” for patients with COVID-19.
“This will be the standard of care,” Fauci, a White House advisor on the pandemic, said during comments from the Oval Office. Fauci said the results, which have not yet been peer-reviewed, prove “that a drug can block this virus.”
Read more:https://www.healio.com/infectious-disease/emerging-diseases/news/online/%7B30f206a4-1037-4975-82bd-7936bd7714e3%7D/fauci-on-remdesivir-for-covid-19-this-will-be-the-standard-of-care
Gilead Sciences, Inc. /ˈɡɪliəd/, is an American biopharmaceutical company that researches, develops and commercializes drugs. The company focuses primarily on antiviral drugs used in the treatment of HIV, hepatitis B, hepatitis C, and influenza, including Harvoni and Sovaldi.
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