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Trust Your Gut… 6 Stomach Issues Not to Ignore
Posted By Stacy | October 6, 2016
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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.
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