The human gastrointestinal (GI) system, a complex and intricate network of organs and tissues, plays a pivotal role in digesting food, absorbing nutrients, and expelling waste.
However, it’s susceptible to a range of disorders, many of which can cause discomfort, distress, and long-term health complications.
In this comprehensive guide, we’ll explore some of the most common gastrointestinal disorders, providing insights into their symptoms, causes, and management strategies.
Understanding the Gastrointestinal System
Before delving into specific disorders, it’s essential to comprehend the gastrointestinal system’s main components:
Mouth: The digestive process begins here as food is broken down by chewing and mixed with saliva, which contains digestive enzymes.
Esophagus: A muscular tube that transports food from the mouth to the stomach.
Stomach: Food is mixed with digestive juices, including stomach acid and enzymes, to form a semi-liquid mixture called chyme.
Small Intestine: This is where the majority of nutrient absorption occurs. The walls are lined with tiny hair-like structures called villi, which increase the surface area for nutrient uptake.
Large Intestine (Colon): Water and electrolytes are absorbed here, and waste materials are formed into feces for elimination.
Liver: It produces bile, which is essential for fat digestion, and detoxifies the blood.
Gallbladder: Stores and concentrates bile, releasing it into the small intestine when needed for digestion.
Pancreas: It produces digestive enzymes that are secreted into the small intestine and hormones like insulin and glucagon, which regulate blood sugar levels.
Common Gastrointestinal Disorders
1. Gastroesophageal Reflux Disease (GERD)
Symptoms: Heartburn, regurgitation, chest pain, difficulty swallowing, chronic cough.
Causes: Weak lower esophageal sphincter (LES), which allows stomach acid to flow back into the esophagus, often due to diet, obesity, or a hiatal hernia.
Management: Lifestyle modifications (diet, weight loss), medications to reduce acid production, and in severe cases, surgery to repair the LES.
2. Irritable Bowel Syndrome (IBS)
Symptoms: Abdominal pain, cramping, bloating, diarrhea, constipation, or both (IBS-D, IBS-C, IBS-M).
Causes: Exact cause is unknown, but factors like altered gut motility, visceral hypersensitivity, and psychological stress may contribute.
Management: Dietary changes (low-FODMAP diet), stress management, medications for specific symptoms, and psychological therapies.
3. Inflammatory Bowel Disease (IBD)
Crohn’s Disease
Symptoms: Abdominal pain, diarrhea, weight loss, fatigue, inflammation can occur anywhere from mouth to anus.
Causes: Likely involves an abnormal immune response and genetic predisposition.
Management: Medications to control inflammation, surgery in severe cases, and lifestyle changes.
Ulcerative Colitis
Symptoms: Diarrhea, rectal bleeding, abdominal pain, weight loss, inflammation is limited to the colon and rectum.
Causes: Complex, involving genetics, immune system abnormalities, and environmental factors.
Management: Medications, lifestyle changes, and surgery in some cases.
4. Gallstones
Symptoms: Abdominal pain (biliary colic), nausea, vomiting, inflammation of the gallbladder (cholecystitis).
Causes: The formation of hardened deposits in the gallbladder, often due to the imbalance of substances in bile.
Management: Surgery to remove the gallbladder (cholecystectomy) is the most common treatment.
5. Celiac Disease
Symptoms: Digestive symptoms, as well as fatigue, joint pain, skin rash (dermatitis herpetiformis), triggered by gluten consumption.
Causes: An autoimmune reaction to the protein gluten, found in wheat, barley, and rye, in genetically predisposed individuals.
Management: A lifelong gluten-free diet, which typically leads to symptom resolution.
6. Diverticulitis
Symptoms: Abdominal pain, fever, changes in bowel habits, typically on the left side of the lower abdomen.
Causes: Small pouches (diverticula) in the colon can become inflamed or infected.
Management: Mild cases are often treated with antibiotics, while severe cases may require surgery.
7. Gastroenteritis
Symptoms: Diarrhea, vomiting, abdominal pain, fever, typically caused by viral or bacterial infections.
Causes: Infection with pathogens like norovirus, rotavirus, or food poisoning.
Management: Rest, hydration, and, in severe cases, medications to control symptoms.
Managing gastrointestinal disorders often involves a combination of lifestyle modifications, dietary changes, medications, and, in some cases, surgery.
Let’s delve into these management strategies:
Lifestyle Modifications:
- Dietary Changes: Many GI disorders benefit from dietary modifications. For example, GERD may require avoiding acidic and spicy foods, while IBS patients often find relief with a low-FODMAP diet.
- Stress Management: Stress can exacerbate many GI conditions, so stress-reduction techniques like yoga, meditation, and deep breathing exercises are essential.
- Regular Exercise: Physical activity can help regulate bowel function, reduce stress, and promote overall well-being.
- Sleep Hygiene: Ensuring adequate and restful sleep can have a positive impact on GI health.
Medications:
- Antacids and Proton Pump Inhibitors (PPIs): These medications are often prescribed for GERD to reduce stomach acid.
- Anti-Inflammatory Drugs: In cases of IBD, anti-inflammatory drugs like mesalamine or steroids are used to control inflammation.
- Immunosuppressants: For more severe cases of IBD, immunosuppressive drugs may be prescribed to modulate the immune system’s response.
- Antispasmodics: These medications help relieve abdominal cramping and pain, which are common in IBS.
Surgery:
In some cases, surgery is necessary to manage or treat gastrointestinal disorders. For example:
- Cholecystectomy: Surgical removal of the gallbladder to treat gallstones.
- Colectomy: In cases of severe ulcerative colitis or diverticulitis, removal of a portion of the colon may be required.
- Ileostomy or Colostomy: In severe cases of IBD, diverticulitis, or trauma, these procedures involve creating a stoma to allow waste to exit the body, bypassing the affected area.
The Importance of Early Diagnosis and Medical Guidance
Gastrointestinal disorders can significantly impact an individual’s quality of life.
While lifestyle modifications and over-the-counter medications can help manage mild symptoms, early diagnosis and medical guidance are crucial for more severe or persistent conditions.
If you suspect you have a gastrointestinal disorder or are experiencing symptoms like chronic abdominal pain, changes in bowel habits, unexplained weight loss, or persistent discomfort, seek medical evaluation and diagnosis from a healthcare provider.
What Can I Do to Prevent Digestive Issues?
Preventing digestive issues and promoting gastrointestinal health involves adopting a proactive approach to your diet and lifestyle.
Here are some practical steps you can take to minimize the risk of digestive problems and maintain a healthy gut:
- Fiber: Include plenty of fruits, vegetables, whole grains, and legumes in your diet to promote regular bowel movements and a healthy gut microbiome.
- Probiotic-Rich Foods: Incorporate yogurt, kefir, sauerkraut, kimchi, and other fermented foods to support the growth of beneficial gut bacteria.
- Limit Sugar and Processed Foods: Excessive sugar and processed foods can negatively impact the gut. Reducing their consumption can help maintain gut health.
- Drinking an adequate amount of water is essential for digestion and the absorption of nutrients. Dehydration can lead to constipation.
- Overeating can lead to discomfort and indigestion. Practice portion control to avoid overloading your digestive system.
- Chronic stress can disrupt digestion. Engage in stress-reduction techniques like meditation, yoga, deep breathing, or mindfulness to maintain a healthy gut-brain connection.
- Physical activity helps promote gastrointestinal motility and overall well-being.
- Quality sleep is essential for gut health and overall physical and mental health.
- Limit Alcohol and Avoid Excessive Caffeine:
- Both alcohol and excessive caffeine can irritate the gastrointestinal lining. Moderation is key.
- Smoking can contribute to various digestive problems, including acid reflux and peptic ulcers. Quitting smoking is beneficial for both your overall health and your gut.
- Be Mindful of Food Intolerances:
- If you suspect you have food intolerances, such as lactose intolerance or gluten sensitivity, identify and manage these triggers by adjusting your diet accordingly.
Contact Dr. Schneider
In conclusion, gastrointestinal disorders encompass a wide range of conditions that affect the digestive system, from the mouth to the rectum.
These disorders can cause discomfort, pain, and disruption to daily life.
However, with early diagnosis, proper management, and often simple lifestyle changes, many individuals can effectively manage their gastrointestinal issues and improve their quality of life.
Dr. Schneider is located at the Mill Park Hospital, Parktown, Johannesburg.
Services offered include consultation, and endoscopy procedures, including gastroscopy, colonoscopy and video capsule endoscopy.
For more information on the diagnosis and treatment of gluten intolerance in Johannesburg, contact Dr. Schneider or book your consultation today.
DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.
Introduction
Celiac disease is a disorder of the digestive system that occurs when the body is unable to break down and absorb gluten.
When people with celiac disease eat gluten, the gluten triggers an immune response in the body that damages the lining of the small intestine.
This damage prevents the small intestine from being able to absorb nutrients from food, which can lead to malnutrition.
Celiac disease is a serious condition that can cause a wide range of symptoms, including digestive problems, fatigue, weight loss, and anemia.
There is no cure for celiac disease, but the condition can be managed by following a gluten-free diet.
It’s estimated that about 3 million people in the US have been diagnosed with celiac disease.
However, many more people experience symptoms of celiac disease.
In this article we will talk about celiac disease and the affect it can have on the body.
Should you suspect that you might have celiac disease, it is advisable to get in contact with your doctor.
What is Celiac Disease?
Celiac disease is a condition where the body is unable to process gluten, a protein found in wheat, barley, and rye.
When someone with celiac disease eats gluten, it triggers an immune response in the small intestine, which can lead to damage of the small intestine and other symptoms.
Symptoms of celiac disease can vary from person to person, but may include abdominal pain, bloating, gas, diarrhea, weight loss, and fatigue.
Some people with celiac disease may also experience anemia, osteoporosis, and headaches.
There is no cure for celiac disease, but the condition can be managed by following a gluten-free diet.
This means avoiding all foods that contain gluten, including bread, pasta, cereal, and many processed foods.
Symptoms of Celiac Disease
Celiac disease is a chronic autoimmune condition that affects the digestive system. When someone with celiac disease eats gluten, their body mounts an immune response that attacks the small intestine.
This can lead to a variety of symptoms, including abdominal pain, bloating, diarrhea, constipation, fatigue, and weight loss.
In some cases, celiac disease can also cause anemia, osteoporosis, and dermatitis herpetiformis.
Diagnosing Celiac Disease
Celiac disease is a digestive disorder that damages the small intestine and prevents it from absorbing nutrients from food. People with celiac disease have an immune reaction to gluten, a protein found in wheat, rye and barley.
When people with celiac disease eat foods that contain gluten, their immune system reacts by damaging the small intestine.
This damage prevents the small intestine from absorbing nutrients from food, which can lead to malnutrition. Celiac disease is a serious, lifelong condition that can be treated by following a gluten-free diet.
There is no one definitive test for celiac disease. The best way to diagnose celiac disease is to start with a blood test to look for antibodies that are present in people with the disease.
If the blood test is positive, then a biopsy of the small intestine is needed to confirm the diagnosis.
Celiac Disease Diet
There is no one-size-fits-all diet for celiac disease, as each person reacts differently to gluten. However, the general consensus is that a gluten-free diet is the best way to manage the condition. This means avoiding all foods that contain wheat, barley, and rye.
For some people, this may mean making significant changes to their diet.
Others may be able to simply avoid foods that contain gluten. In either case, it is important to work with a dietitian to ensure that you are getting all the nutrients you need.
A gluten-free diet can be challenging, but it is possible to find delicious and nutritious foods that fit within the diet.
With careful planning and a positive attitude, you can maintain a healthy and enjoyable diet despite having celiac disease.
Ingredients To Avoid:
There are a few ingredients that celiacs should avoid, as they can trigger an immune response. Some of these ingredients include:
While oats are technically gluten-free, they are often contaminated with gluten during processing. Other ingredients to avoid include soy, corn, and rice.
Most processed foods contain one or more of these ingredients, so celiacs need to be vigilant about reading labels.
Avoid The Following Unless the Product Indicates They Are Gluten-Free:
There are a few things to avoid unless the product indicates they are gluten-free. First, watch out for hidden sources of gluten like:
- Soy sauce
- Malt vinegar
- Some types of candy.
Also, be wary of processed foods, as they may contain gluten as well.
Finally, check the labels of any medications you take, as some contain gluten as well. By being aware of these potential sources of gluten, you can help avoid accidentally consuming it.
Gluten-Free Starches You Can Eat:
There are many gluten-free starches that you can eat. Some of these include:
These starches are all safe for people with celiac disease or gluten intolerance.
They are also all healthy and nutritious options. So, if you’re looking for some gluten-free starch options, these are a great place to start.
Treatment for Celiac Disease
Celiac disease is a serious autoimmune disorder that affects the digestive system. People with celiac disease cannot tolerate gluten, a protein found in wheat, rye, and barley.
When people with celiac disease eat foods containing gluten, their immune system reacts by damaging the lining of the small intestine. This can lead to a variety of symptoms, including abdominal pain, diarrhea, weight loss, and fatigue.
There is no cure for celiac disease, but the good news is that it can be effectively managed by following a strict gluten-free diet.
This means avoiding all foods that contain gluten, including bread, pasta, cereal, and baked goods. It can be difficult to adjust to a gluten-free diet, but there are many resources available to help people with celiac disease make the transition.
With careful planning and a commitment to following the diet, people with celiac disease can lead happy, healthy lives.
Who is at Risk for Celiac Disease?
Celiac disease is a condition that affects the digestive system and prevents the body from properly absorbing nutrients from food.
People with celiac disease are at risk for malabsorption, which can lead to malnutrition and other health problems. Celiac disease is most common in people of European descent, but it can occur in people of any ethnicity.
The exact cause of celiac disease is unknown, but it is thought to be a combination of genetic and environmental factors.
People with celiac disease must avoid eating gluten, a protein found in wheat, rye, and barley.
Contact Dr. Schneider
Celiac disease is a chronic autoimmune disorder that affects the digestive system. When people with celiac disease eat gluten, a protein found in wheat, rye and barley, their immune system responds by damaging the small intestine.
This can lead to a variety of symptoms, including abdominal pain, diarrhea, weight loss and fatigue. There is no cure for celiac disease but following a gluten-free diet is the only treatment currently available.
Dr. Schneider is a medical professional with many years of experience in the field. His services include endoscopy procedures such as, gastroscopy, colonoscopy and video capsule endoscopy.
If you are concerned about celiac disease, talk to Dr. Schneider to book your appointment.
For further reading on the procedures we perform, please visit our website or contact Dr. Schneider on 011-482-3010.
DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.
We all know that what we eat, can affect our mood and our overall health, but did you know that there is a strong connection between the gut and the brain?
The gut-brain connection is a two-way street. Just as the brain can influence the gut (think nervous stomach), the gut can also influence the brain.
There are a few ways that the gut can affect the brain:
- The gut contains a lot of nerve cells (neurons). In fact, the gut has more neurons than the spinal cord!2. The gut produces about 95% of the body’s supply of serotonin, a neurotransmitter that plays a role in mood, sleep, and appetite.
The gut-brain connection is real, and it’s important to understand how your gut health can affect your mood and overall health.
There’s a lot more to gut health than just digestion.
The gut-brain connection is a complex one, but basically, it works like this: your gut produces neurotransmitters that send signals to your brain.
These signals can impact everything from your mood to your immune system, so, if your gut isn’t healthy, it can have a serious ripple effect on your health.
Let’s discuss the gut-brain connection in depth!
The Physical Connection
The human gut is home to trillions of bacteria, both good and bad. The good bacteria are essential for many bodily functions, including digesting food, absorbing nutrients, and keeping the gut lining healthy.
The bad bacteria, on the other hand, can cause problems like diarrhea and gastrointestinal (GI) infections.
The gut microbiome, the collection of all the bacteria in the gut, is important for overall health.
Studies have shown that an imbalance of gut bacteria can lead to a variety of health problems, including obesity, diabetes, and inflammatory bowel disease.
But the gut microbiome does more than just affect physical health. It also plays a role in mental health.
The Chemical Connection
The brain-gut connection is a two-way street.
The gut microbiota produces neuroactive compounds that affect the brain, and the brain regulates gastrointestinal function.
This bidirectional communication system is mediated by the vagus nerve, the sympathetic and parasympathetic nervous systems, the immune system, and the endocrine system.
The gut microbiota produces neuroactive compounds, such as GABA, serotonin, and dopamine, which interact with the brain.
The microbiota also produces metabolites that can influence the epigenetic regulation of the brain.
In turn, the brain regulates gastrointestinal function through the autonomic nervous system and the enteric nervous system.
The autonomic nervous system is composed of the sympathetic and parasympathetic nervous systems.
The Gut and Mood
We all know that what we eat affects our physical health, but did you know that what we eat can also affect our mental health?
There is a strong connection between the gut and the brain, and studies have shown that the gut microbiota can influence our mood and overall health. The gut microbiota is made up of trillions of bacteria that live in our intestines and play a vital role in our health.
These bacteria help us to digest our food, produce vitamins and minerals, and protect us from pathogens.
The Gut and Happiness
The gut microbiota also produces neurotransmitters, which are essential for communication between the gut and the brain.
Studies have shown that the gut microbiota can influence our mood and overall health.
For example, one study found that people who ate a diet rich in fiber had a lower risk of depression
The Gut and Depression
Recent research has shown that your gut microbiota can also affect your mental health.
In fact, there’s a growing body of evidence to suggest that gut health is intimately linked to mental health, and that the health of your gut can have a significant impact on your mood and overall well-being.
There are several ways in which your gut microbiota can influence your mental health.
For example, the microbes in your gut produce chemicals that can influence your mood.
These chemicals include neurotransmitters like serotonin and dopamine, which are essential for maintaining a healthy emotional balance.
The Gut And Overall Health
The gut has been nicknamed the “second brain” because of the way it affects our mood and overall health.
For example, stress can lead to gut problems like inflammation and irritable bowel syndrome (IBS).
This connection is important to understand because it can help us develop targeted treatments for conditions like IBS.
The Gut and Immunity
The gut-brain connection is one of the most important, yet often overlooked, aspects of our overall health.
A healthy gut is essential for a healthy mind and body.
Unfortunately, many of us don’t have a healthy gut due to poor diet, stress, and other factors. This can lead to a host of problems, including mood swings, anxiety, depression, and even chronic illnesses.
The good news is that there are ways to improve your gut health.
By eating a healthy diet, reducing stress, and getting enough sleep, you can help your gut and your overall health.
The Gut and Chronic Illness
Not only does the gut affect mood and overall health, but chronic illness can also have a major impact on gut health.
There is a growing body of evidence linking gut health and chronic illness.
For example, studies have shown that people with inflammatory bowel disease (IBD) are more likely to suffer from depression and anxiety.
IBD is a chronic inflammatory condition of the gut, and it is thought that the inflammation may contribute to the development of mood disorders.
In addition, the gut microbiome (the community of microbes that live in the gut) has been implicated in the development of chronic illnesses.
The Benefits of Probiotics in the Body
Probiotics are live, friendly bacteria that are great for our gut health.
They help to restore the balance of good and bad bacteria in our gut, and they’ve been shown to have a number of health benefits.
One of the most well-known benefits of probiotics is that they can help to improve our mood.
Probiotics have been shown to increase levels of serotonin, the “happy hormone.” They can also help to reduce stress and anxiety.
What Are Probiotics?
Your gut is home to trillions of bacteria, both good and bad. The good bacteria are important for many things, including helping to break down food and keeping the bad bacteria in check.
Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. We usually think of these as germs that cause diseases.
But your body is full of them, and most are helpful. Probiotics are found in fermented foods like yogurt, kefir, sauerkraut, kimchi, and kombucha.
They’re also in supplements.
Probiotics help with diarrhea, constipation, and irritable bowel syndrome. They also help with vaginal infections and urinary tract infections.
The Benefits of Probiotics for Gut Health
Probiotics are thought to have several health benefits, including improving gut health.
The human gut is home to numerous amounts of bacteria, many of which are beneficial.
These bacteria help with digestion, protect against harmful bacteria, and produce vitamins.
Contact Dr. Schneider
In conclusion, the gut-brain connection is a complex and important one. Your gut health can have a profound impact on your mood and overall health.
By taking care of your gut and promoting a healthy microbiome, you can improve your overall health and well-being.
If you are concerned about your gut health, talk to us today to book your appointment.
For further reading on the procedures we perform, please visit our website or contact Dr. Schneider on 011-482-3010.
DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.
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What is Crohn’s Disease, exactly?
The intestines are responsible for the absorbing of nutrients from food, as well as eliminating any toxins or waste material.
The intestines are filled with 4 different types of cells.
1 – Paneth Cells
2 – Dendritic Cells
3 – Peyer’s Patches
4 – Blood Vessels
The stomach secretes an acid to help break down food and the intestines absorb most of the nutrients and water from the food we digest.
Deglutition is controlled by a group of nerves situated in the throat and mouth and is called the pharyngeal plexus.
Crohn’s Disease (CD), or Crohn syndrome, is a type of inflammatory bowel disease (IBD) marked by patchy areas in various sections of your gastrointestinal tract that cause ulcerations and pain.
Crohn’s disease can occur anywhere along this pathway, but it most commonly manifests itself as inflammation of the small intestines (ileum) and can lead to impaired digestion, unintended weight loss and serious complications like blockage of the intestinal tract (strictures) or fistulas.
Here we will look at some more in-depth information on the symptoms, causes and treatment of Crohn’s Disease.
Most Common Symptoms of Crohn’s Disease
Crohn’s disease affects people between their mid-teens to mid-thirties, with onset most common between fifteen and twenty years of age.
Symptoms can range from mild cases lasting just a few days to chronic conditions resulting in intestinal blockages or perforations called fistulae.
Most people who suffer from Crohn’s can experience the following symptoms:
- Persistent abdominal pain
- Rectal bleeding
- Weight loss
- Persistent diarrhea
- Constipation
- Stool that is hard and lumpy
- Fatigue
- Pain in lower abdomen
- A Feeling that your lower abdomen is swollen or bloated
- Pain when you sit
- Bleeding after intimacy
Scientists have still not found a definite answer to this, but they believe it to be a combination of genetic and environmental factors.
Causes of Crohn’s Disease
Some of the most common ways to find the cause of the disease are as follows:
Medical Research
Some medical studies and associations have been attempted to uncover the reasons for the disease, including genetic and genetic predisposition, autoimmune, and inflammatory processes.
Biology Some research suggests that certain aspects of the digestive tract might play a role in the disease, such as dysbiosis, bacteria-host interactions, and inflammation.
There is limited evidence that bacteria associated with the disease, or bacterial toxins in the intestine can contribute to the development of Crohn’s disease.
Environmental factors
Other research has linked Crohn’s disease to a diet.
It is believed that an incorrect diet that is too low in fibre is the primary reason Crohn’s disease was first discovered.
However, researchers have suggested that it could also be genetic or environmental.
The incidence of Crohn’s disease is low among the general population, however the number of people suffering from this chronic bowel condition continues to increase.
In 2006, Crohn’s disease was diagnosed in 27.7 million people, accounting for approximately 1.9 percent of the total population.
More specifically, around 730,000 cases of Crohn’s disease were recorded in the United States.
As with many other chronic conditions, the cause is unknown. However, one plausible reason is an alteration in the food-borne microbiota and the community of microorganisms.
Diagnosing Crohn’s Disease
Crohn’s disease is diagnosed by a process of elimination, meaning your physician will start with the least invasive tests possible and then progress towards more invasive testing until a clear diagnosis is attained.
There are a number of tests available which can help diagnose the condition:
- Digital Rectal Examination
- Colonoscopy
- Abdominal Ultrasound
- Endoscopy
- Transabdominal Xray
- Blood Tests
- Chemical Analysis
- Biopsy
How to Prevent Crohn’s Disease from Flaring Up?
General lifestyle modifications are recommended to help prevent flare-ups.
Among these are:
- Diet modification (avoiding foods that cause inflammation)
- Exercise ((a minimum of 20 minutes a day, five times a week)
- Stress management (emphasizing sleep and relaxation techniques)
- At-home treatments
- Medication
- Physical therapy
Treatment Options for Crohn’s Disease
The first line of treatment is generally medication to control the inflammation and decrease the amount of abdominal pain.
Is it curable?
There are currently no curative treatments available for Crohn’s disease.
However, it can be manageable with medical treatment, dietary management, and symptom management.
What are the symptoms of IBD?
- Fatigue, including lack of energy
- Rash, including fever
- Bloating
- Abdominal pain
- Stomach cramps
- Enlarged or distended bowel
- Inflammation in the area of the intestine
- Abdominal pain, bloating and diarrhea?
Diet and Exercise for Crohn’s
If you consume gluten, there’s a chance that eventually your immune system will go into an attack or “auto-immune” mode.
You might not notice symptoms at first because it takes a while for the symptoms to appear; they’re often subtle and develop gradually.
However, once symptoms kick in, they’re hard to ignore especially if the symptoms are severe like stomach cramping, diarrhea or other serious symptoms like bleeding ulcers or other complications.
Effects of the auto-immune response can take time to appear… If you suddenly drop weight without trying, it should be cause for concern particularly if other symptoms suddenly manifest themselves.
A leaky gut occurs when your intestines become damaged and porous, allowing food particles and other toxic bacteria into your blood stream which triggers inflammatory responses that affect all aspects of your health including your GI tract, heart and even liver functions.
The Crohn’s diet includes avoiding fats because their overconsumption contributes to infiltration by foreign particles through pores in your intestines.
New Research About Crohn’s Disease
Increasingly, physicians are opting for surgical treatment when medical treatments fail.
Advantages of surgery include avoidance of lifetime medications and improved digestive function in over 50 percent of patients in some studies.
Surgery is still considered the treatment of last resort because it’s major abdominal surgery is associated with many complications, including death (one per 20 patients in some studies).
If there is no improvement after surgical resection of the bowel wall over 60% are likely to benefit from laxative therapy.
Early research suggests that intestinal rest, or fasting, can reduce symptoms in chronic inflammatory bowel disease (IBD) by reducing inflammation throughout the body.
Conclusion
Crohn’s disease is a condition that affects your gut, causing inflammation and ulceration of the lining of your digestive tract.
The cells that line your digestive tract are often called the mucosa, and they’re connected to your lymph nodes and other organs in your body.
Crohn’s disease is the result of an inflammatory response to the immune system’s attack on the intestines. In Crohn’s disease, the mucosa, or lining of your intestines, is damaged and inflamed.
This causes inflammation throughout the intestinal tract, affecting the bowels (intestinal tract) and the entire digestive system.
Crohn’s disease can affect any part of the intestines, including your mouth, the skin, and the lining of your abdomen.
GiDoc Johannesburg is here to provide you with expert medical advice in the field of gastroenterology and treatment of gastrointestinal issues.
Book an appointment online or give us a call at 011 482-3010 to find out more.
DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.
Diverticulitis is a digestive condition that can affect the large intestine. It manifests in the form of small bulging inflamed or infected pouches that can form in your intestines, particularly the lower part.
The pouches themselves don’t pose any general harmful effects, if there is no infection, with the condition called diverticulosis.
The presence of infection or inflammation in these pouches rebrands the condition to diverticulitis, the focus of our article today.
Diverticula, as the pouches are known, are quite common after the age of forty and don’t often cause any serious problems.
When severe, the diverticula will be seriously infected or even cause a perforation of the bowel. These are extreme cases but are still important to be aware of.
In the hopes of allaying any fears or concerns you may have about this digestive condition, we are going to use this article to delve into the symptoms of diverticulitis, explore possible causes and explain several available treatments.
Before we do that, let’s quickly rule out any ambiguity when referring to diverticulitis as it is not to be confused with diverticulosis.
The distinction is quite simple though:
The presence of diverticula is known as diverticulosis. When one or more of the diverticula become infected or inflamed, the condition is then known as diverticulitis.
Symptoms of Diverticulitis
The pouches, or diverticula, can be fairly innocuous. It is highly likely for someone to have them, but not be aware of this fact due to their relatively pain-free existence.
Rather expectedly, they result in very few symptoms.
This being said, you might notice the following if you have diverticula:
- Consistent pain that can persist for several days. The lower left side of the abdomen is usually where the pain occurs, however, the right side of the abdomen can be more painful sometimes.
- So persistent pain in the lower abdomen warrants a trip to the doctor to rule out possible causes.
- Constipation or diarrhoea accompanied by bloody stool may be a sign of infected diverticula although it may also be indicative of a more serious problem like a form of irritable bowel disease.
- Several symptoms are associated with inflamed or infected diverticula (diverticulitis) such as presenting with a high temperature, having constant and severe
- stomach pain.In general, however, symptoms associated with the mere presence of diverticula are insignificant, if even present at all.
- If, at any time, symptoms turn up that have you feeling worried, avoid self-diagnosing and consult your doctor to figure out what the root of the problem may be.
Causes of Diverticulitis
The direct cause of diverticulitis is not entirely known but there are several possible causes and risk factors that increase the chances of developing the disorder.
The diverticula formation is a result of naturally weak places in the colon giving way under pressure. It’s this “caving in to pressure” that results in small pouches, or diverticula, protruding from the colon wall.
Some doctors think that muscles spasms or strain caused during a difficult bowel movement may result in a build of pressure on the colon which pushes against the lining.
Others have thought in the past that not eating enough fibre may be a cause but this is still speculative as a clear link has not been shown, as found in more recent studies.
So while the diverticula can be fairly harmless in terms of symptoms produced, there are risk factors that can increase the chances of them developing and then becoming inflamed or infected.
The risk factors for developing diverticulitis increase with age with “over 40” being the most common age of onset.
Typical risk factors are similar to what predisposes one to an increased risk of developing other intestinal diseases and problems.
- Obesity. Being overweight poses an overall risk to your health system in general. It also increases the chances of your diverticula becoming inflamed and causing harmful symptoms.
- Smoking is harmful to your body in almost every single way. The health of your diverticula is also not immune to the damaging effects of tobacco smoke.
- Diet. Due to diverticulitis being a disorder of the intestine, what you ingest can play a large role in its health. A diet rich in fat and red meat and low in fibre can put unnecessary stress on the intestinal system. A lack of fibre leads to increased bowel wall strain to move the stool through the colon. This increased pressure is what can result in the formation of pouches on weak points in the colon wall
- Certain medication such as steroids, opioids, and nonsteroidal anti-inflammatories like ibuprofen can also increase your chances of developing diverticulitis. In cases such as this, where medication may increase the occurrence of a particular disorder, it is always best to consult with one’s doctor to find out the risk in one’s particular case.
- A lack of regular exercise can increase the resistance to developing diverticulitis due to the overall health benefits that routine exercise imparts on one’s health system.
Treatment Options for Diverticulitis
Diverticula, once formed in the colon, are there to stay unless they are surgically removed.
There is a range of degrees of severity with most people exhibiting uncomplicated diverticulitis. In these cases where symptoms are only mild, the condition can be treated at home.
One’s doctor will prescribe a number of things such as antibiotics, if deemed necessary, to treat any infection.
One may also be put on a liquid diet to reduce any strain on the bowel thereby allowing it time to heal. Solid food is normally phased back into one’s diet as the bowel heals.
By just using rest, stool softeners, a liquid diet, and antibiotics (to treat infection), most people find full symptomatic relief.
If one’s diverticulitis becomes more serious through a perforation, for example, or more severe infection, hospitalization may be required.
The premise for this is to allow for intravenous antibiotics to be received. Food is also given intravenously to give the colon the necessary time needed to heal.
In some cases, one’s doctor may deem it necessary to drain infected abscesses by performing a temporary colostomy.
A colostomy creates an opening so that the intestine can empty into a bag that is attached to the front of the abdomen. This can later be reversed after the intestinal tract has been given enough time to rest and recover.
This is quite extreme and should certainly not be expected without a doubt if you are hospitalized for diverticulitis.
In summary, the probability of making a full recovery is very high if medical attention is promptly received.
In terms of offsetting diverticulitis symptoms and allowing for a recovery to occur, it’s important to drink plenty of water to prevent constipation and reduce high-fat foods as this slows down bowel movement.
When in remission, remember to stick to a high-fibre diet to assist your intestinal tract to perform at an optimal capacity and speed.
Summary
Diverticulitis is a digestive tract condition that many people simply cannot prevent although there are certain lifestyle measures that can be taken to lower the risks of developing it.
That said, there are suitable, non-invasive treatments for mild conditions.
Even if the condition does develop to become more severe, there are proven methods of dealing with it in a manner that can have you getting back to your normal life in no time.
For more information on the diagnosis and treatment of GI tract conditions in Johannesburg, contact Dr Schneider at (011) 482-3010 or visit www.gidocjhb.co.za to book your consultation today.
DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.
Gut health is a somewhat underrated topic when it comes to personal health, yet research continues to show us that there is a tremendously significant link between the gut and the health of a multitude of other bodily functions and features.
Our guts are incredibly complex but our understanding improves as the latest research sheds lights on its inner workings.
In fact, numerous studies have shown that there are clear correlations between gut health and mental health, skin conditions, the immune system, cancer, and even your general mood.
As such, a system once thought to be relatively simple is proving to play an integral role in maintaining and promoting overall body functioning and psychological wellbeing.
This drastic change in the way we view the gut is thanks to our improved understanding of a complex network known as the gut microbiome.
The gut microbiome contains hundreds of different species of bacteria and yeast that reside, grow, and multiply in your digestive tract.
These various species interact to create a network effect that has implications for the rest of the body.
Many of the species of bacteria found in your gut are quite beneficial for your body while some are even necessary for a healthy physiological system.
By looking after the health of your gut, you’re taking care of the good bacteria that reside there and impart beneficial effects on the rest of your body.
Here we are going to understanding what gut health entails so that addressing problems is made easier all the while trying to prevent issues by taking precautionary measures.
Basically, we want this article to help you understand and maintain good gut health for the benefit of your entire being.
What to Know About Gut Health
Unfortunately for all of us, modern life is not set up in such a way that guarantees a healthy gut environment. The opposite is actually true…
Many key features of today’s society result in many, if not most, people living with high stress levels, operating on too little sleep, taking antibiotics, and eating highly processed foods.
This unhealthy concoction does not bode well for our gut health and, indeed, the rest of our physiological system.
Explained further, a gut that is in poor health has a negative knock-on effect with many other aspects of our general health such as the brain, heart, immune system, hormone levels, and mental health all susceptible to an increased likelihood of problems occurring.
Poor gut health can manifest itself in several ways. Here are some common signs that may give you an indication that your gut is in need of some TLC.
1. Food Intolerances
Different from food allergies, food intolerance is the result of the difficulty in digesting a certain food (as opposed to the immune system reaction in food allergies).
Research indicates that this is due to the poor quality of gut bacteria. Ways in which this can manifest physically is through bloating, gas, diarrhoea, abdominal pain, and nausea.
2. Upset Stomach
General stomach disturbances such as those mentioned in the previous point, all point to something gone awry in your gut health.
Constipation and heartburn are some extra signs indicating that your gut is having difficulty processing food and getting rid of the necessary waste.
Suffering from regular heartburn, bloating or unexpected weight change, might mean you need to see a Gastroenterologist.
3. Unintentional Weight Changes
The important word to take note of here is “unintentional”.
If you are losing or gaining weight without changes in your diet or exercise routine, you may have a sign of an unhealthy gut on your hands.
When your gut health is suffering, your body will have a reduced ability to effectively absorb all the key nutrients from foods, regulate your blood sugar, and store fat.
Weight loss may be caused by small intestinal bacterial overgrowth (SIBO, while weight gain can be caused by insulin resistance or a nagging urge to overeat due to insufficient nutrient absorption.
4. Irregular Sleep Patterns and Nagging Fatigue
Insomnia and low sleep quality may be the result of an unhealthy gut. Serotonin, largely produced in your gut, plays a large role in your mood regulation and sleep.
Therefore, an unhealthy gut may result in poorly regulated serotonin production thereby affecting your sleep quality.
How to Improve Your Gut Health
Now that we have taken a closer look at some of the real negative aspects of having poor gut health, let us look at how to improve and maintain good gut health.
1. Eat a Vegetarian Diet
Those who enjoy eating meat have a very different gut microbiome from those whose diets consist of only non-meat products.
This may in part be due to the high levels of prebiotic fibre in a meatless diet.
Studies have been done which show that following a vegetarian diet after living off a high meat diet results in lower gut inflammation due to the changes in the gut microbiome.
2. Avoid Smoking
Smoking is never a good habit to pick up as far as your health is concerned – it has an immensely negative effect on your entire biological system including your gut health.
Smoking negatively affects one’s gut microbiome by increasing the number of potentially harmful microorganisms while decreasing the levels of beneficial bacteria.
Consequently, those who smoke have an increased risk of developing intestinal conditions such as inflammatory bowel disease (IBD).
3. Take Probiotics and eat Fermented Food
Some research suggests that regularly taking a probiotic, found in health food stores and pharmacies, can support a healthy gut microbiome and that it may even serve as a preventive measure for developing gut inflammation and other intestinal problems.
For those who want to ingest one less, not one more, pill a day – look towards foods that are natural sources of probiotics.
Consuming fermented vegetables, kombucha, sauerkraut and miso regularly may improve gut health significantly.
4. Eat More Prebiotic Fibre
Non-digestible carbohydrates are referred to as prebiotics and they are essential for the generation of beneficial bacteria in the gut.
How?
Well, probiotics feed on this prebiotic fibre which, in turn, help grow and maintain a healthy gut microbiome.
Research has also shown that prebiotics may help probiotics become more tolerant to certain environmental conditions such as changes in PH and temperature.
5. Reduce Stress
One of the chief villains contributing to an unhealthy gut, stress, or the lack thereof rather, is very important for keeping your gut microflora healthy and happy.
Psychological stressors have been shown to have disruptive effects on the proliferation of healthy gut bacteria, even if the stress is temporary.
The solution is to find ways to manage your stress so that your gut microbiome is less susceptible to sudden changes due to temporary stress.
Chronic stress is even worse highlighting the case for its mitigation.
Some key stressors that affect your gut health include sleep deprivation, environmental stressors such as extreme noise pollution and intense temperature changes, and general psychological stress.
A few useful habits or activities worth looking into for the sake of reducing stress include meditation, deep breathing exercises, and focused muscle relaxation.
For the sake of completeness, it’s important to remember that simply sticking to a sleep schedule and exercising regularly can do wonders for lowering your stress levels.
6. Take Antibiotics Only When Absolutely Necessary
The overuse of antibiotics is a significant public health concern that may eventually lead to antibiotic resistance.
Apart from that, however, antibiotics are, by very nature, damaging to gut bacteria with research showing that the gut can lack the beneficial bacteria even up to six months after antibiotic use.
Always consult with your doctor about the necessity of taking an antibiotic so that alternative options may be discussed if they are available and effective.
Want to Know More?
For more information on the digestive tract and the rest of the gastrointestinal system, contact Dr. Schneider or visit www.gidocjhb.co.za and book your consultation today.
DISCLAIMER: PLEASE READ CAREFULLY
The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

