Pain, nausea, bloating, etc.. not always a symptom of heartburn, but can also lead to disruption of organs outside the gastrointestinal tract kinds of liver, kidney, gall. The reason could be because sure foods that stimulate, gastritis, amoeba, bacteria are recalcitrant added stress.
A neighbor complained, frequent stomach aches. Moreover, late meal or after eating spicy & sour. If it were so, they immediately drank ulcer drug that can be bought freely in the market. For some time it recovered but then relapsed again. The more so if a job in his office piled up, not to mention take care of her kids at home.
Tensions often makes recurrence of ulcer disease that is long they suffered. The doctor said the condition of the hull is actually nothing serious as long as they can relieve tension & eat regularly.
The complexity of the digestive technique
Complaints of pain or burning in the stomach & other signs kinds of nausea, bloating, heartburn, sebah (stomach feels full), fever, heartburn, early satiety, and diarrhea or constipation, do not always show a person suffering from disorders of the gastrointestinal tract ( intra luminaire). Signs can also lead to organ disorders outside the gastrointestinal tract (additional luminaires), such as liver, gallbladder, pancreas, kidney, womb, etc..
Complaints of pain, nausea, bloating, & his friends it is medically known as syndrome or collection of signs of dyspepsia.
"It's not simple to detect the disease with the syndrome dispepsi because, whether the source is intra or additional luminaires, cetusannya much the same," said dr. H. Chudahman Manan, DSPD, gastroentero consultant & pathology of the gastrointestinal tract & liver FKUI-RSCM, Jakarta. But with the help of increasingly sophisticated equipment now can be more exact diagnosis.
When patients present with signs of abdominal pain, general examination by doctors always in the kind of an interview about the history of the disease, emphasis on the sick, pengetukan bloated abdomen to check whether or not. Examination can thus be to diagnose stomach disorders, but can not guarantee the establishment of a definitive diagnosis.
Seeing how the complexity of our digestive technique, not surprising that diseases of the digestive tract long coiled it difficult to detect. Digestive organs range from the channel of the esophagus (throat), stomach, little intestine consisting of 12 fingers intestine, jejunum & ileum, sizable intestine, to the anus.
"If it turns out abnormalities by ultrasound examination than on additional luminaires, physicians can examine carefully the other digestion equipment where it hurts," said dr. Manan. Dispepsi digestive syndrome itself is divided again in to, namely ulcerlike dyspepsia (local destroy, cuts or ulcers on the surface of the gastrointestinal tract) & non ulcer dyspepsia such as inflammation of the esophagus (with signs of burning sensation in the chest due to stomach acid in to the esophagus), dismotilitas (less normal movements of digestion equipment), & other nonspecific abnormalities.
While the appendix located at the meeting of the colon & little intestine-shaped pouch attached to the pouch & intestinal function is not important, because in the event you cut it does not bring any issue apu.
The stomach itself is divided in to three parts, namely the fundus (top), the corpus or body, as well as room to duodenum (antrum). The method starts from the stomach is digested with the help of gastric acid & enzymes. The method of food absorption done throughout the little intestine & absorption of water & electrolytes, in the sizable intestine. Disposal of food scraps made from the anus (rectum).
Among the plenty of disorders of the digestive technique, according to dr. Manan, patients with complaints of pain in the stomach at most sufferers, from the acute to chronic. Ulcers usually occur due to high gastric acid assault or eat plenty of foods that are stimulating (spicy, sour, coffee, alcohol, nicotine, noodle water containing ash, sure medications). Foods that "sharp" is raiding the stomach wall. Stress factors may even be a trigger for increased stomach acid. Due to the weakening of the stomach wall resistance against earlier assaults, the presence of substances that cause the stomach to stimulate the pain, pain, nausea, heartburn, bloating & sometimes to cause injury (peptic ulcer).
Stomach can not bear onslaught
If often belch (burp), it was not a sign of stomach pain. Therefore, the hiccup is a mechanism to reduce bloating digestive reflexively.
Typical signs of stomach pain or ulcers, kind of pain or pain in the gut despite done eating. But if pain occurs only before meals or in times of hunger & subside after eating, usually it is a result of excessive stomach acid production; in query has not been suffering from stomach ulcers.
Complaints caused stack gas bloating in the stomach & bowel movements are not smooth method that pushes air in to the pile to fall down & out, also does not necessarily signify pain stomach. But it could be because of the additional factor luminaire.
Indeed there's individuals who basically eroded stomach wall, some are resistant onslaught. Why, remains a mystery. Allegedly due to congenital factors, the wrong diet, or heavy to resist the pressure inward.
Rx acute ulcer disease is usually simpler than chronic. In the acute type usually no obvious signs of destroy to the stomach wall; may only be caused by excess stomach acid production for a moment or due to food "sharp" is much. While on the type of chronic patients may experience swelling or inflammation of the stomach wall, wound, until bleeding peptic ulcer or gastric forming ulcers.
Heartburn symptomatic initially treated by administration of drugs that neutralize or inhibit the excessive production of stomach acid (types of antacids) or drugs inhibiting acid production that improves motility (bowel movement technique). If after weeks of medication does not provide a significant response, the doctor will examine with the aid of special equipment such as ultrasound, endoscopy, etc..
Because of the recalcitrant bacteria
At first the suspect gastroenterolog upset stomach or digestive ulcers that never healed was a result of much smoking, drinking alcohol, lifestyle & diet is wrong. Later, according to Manan, digestive disease that so plenty of associated with the bacteria Helicobacter pylori (H. pylori). The bacteria may survive because it's the ability to alter the situation with an appropriate surroundings for him. Formed cocoid, these germs once asleep, but sometimes his life was to support the environment (eg increased gastric acid), they woke up.
In developed countries nor by the germ H. indigestion pilori the same height. In Japan, according to Look Journal Japan, 70% of the population over age 40 who suffer from stomach ulcers & intestinal ulcers 12 fingers, most infected with this germ.
Regrettably, these bacteria are not resistant to medication gastritis or normal stomach. The results said, these bacteria play a role in digestive ulcer disease, in the stomach & intestine 12 fingers relapse (80%) & gastrointestinal cancers (60-70%).
"In Indonesia was now a patient with frequent relapses dispepsi syndrome suspected germs," ��said Manan. At the RSCM, according to dr. Manan, encountered plenty of patients with germ H. pylori, while the observations of Dr. Charity Sutopo, internist from Pertamina Hospital, the case with H. pylori is of patients; not yet alarming.
According to dr. Oei Kim Ie, MD, Ph.D., gastroenterology surgeon Pertamina Hospital, Jakarta, who had been living in Japan, there's lots of office workers who hunt rising position in the land of Sakura was suffering from intestinal ulcers. "Allegedly because of much stress and diet & irregular life," said Oei. But if the first ulcer sufferers have most dissected, now with a special drug is not necessary anymore.
Detection of bacteria can be done in a noninvasive, ie, through a serological examination (examination of blood serum; positive or not) & urea breath check (urea breath check).
The urea breath check, patients got drinks containing carbon urea. A few moments later his body tilted to the left & right in a lying position. Next, they asked forcefully exhales, the air outside accommodated in the tube. The air was monitored by a carbon content that is labelled such. However, this noninvasive examination has not been done in Indonesia.
While invasive examination of histological or anatomical pathology examination & inspection CLO (campylobacterilike organism) is can be implemented at the RSCM, Jakarta. How, the results of a biopsy (tissue sampling) intestinal tissue is mixed with a special substance. Lapse of 24 hours the mixture will lead to the kind of color. Yellow color indicates a negative result, positive red color.
There is another examination by culture or tissue culture (removal of tissue or biopsy by endoscopy). As written in Look Japan, in addition to removal of tissue by way of endoscopy was still no other way, namely by the PCR (polymerase chain reaction). Way, stomach fluids are sucked through a tube inserted through the nostril. Because this method is thought about less practical & less patient suffering, another way that is now being undertaken by entero-test more practical.
Meanwhile, the specialists still query, how do these bacteria to enter the human body. There is a suspect, they comes from the water they drink (although already boiled), but British scientists recently suspected saliva & cat droppings as these germ spreaders.
This U.S. finding method using nylon laces capsule (see picture). Normal-sized capsule is swallowed with the help of water, but the finish of the rope remained in detention beyond the mouth. Nylon rope which is high for example, absorbs quickly absorb liquid from the stomach. Half an hour later, the patient can withdraw nylon rope slowly out of the mouth. Liquid attached to the rope & then tested in the laboratory. With this check is expected abnormalities can be detected exactly so they can select an appropriate therapy.
Most colon cancer
If a gentle ulcer disease, is treated with a class of sedative drugs or antacids. But the germ H. pylori ought to be treated with a mix of five kinds of antibiotics, namely Tindazole & Clariabotic, which eradicate the bacteria do not cease at the level of healing but to the level of eradication or sweep tidy the germs from the body.
Unlike other antibiotics (eg Eritromicin or macrolide that is widely used to treat sore throat & often a side effect on the stomach), antibiotics do not cause issues in the stomach. But the drug is usually given in optimal dosage for a period of 1-2 weeks. "If the treatment until a cure rate of ulcers duodenum without antibiotics results up to 30%, with an eradication success rate without recurrence can reach 80-90%," said Manan.
Besides germ H. pylori & gastritis, stomach disorders may even be due to enzyme deficiency with signs of sizable bowel technique is often not normal & often feel nauseated. Treatment is not difficult, with the addition of enzymes, after eating foods high in overweight.
In fact, added Oei, amoeba tissue that can accumulate a ringleader of the colon & liver cancer. That is why, every time a patient with dyspeptic syndrome that never healed advised to check their chair to detect the presence or absence of amoebae in it. Flagyl drug often used by Oei to combat the amoeba is a mix of medicines Clarithromycin & Metronidazole, which is taken for three days. "It's a reaction such as nausea & dry tongue, but the amoeba will terberantas tidy with the drug," said dr. Oei.
Dr. Oei added, in a tropical country like Indonesia, there's lots of disorders of the sizable intestine (colon) caused by the amoeba. Signs are similar, namely syndrome dyspepsia, extended diarrhea can sometimes added, mucoid chair, flatulence horrible, until bleeding. "Amoeba, if not eradicated, could penetrate the intestinal wall in to the liver & even brain," said Oei.
Bloody bowel movements, diarrhea constantly, or extended constipation, may even be suspected as a symptom of bowel cancer. To make sure they can do blood tests CEA (Carsino embryonic antigen) or by biopsy. If in Japan & Chile, digestion in the stomach cancer sufferers most, in Indonesia & in Western countries that most cancers of the colon (at the Pertamina Hospital 1-2 patients a week, average age 60 years & over). Presumably the main cause is a diet that is wrong ( much overweight, less fiber). The main business of colon cancer cure is none other than by way of operating.
Typical signs of additional luminaires
There's occasions when the typical signs of intra & additional luminaire luminaires are difficult to distinguish. The doctor gave some "key" to know of any additional extra disturbance luminaire. In gallstone disorders, for example, in addition to dyspepsia syndrome such as bloating, nausea, heartburn pain etc.., Whites of the eyes often appear yellow, stomach pain periodically, once in some time colic (unbearable pain due to clogged hollow organs), stiffness of the abdominal wall , & sometimes colored chair like putty (white) in the case of total biliary obstruction.
In renal disorders, the pain starts from the back waist up, ran to the front lower abdomen. While the disruption of pancreatic digestive enzyme that works out, feel pain or pain around the navel. Often the disruption technique of bowel movements (diarrhea or constipation) & there's occasions when suddenly his blood sugar levels rise although no offspring (secondary diabetes).
In disorders of the reproductive technique (uterus & ovaries) in addition to extended bloating feeling, sometimes abnormal vaginal discharge.
Hazardous noodles, chili no
To maintain healthy digestion, dr. Manan suggested, ought to get used to live & eat regularly. If signs create abdominal pain, for while it can be helped with medicines obtainable at home. Because of decreased stomach acid rises immediately after eating & again 1-3 hours after eating, the ulcer medicine ought to be consumed about hour after meals. Drug absorb syrup faster than tablets. Pills containing antacids, according to Indonesian Consumers Foundation research, ought to not be taken concurrently with antibiotics because it was feared would form insoluble complexes. If after 2-3 days the signs persist, ought to immediately see a doctor.
While abnormalities in the liver accompanied by a sense of weakness, poor appetite, yellow eyes, & the levels of ALT, AST increased.
Recurrence of ulcer disease can be avoided by adjusting the feeding period. They recommend that patients eat little by little but often. In the event you often suffer from chilled sores ought to not rush to drink vitamin C, because it could be because of garanya digestive disorders caused by fungi, bacteria, or allergies.
About whether or not the chili & bercuka food is taboo for people with digestive disorders, dr. Manan said, "I do not accustom patients to abstain from all kinds of food. If it is a relapse, it ought to be for a week weeks of abstinence, but after recovering feed back on condition that the amount of balance." Chili actually has the ability to protect mokusa stomach. do exist sure concentrations sharply.
But avoid excessive eating noodles, on an empty stomach, because the water ash yellows the noodles are raring to go for the stomach. Conversely, there is a lot of fibrous foods in vegetables & fruits are highly recommended to help the working means of digestion.
According to dr. Manan, heartburn sufferers who run the fasting in Ramadan does not must worry much. "In the state of calm & plenty of praying, God willing, our health condition will be better," they said. Provided at Iftar time to keep away from foods that are stimulating: high in overweight, spicy or sour. Do not forget to take vitamins in the coursework of the run and fasting gastric acid production inhibitors mild dose if needed.
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