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Top Benefits of Drinking Tea When You Suffer from Acid Reflux

Living with acid reflux can feel like an endless fight against discomfort. By making dietary and lifestyle choices, GERD and reflux sufferers can improve their symptoms and make each day more comfortable. 

One of the ways to soothe acid reflux at home is by drinking tea. Before buying a cartful of tea boxes from your local grocery store, know which ones are beneficial for reflux symptoms, and which teas could make it worse. 

So, what are the best teas for acid reflux? Ginger, tulsi (holy basil), and chamomile are the top three teas for relieving acid reflux. Adding honey to your tea time should also improve their reflux-friendly properties. 

Does Tea Make Acid Reflux Worse?

Acid reflux can make mealtimes inconvenient. Patients often find themselves restricting their diet in order to alleviate GERD (gastroesophageal reflux disease) or acid reflux symptoms.

Learn more: What Is the Best Breakfast for Acid Reflux Sufferers? 

Coffees and carbonated beverages are not advised for acid reflux because both products can further aggravate the stomach. If so, is it true that teas are the only non-water option of acid reflux sufferers?

Herbal teas may be useful in soothing stomach problems, aiding with inflammation, and improving digestion, but not all teas are beneficial to GERD patients. Certain herbal teas can actually worsen reflux symptoms because of their high acid content.

Even though it’s lower than coffee and fruit juices, the acid level found in some teas could still irritate the stomach lining and worsen stomach reflux episodes. 

Bad Teas For Acid Reflux

Listed below are some of the teas that should be avoided by reflux sufferers:

Fruit infused teas: A pot of lemon or orange infused tea might be perfect for cold winter nights, but it certainly doesn’t help reflux sufferers. The acidity content of lemon and orange could change the pH level of your tea (more so if you combine it with more acidic types of tea) and aggravate symptoms. Just like fruit juices, we would recommend staying away from fruit infused teas until your symptoms have improved. 

Mint: Whether it’s peppermint or spearmint, mint teas have developed a reputation for worsening reflux episodes. Mint teas are associated with relaxing the stomach and improving cramping. As such, it could also cause the lower esophageal sphincter (LES) to relax, leading to acid reflux. 

Teas with high caffeine content: Coffee isn’t the only breakfast drink with a high caffeine content. Black and oolong teas have about 60 to 90 mg and 50 to 75 mg of caffeine per 8 ounce cup, respectively. Definitely stay away from more caffeinated teas and choose milder versions. Otherwise, you can steep it for a shorter amount of time or simply add milk or water to dilute the tea. 

Tea And Acid Reflux: Does It Help?

Some teas can make acid reflux worse. That’s not to say that drinking tea can’t help soothe acid reflux at all. Just like there are bad teas for acid reflux, there are also teas beneficial to soothing symptoms. 

Specific teas are packed with antioxidants, vitamins, and inflammation properties that could improve acid reflux episodes. It’s only a matter of knowing how certain ingredients affect the digestive system, and how these can be incorporated in a patient’s everyday diet. 

Best Tea For Acid Reflux

Is ginger good for acid reflux?

Ginger is one of the best home remedies for acid reflux. It’s a powerful anti-inflammatory that can help relieve gastroesophageal irritation from exposure to acids and soothe the stomach in general. 

Ginger tea can also relieve nausea, which can greatly aid patients who are prone to vomiting during reflux episodes. Other benefits include improved blood circulation and stress-relief. 

Among the many antioxidants it contains are phenolic compounds, which are associated with improved LES contractions. As a result, drinking ginger tea could prevent the backflow of acid altogether. It can also prove beneficial to patients who experience stomach cramps due to acid build-up. 

To make ginger tea, peel some ginger, and cut it into small pieces. You can boil the ginger directly in a pot or pour it and steep it for 15 minutes. Drink a cup of ginger tea after every meal to improve reflux symptoms. Leftover ginger from steeping can be reused for another time. 

Is tulsi tea good for acid reflux?

Tulsi tea is brewed using a basil herb species. Its scientific name is Ocimum sanctum and is commercially known as holy basil. Unlike basil used in foods, holy basil is commonly treated as a multi-beneficial Indian herb used to treat anything from nausea to bronchitis. 

Tulsi tea can be made by steeping the leaves and flowers of the plant for 5 to 6 minutes. Although it can be added to food, we recommend taking it as a tea in order to get its full potency. Note that holy basil can be bitter and spicy, and is unlike other basil types. 

Tulsi tea targets digestive problems, specifically those relating to acid reflux. It can decrease stomach acid production, increase the duration of mucus secretion, and extend the life of mucus cells — all mechanics which are useful for GERD and reflux sufferers. 

As an herb, it has great anti-stress and anti-inflammation properties. Holy basil is believed to have antibacterial, antifungal, and antiviral properties, and has been used to treat mouth ulcers and other wounds.  

Is chamomile tea good for acid reflux?

Chamomile tea is just as effective as a sleeping aid as it is a GERD home remedy. This type of tea is produced by steeping the flowers of plants in the Asteraceae plant family. Although no scientific evidence explains how chamomile works to soothe stomach pains, anecdotal evidence suggests that the tea is great for helping aches, cramps, and acid reflux. 

Like ginger, chamomile also has anti-inflammatory properties. This natural ingredient can aid in digestive problems and is commonly prescribed to patients with diarrhea and irritable bowel syndrome. As such, it’s also another great tea to add to a reflux patient’s diet. 

Chamomile tea is also said to be useful in lowering gastric acidity, which is exactly what reflux patients need. It combats hyperacidity by relaxing stomach activity, preventing the stomach from producing too much acid, which produces the reflux symptoms. 

This tea is also particularly useful in lowering stress and encouraging sleep – both of which are crucial in managing reflux symptoms. As a drink, chamomile tea is pleasant and can be enjoyed throughout the day, with the exception of patients who are allergic to the drink. 

Is honey good for GERD?

Honey is the choice sweetener for teas. It’s a great way to dilute stronger teas and add another depth of flavor to your favorite drink. Commonly used as a home remedy for sore throats and colds, it turns out honey is also good for GERD sufferers. 

Although excess sugar and sweeteners are typically not recommended in a reflux diet, honey has natural medicinal properties that could help soothe the condition. Its ability to help during sore throats translates well into reflux episodes. When mixed in with a drink, honey can help soothe the esophagus from excessive acid exposure. 

This ingredient is packed with antioxidants that will help prevent diseases. Raw, unpasteurized honey also has antibacterial and antiviral properties. Raw manuka honey is known to kill bacteria and fungus, and is considered a viable natural antiseptic by many cultures. 

Its thick consistency also serves as a temporary protective barrier for the esophagus. It can coat the esophagus and provide some relief, while allowing its healing properties to soothe acid damage. 

To get the benefits of honey, mix one teaspoon with a glass of warm water or add it to a glass of warm milk. Be careful not to add too much honey to your diet since this can irritate your throat if taken excessively. 

How Do You Relieve Acid Reflux

Drinking a cup of tea isn’t enough to alleviate acid reflux. To see changes, consider the following treatments:

Consider taking proton pump inhibitors

Exercise at least three times a week

Lose weight 

Eat dinner at an earlier time 

Take antacids before meals 

Regulate fats (oil, dairy, sugar) in your diet

Stay away from coffee, juices, and certain teas 

Improve Your Reflux Symptoms 

Don’t let GERD define your life. At Gastro Center NJ, we believe that patients can still manage to live full and happy lives, even with GERD. It is our mission to help you navigate around your symptoms and find a routine that will suit your lifestyle. 

Contact us today to learn more about GERD and managing symptoms. Book an appointment through our website today. 

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What Is the Best Sleeping Position If I Have Acid Reflux?

Sleeping with acid reflux can be downright impossible. Waking up in the middle of the night, choking on acid, and coughing violently are all symptoms of nighttime reflux. 

At times it can feel like you’ll never get a good sleep. However, some research suggests that your sleeping position could in fact influence your nighttime reflux. 

So, what is the best sleep position for acid reflux patients? Studies show that sleeping on your left side is better for acid reflux, whereas right-side sleeping is associated with longer esophageal acid exposure and high incidence of lower esophageal sphincter relaxation.

In this article, we discuss the science behind acid reflux and sleep, as well as the key tips to sleeping with your upper body elevated. 

Can Sleeping Positions Affect Acid Reflux?

Sufferers of acid reflux know how difficult it can be to try and get a good night’s sleep. Eating a high-fat diet, engaging in exercise before falling asleep, and being exposed to high levels of stress can result in wakefulness throughout the night. But it’s not just these things that could exacerbate reflux symptoms during bedtime.

What position you sleep in at night can also affect your reflux symptoms, studies suggest. As a patient, have you ever noticed that some nights tend to be better than others? That’s because some sleeping positions worsen acid reflux symptoms. 

Lying Down VS Sitting Up

When a person with acid reflux is lying down, the stomach contents don’t go down the stomach. In fact, it’s more likely for the stomach contents to travel back up the esophagus, leading to acid reflux symptoms.

Compare that to sitting or standing where gravity pulls the stomach acids and digested food contents away from your esophagus. 

When in doubt, make sure your head is elevated to help your body keep stomach contents right where they belong. 

Common Complaints From Acid Reflux Patients

The onslaught of reflux symptoms while sleeping vary from one patient to another. The bottomline stands: it’s difficult to get a good night’s sleep if you’re experiencing acid reflux at night. 

Here are just some of the top complaints when it comes to sleeping with acid reflux:

1. Heartburn worse when lying on left side

Sleeping on your side tends to worsen your heartburn symptoms, but you also notice that sleeping on a specific side makes it even worse. It turns out what side you’re lying on can in fact affect how your symptoms flare-up. 

A substantial amount of studies found that reflux patients tend to get worse heartburn when they’re lying on their right side. Although it’s unclear what mechanisms cause this, scientists believe that sleeping on the right side tends to trigger symptoms longer than lying on the left. 

Another study showed that lying on your right side prolongs the esophagus’ exposure to the acid. Doctors believe that lying on your right side is more likely to induce relaxation of the LES (lower esophageal sphincter), which is the muscle responsible for keeping stomach contents in, and preventing acid reflux. 

The general consensus among doctors and patients alike is that lying on your left side is more beneficial for heartburn patients. But if you’re one of the uncommon cases where reflux strikes worse when you’re lying on your left, consider experimenting with different sleeping positions to figure out which one will help soothe your symptoms.

If you realize that your symptoms don’t get better even with different sleeping positions, consider making dietary and lifestyle modifications to reap long-term benefits. 

2. Waking up with heartburn in the middle of the night

Falling asleep soundly can be a feat for reflux patients. Nighttime heartburn is a common occurrence for reflux patients, so much so that 75% of reflux patients report experiencing heartburn at night at least once a week. 

Patients often report waking up choking, coughing, or feeling a strong acid sensation at the back of their throat. This is also accompanied by a sharp chest pain that could easily be mistaken for a heart attack. 

Although doctors have yet to understand what separates daytime and nighttime heartburn, a study revealed the possible indicators of nighttime heartburn, which include:

High BMI

Consumption of sodas and carbonated drinks

Daytime sleepiness

Use of benzodiazepines (anti-anxiety medicine)

Hypertension

Asthma

Snoring 

Patients with nighttime heartburn tend to be treated differently than those who only experience symptoms in the daytime. This is because nighttime reflux sufferers often have more complex and aggressive symptoms compared to daytime patients. 

At night, patients with heartburn symptoms aren’t just experiencing empty symptoms; they’re also experiencing acid reflux. Nighttime reflux tends to have a “longer clearance time”, which means the acid stays longer in the esophagus before receding again. Because of this, doctors suggest more intensive therapy methods in order to protect the esophagus from prolonged acid contact. 

Chronic esophageal exposure to acid may eventually lead to esophagitis and respiratory complications. Part of the GERD diagnosis involves distinguishing between nighttime and daytime symptoms in order to provide the right treatment plan. 

If you notice that your reflux is more inconvenient at night, let your doctor know. An upper endoscopy might be recommended to you in order to understand whether you’re experiencing sleep apnea (disruptive snoring and breathing) or gastroesophageal reflux disease (GERD).

3. Stomach acid coming out of nose while sleeping

When lying down, stomach acids can travel back up the esophagus and reach the sinuses. This can result in sinus infections, respiratory problems, and bad breath. 

Some patients also report stomach content coming out of their nose or mouth while sleeping. This symptom is observed in more severe cases of GERD and requires immediate medical intervention. When left untreated, this could expose your sinuses to the acid and bacteria in the regurgitated contents, leading to sinusitis. 

Taking antacids before falling asleep is a common remedy for GERD patients. If you don’t feel any relief after taking medication, your doctor might put you on PPIs (proton pump inhibitors) in order to reduce your stomach’s acid production. 

Stomach acids coming out of the nose is a severe type of symptom and would require more drastic measures in order to be alleviated. You might be asked to lose weight and change your eating habits for long-term relief. 

Does Lying On Stomach Help Reflux?

Finding a peaceful position to sleep in can be a tough one for acid reflux sufferers. Because lying down prevents gravity from doing its job keeping the food contents back down, patients feel anxious about falling asleep. Sleep deprivation becomes a problem among acid reflux sufferers in fear of choking or asphyxiation while asleep. 

Lying down alone can trigger acid reflux effects, but it gets worse with certain positions. Lying flat on your stomach produces the same result as lying on your back, if not worse. 

When you’re lying flat on the bed, your stomach and esophagus are on the same level, making it easy for stomach contents to find their way into the esophagus. When you’re standing up or sitting down, you’re allowing gravity to move these digested bits throughout the rest of your stomach. 

Lying on your stomach also tends to put pressure on your stomach. This alone could push the stomach contents to travel upwards and cause heartburn. 

The next time you want to lie on your stomach, make sure your head is elevated. Support your neck with a pillow and keep it a few inches higher than your stomach. Otherwise, you’re asking for a bad reflux episode.

What Side Do You Lie On For Acid Reflux?

Despite the general discomfort associated with acid reflux, sufferers aren’t entirely hopeless. Research shows that sleeping on the left side is the most beneficial position for sufferers. 

Compared to lying down on the right, which has been associated with higher instances of lower esophageal sphincter relaxations and longer esophageal acid exposure, lying on the left side is associated with an increase in sphincter pressure (making it less likely for the LES to malfunction and let in stomach contents) and higher esophageal pH (which neutralizes acid contents from the stomach). 

In order to optimize a patient’s sleeping, researchers underwent a study involving different sleeping positions. They found that patients who slept on the left side elevated experienced the less esophageal acid exposure in comparison to those sleeping on the right. 

Researchers also found that those sleeping on the left elevated position were able to spend more time sleeping in this position than others, making this not only a beneficial but viable sleeping position for reflux sufferers. 

At the end of the day, you should try whatever works best for your body. Some positions work well with patients, while others experience discomfort even after assuming a “good” sleep position. 

Why Does Acid Reflux Improve When Lying Down

Despite being a common gastrointestinal disorder, symptoms aren’t always shared among patients. The general consensus is that reflux gets worse after lying down, but it’s also possible to relieve your symptoms by doing so. 

If you’re a patient who feels relief after lying down, it’s possible that your reflux may be triggered by the following:

You engaged in a stressful physical activity and lying down relaxes your body and your stomach

You were emotionally stressed and lying down has physically relaxed  you

You are in an elevated position, which helps keep the stomach contents from travelling back up the esophagus

As a result, your acid reflux symptoms are alleviated, not aggravated, by lying down. Knowing your triggers is the first step to living with GERD. 

Choking On Acid Reflux While Sleeping: What To Do

What Causes It 

If you’re suffering from chronic reflux, you might have awoken to coughing, vomiting, or general discomfort in your throat. 

When your stomach is regurgitating digested contents, the acid could linger in your throat and irritate the esophageal lining, which could trigger a cough. It’s also possible for acid to travel back up and reach the mouth, which causes choking. 

Patients who experience choking often report the following symptoms:

Waking up in the middle of the night with a dry cough (cough without phlegm)

Waking up nauseated and with the strong urge to vomit 

Strong acid taste and smell after waking up 

Sharp pain at the back of the throat 

Difficulty breathing within the first few minutes of waking up

Can You Die From Acid Reflux Choking?

Sleep interruption is the worst thing that could happen to a patient suffering from acid reflux. Although inconvenient, there’s no need to worry about aspiration. Aspiration typically occurs as the result of inflammation or infection. 

Regurgitation on its own is not going to cause aspiration. Having a full stomach and vomiting afterwards are likelier causes of aspiration. Because the body operates on an automatic flight or fight instinct, patients will wake up during a reflux episode and cough as a response. Aspiration is uncommon in reflux patients because the body naturally wakes up and reacts to the presence of acid in the esophagus. 

Aspiration is more common in patients who have an impaired level of consciousness, such as when they’re sedated or drunk. 

Relieving Heartburn At Home: Tips For Better Sleep

1. Take Antacids

Take an antacid an hour before going to sleep to neutralize stomach acids. Note that not all antacids are accessible to pregnant women; avoid antacids with magnesium during your pregnancy. Tums, Maalox, and Rolaids are great antacid options for all patients. 

If you find that over-the-counter antacids don’t help with your nighttime reflux, ask your doctor for reflux prescriptions. Medicine such as proton pump inhibitors can block acid production altogether and allow your esophagus to heal in the process. 

2. Eat Your Last Meal Earlier

Eating meals too late at night is one of the main triggers of nighttime acid reflux. Some patients eat as early as 3 PM in order to prevent nighttime acid reflux. 

If you can’t avoid snacking at night, make sure to wait 1 to 2 hours before lying down to allow the food to travel through your digestive system. Taking a 30-minute walk would improve your chances of a good night’s sleep. 

3. Sleep with Extra Pillows

Sleeping on an inclined position on your left is the best position for acid reflux sufferers. Throw in a few pillows during bedtime to make yourself more comfortable. 

4. Wear Loose Clothing

Wearing tight pajamas can add pressure to your stomach, contributing to your acid reflux symptoms. Wear loose, comfy clothes before going to bed. 

5. Drink Ginger Tea

Ginger is a known home remedy to inflammation, and is also a great remedy for heartburn. Boil some ginger to make tea; this can help relieve nausea, allowing you to get a better quality of sleep. Skip the ginger ale though since it’s carbonated and will only make you more acidic. 

Get the Best Sleep of Your Life

Tired of not getting enough sleep? Living with GERD doesn’t have to be a nightmare. At Gastro Center NJ, we do everything we can to help make GERD a manageable part of your life.

Whether it’s sleeping on a foam memory pillow or prescribing a specific diet, we’re here to give you solutions that will improve your nighttime reflux, facilitating better sleep. 

Get in touch with us today to learn more about nighttime reflux and how the gastroenterologists of Gastro Center NJ can get you the best sleep of your life. 

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Rare Symptoms of Acid Reflux

Acid reflux may be a common gastrointestinal problem, but it turns out its symptoms are not always that common. From headaches to nerve pain, there are uncommon acid reflux symptoms that can cause alarm and panic to patients. 

So, what are rare acid reflux symptoms? Headaches, dizziness, asthma symptoms, and nerve pain are among those considered to be uncommon but safe acid reflux symptoms. On the other hand, fever and intense pain accompanied by left arm pain are just two examples of potential medical emergencies for reflux patients.

Read on to learn more about the lesser known acid reflux symptoms, and whether or not they pose a health risk.

Understanding Acid Reflux

Acid reflux is a gastrointestinal condition involving the regurgitation of stomach contents back up the esophagus. Patients experience a host of symptoms including coughing, feeling of something being stuck in the throat, and difficulty swallowing. Patients also report feeling pain radiating in their chest or heartburn, which is another term used to describe acid reflux. 

Acid reflux occurs when a small muscle called the lower esophageal sphincter (LES) located below the esophagus malfunctions, allowing food, acid, and other stomach contents to travel back up from the stomach. 

What Triggers It?

Doctors are unable to identify the direct cause of acid reflux. However, these circumstances increase the risk of developing acid reflux:

Pregnant women experience hormonal changes that can affect the LES, causing acid reflux. Pregnant women who have no history of acid reflux can suddenly experience symptoms due to the added pressure of the baby to the stomach 

Constant exposure to acidic and fatty foods are known triggers of acid reflux. A diet composed mostly of citrusy foods and foods high in fat trigger acid production in the stomach, which can increase acidity levels and create discomfort 

Eating habits such as eating large meals, lying down after a meal, and snacking close to bedtime are also triggers of acid reflux. These eating habits don’t allow proper digestion and can irritate the stomach, leading to regurgitation and heartburn 

Bending and lifting heavy objects can also trigger episodic acid reflux. These actions put pressure on the stomach which could temporarily loosen the LES and allow bile to travel back up the mouth. Discomfort usually goes away once the patient resumes an upright position

Are There Rare Acid Reflux Symptoms? 

Although a common gastrointestinal condition, not all acid reflux symptoms are shared by patients. Some only experience heartburn and regurgitation, which are two distinct signs of acid reflux. Others may exhibit symptoms that stray from the usual list. 

Listed below are some of the usual concerns on uncommon acid reflux symptoms. Keep in mind that the majority of these are caused by chronic acid reflux or gastroesophageal reflux disease (GERD) and may not be relevant to patients with temporary acid reflux.

If so, a separate issue not related to acid reflux may be the cause of the following symptoms:

Can Acid Reflux Cause Gas

On average, healthy individuals pass gas 13 to 21 times a day. This gas is expelled through the mouth (burping) or anus (flatulence). Gas accumulates in the digestive tract through eating (swallowing air) or bacterial fermentation. 

As digestive bacteria break down food, little pockets of air are created in the process. Because the bacteria in each human body is different, some people may be more tolerant of digesting certain food compared to other people. 

How Are Acid Reflux and Gas Related

Excessive gas and acid reflux may exist simultaneously. A patient experiencing excessive flatulence may also experience bloating from acid reflux. While acid reflux does not directly cause gas, doctors believe that the two may be interlinked. 

This is because certain conditions that trigger acid reflux can also trigger gassiness. Individuals who eat spicy and citrusy foods may increase their acidity levels while also triggering gassiness. Alleviating gassiness could coincidentally improve acid reflux symptoms because the circumstances that create these conditions tend to be similar. 

Can Acid Reflux Cause Dizziness

Dizziness and acid reflux are rarely associated with each other. However, personal accounts show that acid reflux, specifically GERD can also lead to dizziness in patients. This dizziness is often characterized as lightheadedness, weakness, and a temporarily blurry vision. 

Dizziness and Acid Reflux: Is There a Link?

While dizziness is not often listed as a common symptom of acid reflux, a study suggests that there is a link between peripheral vertigo (vertigo caused by ear problems) and acid reflux. 

Scientists suggest that patients who experience dizziness alongside their acid reflux may be due to gastric acids irritating the ear, which could lead to ear infections. 

The study reported that 77.6% of patients with peripheral vertigo were also diagnosed with acid reflux compared to 26% of patients without reflux symptoms. 

Although further studies are required to finalize the findings, the researchers suggest that reflux contents such as Hydrochloric acid and pepsin could get into the middle ear through the Eustachian tube and affect the ear directly. This can cause tinnitus or a perceived ringing of the ears. 

Another way acid reflux could cause dizziness is through bacterial infection. The bacteria Helicobacter pylori can travel further up the esophagus through reflux contents and reach the upper respiratory tract. This could cause scarred ear drum (tympanosclerosis), leading to dizziness. 

Acid Reflux and Headaches

While there are no studies showing that gastrointestinal disorders can lead to headaches, there are publications that illustrate how gastric problems, in particular acid reflux, can coincide with headaches. 

A study involving 43,782 patients studies the possible prevalence of headaches in patients with gastrointestinal problems. Compared to diarrhea and constipation, patients with acid reflux symptoms report higher prevalence of headaches. 

Another study involving 1,832 migraine patients were tested for heartburn and GERD symptoms. Of the group, 22% reported GERD diagnosis, 11.6% reported heartburn, and another 15.8% reported previously undiagnosed reflux symptoms. 

These studies show that patients with acid reflux problems also tend to experience headaches, although there are no clear reasons why. Although unclear, doctors confirm that treating gastrointestinal problems also alleviates headache symptoms, which is how acid reflux-related headaches are treated. 

Can Acid Reflux Cause Asthma

Patients with asthma are known to experience GERD and are likelier to develop acid reflux than people without asthma. This is because acid reflux can cause damage to the esophagus, leading to chronic coughing.

Overproduction of acid and constant exposure to stomach contents could also compromise the lungs, making it more susceptible to irritants like dust. 

Developing Asthma Due to GERD

It’s not just asthmatic patients who can be affected by GERD. Turns out that patients who are non-asthmatic can have respiratory problems due to reflux symptoms. 

Wheezing, shortness of breath, difficulty are tell-tale signs of asthma. Commonly diagnosed in childhood, adults can also develop asthma late in their lives due to a variety of reasons. Some patients can develop asthmatic symptoms while others go on to experience chronic asthma symptoms and eventually develop adult asthma. 

Asthma can be caused by a variety of stimuli including exposure to allergens and persistent flu. Doctors tend to identify acid reflux, or GERD in particular, as the cause for asthma when:

Asthma symptoms worsen after a meal

Asthma begins during adulthood, after the patient experiences reflux symptoms

Asthma doesn’t get better with traditional asthma treatments 

Is It Always Serious?

Wheezing and chronic cough require proper diagnosis before asthma is ruled out. After all, acid reflux can cause temporary damage to the esophagus, triggering both symptoms. Just because you’re experiencing wheezing and coughing doesn’t mean you have developed adult asthma. 

Can Acid Reflux Cause Nerve Pain

Acid reflux symptoms can be typical or atypical in nature. Tingling limbs and nerve pain are considered rare and atypical acid reflux symptoms. 

Dr. Mark Babyatsky, a former department chairman at Mount Sinai School of Medicine in New York, explained that inflammation from acid reflux can reach the lungs and trigger pneumonia. 

As a result, the diaphragm can become inflamed, affecting the phrenic nerve, which is a nerve connecting the neck, lung, heart, and diaphragm. In this scenario, a patient can feel referred pain in the limbs, specifically the arms and shoulders. 

Alternatively, nerve-related issues may be caused by pre-existing neuropathic conditions, leading to acid reflux. An example of this is gastroparesis. Gastroparesis is a form of diabetic peripheral neuropathy characterized by slow digestion. This leads to bloating, heartburn, and vomiting of undigested food. 

If you’re experiencing acid reflux symptoms with nerve pain, there’s a high chance that your nerve pain is not reflux-related, especially if you are experiencing temporary reflux. Get in touch with a medical professional to find a separate diagnosis concerning your nerve pain. 

Arm Pain: Heartburn Or Something Else?

Heart attack survivors often recount their first symptom as a heartburn-like sensation. Many patients explicitly use the word heartburn when recounting their cardiac experience. Patients often realize that their “heartburn” is in fact not reflux-related but heart-related when:

There is a pain radiating up the arm, specifically the left arm

They have no history of acid reflux

There is a burning sensation in the chest

They have not eaten anything prior to the pain 

The pain doesn’t go away with antacid 

If your heartburn symptoms don’t go away after taking an antacid, and are accompanied by arm pain and back pain, we suggest going to an emergency facility immediately to get medical help. 

Can Acid Reflux Cause Chest Pain 

Chest pain is one of the most common symptoms of acid reflux. Chest pain related to reflux is also called noncardiac chest pain (NCCP). Chest pain occurs during reflux episodes because the heart and the esophagus share a nerve network. Acid reflux, specifically GERD, causes up to 66% of reported NCCPs.

Evaluating Your Chest Pain

Since chest pain from acid reflux and more serious conditions such as heart attack are hard to distinguish, it’s important to know how to evaluate your chest pain. Chest pain from acid reflux often affects the sternum or the area below it called the epigastrium. Pain from acid reflux is often characterized as a sharp pain, which gets worse with coughing. 

Meanwhile, chest pain from non-acid reflux sources could be described as a deep, searing pain. Heart-related chest pain often radiates to other parts of the body including the back, neck, shoulders, and arms. 

The symptoms that accompany chest pain are also key in evaluating the nature of the pain. Gastro-related chest pain is often accompanied by burping or flatulence, trouble swallowing, bile regurgitation, and a burning sensation in the throat or stomach. 

Cardiac-related chest pain is often accompanied by numbness in the left arm or shoulder, shortness of breath, dizziness, and high body temperatures. 

Can Acid Reflux Cause Fever and Chills 

Sustained esophagus damage from bile regurgitation can lead to esophagitis, which is the inflammation of the esophagus. Esophagitis can also be caused by infections, abuse of oral medication, and allergies. 

Reflux esophagitis is a complication of acid reflux, leading to tissue damage and inflammation. Patients with infectious esophagitis may experience fever, chills, muscle aches, and headaches. Dealing with acid reflux trigger often alleviates esophagitis symptoms. 

On the other hand, acid reflux alone doesn’t cause fever and chills.

If you are not diagnosed with GERD or esophagitis but are experiencing fever and chills with reflux symptoms, get in touch with your doctor immediately to get more information. You could be experiencing a severe bacterial infection and need antibiotics to get well. 

Can You Have Acid Reflux and Not Know It 

Acid reflux can manifest in different ways. Other patients may report extreme versions of acid reflux involving constant heartburn and regurgitation, while others might only report trouble swallowing and coughing. 

Alternatively, there is another form of esophageal reflux that doesn’t exhibit the same symptoms as GERD or heartburn. If you’re experiencing classic reflux symptoms such as coughing and sleep apnea, you may be experiencing what is known as silent reflux. 

Do You Have Laryngopharyngeal Reflux (LPR)? 

Laryngopharyngeal reflux or LPR is a type of esophageal reflux that doesn’t involve the tell-tale sign of GERD: heartburn. As a result, patients have a difficult time understanding the nature of their symptoms. In most cases, patients with LPR don’t even know they have reflux, which is why the disorder is called silent reflux. 

LPR is caused by the same mechanism that triggers GERD. When the lower esophageal sphincter loosens, stomach contents travel back up the esophagus. In this case, stomach acids travel further up the pharynx, reaching the larynx (voice box) and nasal pathways. As a result, a patient with LPR experiences symptoms like:

Chronic cough

Voice hoarseness

Difficult swallowing; feeling of persistent lump in the throat

Post-nasal drip

Sore throat

Difficulty breathing

Sleep apnea, difficulty going to sleep caused by coughing

LPR is relieved the same way as GERD. By improving your diet and food choices and adopting healthier lifestyle choices, you can alleviate symptoms and regain control over your health. 

Get Professional Help Today

Don’t let scary symptoms dictate how you live your life. Get a clear diagnosis of your symptoms today and learn what’s causing you discomfort.

Whether it’s heartburn or something else entirely, our top gastroenterologists at Gastro Center NJ will give you everything you need to get your health back on track.

Book an appointment with us today.

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Best Home Remedies for Acid Reflux During Pregnancy

Studies show that up to 60% of the population report having acid reflux symptoms at least once in their lives. It’s one of the most common digestive disorders in the West. Its most symptoms include heartburn, acid regurgitation, and constipation. 

Although doctors are still unable to understand what exactly causes acid reflux, evidence supports that pregnant women are predisposed to having acid reflux because of changes in their body. 

Pregnancy can be uncomfortable enough as it is – adding acid reflux to the mix won’t make it any better. So, what are the top home remedies for pregnant patients experiencing acid reflux? Smarter food choices and better eating habits are two immediate things you can do to alleviate reflux symptoms. 

This includes taking antacids, choosing non-fatty foods, and eating multiple smaller meals as opposed to bigger meals in a day. 

In this article, we talk about the top acid reflux remedies for pregnant women, as well as ways to prevent flare-ups. 

Pregnancy and Acid Reflux: Why It Happens

Morning sickness and food sensitivities are just two of the most common pregnancy side effects, but it turns out these two aren’t the only common ones. Heartburn and acid reflux also affect a significant portion of pregnant women. 

Heartburn is characterized as the feeling of burning in your chest. Despites its namesake, it has nothing to do with your heart burning; heartburn is a symptom of acid and gas flaring up the chest. This is usually triggered by certain foods and eating habits. 

On the other hand, acid reflux refers to the backwash of acid contents up the esophagus, leading to an acidic sensation in the throat and mouth. Acid reflux and heartburn go hand in hand in a condition generally known as acid reflux. 

Chronic acid reflux is quite common, with 20% of adults in Western cultures being diagnosed with this long-term digestive problem. As for pregnant women, acid reflux can suddenly become a bane due to hormonal and physical changes caused by pregnancy. Most pregnant women stop exhibiting acid reflux symptoms after giving birth. 

What Causes Acid Reflux During Pregnancy?

Doctors speculate a handful of reasons that lead pregnant women into exhibiting acid reflux symptoms. These include:

1. Hormonal Changes

Pregnant women regulate hormones differently. As a result, the digestive system tends to slow down because of hormonal changes in the body. A once-efficient digestive system becomes slower, forcing the stomach contents to travel back up the esophagus. 

2. LES 

Hormonal changes in the body can also trigger mechanism changes. Doctors believe that pregnancy hormones, specifically progesterone, have an impact in the development of acid reflux in pregnant women. 

The lower esophageal sphincter (LES) is a muscle connecting the esophagus and the stomach. This small muscle acts as a “valve” which separates stomach acid from the esophagus. 

Because of hormonal discrepancies, the LES sometimes weakens in pregnant women, causing stomach contents to travel back up the esophagus. Some women report having a weak LES in the beginning of their pregnancy, while others only experience it during their third trimester. 

3. Stomach Pressure

Pregnant women who only experience acid reflux during the third trimester can attribute it to the baby’s growth. The presence of the baby in the womb can put pressure on an expectant patient’s stomach, forcing stomach contents to travel back up the esophagus.

How common is acid reflux during pregnancy? 

If you think you’re the first one to experience heartburn and acid reflux during your pregnancy, think again. A study published in Clinical Evidence reveals that heartburn is a common complaint during pregnancy, reported by up to 45% of patients according to the findings. 

The incidence of heartburn increases as the patient progresses through the pregnancy stages. The incidence of heartburn increases from 22% in the first trimester to 39% in the second and up to 72% in the third trimester. 

Acid reflux symptoms vary from one patient to another. Some studies found that pregnant women only experienced acid reflux in the first trimester, while others reported experiencing this only during the third trimester. 

Does acid reflux affect the baby?

While an uncomfortable experience, acid reflux does not harm the baby in any way. Old wives’ tales such as the baby getting hairier with acid reflux is also not true. Acid reflux is a common and harmless gastrointestinal problem that won’t directly affect your baby in any way. It is also not a hereditary condition, and won’t impact their growth. 

Can you take antacids during pregnancy?

Over-the-counter antacid options in chewable and liquid form are both allowed for pregnant women experiencing acid reflux. Antacids made from calcium carbonate (Tums) are a safe antacid option for women. Antacids containing magnesium oxide and hydroxide are also good options, and typically come in liquid form. 

Watch out for antacids with high levels of sodium, aluminum, as well as those including aspirin – these types of antacids aren’t ideal for pregnant women. 

Antacids work by neutralizing the acid in your stomach. If you find that your antacids aren’t helping, ask your doctor for stronger aid such as acid reducers. This kind of medicine stops most acid production instead of neutralizing existing acid. 

Home Remedies for Pregnant Patients

Below are some home remedies you can do to alleviate your acid reflux symptoms. Take note that not all home remedies work for every patient. Go through each and test out which ones work best for you.

1. Drink Peppermint Tea

Peppermint is effective in soothing acid reflux and heartburn symptoms. Drink a bag of peppermint tea before every meal to soothe your stomach. Chamomile tea is also another popular remedy for acid reflux because of its soothing properties. 

2. Raise Your Head

When you’re sleeping or sitting, make sure your head is elevated above your stomach so your stomach juices don’t flow back your throat. Prop a pillow against your head and ensure that your head is raised higher than your stomach to aim the acids away from the esophagus. 

3. Drink Tons of Water

Keep a tumbler of water next to you so you can sip small amounts throughout the day. Rehydrating on water will keep your digestive system healthy and mitigate any hiccups during your pregnancy. 

4. Drink Low-Fat Milk 

Milk is another great liquid for neutralizing heartburn. However, make sure you’re drinking low-fat milk since foods high in fat are known to exacerbate heartburn symptoms. Stay away from full fat options and choose skim, low-fat, or even plant-based milk options. 

5. Don’t Eat Before Bed

Eating before bed (or sometimes on the bed) can seem pretty unavoidable when you’re pregnant, but doing so will only worsen acid reflux symptoms. If you can’t avoid snacking after dinner, make sure you’re sitting upright while you’re eating and to remain seated upright for two hours after the last meal to allow the food to travel down without problems.

6. Snack On Almonds

Raw almonds have been known to soothe acid reflux and heartburn symptoms due to their high oil content. Eat a handful of it to soothe your stomach, but don’t overeat almonds since they’re high in fats and could trigger the symptoms. 

7. Eat Fruits Like Bananas And Apples

These two fruits in particular have antacid properties that can help with acid reflux symptoms. When choosing your fruits, stay away from more acidic options like oranges, pineapple, and grapefruit. 

8. Wear Loose Clothing

As a pregnant woman, you’re likely already wearing loose clothing. If your acid reflux symptoms are flaring up, check to see that your clothing doesn’t add pressure to your stomach or belly area. Trade tie-up pajamas with a loose shirt and shorts. 

9. Snack On Licorice

Studies suggest that licorice is useful in protecting the stomach against acid. It contains properties that increase mucus coating in the esophagus, which could protect it whenever acid travels back up the esophagus. Ask your doctor for DGL or deglycyrrhizinated licorice, available in both pill and liquid form. 

10. Chew Gum 

Chewing gum stimulates the production of saliva, which is considered an effective acid buffer. Chewing gum can help reduce the inflammation in your esophagus by lubricating the throat. Chew sugar-free gum for thirty minutes after a meal to reduce symptoms of acid reflux. If you have the option to buy bicarbonate gum, choose that instead. 

What to Avoid 

Knowing what foods and lifestyle choices trigger acid reflux can be beneficial in preventing it in the first place. Below are just some of the things you should avoid when dealing with heartburn during pregnancy. 

Avoid eating big meals throughout the day. Acid reflux gets worse with undigested food. To avoid putting stress on your stomach, avoid eating big meals and eat smaller meals throughout the day instead. Divide three big meals into five or seven smaller meals to help your body digest the food properly. 

Don’t exercise. Exercise can put stress on the body and worsen acid reflux symptoms. To prevent flare-ups, stick to low-stress exercise like walking. Ask your doctor for exercise recommendations. 

Refrain from snacking too close to bedtime. Lying down after a meal is one of the fastest ways to trigger acid reflux. Snacking close to bedtime also has the same effect. To prevent late night heartburn, sit up for at least 2 hours after your meal to prevent the food from travelling back up the esophagus. 

Avoid citrusy and high fat foods. Foods high in fat and citrus content can also trigger acid production. Stay away from citrusy foods and foods high in fat to avoid trigger heartburn and acid reflux. 

Skip the coffee. Coffee is an acidic beverage, which could contribute to your acid reflux. Skip the morning coffee, as well as the orange juice. Stick to beverages without any caffeine content. 

Top Trigger Foods for Acid Reflux

Spicy foods can trigger acid reflux. If you’ve got a craving for spicy food, it might not be the best time to give in to this craving. Foods such as pepper, onions, and garlic can irritate the stomach lining and trigger acid production. Avoid acid reflux symptoms by staying away from spicy foods during your pregnancy. 

Fatty foods slow down digestion and trigger heartburn. Avoid foods like hamburgers, french fries, steaks, certain cheeses, and chocolate. These foods are all high in fats and could lead to symptom flare-ups. 

Avoid late night snacking. It’s not just certain foods that can trigger acid reflux, it’s also eating habits that could worsen acid reflux in pregnant women. Late night snacking leads to acid reflux because there the body isn’t being given enough time to digest the food before falling asleep. 

If you’re keen on having late night snacks, choose healthier options like fruits and oatmeal and stay up for another couple of hours before heading to bed. 

When to See a Doctor

Acid reflux is a common occurrence among pregnant women and should be no cause for worry. Common symptoms of acid reflux include:

Burning sensation in chest (heartburn) usually after eating

Chest pain 

Regurgitation 

Difficulty swallowing

Bad breath

Disrupted sleep 

On the other hand, consider getting in touch with a medical professional once you experience one or more of the following symptoms:

You are experiencing bloody bowel movements

You have observed a change in  your bowel movements

You have chronic cough that won’t go away with medication 

Your heartburn has become more frequent or severe 

Your acid reflux symptoms are accompanied by unprecedented weight loss

You experience heartburn symptoms even after taking medication 

Your stomach pain gets worse with time

Your acid reflux symptoms are accompanied with neck, jaw, arm, or leg pain not related to pregnancy 

You have difficulty breathing 

You experience extreme fatigue and weakness

Get Treated for Acid Reflux 

Need specific medication for acid reflux? Get in touch with us at Gastro Center NJ to learn how to manage acid reflux during pregnancy.

With our expertise treating digestive problems, we’re dedicated to giving you a more pleasant pregnancy by creating a treatment plan that will soothe your discomfort.

Book an appointment with us today. 

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Best Breakfast for Colon Cancer Patients

Colon cancer patients experience a host of side effects that can make food unappealing. When left untreated, patients may experience rapid weight loss, which is detrimental to their health and recovery. Breakfast is an opportunity to introduce creative but nutritious foods that will not only help patients recover to a healthy weight but also bolster their immunity to help fight colon cancer. 

So, what are the best breakfast options for colon cancer patients? Breakfast foods like cereal and toast are often high in fiber, which is one of the key dietary associations with a decreased risk of developing colon cancer. Incorporating whole grain foods such as quinoa, brown rice, and oatmeal is also beneficial for colon cancer patients. 

In this article, we talk about the top breakfast options for colon cancer patients, as well as those you should avoid during treatment. 

Breakfast and Colon Cancer

We all know that breakfast is the most important meal of the day. It turns out its significance goes beyond fueling the body; it might in fact be beneficial in preventing colon cancer altogether. 

A UK study wanted to understand the relationship between food consumption and increased risk of colon cancer. They found that participants who had consumed 76 g of red meat a day or more had a 20% increased risk. Those who consumed 10 g of alcohol per day resulted in an 8% risk.

Interestingly, the study showed that breakfast eaters, particularly those who ate cereal and bread, had a 14% lower risk of developing colon cancer thanks to the fiber from these breakfast staples.

Eating breakfast has also been linked with lower instances of obesity, which is a known factor of developing colon cancer. All in all, eating breakfast is as crucial to healthy individuals as it is to patients undergoing therapy. 

Why Does Food Matter?

The colon plays a crucial role when it comes to digestion and the absorption of nutrients. Patients with colon cancer have a difficult time processing food and nutrients needed to fuel the body. As a result, patients have a hard time metabolizing calories and protein they get from food, leading to lethargy, weakness, and even weight loss. 

Loss of appetite, nausea, and weight loss are among the common side effects of colon cancer. These side effects inevitably affect a patient’s relationship with food and have an impact on their overall health. 

A well-constructed diet plan will help patients get back on their feet. By striking a balance between what they like and what’s good for the body, patients can go back to a healthy weight and resume the strength to continue with treatments in no time. 

Aside from weight maintenance, a proper diet is important for cancer patients because it helps with recovery. Cancer treatments can be hard on the body as it is. As a patient battles colon cancer, they will need to regain strength to proceed with the treatment. More importantly, a smart diet plan will boost the patient’s immunity and improve their ability to properly fight colon cancer. 

The Value of Good Calories

Not all foods are created equally. It’s not enough that you’re helping a patient eat; it’s also important that you’re mindful of every single bite they take. While it’s necessary to increase the amount of calories colon cancer patients eat in a day, the quality of the calories they take in also contributes to their overall well-being.

2,000 calories from a milkshake loaded with syrup and ice cream isn’t the same as 2,000 calories from a milkshake made of leafy greens and protein powder. 

When we talk about good calories, we simply refer to nutritious, protein-heavy, fiber-rich foods that are suitable for colon cancer patients. These good calorie food groups include:

Foods rich in fiber: A high-fiber diet is known to aid in digestion. Similarly, patients who incorporate high-fiber foods in their diet have healthier colons that are less prone to blockage. 

Whole grain foods: Processed grains such as white bread and white rice have high glycemic indices that aren’t ideal for colon cancer patients. On the other hand, whole grain foods such as quinoa, barley, brown rice, and oatmeal often have high-fiber content and have naturally occurring nutrients that can be metabolized by the body to create pure energy. 

Healthy fats from tree nuts: Studies suggest that a diet rich in tree nuts such as hazelnuts, pistachios, cashews, and walnuts reduce the risk of recurrence for colon cancer patients. 

Foods rich in antioxidants: Fruits and vegetables are a key part of any healthy diet. Colon cancer patients should look into incorporating foods like berries and spinach in their regular meals. These are foods rich in fiber and contain antioxidants and flavonoids that help fight cancer. 

The opposite of “good calories” aren’t exactly detrimental to your health. Sugar and fat are essential to any person’s diet, but should only be taken in moderate amounts. These foods have little to no nutritional value, and prioritizing this over other food groups means missing out on key nutrients that are actually needed by the body.

Remember that a high calorie diet doesn’t always meat high fat or high sugar. You can still create a meal plan that reaches 4,000 to 5,000 calories a day just by relying on clean foods and cooking techniques. 

Breakfast Option for Colon Cancer Patients

1. Eggs

The best part about this protein powerhouse is that they’re already a breakfast staple. A serving of medium sized egg has about 13 grams of protein. 

In order to reduce the risk of cholesterol without skipping out on the protein, we recommend cooking 1 to 2 eggs with a cup of egg whites for an additional serving of 8 grams of protein. Eggs can be served fried with oven baked potatoes or frittata style loaded with spinach, cheese, and tomatoes. 

2. Spinach or Kale

Studies suggest that compounds found in spinach and kale are able to suppress tumor growth and fight cancer cells with antioxidants. Blend these as a main ingredient of a green smoothie or mix them in an omelet or breakfast burrito to supercharge your breakfast. 

3. Low-fat Cheese

Cheese on a bagel or toast is a great breakfast option. To really get the full health benefits of your breakfast cheese, swap out high-fat cheeses with a low-fat cheese option. This also applies to your full fat greek yogurt. When it comes to dairy, always look for low-fat alternatives. 

4. Oatmeal and Muesli

Oatmeal is another breakfast staple that’s loaded with fiber and antioxidants. It improves blood sugar control and protects your heart from cholesterol. 

Alternatively, muesli is another breakfast dish made out of rolled oats and nuts, seeds, and fresh fruits – all of which are high in antioxidants and cancer-fighting properties. These two breakfast dishes can be customized to fit the patient’s taste and preferences. 

5. Banana and Blueberry

Bananas and blueberries are common breakfast fruits that are especially beneficial to colon cancer patients. Banana contains a relatively high amount of fiber for fruits and boasts various nutrients such as Vitamin C and Vitamin B6.

Blueberries are also rich in fiber, Vitamin C, and vitamin K. A 148 gram serving contains 4 grams of fiber. Blueberry also contains antioxidants that prevent DNA damage, which plays an important role in colon cancer development. 

6. Whole Wheat Tortillas

Who said colon cancer-friendly foods weren’t appetizing? Use whole wheat tortillas to make delicious breakfast tortillas. Swap out the meat with mushrooms or vegetarian meat to get the full flavor. Serve with a slice of avocado and a heaping of salsa to enjoy. 

7. Protein Pancake and Waffle

Upgrade your standard pancake and waffle batter by adding a cup or two of protein powder. A cup of protein powder usually has 25 to 32 g of protein, depending on the brand. Increased protein intake is beneficial for rebuilding muscle and tissues, as well as improving overall energy and strength. 

How to Make Breakfast Exciting 

Dietary restrictions can be hard on the appetite. Instead of making breakfast a chore, here are some ways you could make breakfast exciting, which could improve the patient’s relationship with food:

Alternate between “good” and “bad” calories.

Milkshakes are high in calories and easy to swallow, making it a perfect breakfast option for colon cancer patients. On the other hand, a diet based mostly on milkshakes might help the patient take in some much needed calories upfront, but it won’t improve their strength in the long run.

Instead of focusing on just one type of food, cycle between good and bad calories to prevent fatigue. Serve a hearty milkshake made up of peanut butter and ice cream on one day, and serve up a healthier version with fruits and protein powder the next day. 

Prepare multiple options a week.

The rule of cycling and variety also applies to food options. Instead of serving the same breakfast meal every single day, make sure to have various options available during the week. This way, the patient has always something to look forward to during breakfast, which can help meal time more exciting. 

Plan breakfasts together.

Top nutritionists always recommend involving the patient with meal planning. By doing so, you can take into account their preferences and prioritize foods they like. Does your patient prefer oatmeal-based breakfasts over french toast? By knowing this, you can plan different oatmeal options during the week and serve food your patient will actually eat and enjoy. 

Top 4 Breakfast Foods to Avoid

1. Processed Meat

Hotdog, bacon, and sausages are among the favorite breakfast staples for most Americans. Unfortunately, eating processed meats has been linked with an increased risk of developing colon cancer, and should be avoided even by patients undergoing therapy. 

A study published in the International Journal of Epidemiology found that eating processed meat four or more times a week can result in a 20% increase risk of developing colon cancer. According to the publishers, the risk increases 19%A for every 25-gram daily serving of processed meat. 

2. Sugary Foods

From cereals to juices, there are tons of processed breakfast options that contain an obscene amount of sugar. The worst part is that these foods look inconspicuous on shelves, making them easy to overlook. When shopping for colon cancer-friendly breakfast items, don’t just look at the label. Also make sure to take a look at the nutritional values posted on the label to fully understand what goes into a specific product.

A rule of thumb is to always go for the simpler version of foods. Between your standard whole wheat cereal and high-sugar, fruit-flavored cereal, it’s easy to see which one is loaded with unnecessary sugar and which one has the least amount of preservatives.  

3. High-fat Foods

Processed meats aren’t the only breakfast items that are high in fat. Cream, butter, and other dairy products could be increasing your saturated fat intake without you knowing about it. 

The next time you top waffles or pancakes, rethink the whip cream and try to swap it out with a healthier source of fat such as cottage cheese. Minimize consumption of saturated fats by focusing on the good fats. Hit two birds with one stone by swapping out milk products with plant-based milk in order to lower fat content and increase protein consumption. 

4. Fried Foods

Fried foods are exactly what make breakfast exciting. Unfortunately, loading up on oily foods is a surefire way to impede recovery. Fats can clog up the colon, which can lead to discomfort, indigestion, and loss of appetite. 

If you can’t avoid having fried foods on the menu, we suggest looking into alternative cooking options like baking or air frying. Patients can still enjoy the crunchy texture of foods, without consuming a high amount of unhealthy fats for breakfast. 

Caring for You From Start to Finish

Getting a colonoscopy is the first step to preventing colon cancer. At Gastro Center NJ, we implement proactive measures and solve health problems before they even happen. Your health is our top priority and we want to make sure you’re on the right track. 

Schedule a colonoscopy today and get on top of your colon health. Colon cancer screening is the number one way of preventing colon cancer. Schedule yours today. 

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All Symptoms Of Colon Cancer In Women

Colon cancer is the third leading cause of cancer-related deaths in women, next to lung and breast cancer. Colon cancer poses some similarities to common gastrointestinal problems and some gynecologic issues, making it easy for women to pass off warning signs as random aches and pains. 

So, what are the most common symptoms of colon cancer in women patients? Change in bowel habits, unintentional weight loss, chronic fatigue, persistent abdominal pain, anemia, constipation, and bleeding are the main signs of colon cancer in women. 

The presence of one or two symptoms doesn’t automatically mean a colon polyp is present. If you experience two or more of the following, get in touch with a gastroenterologist to understand the nature of your symptoms. 

How Common is Colon Cancer in Women?

Colon cancer is one of the leading causes of cancer deaths in the United States. It’s ranked as the third leading cause of cancer deaths for both men and women. 1 in every 24 women will be diagnosed with colon cancer in their lifetime. 

Cancer patients, both men and women, have a 90% 5-year survival rate when diagnosed early. After the cancer has spread to nearby lymph nodes and other tissues, the 5-year survival rate drops to 71% and is reduced further to 14% once it reaches other parts of the body. 

Are Women More Likely to Develop Colon Cancer Than Men?

Colon cancer is usually called a man’s disease because of the difference in the number of colon cancer patients in men and women. In 2018, cancer organizations estimated 101,421 new cases of colon cancer that year, 51,690 of which are men and 49,730 for women.

Despite this, women shouldn’t feel complacent when it comes to colon cancer screening. The average risk of getting colon cancer is equal in men and women over the age of 50. 

Colon Cancer Facts Specific to Women

The progression and development of colon cancer differs between the sexes. A study published in the World Journal of Gastroenterology discussed the gender-specific differences in colorectal cancer risk. They highlighted the following differences:

Female patients over 65 years old have higher mortality rates and lower 5-year survival rates than male patients of the same age

Female patients have a higher risk of developing right-sided colon cancer than men 

Since women possess longer transverse colon that men, colonoscopies pose a lower detection rate because of this biological difference

The risk of developing proximal large polyps increased with age, race (African-American) and sex (women)

What Increases Colon Cancer Risk In Women?

Patients who smoke are more likely to develop colon cancer than patients who don’t, especially in women. A study suggests that women who smoke have a 20% increased risk of developing colon cancer compared to those who don’t smoke. 

Patients suggest that women who consume 10 or fewer cigarettes a day are predisposed to higher risk of colon cancer. Additionally, women who have smoked for more than 40 years increase their cancer risk by up to 50%. The increased odds of smoking-related cancer is higher in women than men. 

Although the study illustrates the relationship between smoking and an increased risk in colon cancer, scientists are still figuring out the real reason behind it, and why women smokers are at a higher risk than male smokers. Men smokers only have a 5% increased risk of developing colon cancer compared to the 15% increased risk of women who smoke. 

Excessive alcohol consumption, obesity, sedentary lifestyle, and poor diet are other factors that increase the risk of colon cancer in women. 

Colon Cancer Symptoms in Women

1. Change In Bowel Habits

Keeping track of your bowel consistency might not sound like the most appealing idea in the world, but it turns out it can actually save your life. Changes in bowel habits is one of the top symptoms of colon cancer, and most patients never pay attention to their bowels until it’s too late.

Changes could vary in size, shape, or color. What you’re looking for is a sudden difference in bowel habits. If you were on a regular bathroom schedule but notice yourself to be on the constipated side, you might want to get checked especially if you stay constipated for 3 or more months, even with various intervention efforts. 

Constipation is a sign of polyps growing on your colon, and may very well be the reason why you’re on an irregular bathroom schedule. 

2. Unintentional Weight Loss

Weight loss is often a welcome change for most women. It’s a sign that your new workout regimen or diet plan is working. On the other hand, experiencing unexplained weight loss could point to gastrointestinal problems you’re not yet aware of. 

Watch the scale and track the numbers. Losing a healthy amount of weight every month should be no big deal, especially if you’re actively working towards a new weight goal. 

But even on a diet plan, women tend to lose weight at a healthy rate of 0.5 to 1 kilos per week. If you start losing 4 or more kilos without any known reason, it could be because cancer cells in your colon are affecting your body’s ability to digest food and absorb nutrients. If you start experiencing unprecedented weight loss with chronic fatigue, it could be a telling sign that something is wrong with your health. 

3. Chronic Fatigue

Fatigue and weakness are usually passed off as stress or exhaustion from day to day living, but doctors say it’s one of the early warning signs of any cancer. When prolonged periods of fatigue and weakness remain over the course of months or get worse with time, even with medical intervention, it can be classified as chronic fatigue.

Regular fatigue is classified as chronic when it doesn’t get better with time. Patients with chronic fatigue may experience sleepiness during the day and have a hard time falling asleep at night due to insomnia. Chronic exhaustion coupled with other colon cancer symptoms could be a definite sign of colon cancer in women. 

Patients with colon cancer may also experience fatigue and weakness, even with healthy diets and exercise, because of how cancer cells activate using the body’s energy reserve. When you start feeling exhausted for longer periods of time, check in with a gastroenterologist to find the underlying cause of chronic fatigue. 

4. Consistent Abdominal Pain 

Cramps from gastrointestinal problems and menstrual cramps can be pretty similar, which makes women quick to dismiss warning signs as normal biological processes. It’s not uncommon for women patients to mistake gastrointestinal symptoms as menstrual-related symptoms. 

Because of this, a proactive attitude towards colon cancer screening is highly encouraged. Diagnosing colon cancer in women can be more challenging due to the presence of gynecologic organs that can obstruct the physician’s view during a colonoscopy. As such, we recommend women to get a full colonoscopy (colonoscopy and sigmoidoscopy) to get the most out of these screening processes. 

5. Anemia

Anemia is characterized as the lack of healthy red blood cells in the bloodstream. As a result, a patient doesn’t have a healthy supply of oxygen, leading to fatigue. More often than not, chronic fatigue may be caused by anemia. 

Patients become anemic due to a variety of reasons. In the case of colon cancer patients, polyps can bleed, causing the body to lose red blood cells more rapidly than they can be replaced. On top of fatigue, anemic individuals also report headaches, chest pain, dizziness, palpitations, pale skin, and cold sensation in the hands and feet. Anemia is easily treated using supplements and dietary changes. 

On the other hand, anemia in post-menstrual patients could point to more serious issues. Women above the age of 50 have an increased risk of developing colon cancer due to old age. Anemia occurring after menopause is uncommon and should be subject to further medical investigation.

Anemic patients who experience rectal bleeding or observe blood in the stools should get in touch with a gastroenterologist immediately. 

6. Constipation

Constipation is a common gastrointestinal issue that usually doesn’t have adverse consequences. Chronic cases of constipation can be symptomatic of Irritable Bowel Syndrome (IBS), which is characterized by prolonged periods of diarrhea, constipation, or both. 

Because of the common symptoms shared by IBS and constipation, patients tend to dismiss their symptoms as IBS symptoms and neglect professional advice. When episodes of constipation don’t get better with an increase in fiber intake or digestive aid, it might be due to more serious gastrointestinal problems.

Constipation alone shouldn’t be worrisome. It’s a different story when it occurs with rectal bleeding, abdominal cramps, and chronic fatigue. In this case, you should get in touch with a physician to understand the underlying cause of your constipation. 

7. Bleeding

Rectal bleeding and the presence of blood in the stool are two more tell-tale signs of colon cancer. Both are hard to diagnose since the cause of the bleeding is often unclear. Rectal bleeding in women has been mistaken for regular menstrual bleeding, while the presence of blood in stool has been mistaken for hemorrhoids. 

Despite the superficial differences, there are some patterns to both rectal bleeding and blood in the stool that could help you determine whether it’s serious or not. Even women with irregular menstrual cycles can observe a pattern in their bleeding. Rectal bleeding is inconsistent and random. It is also typically accompanied by constipation.

Similarly, blood in the stool caused by colon cancer can be both dark or bright red in color. Most hemorrhoids can be felt around the anus. A simple physical inspection can confirm the presence of hemorrhoids. 

Other Symptoms to Watch Out For

Thin, narrow stools

Feeling that you have to empty your bowels but nothing passes

Not being relieved after passing bowel 

Feeling full after passing bowel 

Abdominal bloating

Vomiting

Sudden loss of appetite

Jaundice

Am I at Risk?

The standard age for colonoscopy in women is 50. However, there has been an increase in colon cancer incidence in individuals as young as 35. Early screening is recommended for patients who are at a higher risk of developing colon cancer due to the following reasons:

Personal or family history of colon cancer

If you or any of your family members had a history of colon cancer or noncancerous polyps, you could be recommended for early screening to monitor the possibility of polyp growth in your colon.

Poor lifestyle choices

Individuals who have a low-fiber, high-fat have an increased risk of developing colon cancer. Similarly, individuals who are inactive are also more likely to develop colon cancer than healthier individuals. Excessive cigarette and alcohol consumption could also contribute to the increased risk of developing colon cancer.

Inherited syndromes

Although colon cancer is not hereditary, certain disorders that can increase a person’s chance of developing polyps can be passed genetically. These include familial adenomatous polyposis (FAP) and hereditary nonpolyposis colorectal cancer (HNPCC) or Lynch syndrome. Only a minority of diagnosed cases are linked to inherited syndromes.

Inflammatory diseases

The presence of chronic inflammatory diseases such as Crohn’s disease and ulcerative colitis have also been linked to an increased risk of colon cancer. 

When to See a Doctor

These symptoms don’t automatically guarantee the presence of colon polyps. If you notice any of the following, get in touch with a doctor and ask about getting screened for colon cancer:

Symptoms that continue even with previous intervention

Symptoms that get worse during bowel movements

Symptoms that get worse with time i.e. progressive abdominal cramping 

Symptoms that are accompanied by one or two other colon cancer symptoms

Diagnosing Colon Cancer In Women

Proactive colon cancer screening is the key to defeating colon cancer. When caught early, polyps can be removed and colon cancer can be avoided altogether. At Gastro Center NJ, we believe the first step is understanding your body and its symptoms. If you want to understand the nature of your symptoms, our top New Jersey gastroenterologists are here to shed light on your issues. 

Are you ready to get a colonoscopy? Book a consultation today.

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Can Acid Reflux Cause Sinus and Ear Problems?

Chronic acid reflux or gastroesophageal reflux disease (GERD) can produce symptoms beyond the usual heartburn and sore throat. GERD manifests itself in different ways, with some patients experiencing less common but still normal signs of the condition.

Can acid reflux lead to ear and sinus complications? Yes, it can. Although the reason for this is still indefinite, acid reflux can lead to ear and sinus infections for some patients.

On the other hand, patients experiencing postnasal drip, sore throat, and a swollen larynx may have laryngopharyngeal reflux or LPR, a similar stomach condition that is sometimes mistaken for GERD.

Ear and Sinus Problems: Common Or Worrisome?

GERD is one of the most common gastrointestinal conditions in the U.S. but its symptoms aren’t always straightforward. More and more physicians are accepting its association with ENT (ear, nose, throat) conditions.

Although it’s difficult to explain how GERD mechanisms affect the ear and sinus, doctors suggest that damages caused by GERD can change how the ear and nose behave.

Chronic Sinusitis in GERD Patients

A group of Taiwanese doctors tried to understand the relationship between GERD and chronic rhinosinusitis. Chronic rhinosinusitis (CRS) is caused by inflammation in the sinus. This interferes with a patient’s ability to breathe and perceive smell and even taste. 

Other symptoms of chronic sinusitis include:

Chronic congestion

Postnasal drainage, or feeling mucus on the back of the throat

Thick discharge from nose

Nasal inflammation 

Tenderness around eyes, nose, cheeks

Ear pain

Although the direct cause of CRS remains unclear, doctors noticed that patients with GERD also tend to develop CRS. After observing the patients for around 2 years, scientists found that patients with GERD were at a higher risk of developing CRS than healthy patients. This same group was also more likely to develop a form of CRS that occurs without nasal polyps. 

Possible reasons for the increased risk include:

Prolonged exposure to stomach contents in the esophagus may have reached the nasopharynx, which directly connects to the nasal cavity

Constant exposure to reflux material could contribute to the development of CRS

The acid, pepsin, trypsin, and bile being regurgitated can damage parts of the sinus that lead to sinus dysfunction and create an environment for invasive bacteria to grow

Ear Infections in GERD Patients

Chronic otitis media (OME) is a long-term ear problem resulting in the perforation in the eardrum. When left untreated, the middle ear can get infected with liquids. Ear problems are another known manifestation of GERD. A study was keen to understand the relationship between GERD and OME. 

The scientists tested out antireflux medication on a patient with GERD and OME to understand whether reflux medication would directly alleviate OME symptoms. Scientists found that antireflux therapy and other lifestyle modifications associated with GERD (avoiding meals and drinks at least 3 hours before bed time, more exercise) improved both GERD and OME symptoms. 

Publishers have two interesting suggestions regarding GERD-related OME:

That GERD has the potential to manifest into a different condition like nasopharyngitis, and lead to a specific ear condition

That chronic ear problems resistant to therapy may in fact be caused by GERD, and treated through GERD-specific therapy

Recent studies detected pepsin, a stomach enzyme apparent in reflux contents, in the fluid stuck in the middle ear. This reaffirms the suspicion that GERD may in fact be related to the development of OME. 

Another study followed patients between ages 1 to 17 with OME and used anti-reflux therapy to improve the signs of GERD. This study also confirmed that anti-reflux medication helps with patients with resistant-therapy OME, leading them to believe that OME may be directly related to GERD. 

What This Means for You

Although more research is required to reach a conclusive diagnosis, there is enough scientific proof from clinical trials and studies that show treating GERD directly may also improve ear and nose symptoms. 

As a GERD patient experiencing ear and sinus complications, we recommend visiting an ENT and informing him or her regarding your chronic reflux condition. With this information, you can have peace of mind knowing that there are medical therapies available to improve your discomfort. 

Ear and Sinus Complication: Just a Symptom Or Something Else?

Because the ear, sinus, and throat are connected to each other, it’s possible for doctors to misdiagnose similar conditions localized in this area. In some cases, what patients think of as GERD may actually be another gastrointestinal condition called laryngopharyngeal reflux or LPR. 

LPR: Silent Reflux

Laryngopharyngeal reflux is a condition that is caused by a malfunction in the “valves” of the stomach. These valves called sphincters prevent stomach contents from flowing back.

In some cases, the sphincter malfunctions, allowing stomach contents containing acid to travel back up the esophagus. 

Sounds familiar? It’s because LPR and GERD are caused by the same thing. While GERD is common across ages, laryngopharyngeal reflux is more commonly found in infants due to their undeveloped sphincter. Lying down all the time and a shorter esophagus also contribute to the development of LPR in infants. 

While the cause of LPR and GERD are the same, LPR doesn’t exhibit key symptoms that are found in GERD. Heartburn, a classic symptom, is typically absent in patients with LPR, which makes it difficult to diagnose the condition. Because of this, LPR is sometimes referred to as silent reflux. 

The main difference between GERD and LPR is the location of the reflux. When stomach contents reach the esophagus, a patient has GERD. When stomach contents reach further up the throat and affect the nasal airway, a patient has LPR.  

FAQ About LPR

Are LPR and GERD the same thing?

No. LPR and GERD are separate conditions. Although they are caused by the same faulty mechanism, the symptoms and location of the problem are different. 

Can a patient have GERD and LPR at the same time?

Yes. A patient can develop GERD and LPR simultaneously. Because GERD and LPR are conditions caused by the same problem, addressing concerns for one condition could also improve the symptoms for the other condition. 

Why is it hard to differentiate GERD from LPR?

Even though heartburn is a telling sign of GERD, not all GERD patients experience heartburn. Some symptoms also overlap, causing patients and doctors to misidentify GERD from LPR and vice-versa. 

Signs and Symptoms of LPR

Reflux going up the throat and reaching the nasal cavity can produce adverse effects. Common signs of laryngopharyngeal reflux include:

Feeling of something stuck in the throat

Postnasal drip, or the feeling of having mucus in the throat 

Trouble swallowing 

Respiratory problems

Sore throat

Itchy throat, constant throat clearing

Chronic cough 

Hoarseness or loss of voice

If you feel similar symptoms to GERD but are not experiencing heartburn, get in touch with a gastroenterologist to learn the underlying cause of your symptoms. 

Do You Have LPR: Reaching a Diagnosis 

If you think you have LPR, get in touch with an ENT doctor or an otolaryngologist to investigate the nature of your symptoms. You may be recommended to take the following tests:

Upper endoscopy: Although this procedure is known to diagnose GERD, it can also be helpful in diagnosing LPR. Instead of investigating the esophagus, the examiner can view the upper part of the throat and use physical manifestations of the condition (damages to the throat from exposure to acid) along the throat. 

pH test: Similar to an endoscopy, a pH monitoring test involves the insertion of a catheter down the nose to detect acid. This can help localize the damage from the reflux, which will determine if you have LPR or GERD. 

Get an Answer Today

Want to learn more about the nature of your ear and sinus complications? At Gastro Center NJ, our gastroenterologists keep an open mind when treating patients with GERD. Our professionals are trained to understand the extraesophageal manifestations of GERD, allowing us to give you the best medical treatment possible. 

Schedule an appointment with us today and get treated for problematic sinus and ear complications. 

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Can You Have a Colonoscopy If You Are Constipated?

A colonoscopy is a routine procedure performed to diagnose colorectal polyps. This screening method has been instrumental in diagnosing colon cancer in its early stages, as well as preventing growths from morphing into cancer altogether.

The first step to an accurate diagnosis is an effective bowel prep. However, some conditions may interfere with the bowel prep, most notable of which is chronic constipation. 

Can you still have a colonoscopy if you are constipated? Yes, you can but some adjustments have to be made to ensure that your chronic constipation doesn’t interfere with the rest of the procedure. 

In this article we discuss everything you need to know to have a successful colonoscopy, even if you’re constipated. Read on to learn about the science behind colonoscopy screenings and how to improve constipation before your colonoscopy. 

How Is Constipation Diagnosed?

Constipation comes and goes and is characterized by infrequent, if not difficult, passing of the stools. Signs of constipation include:

Difficulty passing stools or not passing stools altogether

Feeling blockage in the rectum, preventing easier bowel movements

Feeling “dry” stools that are difficult to pass

Bloating and gassiness

Not being relieved after passing a bowel movement

Constipation is often a result of dietary and lifestyle choices. Eating foods high in fat can affect stool consistency. Similarly, eating a high-fiber diet and eating less processed foods can regulate and improve your bowel movements. Drinking lots of liquids and staying active is also key in regulating bowel movements. 

In some cases, constipation lasts more than a few weeks, even with dietary interventions. At this point, doctors will characterize your constipation as chronic and you’ll be subject to tests to understand the state of your gastrointestinal system.

Diagnosing constipation isn’t as straightforward as you think. According to the guidelines published by The American Society of Gastrointestinal Endoscopy, diagnosing constipation shouldn’t just be based on frequency but also other factors such as:

Discomfort during the passing of bowels

Passage of hard stools

Whether a patient is straining excessively during a bowel movement

Colonoscopy and Constipation

Can Colonoscopies Treat Constipation?

It’s possible to undergo a colonoscopy while constipated. In fact, some doctors recommend colonoscopies precisely because a patient is constipated. 

A colonoscopy is typically recommended if the patient is also experiencing the following symptoms:

Rectal bleeding

Weight loss

Iron-deficiency anemia

Rectal prolapse

Signs of intestinal obstruction 

Severe abdominal pain 

Chronic constipation could be a sign of bowel obstruction caused by colorectal polyps. As such, further investigation is required to understand if physical blockages are causing constipation. As a diagnostic tool, a colonoscopy can visually confirm if constipation is being caused by a physical obstruction. 

However, the diagnostic benefits of undergoing colonoscopy because of constipation are limited. Researchers suggest that its diagnostic rates are similar to the case of an asymptomatic patient undergoing regular colon cancer screening. This means that constipation alone is not a good indicator that colorectal polyps are present in the colon.

For instance, a study involving 563 colonoscopies performed to evaluate constipation found the following results:

Only 1.4% of the cases detected colon cancer

14.6% of the cases found adenomas or growths 

4.3% found advanced lesions on the intestinal wall

Colonoscopy: Beneficial or Excessive?

That’s not to say that colonoscopies aren’t instrumental in handling constipation. In fact, a colonoscopy can still be recommended to guide long-term treatment plans for constipated patients. Doctors may choose to perform a colonoscopy to see how a patient is responding to modifications in diet and medication, and use these insights to further improve the patient’s quality of life. 

Colon Cancer Screening with Constipation: Is It Possible?

In other instances, colonoscopy is performed to investigate symptoms other than constipation. In this case, patients might be experiencing temporary constipation and are worried about how this will affect the findings. 

As mentioned, colonoscopy with constipation is still possible but extra precaution is advised to ensure proper preparations, especially when it comes to the bowel prep. 

How Does Constipation Affect Bowel Preparation?

A study published in Frontline Gastroenterology illustrates how constipation can impact the effectivity of a bowel prep. While this may seem irrelevant now, keep in mind that a thorough bowel prep can actually be the difference between an effective colonoscopy and a failed one. 

According to the researchers, an inefficient bowel prep can reduce polyp detection rate and increase the overall cost of colon cancer prevention. When done poorly, a bowel prep can prevent gastroenterologists from viewing the lower intestine as clearly as possible, resulting in compromised results or additional tests. 

Recommended Colonoscopy Prep For Constipated Patients

Researchers found that different prep drinks can lead to varying prep results. Constipated patients that were asked to undergo colon cleansing using bisacodyl resulted in more satisfying rates of colon prep. 

Although bisacodyl is usually associated with abdominal pain, patients who are already experiencing constipation did not experience worse abdominal pain compared to non-constipated patients. The study suggests that the use of NaP or sodium phosphate with bisacodyl is the best way to undergo a successful colon prep for constipated patients. 

As a patient, you can ask your doctor to recommend stronger doses of bowel prep drinks, or find ones that have NaP and bisacodyl in the ingredients list. This will help ensure that your colon prep is thorough and successful. 

How To Improve Constipation Before Colonoscopy

So you’re due for a colonoscopy but you’re also constipated. You can try to alleviate constipation two weeks before your colonoscopy in order to improve the results of your bowel prep. These at-home remedies can help regulate your bowel movement and take care of constipation for good:

1. Drink More Liquids

You’ve heard it before and you’ll hear it again. Dehydration can make bowel movements sluggish, accounting for dry and hard to pass stools. When you drink water, you’re increasing the water uptake in your bowels and can kickstart a more frequent bathroom schedule again. 

2. Take Laxatives

Senna, an all-natural laxative, is widely used to treat constipation. It comes in many forms, including one in tea bags that you can drink and take whenever you need. Senna is an herbal laxative that stimulates bowel movements with no help from chemicals, although it’s not recommended for pregnant people or individuals with inflammatory bowel disease. 

3. Drink Coffee

Coffee is a powerful diuretic but did you know it can make you go to the bathroom too? High amounts of caffeine can stimulate your gut muscles and improve your bowel movements. Just make sure you’re getting your caffeine supply from sources like tea or coffee instead of energy drinks. 

4. Eat High-Fiber Foods

High-fiber foods are associated with better bowel movements because they improve the consistency of stool, making it easier to pass through the colon. Various studies even support that high-fiber meals can improve chronic constipation if it’s added to the patient’s long-term diet. 

When you’re picking out fibers, make sure to stick with soluble fibers. These are often found in oat bran, beans, nuts, seeds, and lentils. Soluble fibers are primarily responsible for adding water to your stool, which improves its consistency. Unlike insoluble fibers, soluble fibers are easier to digest and won’t complicate other bowel problems such as irritable bowel syndrome. 

5. Eat Probiotic Foods

Sometimes all it takes to become regular again is to enlist the aid of some good bacteria. Various studies affirm the benefit of adding probiotics to your diet, which is especially useful for individuals with functional bowel diseases. 

Probiotics restore balance in the gut and help fight off bad bacteria from colonizing the colon. The presence of beneficial microbes can also aid in the digestion process, allowing for more frequent bowel movements and improved stool consistency. 

Yogurt isn’t the only source of probiotics. You can incorporate fermented foods such as sauerkraut and kimchi to see a difference in your digestive system. You can also choose to take probiotic supplements, but these usually take a couple of weeks before showing significant improvements.

Post-Colonoscopy Constipation: What It Means & What to Do With It

A patient may experience constipation after a colonoscopy due to the extra air in the colon. Patients typically report feeling full, bloated, and having difficulty passing stools immediately after their colonoscopy. These symptoms are normal and should be no cause for worry. They typically disappear 3-4 days after the procedure. 

In the meantime, we suggest eating smaller meals the day after your procedure to help your colon relax. Feel free to resume your normal meals when you have a more regular bathroom schedule again.

If your constipation gets worse 4+ days after your colonoscopy, accompanied by bleeding, vomiting, or fever, get in touch with your doctor immediately. You might be asked to undergo another colonoscopy to evaluate what is happening in your colon.

Colon Cancer Screening Made Easy

At Gastro Center NJ, we want to give you a comfortable colonoscopy experience. From start to finish, we’re dedicated to making sure our patients are informed, compliant, and in only in the best hands.

If you’re concerned about your colonoscopy prep, get in touch with us today and let’s find a solution together. 

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Back Pain After Colonoscopy: Is It Serious?

Colonoscopy side-effects vary from patient to patient, but one particular side-effect is causing discomfort among patients: back pain. 

So, is back pain after colonoscopy serious? While uncommon compared to the other side-effects, back pain after a colonoscopy is safe and reported more often than you think. After a colonoscopy, your bowels may still be experiencing soreness, and this discomfort radiates through your body and sometimes reaches the upper or lower back. 

In this article we explain why patients experience back pain after a colonoscopy, and how to treat it at home.

Common Colonoscopy Side-Effects

A colonoscopy is a minimally invasive procedure that is routinely performed as a screening method. Because of its minimally invasive nature, patients can expect some common side-effects including:

Dizziness or lethargy due to anesthesia/sedative

Stomach cramps

Irregular bowel movements

Abdominal pain 

Abdominal distension 

Feeling bloated or full 

Nausea 

Excess gas evidenced by flatulence or burping 

Back pain

These side-effects are experienced by most patients who have undergone a colonoscopy. Expect to feel these symptoms up to 48 hours after your procedure. 

When to See a Doctor

Any medical procedure has risks, including a colonoscopy. However, only 2 out of 1,000 procedures result in a complication, making it one of the safest medical procedures. 

Bleeding: Bleeding in the rectum is a tell-tale sign that something is wrong. If you can observe blood in your poop 3-4 days after your colonoscopy, get in touch with your doctor immediately. Bleeding could be a sign of colon perforation. 

Persistent Symptoms: The symptoms outlined above are normal and should be no cause for worry. However, if they remain 3 to 4 days after the procedure and are getting worse with time, it could be a sign that something is wrong.

For instance, cramping in the abdomen is normal after a colonoscopy. But if experienced for extended periods of time, this could point to something more serious such as intestinal blockage, trapped air, or even bowel perforation.

Back Pain Post-Colonoscopy

Back pain is not often listed as a side-effect after a colonoscopy. This is because of two reasons:

Back pain is usually not reported because it’s uncommon compared to the other side-effects like gassiness, abdominal pain, or temporary constipation

When patients do experience back pain, they seldom link it back to their colonoscopy and instead find other ways to explain why the back pain exists

As such, it’s not common knowledge that back pain can happen after a colonoscopy. Although common, this side-effect is not so rarified as to raise medical questions. 

What does back pain after a colonoscopy feel like? 

Anecdotes from patients vary. Some patients experience pain radiating from the upper back to their shoulders, which is more common in patients who have undergone upper endoscopies alongside their colonoscopies. 

Most patients who undergo a colonoscopy localize their pain in the lower back. They characterize the pain as numbness, soreness, or pinching. Some patients experience pain on the lower end of the back, near the tailbone, and compare their pain to sciatica pain; while others talk about lower back pain concentrated on the right or left areas. 

Is back pain a sign of colon perforation?

In the event of colon or bowel perforation, patients normally experience severe abdominal pain that gets worse or doesn’t subside in a day or two. Back pain is not a sign of colon perforation and is more likely a sign of bowel soreness, which is common and safe.

If you’re experiencing abdominal pain that’s progressively getting worse 2-3 days after your colonoscopy, get in touch with your doctor immediately. 

Back Pain After a Colonoscopy: Why It Happens

It can be puzzling to experience back pain after a colonoscopy, precisely because this body part is so far away from the colon. In reality, it still happens, and thankfully it’s not because of colon perforation. 

The back pain associated with a colonoscopy is characterized as referred pain. This type of pain is felt in locations other than where the cause is located. For instance, a colonoscopy patient can experience pain at the back, even though the procedure only involved the bowels. 

Referred pain is a common condition. For instance, the first signs of a heart attack aren’t localized in the heart. Instead, they can be felt in the teeth, jaws, or more commonly, the arms. 

What is Referred Pain?

Source: https://commons.wikimedia.org/wiki/File:1506_Referred_Pain_Chart.jpg

The body houses a network of muscles, nerves, and tissues that communicate with each other. Pain from one location can translate into pain in another location as the body interprets various signals and stimuli and try to convert those into information. 

Because the brain is receiving multiple signals at once, neurons may refer to pain “reports” ambiguously, and localize it to a different part of the body, confusing it with the right location of the stimulus. 

In the case of colonoscopy patients, the bowels may still be sore from the procedure, causing the body to misinterpret bowel discomfort as generalized back pain. Keep in mind that back pain from colonoscopy is temporary and should disappear as the bowels recover from the procedure.

How to Alleviate Back Pain at Home

Back pain may not be a cause for worry but it’s still uncomfortable and deserves at-home intervention. Here are some things you can do to alleviate your back pain:

Use a pillow. Provide relief to your back by sleeping with a pillow on your back or on your knees, depending on your stature. Experiment with different pillow positions to give your back the best support and relief. 

Take pain relief medication. Instant pain relief from medication always helps. Over the counter medicine such as ibuprofen are useful in treating back pain. If you’re experiencing severe back pain, ask your doctor if you can have some prescription medication to help soothe the pain.

Bed rest. Patients are encouraged to take a full rest day the day after their colonoscopy. If you’re experiencing back pain, it’s best to extend your rest day 2-3 days after the procedure to really allow your back to relax. 

Use hot or cold therapy. Ice and heat packs are available commercially. You can use cold packs to help with pain and inflammation. Heat packs are great for encouraging blood flow and pain relief. For post-colonoscopy back pain, it’s a good idea to use both to treat back pain. Apply the cold or hot compress for 20-30 minutes at 2-4 hour intervals. 

When to Call a Professional

If your back pain persists 3-4 days after your colonoscopy, get in touch with your doctor to understand the source of your pain. In very rare occasions, you may be recommended to undergo an imaging procedure such as a CT scan in order to rule out the possibility of musculoskeletal damage. Your doctor may prescribe some anti-inflammatory medication to help treat back pain. 

Schedule Colonoscopy with Us

At Gastro Center NJ, we give you the proper care to prevent any complications after your colonoscopy. During our procedure, we make sure our patients are properly sedated, comfortable, and safe. Our medical professionals are here to take care of you from start to finish. 

Are you experiencing any disconcerting symptoms after your colonoscopy? Get in touch with us today to get a second opinion, and we’ll find ways to alleviate your side-effects and restore you back to your best health. 

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Upper Endoscopy Sedation: Short Guide

Preparing for an upper endoscopy can be nerve-wracking. Thankfully, this routine procedure employs sedatives to maximize patient comfort. Medical professionals often use benzodiazepines and an opioid to put the patient in a state of moderate sedation. An additional dose of hypnotic-like drugs may be administered when needed.

All in all, is upper endoscopy sedation safe? Yes. Sedation is a common part of any medical procedure. It is safer than anesthesia because patients remain awake during the procedure, and often don’t require respiratory support, which decreases the risk of complications.

The Science Behind Sedation 

What Does a Sedative Do?

A sedative is a type of drug that targets the brain and nervous system to reduce or eliminate discomfort and fear, as well as promote patient compliance. In minimally-invasive procedures such as an upper endoscopy, a sedative is administered to patients for pain relief and anxiety control. Doctors may elect to increase the dosage for especially uncooperative patients.

Choice of Sedatives

There are two kinds of sedatives administered during an upper endoscopy. Usually both forms of sedatives are administered to maximize patient comfort:

Throat Spray: Doctors rarely proceed with an upper endoscopy if the patient has chosen to be unsedated. If in any circumstance the patient is unable to take sedatives, a throat spray is usually administered to manage discomfort. The throat spray numbs the throat area so the patient doesn’t have to feel the endoscope as it enters through the mouth.

Intravenous Sedation: IV sedation or monitored anesthesia is routinely used for upper endoscopies and colonoscopies. Instead of putting the patient into a deep state of unconsciousness, IV sedation allows patients to experience an anxiety-free and pain-free upper endoscopy, without having to rely on machines for breathing support. 

With IV sedation, the patient remains conscious but unaware of the procedure. This grants doctors complete patient compliance, and makes patients more open to the possibility of another upper endoscopy in the future.

Three Levels of Sedation

Minimal: Under minimal sedation, the patient is able to respond to verbal instructions. Patient is also somewhat aware of the procedure due to the low dosage of sedation.

Moderate: Under moderate sedation, a combination of a benzodiazepine and an opiate are often combined. Under moderate sedation, purposeful verbal and tactile stimuli are required to get a response from the patient.

Deep: Under deep sedation, the patient is still conscious but is unaware of the procedure. A powerful sedation such as a large dose of hypnotic and opiate are often combined to put a patient in this state. Under deep sedation, patients only respond to extremely painful stimuli. 

Patients undergoing an upper endoscopy can be put under a minimal or moderate state of sedation, depending on the pre-sedation assessment conducted by the gastroenterologist. It’s possible for doctors to raise the level of sedation if needed in order to guarantee a successful examination.

What’s In It?

In order to create a relaxing environment for the patient, doctors often use two or more types of sedatives to achieve the ideal level of sedation. Below are the following drugs used in order to create this effect:

Benzodiazepines

Benzodiazepines are drugs that cause sedation. An additional drug such as opiod is often required for an upper endoscopy since benzodiazepines don’t have anesthetic qualities. They don’t help with pain and exclusively produce sedation when ingested. 

There are different kinds of benzodiazepines used for medical procedures. Diazepam is often used in daytime surgeries. However, patients under diazepam take a long time to recover, which is why doctors recommend a newer sedative called midazolam. 

Unlike diazepam, midazolam breaks down faster, meaning patients don’t have to wait more than 24 hours before resuming normal activities. A different type of benzodiazepine might be recommended for pregnant women.

Opioids

Opioids are drugs designed for pain relief. Opiods work by attaching on receptors responsible for sending pain messages to the brain. Blocking the communication between the brain and receptors lead to a reduced feeling of pain.

Various opioids are available for medical use. Morphine and oxycodone are often administered to patients who are suffering from chronic pain or who have just undergone major surgery. For a minimally invasive procedure like upper endoscopy, fentanyl is the common opioid used by doctors.

Like benzodiazepines, some opioids may not be ideal to use for pregnant women. It’s important to let your doctor know if you are expecting in order to find alternatives to fentanyl and similar types of opioids.

Hypnotics

Drugs with hypnotic properties can be used to put a patient into deeper sedation. One of the most commonly used hypnotics in an upper endoscopy is propofol. Propofol produces an anesthetic-like effect in that the patient reaches sedation similar to unconsciousness. However, during a state of deep sedation induced by propofol, more monitoring is required in order to prevent respiratory complications.

As such, gastroenterologists have to employ certain techniques to prevent any complications during propofol sedation. Propofol is only administered if the gastroenterologist is ready to insert the endoscope. Propofol doses are often carefully mixed with a fast-acting opioid in order to suppress respiratory problems in the patient. 

How Long Do Sedatives Last?

After the procedure, patients are usually asked to stay 1 to 2 hours in the hospital or clinic as the sedative wears off. Even after the patient recovers from the procedure, an escort is still necessary to take the patient home, since grogginess is still strong within 24 hours after the procedure. 

Expect the following side-effects of sedatives:

Having trouble focusing 

Poor reflexes 

Speaking more slowly 

Impaired vision and perception 

Drowsiness 

Dizziness 

In general, we advise individuals to stay at home for 24 hours to fully recover from an upper endoscopy. It is not advisable to take on activities such as driving or any other activity immediately after the procedure.

Why Use a Sedative?

An upper endoscopy is a screening and diagnostic procedure that is performed by inserting a long, thin, flexible tube through the mouth to study the esophagus, stomach, and duodenum. While the exam only takes 15 to 30 minutes, an upper endoscopy isn’t exactly the most relaxing medical procedure. 

Doctors sometimes inflate the stomach or intestine for better visualization. To some patients, the extra air in their digestive tract can be uncomfortable. Sedation is routinely administered by gastroenterologists to maximize patient comfort.

Upper endoscopy uses what is known as “conscious sedation”. During the procedure, patients are sedated, but remain awake during the exam. Sedatives help control anxiety and discomfort, which allows patients to relax during the procedure.

Sedatives often have an amnestic component, which means that patients are put in a state of short-term memory loss. The amnestic characteristic of sedatives means patients will not recall the examination, improving their overall experience. This is crucial in ensuring future endoscopy recommendations are well-received and that patients who have undergone endoscopic procedures in the past don’t discourage other patients from undergoing the procedure.

It’s possible for patients to undergo an upper endoscopy without sedation. Different clinics have certain rules regarding sedation. Be sure to check with your doctor for options to undergo a non-sedated exam. 

Possible Risks and Complications

According to a study published in World Journal of Gastrointestinal Endoscopy, the risk of sedation-related problems during an endoscopy are incredibly low. The risk only increases under the following circumstances:

If the patient is 60 years old and above

If the patient is already medically compromised

If the patient has cardiovascular and respiratory ailments

If the procedure involves an inexperienced trainee or medical professional 

The possible complications associated with an upper endoscopy are:

Hypotension or the rapid decline in blood pressure

Hypertension or the rapid increase of blood pressure

Irregular heart rates due to anxiety

Airway obstruction

Allergic reaction to anesthesia or sedative

Vomiting and nausea

Special Cases for Sedatives

Special medical cases require further consideration when it comes to taking sedatives. These include:

Medical History: Before administering a sedative, patients are required to undergo a pre-sedation evaluation so doctors can understand whether patients will be receptive of the sedatives or not. Normal healthy patients are characterized as those who have no history of long-term alcohol and cigarette use, as well as not have a history of diseases. 

Patients with mild systemic diseases, for example hypertension, are still allowed to under sedation, provided that they don’t have a medical history of withdrawal from sedatives. On the other hand, patients with severe to life-threatening diseases such as coronary artery disease often undergo various tests to prevent any complications during the upper endoscopy. 

Allergies: The pre-sedation assessment also includes an understanding of the patient’s allergic history. Although rare, allergic reactions can occur during sedation. Reactions range from mild to more severe. If the patient experiences respiratory problems, antihistamines and airway management is applied to manage the situation. 

Patients with known allergies to sedatives used during an upper endoscopy may opt to undergo the procedure unsedated. In this case, a throat spray will be used to numb the throat. However, the patient will be fully aware of the procedure. 

Pregnancy and Lactation: Pregnant and lactating women can still undergo sedation during an upper endoscopy. However, certain adjustments are recommended as outlined by the guidelines provided by the American Society for Gastrointestinal Endoscopy (ASGE). 

For instance, the commonly used drug diazepam should not be used for pregnant women due to a link in fetal deformation. Midazolam is often used as an alternative, provided that the patient is not in the first trimester. 

Treatment is more rigorous for expectant individuals. Pregnant patients have narrower airways and are more susceptible to cardiopulmonary complications. As such, monitoring is made mandatory for sedated pregnant patients. 

After The Endoscopy: What to Avoid

Patients can still experience dizziness, grogginess, confusion, short-term amnesia, and poor reflex hours after an endoscopy. We recommend staying away from the following activities on the day of the exam:

Cooking because of the risk of burns and accidents involving fire

Making major financial decisions

Being in charge of children and the elderly

Taking additional sedative medication not prescribed by doctors

Drinking alcohol

Driving any sort of vehicle

Using heavy machinery

Participating in activities such as sports that require skill and judgment

FAQ

What if I am not allowed to take the sedative?

Patients who aren’t allowed to take a specific sedative are usually administered with a safer variation of the drug. If in any case medical professionals strongly recommend going unsedated, a throat spray will be used to numb your throat and minimize your discomfort during the endoscopy. 

How will I feel after being sedated?

Immediate side-effects of sedation include grogginess, poor reflexes, confusion, minor depressive symptoms, amnesia, difficulty focusing and making decisions, and sleepiness. We suggest resting the entire day of your endoscopy, and continuing bed rest if side-effects persist the next day. 

Why Do I Need an Escort After My Endoscopy?

Sedatives can affect a patient’s reflexes and alertness. As such, it is advised for patients to find an escort to take them home after an endoscopy. Driving a vehicle while under the influence of sedatives can lead to an accident. We recommend asking a relative or friend to drive you home on the day of your procedure. 

Is sedation for endoscopy safe?

Yes. Sedation is routinely performed during upper endoscopy. A pre-sedation assessment is also performed to ensure patient safety.

How much do sedatives cost?

IV sedation often costs between $200 – $900 depending on the drug used and dosage. You can ask your gastroenterologist beforehand for the cost of the sedative before the procedure. 

Book an Upper Endoscopy Today 

At Gastro Center in New Jersey, we understand the qualms patients have regarding an upper endoscopy. But with proactive medical practices and compassionate customer service, we are dedicated to giving you a pain-free and anxiety-free session.

We recommend undergoing the exam sedated for best results, but patients can also opt to go unsedated if needed.

Get in touch with us today to learn more about sedative options for upper endoscopy.

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How to Get Rid of Gas After Upper Endoscopy

An upper endoscopy can be an uncomfortable procedure. For some patients, the discomfort associated with an upper endoscopy extends well after the exam is done. Excess gas is one of the most common side-effects of upper endoscopy due to the introduction of air into the stomach during the exam.

So, how do you get rid of gas after an upper endoscopy? Adopting dietary and lifestyle changes are two main ways to alleviate symptoms. Watching the foods you eat and how you eat certain foods can help manage gassiness after an endoscopy. Using over-the-counter gas relief medication is also a great solution to excess gas. 

In this article, we talk about the science behind gas in the digestive system, as well as different ways on how to get rid of it.

Upper GI Endoscopy: Side Effects

An upper GI endoscopy (also known as esophagogastroduodenoscopy or EGD) is performed to diagnose disorders and evaluate symptoms in the upper GI. This part of the gastrointestinal tract involves the esophagus, stomach, and duodenum. 

Upper GI endoscopy is a minimally-invasive procedure that is performed by inserting a long, thin, flexible tube called an endoscope through the patient’s mouth. This travels down to the small intestine for observation. A live feed of the body is projected on a computer screen. 

Read more: A Complete Overview of Upper GI Endoscopy

It is common for patients to experience side-effects after an upper GI. These side-effects include:

Bloating and gassiness

Sore throat or general throat discomfort

Abdominal cramping 

Grogginess from sedation

Gas and Upper Endoscopy: Why It Happens

Gas and abdominal bloating are common side-effects of an upper GI endoscopy. This is caused by the introduction of air into the stomach, which could cause discomfort immediately after the procedure. 

Patients may report more frequent belching as a result of the procedure, which could be a cause for alarm for some patients. However, this is completely normal and will subside as the excess gas exits the body. Passing gas is a natural way of alleviating these symptoms. Patients may even pass gas 10-25 times a day immediately after the upper endoscopy. 

We recommend staying away from large amounts of food if you are feeling gassy following your upper GI endoscopy. Consuming large amounts of food could only aggravate gassiness, leading to constipation. This is especially true for foods containing carbohydrates that are not properly digested in the small intestine. 

Consume small meals 24-48 hours after your endoscopy to avoid experiencing constipation. You’re free to resume your regular meals afterwards.

What Causes Gas In the Body?

Digestion by Bacteria

Bacteria, fungi, yeasts, and other digestive microorganisms reside in the small intestine. These are responsible for breaking down various carbohydrates. The body has difficulty digesting a specific strain of carbohydrates characterized as FODMAPs (fermentable oligo-, di-, mono-sacchardies and polyols). Bacteria fermentation of FODMAPs lead to gas production, leading to flatulence. 

Examples of foods high in FODMAPs are beans and dairy products. Individuals with lactose intolerance, for example, are especially sensitive to dairy products, leading to the production of excess gas. 

Eating Habits

It’s not just the food we eat that influences gassiness. Even eating behaviors and activities impact the amount of gas residing in the gut. For instance, eating big pieces of food such as bread mean more swallowed air. 

Eaters who tend to chew and swallow food with open mouths tend to inhale more air than those who eat with their mouths closed. Using a straw and talking while eating are two other ways patients can inhale excess air during a meal. Being aware of your eating habits helps you understand what influences the amount of gas inside your stomach.

Is It Normal to Have Gas After an Upper Endoscopy?

Almost all patients experience gassiness after upper endoscopy. The symptoms of excess gas in the gastrointestinal system are: 

Abdominal bloating. Bloating is usually caused by problems with motility (movements of the intestinal muscles during digestion). However, an upper endoscopy could also cause some temporary bloating because of the excess gas in the GI tract. 

Flatulence. More frequent flatulence is to be expected with excess gas. Some patients report passing gas as frequently as 15 to 30 times a day because of gassiness. 

Abdominal discomfort. Excess gas trapped in the intestine can lead to abdominal pain. This discomfort might resemble pain associated with heart disease or pain associated with appendicitis and gallstones. 

Belching. Chronic and frequent belching is often a sign of a disorder such as chronic acid reflux (GERD). But for patients who have undergone an upper endoscopy, this is to be expected. 

How Long Does Gas Last After Endoscopy?

Excess gas takes 2-4 days to be expelled from the body. This is possible through flatulence and belching. After a couple of days, patients should no longer experience gassiness.

If you still feel gassy a week after the procedure, we recommend getting in touch with a medical professional to ensure your GI tract is safe, especially if gassiness is accompanied by more serious symptoms. 

Ways to Get Rid of Gas

Getting rid of excess gas after an upper endoscopy can be achieved at home. Below are some of the tried and tested remedies to relieve gassiness:

1. Exercise

Exercise helps trapped gas move through your intestinal system. It doesn’t have to be intense exercise. Instead of lying down after a meal, take a 20-30 minute walk to exercise your body. Doctors recommend exercising for 20-30 minutes daily, but less frequent exercise is also acceptable in relieving the gut of excess gas. 

2. Avoid Gum

Gum and similar snacks introduce air down to the stomach. If you are experiencing gassiness after an endoscopy, refrain from chewing gum for a couple of days so you don’t have to aggravate your current condition. 

3. Avoid Carbonated Drinks

Soda, beer, and even sparkling water can all aggravate gassiness by introducing more air into the intestines. Stay away from these beverages and stick to flat drinks instead. We also suggest waiting a while before drinking fattier drinks like shakes since these can irritate the stomach after an endoscopy. Coffee and tea should be fine within 24 hours after upper endoscopy. 

4. Eat Less Fatty

Fried foods, dairy products, and sugary foods are all culprits for excess gas. Although fat in food doesn’t cause gas, high-fat foods cause bloating and increase gassiness in the stomach.

5. Use Over-The-Counter Medicine

For instant relief, there are various over-the-counter medications patients can take. Alpha-galactosidase (BeanAssist, Beano) are specifically designed to aid in the digestion of beans and similar vegetables. This type of supplement has to be taken before a meal.

Other remedies such as simethicone (Gas-X) can eliminate the little gas bubbles in your stomach, making it easier for gas to pass through the digestive tract. Products with activated charcoal such as CharoCaps can also alleviate symptoms, but further research is required regarding the use of activated charcoal in eliminating excess gas.

6. Stop Smoking

The act of inhaling nicotine and exhaling smoke when smoking can also contribute to gassiness. Stay away from cigarettes 2-3 days after your upper endoscopy to prevent excess gas from entering your stomach. 

Danger Signs: Symptoms to Watch Out For 

Gas is a common and non-threatening side-effect to upper endoscopy. However, there are other symptoms that could occur after the exam that are signs of serious complications with the GI tract:

Chest or abdominal pain

Difficulty breathing 

Black or tarry stools 

Difficulty swallowing, feeling of something being lodged in the throat

Vomiting accompanied by blood or black chunks 

Fever

Get in touch with a medical professional once these signs become apparent.

Book an Endoscopy Today 

At Gastro Center in New Jersey, we are equipped with the facilities to give you a comfortable upper endoscopy. Our medical professionals are trained to ensure that your side-effects are minimized after the procedure. Book an appointment with us today.

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Is There a Difference Between an Endoscopy and an Upper Endoscopy?

Endoscopy is a medical term that is used interchangeably with other procedures. In reality, endoscopy refers to a range of examinations that involve a camera called an endoscope. 

So, what is the difference between an upper endoscopy and an endoscopy? An upper endoscopy refers to the endoscopy procedure concerning the upper GI tract. Its goal is to examine the esophagus, stomach, and duodenum. Another gastro endoscopy called the colonoscopy is performed to examine the lower GI tract, specifically the colon.

Knowing the difference between an endoscopy and upper endoscopy will help you understand what screening method is applicable to your symptoms.

What Is an Endoscopy? 

An endoscopy is a procedure involving an endoscope, a flexible tube attached with a camera and a light that transmits live images onto a computer. Endoscopy is primarily a screening method used to diagnose and treat diseases. Other procedures can be performed alongside an endoscopy to complete a patient’s treatment or diagnosis procedure. 

A Brief History 

Historians believe that inventions similar to the endoscope were around as early as the ancient Roman and Greek periods. But it wasn’t until 1805 that a device specifically used to examine the gastrointestinal tract was invented. The device known as Lichtleiter or “light guiding device” was created by Phillip Bozzini to examine the pharynx, rectum, and urinary tract. 

The word endoscope was first used and coined in 1853 when inventor Antoine Jean Desormeaux created a similar instrument specifically designed to examine the bladder and urinary tract. 

Iterations of the same device have been introduced since then. In 1868, Dr. Adolph Kussmaul used the device to observe the inside of the human stomach, which was the first attempt to do so in human history. In 1881, Johann von Mikulicz and his peers created an endoscope similar to what we have today. However, the flexible iteration of this device only came around in 1932 that allowed stomach examination by using lens and a light to reflect the inside of a person’s stomach. 

More modern innovations on the endoscopy began in the late 1900s, particularly the photographic gastronomic camera developed by Japanese doctors. New materials such as glass fiber allowed American inventors to find ways to examine the stomach, however, photographic limitations applied, rendering the new material irrelevant. 

Finally, in 1964, a “gastronomic camera” was created, allowing doctors and surgeons to record stomach contents and view them as photographs. Eventually, gastronomic cameras were replaced by fiberscopes and this lead to the development of videoscopes.

With the advent of video cameras and TV display, doctors were able to enhance the process of endoscopy by projecting the live feed of the examination to HD screens. With modern endoscopy, nurses, doctors, and other medical professionals can study the stomach in real-time and make more accurate diagnoses thanks to high-quality resolution technology.

Purpose and Applications

1. Diagnosis

An endoscopy allows doctors to understand the nature of a disease. Additional procedures, such as a biopsy (the process of removing tissues for further study, usually by a pathologist), may be performed to rule out the possibility of diseases. 

2. Screening and Investigation

Bleeding, pain, fever, heartburn, nausea, and vomiting can be a cause for concern. An endoscopy is recommended by doctors as a way of verifying the cause for these symptoms. 

3. Treatment

An endoscopy can also be used for treatment purposes. Doctors can use the endoscope to study anatomical changes, especially for structural diseases. Using the camera, doctors can perform visual examination on a site and determine whether the current treatment plan is effective or not. 

An endoscopy may also be performed to treat certain disorders. For instance, an upper GI endoscopy can be used to treat bleeding stomach ulcers. 

Endoscopy VS Upper Endoscopy

Endoscopy describes a range of medical procedures that use an endoscope, which includes upper endoscopy. Upper endoscopy or esophagogastroduodenoscopy (EGD) refers to the endoscopic procedure studying the upper GI tract. The gastroenterologist inserts the tube through the mouth down to the small intestine to look for ulcers, growth, and other gastrointestinal abnormalities concerning the upper portion of the GI tract. 

On the other hand, endoscopy refers to any screening procedure that uses a thin, flexible tube with a camera and light attachment. There are many types of endoscopy procedures available that involve other parts of the body. 

Types of Endoscopy 

Below are the various endoscopy procedures done depending on the area being examined, treated, or diagnosed:

1. Arthroscopy 

Performed by making a small incision near a joint. An endoscope is passed through the joint to evaluate joint disorders such as arthritis. Arthroscopy is also used to repair joint tears and minor damages. 

2. Bronchoscopy 

Bronchoscopy is performed to study the bronchial tubes or the large tubes of the lungs branching into bronchus and bronchioles. This is done to look for tumors and growths in the lungs. Other medical procedures can be carried out alongside a bronchoscopy such as a biopsy or dilation. 

3. Colonoscopy 

Colonoscopy is one of the most common endoscopy procedures, routinely performed for patients 50 years old and above since they are at a higher risk of developing colon cancer. Patients undergoing colonoscopy are required to drink a colon prep drink to ensure accurate results. A colonoscopy is a procedure performed by inserting the endoscope through the rectum to look for colon polyps as a measure against colon cancer. 

4. Colposcopy

Cervical cancer is often diagnosed through pap smear. Colposcopy is recommended after doctors find reasons for further investigation following a pap smear. During a colposcopy, an endoscope is inserted through the vagina to study the cervix for signs of cervical cancer.

5. Cystoscopy

Disorders concerning the bladder can be diagnosed through a procedure called cystoscopy. During the exam, a thin tube is inserted through the urethra (the long tube where urine is transported from the bladder) to detect early signs of bladder cancer, for instance.

6. Endoscopic Retrograde Cholangiopancreatography 

Also known as ERCP, this type of endoscopy is inserted through the mouth down towards the pancreatic ducts. Unlike the upper GI, an ERCP exam is performed to study the pancreatic ducts in the liver and pancreas. The ERCP can be performed as a minimally invasive, non-surgical method of retrieving gallstones. 

7. Laparoscopy

A laparoscopy is a known method for removing an appendix, as a treatment for appendicitis. This procedure is also useful in determining a host of disorders concerning organs in the abdominal region, including infertility and liver problems. Laparoscopic surgery refers to the minimally invasive surgery achieved by making a small incision (usually half an inch long) where the laparoscope (camera) is inserted to accomplish the surgery. 

8. Laryngoscopy

Persistent coughing, throat pain, and bad breath are usually no cause for worry, but can be symptomatic of worse problems concerning the larynx. Laryngoscopy is performed to investigate these symptoms and visualize the larynx, often looking at growths in the throat or vocal cords to understand the cause of the problem.

9. Mediastinoscopy

Similar to an arthroscopy, mediastinoscopy is performed by making a small incision, this time above the breast bone. This procedure is used to examine the middle of the chest, also for lymph node removal in the case of lung cancer. 

10. Proctoscopy

The rectoscope, the tool used during a proctoscopy, is a bit different from the usual endoscope. Instead of a long, flexible tube, the rectoscope is a straight hollow tube with a small light bulb at the end used to inspect minor rectal problems such as hemorrhoids or more serious ones such as a rectal polyp.

11. Upper GI Endoscopy

Also referred to as esophagogastroduodenoscopy (EGD), this procedure is done by inserting a thin tube in the mouth to observe the esophagus, stomach, and duodenum. During an upper endoscopy, doctors may elect to perform other procedures such as esophageal dilation as a treatment for a narrowed esophagus. 

Learn more: A Complete Overview of Upper GI Endoscopy

Tools Used During Endoscopy 

Aside from the endoscope, doctors use other tools to perform an exam. These include:

Cytology brush for acquiring tissue and cell samples

Flexible forceps used to carefully acquire tissue samples

Suture removal tools that allow doctors to remove stitches inside the body 

Biopsy forceps designed to take samples of suspicious tissue and growth

Advancements in Endoscopy

Although modern endoscope has gone a long way from its early versions, contemporary inventors are still finding ways to improve the device. The current endoscope requires insertion through the mouth, anus, or by making a small incision in the treatment area. Although minimally invasive, this procedure can be off-putting for patients and could be detracting thousands of others who need to be screened. 

Advancements in endoscopy exist to eliminate the pain points of current endoscopic procedures. Two note-worthy developments include: 

Virtual Endoscopy

Virtual endoscopy works by using CT and MRI scans to reconstruct an area of the body. Three-dimensional pictures rendered in high quality are recreated to help doctors envision certain problem areas without the need for an endoscope. 

Virtual endoscopy is currently being used to inspect the urinary tract. While it is yet to replace cystoscopy completely, virtual endoscopies allow for the detection of small bladder abnormalities including lesions less than 5 mm. 

Virtual endoscopy is also being used as a competitive alternative to colonoscopy. With virtual endoscopy, no sedation is required and doctors are able to examine the entire colon even in patients with tumors. However, polyp screening efficiency tends to decrease with decreasing polyp size. 

Capsule Endoscopy

Another non-invasive procedure, capsule endoscopy is a unique technology that involves tiny cameras placed inside a capsule, which is swallowed by the patient. As the capsule travels through the intestine, the camera takes multiple photos of the small intestine and transmits these photos on a data recorder worn by the patient around the waist.

Among its many benefits, capsule endoscopy allows clear visualization of the esophagus, stomach, bowels, and colon. It is also beneficial in detecting lesions and occult bleeding (bleeding that is invisible to the naked eye).

Patients are asked to return to the medical facility 8-10 hours after ingesting the camera to retrieve the recording device. The camera will be naturally flushed out through bowel movement. 

Although rare, it’s possible for the tiny camera to get lodged in the small intestine, causing obstruction. When this happens, the capsule has to be removed through surgery or an upper endoscopy, depending on the location of the camera. 

Schedule Your Endoscopy Today 

At Gastro Center NJ, our facilities are fully equipped to perform gastrointestinal endoscopy.

Not sure what endoscopy procedure you should get for your symptoms? Get in touch with us today for a consultation. 

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A Complete Overview of Upper GI Endoscopy

An upper endoscopy, sometimes referred to as esophagogastroduodenoscopy or EGD, is a type of endoscopy performed on the upper GI tract. This procedure is considered the golden standard for identifying certain gastrointestinal disorders such as celiac disease.

Unlike its lower GI tract counterpart, colonoscopy, an endoscopy doesn’t require patients to prepare with a cleanse. A clear liquid diet is usually enough to ensure the exam’s success. This procedure is currently being used to diagnose anything from stomach cancer to ulcers and is an integral part of maintaining one’s upper GI health. 

So, are upper GI endoscopies necessary? This depends on your case. Some patients might benefit from blood tests and imaging services, while others might require a definitive visual diagnosis from an upper GI. This is especially true for GI disorders that involve structural abnormalities such as stomach cancer (even in its early stage) and peptic ulcer. 

Before getting an upper endoscopy, it’s important to understand crucial information that will help you prepare for the procedure. In this article, we discuss everything from costs, to risks, to aftercare in order to prepare for a comfortable and successful upper GI. 

Introduction to the Upper GI 

The upper GI (upper gastrointestinal tract) refers to the organs and mechanisms in the upper tract of the gastrointestinal system. The distinction “upper” and “lower” exists to allow medical professionals to easily identify the site of an abnormality, for example, gastrointestinal bleeding. 

The organs in the upper GI are: 

Mouth: The mouth is the entryway of food to the digestive tract. Enzyme-containing saliva is released during food intake to help break down carbohydrates. When swallowed, food travels down the pharynx and into the esophagus 

Pharynx: The pharynx is a membrane that connects the nose and mouth to the esophagus. Its primary role is to serve as a pathway for food as it travels down the esophagus.

Esophagus: The esophagus is a hollow tube that extends from the pharynx to the stomach. A “valve” called the lower esophageal sphincter serves as a door that allows food to enter the esophagus, while ensuring that the stomach contents aren’t regurgitated back up. However, this valve can malfunction, leading to a condition called acid reflux.

Stomach: The stomach receives ingested food and continues to digest it by releasing acids and enzymes to further break down the food. The stomach secretes acids to aid with digestion and kill any residual bacteria from food and drink, and mucus to protect the stomach lining. 

Duodenum: The duodenum is the first section of the small intestine. Here, nutrients are absorbed and food is further digested. As the food passes through the duodenum, secretions from the pancreas and Brunner glands are triggered to neutralize the acid and protect the small intestine. 

Upper GI Complications

Disorders concerning the upper GI are common. Upper GI complications can arise due to a variety of reasons, creating alarming symptoms that could cause anxiety, pain, and reduced quality of life. 

For instance, gastro-esophageal reflux disease (GERD) affects about 20% of the U.S. population and is considered one of the most common chronic gastrointestinal diseases.

The stomach functions best when the stomach lining called mucosa is able to maintain a balance between acid and mucus secretion. When disrupted, this can lead to ulcers, erosion, and even tumor. The American Cancer Society predicts that 27,510 cases of stomach cancer will be diagnosed in 2019, with less than half of those patients reaching mortality. 

Although alarming, upper GI disorders are now easily managed thanks to advanced screening methods such as endoscopy. 

Overview on Upper GI Endoscopy

Understanding the nature of your upper GI is made possible through a sophisticated method of visual examination. Through an endoscopy, medical specialists can clearly observe the location and condition of an ulcer, growth, infection, or any other GI abnormality. 

What Is an Upper GI Endoscopy? 

An endoscopy (also called an esophagogastroduodenoscopy or EGD) is a procedure that uses a viewing tool called an endoscope. The endoscope is a thin, flexible tube inserted through the mouth and is gently moved down to inspect the throat, stomach, and duodenum. This tool is equipped with a camera and a small flashlight, which projects images onto a computer. Some endoscopes are equipped with a colored light to aid in the detection of precancerous conditions. This is referred to as narrow band imaging. 

Upper GI Fluoroscopy VS Endoscopy

CT scans, ultrasounds, and other imaging techniques are also a viable method of diagnosis. For diagnosing abnormalities concerning the upper GI tract, a specialized x-ray called fluoroscopy is used in order to study everything from the esophagus to the duodenum. A contrast material such as barium is ingested which allows the scan to reflect the inside of the body using minor exposure to radiation. 

Fluoroscopy is performed to detect ulcers, tumors, and inflammation. It is usually recommended after an ultrasound or x-ray has detected an abnormality that needs further probing. Unlike regular x-rays, fluoroscopy uses radiation imaging to examine the GI tract. 

Unlike an endoscopy, fluoroscopy is a non-invasive procedure. At most, the patient is required to take the contrast material and to restrict diet and relevant medication in order to produce the best results. 

Fluoroscopy is useful in detecting clearly visible large ulcers. Infections such as those caused by the bacterium Helicobacter pylori may also be detected. However, additional tests are required in order to confirm the bacterial presence. 

Despite its many uses, fluoroscopy is unable to localize abnormalities and detect smaller growth in the GI tract. On the other hand, an upper endoscopy gives doctors complete visuals of the GI tract, making for a more accurate diagnosis. During an endoscopy, doctors may also perform a biopsy for further study or complete tissue removal. Results are sent back to a lab where pathologists can determine whether the cells are precancerous or show strains of bacterial infection. 

Upper Endoscopy VS Colonoscopy

A colonoscopy is performed to observe the colon, which is found in the lower part of the gastrointestinal tract, whereas an upper endoscopy is performed to observe the esophagus, stomach, and duodenum – all found in the upper GI tract. 

A colonoscopy is a procedure that also involves an endoscope to investigate the colon. This procedure is done to evaluate symptoms such as rectal bleeding, changes in bowel habits, constipation, and abdominal pain. 

Unlike colonoscopy, an upper endoscopy doesn’t require bowel cleansing. Although patients are required to undergo a clear diet, patients undergoing an upper endoscopy don’t have to take any laxatives to clean out the upper GI tract. 

Individuals 50 years old and above are at above-average risk for colon cancer. As such, a colonoscopy is encouraged for all adults, especially for individuals who are more predisposed to developing colon cancer due to genetics and medical history. 

Read more: Is Colonoscopy Necessary for Everyone?

Meanwhile, there is no recommended age for upper GI screening. An upper endoscopy will be recommended to a patient once crucial signs and symptoms show. 

Reasons For Upper GI Endoscopy 

An upper endoscopy may be recommended to satisfy the following: 

1. Diagnose Diseases

Doctors may perform a biopsy, a process involving the removal of tissue samples, in order to test for diseases. Bleeding, inflammation, blood loss, and irregular bowel movements can be a cause for concern, especially when these signs are accompanied by other symptoms and worsen with time. As such an endoscopy is performed to diagnose abnormalities in the gastrointestinal tract and rule out the possibility of diseases. 

2. Investigate Symptoms 

Persistent symptoms, both related to digestion and food consumption, can point to problems in the GI tract. As such, an upper endoscopy is performed to locate the source of the problem. The most common symptoms that prompt an upper GI endoscopy are:

Persistent stomach, abdominal, or chest pain 

Difficulty swallowing

Bloating and discomfort after eating 

Ulcer, gastritis, high levels of acidity 

Inconsistent bowel habits

Chronic constipation 

Bleeding 

Heartburn or acid reflux

Nausea 

Vomiting

3. Treat Disorders and Diseases

An upper GI endoscopy can also be used as a treatment tool. After discovering an abnormal growth or polyp along the upper gastrointestinal tract, an endoscopy may be performed to remove the polyp from the stomach lining to prevent the polyp from morphing into cancerous growth. An upper GI endoscopy can also be used to treat conditions such as bleeding from ulcers. 

An upper GI endoscopy can also be used to aid in other treatment methods. For patients with benign esophageal stricture (narrowing of the esophagus), the treatment called esophageal dilation is performed during an endoscopy. 

What Can Upper GI Endoscopy Detect?

An upper GI endoscopy is useful in treating various disorders affecting the gastrointestinal tract. These include:

1. Blockages and other structural problems

Patients suffering from an obstruction in the GI tract may experience nausea, vomiting that contains food and drinks, and constipation. Obstructions can appear on the GI tract as a result of growths blocking food and fluids from passing through the gastrointestinal system. 

Blockages are common in patients with esophageal and stomach cancer. As such, an upper endoscopy can confirm the presence of a blockage. When found, doctors may perform surgery to remove the obstruction along the GI tract. 

2. Ulcers 

Ulcers are sores that appear on the lining of the stomach and small intestine. Peptic ulcers are ulcers localized in the upper GI, which includes gastric ulcers (stomach ulcers) and duodenal ulcers (ulcers located in the duodenum). 

Common causes for ulcers include the presence of the bacterium Helicobacter pylori and long-term overuse of NSAIDs. Patients usually report feeling stomach pain, intolerance to fatty foods and drinks, and heartburn. 

An endoscope is performed to confirm the presence of an ulcer. Doctors may recommend performing a biopsy in order to rule out the H. pylori bacterium as the cause for the ulcer. 

3. Gastroesophageal Reflux Disease 

Chronic acid reflux and heartburn are characterized as gastroesophageal reflux disease or GERD. Acid reflux occurs when the lower esophageal sphincter malfunctions, allowing stomach contents to travel back up the esophagus, sometimes reaching the mouth. 

Patients with GERD report bile-tasting acid traveling back up the esophagus, which can often irritate the esophagus lining. As such, an endoscopy can be instrumental in diagnosing GERD. 

In an attempt to identify GERD, the endoscopist will be looking for acidic damage along the esophagus lining, as well as hernia and other physical abnormalities. More importantly, doctors will keep an eye out for the symptoms of Barett’s esophagus, a complication that is associated with a higher chance of developing esophageal cancer. 

Individuals with GERD might experience esophageal narrowing due to prolonged exposure to acid damage. In the event of esophageal narrowing, doctors may perform esophageal dilation (or the stretching of the esophagus) as part of the endoscopy. 

4. Stomach Cancer 

An upper endoscopy is a definitive test in identifying stomach cancer. Used both as a diagnosis and a screening tool, an upper endoscopy may help doctors distinguish cancerous lesions from normal lesions. 

In its early stages, stomach cancer appears as small and subtle lesions on the stomach lining. Alternatively, stomach cancer may also appear like an ulcer with visible mass or flat parts. Even without the use of other imaging methods, doctors with a trained eye can identify pre-cancerous tissue just by evaluating its structure alone.

5. Celiac Disease

Celiac disease is a disorder wherein the body is unable to process gluten. As an immune system response to gluten, patients experience inflammation and minor intestinal damage. A blood test is the go-to method for identifying celiac disease. However, test results can sometimes come out inaccurate, at which point an endoscopy would be recommended by the doctor. 

Small finger-like tissues called villi exist in the small intestine. Individuals with celiac disease usually have fat villi, caused by the body’s adverse reaction to gluten. As such, endoscopists investigate the small intestine and observe whether the villi is flattened or in normal shape. 

When Is Upper GI Endoscopy Not Useful?

Despite its many benefits, an upper GI endoscopy may not be beneficial for patients with the following conditions: 

Organ perforation in the upper GI tract 

Diagnosing or treating irritable bowel syndrome 

Acute diverticulitis

Colon inflammation 

Severe gastrointestinal bleeding 

Severe upper GI bleeding

Coronary artery disease or any other heart-related disorder

Peritonitis 

Bleeding in the abdomen caused by torn blood vessel 

Who Performs an Upper Endoscopy?

An upper endoscopy is routinely performed by a gastroenterologist. A surgeon or any other trained medical professional may also perform an upper GI endoscopy. This procedure is usually done in a doctor’s office, hospital, or gastrointestinal clinic. 

Understanding the Procedure

Upper GI endoscopy involves various components that contribute to its success. Knowing key information about the procedure will help you prepare for your upper endoscopy, ensuring accurate results. 

Before the Procedure

Patients should inform doctors regarding medical history, medicine use, and family medical history. These variables are important in deciding whether an upper endoscopy is the best screening or diagnostic method for the patient. Medications that may interfere with the test will be suspended. 

Minor fasting is involved in an upper endoscopy. Patients will be required not to eat or drink 8 hours before the test to ensure test accuracy. Only clear liquids such as water, clear juice, broth, and coffee and tea without cream are allowed. As with a colonoscopy, foods with dye are to be avoided. The use of NSAIDs and blood-thinning drugs before an upper endoscopy is also prohibited. No laxatives and preparations are necessary. 

A sedative is usually administered during the procedure, typically through an IV line, to help patients relax during the procedure. Arrange a ride home after the procedure. Some medical centers would go as far as to not let patients have the procedure until they prove they have a designated driver. 

During the Procedure

An upper endoscopy is an outpatient procedure that is typically performed in 30-60 minutes. During the procedure, doctors will administer sedatives to minimize discomfort and allow relaxation. Doctors may spray an anesthetic to numb the throat in preparation for the endoscope. A mouth guard may be applied to help keep the mouth open. 

Although endoscopy is a painless procedure, it’s normal to feel some pressure in the throat as the tube makes its way down the upper GI. The gastroenterologist may instruct you to swallow during the exam. 

The endoscope will project images of your upper digestive tract onto a computer. The doctor will be using this to investigate any symptoms and understand the cause of any abnormality. During an endoscopy, the gastroenterologist may gently inflate your digestive tract in order to navigate the tract more freely. 

Complications and Risks 

Gastrointestinal Perforation

Although uncommon, gastrointestinal tearing can occur during an endoscopy. This happens when the endoscope damages the gastrointestinal lining, which could lead to hospitalization. The risk of GI perforation increases when other procedures are performed alongside the endoscopy, such as esophagus dilation. 

Infection 

Contamination on endoscopes is possible without proper disinfection and sterilization methods. Bacteria may form on the surface of the endoscope and can be transferred from one patient to another. Despite this, infections from endoscopies can easily be treated with antibiotics. Ask your doctor about preventive antibiotics before the procedure so you don’t have to worry about contracting a bacterial infection. 

Bleeding

Bleeding from an endoscopy may be caused by a biopsy or any other accompanying procedure. A blood transfusion might be necessary in the event of bleeding. However, this is extremely rare and unlikely to happen in standalone upper endoscopies.

Allergies and Sensitive Reactions

Negative reactions to sedatives and anesthesia are possible. It’s important to talk to your doctor about any known allergies to mitigate the risk of complications during the procedure itself. If applicable, discuss your previous surgical history and note instances of allergic or severe reactions to anesthetics and sedatives. 

Things to Watch Out For

Dizziness and disorientation is normal within 24 hours after the procedure. Get in touch with a medical professional if a patient is exhibiting the following problems following an upper endoscopy: 

Black, tarry, stool or any other unusual bowel appearance

Heart palpitations and shortness of breath

Fever

Vomiting, with blood or without

Severe chest pain

Unusual abdominal pain 

Gastrointestinal bleeding 

Discomfort in the throat

Pain during swallowing

Difficulty breathing

Cost and Insurance

Costs on upper endoscopy vary depending on a patient’s gastroenterologist, city, and facility you are doing it in. On average, an upper endoscopy can cost anywhere from $1,200 to $3,300. This usually includes sedative, anesthetic, and doctor’s fees. 

Coverage for endoscopies depend on your healthcare plan. Get in touch with your insurance provider and ask whether or not a gastrointestinal endoscopy is covered in your plan. 

After the Upper GI Endoscopy 

Common Side Effects, Recovery, and After Care

Doctors may ask you to stay in the medical facility 1-2 hours after the procedure as the sedative wears off. Patients are allowed to leave the hospital after an endoscopy, but will be instructed to rest at home within the day. Avoid any physical activities throughout the day and allow the sedative to wear off completely.

We recommend easing into your normal diet at least 24 hours after the procedure. After that, you are free to consume your normal meals. Keep in mind that a sore throat is a common side-effect of endoscopy and will go away in a matter of days. Bloating and nausea are other common side-effects.

How Long Do Results Take?

Results are typically available 1-2 days after the examination. Additional days may be required if a biopsy was performed alongside the endoscopy. You will get a call from your gastroenterologist asking you to come back to the clinic to discuss the results once a final report has been sent. 

Understand the State of Your Upper GI 

Your upper gastrointestinal tract is a crucial part of the digestive process. At Gastro Center in New Jersey, we are equipped with the latest tools and techniques to make your upper endoscopy a comfortable experience.

Worried about some symptoms? Book an appointment with us today and get the answers you’ve been waiting for. 

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Can Intermittent Fasting Help IBS?

Watchful eating, regular exercise, medication and antibiotics are traditional methods of managing IBS symptoms. However, more and more patients are recognizing the benefits of intermittent fasting in dealing with IBS. 

Can intermittent fasting help with IBS? Anecdotal evidence shows that intermittent fasting can indeed improve a patient’s quality of life by reducing pain and discomfort, as well as regulating bowel movements. 

In this article, we talk about the benefits of intermittent fasting on IBS, and what happens in your body when your intestines aren’t busy digesting food.

What Is Intermittent Fasting

Intermittent fasting (or IF) is an eating pattern with periods or cycles of eating and fasting. Unlike regular meal times, people on an IF schedule fast for a specific number of hours and only eat within a certain window. Intermittent fasting is not concerned with the kinds of food you eat but is more focused on the timing of consumption. 

Intermittent Fasting VS Regular Fasting

Regular fasting can be predicated on medical conditions or religious practices. Individuals undergoing a fast go on hours of not eating, sometimes extending to days, in respect to medical prerequisites (when preparing for a colonoscopy) or according to religious mandates (during the holy month of Ramadan). 

On the other hand, intermittent fasting is a dietary option usually done for its perceived benefits, the most popular of which is weight loss. Unlike regular fasting, intermittent fasting follows a schedule and is recurring. Individuals who adopt IF often make adjustments to their lifestyle, specifically with their meal times, in order to accommodate the cycles of eating and fasting. 

Read more: Can IBS Cause Weight Gain and What Can You Do About It

Types of Intermittent Fasting

The key principle of intermittent fasting is limiting your meal times within a certain window. As such, there is no one way to do IF. Below are three of the most popular ways to do IF: 

1. 16/8 Method

Considered by many as the most sustainable way to perform IF. The 16/8 method involves 16 hours of fasting and a window of 8 hours for consumption. The 16/8 window can be adjusted into 14-16 hours of fasting with 8-10 hours of consumption.

The 16/8 is sustainable because it already resembles regular feeding patterns. An example of a 16/8 method is eating your last meal at 6 PM and eating your next meal at 10 am. To many people, this eating pattern is already instinctive and doesn’t need to be reinforced. But to those who tend to snack every hour, IF might prove beneficial for their weight loss goals. 

2. 5:2 Fasting

The 16/8 method requires a daily commitment to the fasting and eating times. Another option called the 5:2 fasting only involves 2 days of fasting every week. Instead of consuming the usual 1,500 – 2,000 calories per day, dieters are expected to eat only 500 – 600 calories for two select days and eat normally for the rest of the week.

Although less restrictive, the lower amount of calories consumed twice a week may prove too few for some individuals. The 5:2 fasting is typically not recommended for individuals who need consistently high energy to complete their day to day activities. 

3. Eat-Stop-Eat 

Eat-Stop-Eat refers to a 24-hour fasting cycle done one to two times a week. Doctors don’t recommend fasting for more than 24 hours for longer than 3 days because this can severely impact your energy levels. 

Drinking water, coffee, and tea are allowed during the 24-hour fast. Caloric beverages such as energy drinks and shakes are also not allowed. Individuals doing the eat-stop-eat IF are recommended to reach their daily caloric goals on their feeding days. Additional restriction on non-fasting days can increase the chances of failure and lead to binge eating. 

The Effect of Intermittent Fasting On IBS

Intermittent fasting has many known benefits. For people who want to lose weight, IF offers an opportunity to cut down on calories and control one’s relationship with food. But its real health benefits hailed by science go beyond cutting down extra weight.

By altering feeding and fasting cycles, the body is able to “take a break” from digesting food. The modern human consumes a significant amount of preservatives from everyday foods. But even without these preservatives, sugars, oils, and salts in the system, the mere quantity of food being digested today is usually enough to upset the stomach, which is especially true for people with IBS. 

IF allows the body to restart certain metabolic processes that promote better overall health. Studies show that intermittent fasting can decrease inflammatory responses and reduce stress, both of which are crucial in managing gastrointestinal syndromes, specifically IBS.

How Intermittent Fasting Can Help With IBS

For the majority of IBS patients, food consumption often triggers symptoms. Diarrhea, bloating, and abdominal pain can occur immediately after eating. Intermittent fasting can help manage symptoms by limiting gut responses to specific meal times. 

Read more: What Makes Irritable Bowel Syndrome Worse?

This means that patients no longer have to endure discomfort throughout the day. Instead of feeling abdominal pain 24/7, patients who undergo intermittent fasting have better control over their symptoms, and can easily make adjustments in order to prevent any episodes. 

More importantly, IF allows the gut to relax and repair itself by establishing periods of non-consumption. Instead of introducing new foods every 3 hours or so, the gastrointestinal system doesn’t have to work on digesting foods, which for many patients is enough to trigger abdominal pain and distension. 

With no food to process, the gastrointestinal system doesn’t produce any uncomfortable responses. When done right, intermittent fasting can put an end to urgent bowel movements, constipation, and bloating. 

Patient Success With Intermittent Fasting

Although more research is needed to make intermittent fasting a definitive solution to managing IBS symptoms, anecdotal evidence shows that IF can significantly improve a patient’s quality of life. 

Patients report a “lighter” experience due to the eating restrictions necessary to perform intermittent fasting. Patients feel less bloated and less prone to urgent bowel movements. For patients whose sleep is disturbed by untimely bowel movements, IBS has been proven to regulate their toilet visits as long as a strict eating window is followed. 

One patient affirms that intermittent fasting has helped regulate his bowel movements. With a slow digestive system, food takes a lot longer to process and is often expelled at irregular times. Even then, as is the case with majority of IBS cases, the bowel movement doesn’t relieve the feeling of having to go to the toilet. 

But with intermittent fasting, patients have reported a significant improvement in abdominal pain, distension, irregular bowel movements, and stool consistency. 

Benefits of IF for IBS: The Science Behind a Clean Gut

The feeling of being “lighter” and “cleaner” after adopting intermittent fasting isn’t just a placebo effect. IF activates certain mechanisms that are difficult to maintain with constant eating. Periods of fasting or “emptiness” allow the gastrointestinal system to resume maintenance procedures that normally wouldn’t be triggered during digestion.

The Role of Bacteria in IBS

Changes in gut bacteria can interfere with normal intestinal functions, affecting intestinal motility (or the movement of the intestinal muscles) as well as mucus secretion that protects the intestinal lining. 

Bacterial composition changes depending on a person’s age, environment, eating habits, and drug use. However, bacterial cultures in IBS patients are different from healthy individuals, in that beneficial bacteria are lower in individuals with IBS. 

In order to control the symptoms, it’s important to promote bacterial balance in the gut in order to restore normal digestive functions. 

What Is the Migrating Motor Complex (MMC)

The migrating motor complex is a series of processes in the gastrointestinal system. Although what triggers the MMC is still unclear, scientists have observed that this kicks in about three hours after the last meal. 

The MMC’s primary role in the digestive process is to clean out any undigested residual material. Extra bile secretions are also observed during the MMC, which plays a crucial role in maintaining a healthy habitat for beneficial bacterial culture. Bile is also known to manage systemic inflammation, which is useful to patients trying to regulate their IBS symptoms. 

Here’s a general rundown of what happens when the MMC is activated:

Smooth muscle contractions happen and during which stomach acid is secreted

This stomach acid will sweep away undigested food particles and bacteria left over in the stomach

Muscle contractions will aid in moving particles along into the pylorus, a “valve” that separates the stomach and the small intestine

Stomach contents move through the small intestine

Pancreas and gallbladder enzymes are released to neutralize stomach acid 

The small intestine moves the enzymes and stomach contents towards the colon

As bile moves through the gastrointestinal system, it starts killing off residual bacteria, preventing any from attaching to the gut wall

Bile is redirected into the gallbladder and reabsorbed. During which, antimicrobials are released again to eliminate any remaining bacteria

Bacteria and other stomach contents move to the colon and stays there until the next MMC or until food is consumed

The MMC occurs every 1.5 to 2 hours as long as no food is present. Once food is reintroduced into the system, the MMC stops completely. Instead of “maintenance”, food in the stomach signals your body to redivert its energy to digesting food instead.

Is it bad to interrupt the MMC? Yes. Continuous interruptions of the MMC can lead to bacterial build up in the small intestine. Healthier individuals are equipped with the system to fight off any effects of bacterial build-up. However, IBS patients, due to an increased sensitivity, will only suffer the effects of bacterial overgrowth in the small intestine. 

Increasing Good Bacteria: Firmicutes and IBS

IBS patients are no strangers to the world of antibiotics. Prescriptions are taken regularly, often after every meal, to control bacterial growth in the gut. However, some studies suggest that beneficial bacteria can be cultivated in the gut just through intermittent fasting alone. 

Animal studies and a number of human intervention runs have shown that intermittent fasting can encourage the regrowth of good bacteria and aid in fighting off bacterial attacks. A study involving Salmonella-infected mice reported that an alternate day fasting for 12 weeks resulted in better immune responses and increased mucus production that protected the intestinal lining.

The same is also applicable to human hosts.  A study found out that an increase in the bacteria Firmicutes is observed after intermittent fasting. Firmicute bacteria are associated with reduced inflammation in the gut. 

When Is Intermittent Fasting Not Beneficial For IBS?

Just like a low FODMAP diet, success with intermittent fasting isn’t guaranteed. Depending on your type of IBS, your stomach might respond negatively to a lack of food. 

Intermittent fasting may not be useful for patients whose symptoms occur as a response to an empty stomach. Patients who experience acid reflux and abdominal pain due to an empty stomach are not good candidates for intermittent fasting.

As with any new technique for managing symptoms, we suggest easing into this new process. Instead of fasting for 24 hours or even 16 hours, we recommend doing shorter fast times in order to evaluate whether or not your stomach is against fasting. 

In order to preserve the benefits of intermittent fasting, make sure you don’t overeat during your feeding time. Consuming excess calories during your feeding time is only going to make your fasting attempt irrelevant. Stick to a healthy calorie limit and eat foods that won’t aggravate your symptoms. 

Read more: Irritable Bowel Syndrome: Symptoms and Causes

Managing IBS With Gastro Center in New Jersey 

IBS is a long-term battle that requires patience, understanding, and proactive medical help. At Gastro Center NJ, our goal is to find the right lifestyle modifications to improve your quality of life.

Book a consultation with us today to learn more about the different techniques used to manage IBS symptoms, and how intermittent fasting can benefit you. 

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5 Exercises to Avoid If You Suffer from IBS and What Are Your Alternatives

Exercise might be the last thing on your mind as an IBS patient, but science proves that becoming more active might just be what you need to manage IBS symptoms. However, some exercises are known to worsen symptoms instead of improving them.

So, what exercises should you avoid when you have IBS? The rule of thumb is to avoid anything that involves intense movements and rapid bouncing. These include Crossfit, running, ball sports, HIIT circuits, and boxing and martial arts.

Despite these restrictions, there are other exercises available to IBS patients that will strengthen the body without negatively affecting your gastrointestinal system.

IBS and Exercise

How Can Exercise Affect IBS? 

IBS patients experience episodes of diarrhea, constipation, and abdominal pain. These symptoms come and go depending on one’s lifestyle choices. Maintaining a nutritious, IBS-friendly diet and adopting healthy eating habits are the most important factors in managing IBS symptoms.

Learn more: Irritable Bowel Syndrome: Symptoms and Causes

The relationship between IBS and exercise isn’t so straightforward. On the one hand, exercise has been proven to improve patient symptoms. Engaging in 30 to 40 minutes of exercise daily for at least 3 months is proven to be useful in managing pain and regulating bowel movements.

Meanwhile, too much exercise could also exacerbate IBS symptoms. The risk of gut damage increases with exercise duration and intensity, making the gut more vulnerable to pathogenic attacks. Abnormal mucus discharge can occur in the gastrointestinal system, which can lead to bacterial cultivation. Over-exercising can lead to an unstable gut, and as a result, worsen pre-existing IBS symptoms.

Can IBS Patients Still Exercise? 

Yes, provided that the exercise is low to moderate in intensity. In fact, exercise can prove beneficial to IBS patients as long as they choose activities that won’t aggravate the gut. However, not all exercises are created equally so it’s important to be mindful of how certain movements affect your symptoms. 

We recommend taking an exercise log to help you identify which exercises are worsening your IBS symptoms. Certain alterations to stressful movements can also be done in order to reap the full benefits of a specific exercise, without having to worry about suffering through exercise-induced consequences. 

Incorporating Exercise In a Patient’s Routine

As a patient experiencing diarrhea or constipation, exercising might be the last thing on your list. But studies have shown that incorporating an exercise routine, even something as simple as reaching a 10,000 step count every day, is important in managing your overall health. 

Milder exercises can also pave the way to more advanced exercises. If you aren’t keen on doing yoga or pilates, you can start off with some basic stretching in the morning coupled with light walking. Eventually, your body will get used to the amount of physical activity and you’ll be able to do advanced exercises without any problems. 

Get in touch with a trainer or fitness instructor who is informed with gastrointestinal problems. Together you can create a fitness routine that will be beneficial for your health while ensuring that your gastrointestinal system won’t be irritated. 

IBS and Weight Gain

Another reason to adopt an exercise routine is to prevent weight gain. Although uncommon, IBS patients may gain excess weight due to hormonal changes and dietary restrictions. With a proper exercise regimen, IBS patients can stay in shape without worsening symptoms. 

Read more: Can IBS Cause Weight Gain and What Can You Do About It

Top Exercises to Avoid, and What to Do Instead

Not all exercises are beneficial to the body, especially for people who are trying to get their IBS symptoms under control. Below are the top 5 exercises to be avoided if you are suffering from IBS symptoms:

1. Running

Running is the go-to exercise for enhancing cardiovascular strength. It’s also a great way to tone your legs and speed up the fat loss process. However, running might not be the best option for IBS patients.

Even with multiple health benefits, running usually leads to abdominal cramping, which may trigger diarrhea and worsen abdominal pain. Jogging might produce a similar effect due to the bouncing motion involving the torso. 

Alternative: Instead of running, consider something a little more low impact like brisk walking. This exercise is gentle on the knees and won’t require a rapid bouncing motion that may upset the stomach. 10,000 steps daily is the recommended step count for a healthier lifestyle. 

For a more challenging session, try walking up and down the stairs or an inclined plane in order to increase your heart rate. 

2. Sports Involving Balls

Sports are another fantastic way to get exercise, but unfortunately for IBS patients, the quick rapid movements and roughness that sometimes come from ball sports may prove too irritating for the stomach. 

Ball sports specifically basketball, volleyball, football (both American and European), and tennis require full body movements that could trigger muscle spasms in the abdomen. This could translate to an irritated stomach for IBS patients. 

Alternative: Ball sports are beneficial to the body because they combine strength training with cardiovascular exercise. Biking is a low intensity exercise that provides both benefits. It’s a good alternative to running and ball sports because it engages the full body and allows cardiovascular training, without putting stress on the gut. 

While biking on its own can already be a challenging exercise, you can raise the intensity by going up an inclined path. Just make sure you track your heart rate so you don’t overexert yourself. 

3. High Intensity Interval Training (HIIT)

HIIT workouts usually come in the form of 5-10 exercises done in 60-second intervals. The idea behind HIIT is to push your body for at least 60 seconds before resting for a 30-second period. Naturally, this kind of exercise can make your gut suffer, leading to diarrhea and abdominal pain. 

Alternative: Low-intensity alternatives such as yoga and pilates are a great way to engage the muscles, minus the intensity of HIIT. However, beware of poses and moves that require tilting since this might irritate the stomach. You can always talk to your instructor for movement modifications that are safe to IBS patients. 

4. Crossfit and Intense Weight Training

Like HIIT, Crossfit requires powerful, sudden bursts of movement that engages the full body. It’s common for Crossfit athletes to perform 4-8 repetitions of heavy-weight, high-power exercise in order to reap the full benefits of a movement. 

Similarly, unmodified weight training sessions, especially compound lifts such as squatting and deadlifting, require motions that exert pressure on the abdominal area. Aside from the movement, the intensity alone can prove too stressful to the body and lead to exercise-induced IBS. 

Alternative: IBS patients don’t have to steer clear of weight training altogether. But instead of compound lifts, focus on lower weight and high repetition movements in order to build muscle. 

Replace exercises involving bars and barbells for dumbbells and machines. This way, you take much of the load off from your own body, allowing you to focus your strength on individual muscle groups instead of relying on full and total body strength. 

5. Boxing and Martial Arts

Boxing and martial arts involve agile movements and muscle endurance. These sports usually involve sparring with someone, typically a trainer, or sometimes another student in the same class. Needless to say, both activities, like HIIT, are too intense for patients with IBS. 

Alternative: Instead of high-intensity sports like boxing and martial arts, we suggest switching to physical activities that can still engage full body movement, without the level of intensity usually associated with ball sports. 

Swimming is one of the best exercises for IBS patients, precisely because it engages both the upper body, back, and lower body muscles, without aggravating the gut. Swimming is also a fantastic exercise for your cardiovascular system, meaning you get a full workout just by doing 10-20 laps. 

Improving Your Lifestyle, One Step At a Time

We at Gastro Center in New Jersey are committed in helping you create big changes to your health with even the smallest lifestyle adjustments. With the right fitness program and a suitable nutritional plan, you can manage your IBS symptoms and improve your overall quality of life.

Get in touch with us today to book a consultation. 

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Can IBS Cause Weight Gain and What Can You Do About It

Patients with gastrointestinal problems often experience unprecedented weight change as a side-effect of their disorder. Weight gain or loss can occur depending on a handful of factors.

For example, patients with IBS experiencing constipation and abdominal pain may keep themselves from eating in order to alleviate symptoms. On the other hand, patients with GERD may find themselves eating constantly in order to suppress acid flare-ups. 

So can IBS patients experience weight gain? Yes. This could be due to a host of factors involving hormonal activity, diet, and lack of exercise. The good news is that weight gain from IBS is easily manageable with lifestyle changes. 

How IBS Causes Weight Gain 

Weight change from IBS is likelier to result in weight loss. For irritable bowel syndrome patients, this could be caused by the inefficient nutrient absorption from food and urgent bowel movements that can come right after eating. The discomfort may be associated with food, which could prevent patients from eating.

Read more: Irritable Bowel Syndrome: Symptoms and Causes

While uncommon, IBS patients can also experience weight gain which involves a few factors. These include:

1. Hormonal Activity

One study suggests that weight gain from IBS is due to the hormones residing in the gut, specifically those that control appetite. Researchers found that hormones related to appetite are abnormal in IBS patients. Increased food intake and an insatiable appetite could be the result of fluctuating gut hormones. 

2. Obesity and IBS

Some scientists believe that existing weight problems may contribute to the development of IBS. However, further studies are required in order to properly establish a link between obesity and IBS. Meanwhile, another study pointed out that IBS symptoms are aggravated in obese patients because of the problems in satiation signals in IBS patients. 

3. Improper Diet

Patients with irritable bowel syndrome have more limited food options than healthy people. Dietary restrictions can lead to nutritional imbalance and overeating. Some patients could be consuming more rice, mashed potatoes, and starchy foods more than other food groups in order to alleviate certain symptoms.

Even certain fruits and vegetables are considered food triggers for IBS patients, which can make meal preparation more challenging. As a result, patients can stick to eating certain foods which could be calorie dense, resulting in weight gain. 

4. Complications With Physical Activity

HIIT (high-intensity interval training) is one of the best ways to lose weight. Unfortunately, it is also one of the easiest ways to trigger IBS symptoms. Exercises that involve running and jumping can also trigger gastrointestinal stress. Patients may find themselves reluctant to hop on a treadmill in fear of setting off symptoms. 

Weight Gain VS Bloating

Bloating is a common symptom of IBS and could be interpreted as weight gain. While the actual cause of bloating is still unknown, excessive gas does not actually cause bloating.

Other causes could be impaired motility (intestinal muscle contractions that move food and other contents through the walls), bacterial growth in the small intestine, and sensitive abdominal walls to name a few.

It’s fairly easy to differentiate bloating from weight gain: bloating often lasts for 1-5 days and is centered on the stomach, while weight gain is apparent in all areas of the body and usually does not recede on its own. 

Bloating also has the following characteristics:

Commonly described as increased abdominal pressure

Often gets worse immediately after meals

Stomach can start flat out in the day and get bloated at night

Usually subsides overnight 

It is one of the more manageable symptoms of IBS. Below are some tips for dealing with bloating: 

Eat slower: For some people, bloating is only perceived and can’t be physically observed. To reduce the feeling of pressure around the abdomen, we recommend eating smaller meals to prevent discomfort. 

Take digestive supplements: Over-the-counter digestive enzyme supplements are available to help people absorb indigestible carbohydrates. For example, the intestine is not equipped with enzymes to digest a string of enzymes called FODMAPs, which could require people with sensitive intestines to get supplementary aid. 

Watch your diet: Foods high in sugar and salt can lead to water retention and result in distention, or the physical increase in abdomen size. Drinking a lot of water to dilute the sugar and salt content is useful in flushing out the excess. 

How to Lose Weight With IBS

Patients with irritable bowel syndrome don’t have to carry the extra weight forever. There are ways to slough off weight from IBS by doing the following: 

1. Seek Medical Advice

It’s difficult to manage weight gain without seeking help from a gastroenterologist. Weight changes related to gastrointestinal problems could be caused by problems not easily resolved by calorie counting. Medical professionals can run tests and identify what exactly is causing weight gain. 

If it’s hormonal imbalance, your doctor may prescribe supplements to keep your hormones stable. If it’s bacterial growth, your patient can recommend antibiotics to fight off infections. Knowing what’s causing your weight gain is the first step to losing it. 

2. Plan Healthy Meals

As an IBS patient, you should strive for a nutritional plan that does not only alleviate your symptoms but is also highly nutritional. It’s challenging to find foods that don’t trigger symptoms while simultaneously preventing weight gain. 

We suggest getting in touch with a licensed nutritionist who is informed with gastrointestinal problems. Together, you can plan healthy meal plans that are nutritious and well-balanced, while ensuring your symptoms are kept under control.

3. Find Alternative Exercise

Although HIIT and most cardiovascular exercises are out of the question, there are other activities that can be done which are safe for IBS patients. Instead of running, you can swim thrice a week to build up cardiovascular endurance and muscle strength. Yoga and pilates are also great ways to engage the body without upsetting the gastrointestinal tract. 

In reality, IBS patients don’t have to avoid HIIT and muscle training altogether. It’s possible to create versions of the exercise that are easier on the body. Instead of doing compound weightlifting exercises such as squatting and deadlifting, IBS patients can focus on higher repetitions with lower weights instead of shocking the body with powerful movements. 

4. Watch Your Eating Habits

Discomfort from diarrhea and constipation can shape the way we eat. For instance, in order to prevent frequent bowel movements, patients may eat two big meals and not eat for the rest of the day. Patients could also decide to skip meals altogether because of abdominal pain, which could eventually result in overeating. 

Knowing how symptoms shape eating habits is key in managing weight for IBS, as well as other gastrointestinal disorders. 

Read more: What Makes Irritable Bowel Syndrome Worse? 

FODMAP Diet and Other Food Recommendations

Food is a known trigger of IBS. This makes it difficult for IBS patients to find suitable meal choices while maintaining their weight. The problem is that some foods which contribute to weight loss can lead to symptom flare-up. These foods include:

Legumes: Beans are a great source of protein and fiber, but could prove problematic for IBS patients. Beans can lead to an increase in stool bulk, leading to worse episodes of constipation. 

Dairy: Foods high in fat including dairy are typically not recommended for IBS patients. It’s because dairy products such as milk and most types of cheese contain lactase. This enzyme may be lacking in IBS patients, leading to indigestion and diarrhea. 

Gluten: Wheat and rye are often recommended to people hoping to lose weight because these components are hard to digest, which can keep a person full longer. On the other hand, IBS patients can be more sensitive to gluten compared to healthy individuals, leading to abdominal cramps and discomfort. 

Although these foods tend to produce negative effects in general IBS cases, not all individuals will respond the same way. Before banning certain foods from your diet, we recommend keeping a food diary so you can keep track of the effects foods have on your gastrointestinal system. 

What Is FODMAP?

IBS patients tend to share the same sensitivity to gluten as people with coeliac disease. What was once thought of as a non-coeliac gluten sensitivity turned out to be an intolerance for a specific chain of carbohydrates called FODMAPS. 

FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These components are found in foods in the form of fructose and lactose, to name two, and can be found in both organic and synthetic foods. 

Nutritionists believe that adopting a low FODMAP diet is the key to a better lifestyle for IBS patients. By lowering FODMAP intake, patients reduce the risk of bacteria fermentation in the large intestine, which can significantly improve bouts of gassiness and constipation. 

How Long Should Patients Eat Low-FODMAP Foods

If low FODMAP foods are useful in managing symptoms, then how come nutritionists don’t recommend going on a low FODMAP diet forever? 

This is because high FODMAP foods can also be instrumental in managing IBS. Those included in the high FODMAP list such as garlic, for example, have strong antibacterial properties that could keep infections away. 

More importantly, not all high FODMAP foods produce adverse reactions in patients. It doesn’t make sense to completely eliminate high FODMAP foods in your diet, especially since some of these have high nutritional content. 

Recommended Diet For IBS Weight Loss 

We recommend starting out with a low FODMAP diet. After 2-3 weeks, start reintroducing high FODMAP foods in your diet in order to understand how each food affects your body, if at all. 

The following are low in calories and also considered low FODMAP foods:

Protein 

Chicken, beef, lamb, pork, turkey, fish. We recommend sticking with chicken and fish since they have the lowest calories per serving size.

Fruits and Vegetables

Zucchini, potato, cucumber, eggplant, green beans, lettuce, bean sprouts, carrots, blueberries, orange, passion fruit, pineapple, rhubarb, strawberry, grapes, lemon and lime, guava. 

Other fruits and vegetables have to be consumed in limited servings to remain low FODMAP. These are: broccoli (up to ½ cup), corn (half a cob only), tomato (up to 4 small pieces only), cranberry (1 tbsp). 

Grains 

Look for gluten-free and wheat-free alternatives. Breads such as corn bread and oat bread are also good alternatives. Brown rice and white rice are generally acceptable. Oats are also considered a great source of fiber, while keeping your diet low in calories.

Tools like MyFitnessPal and CalorieKing are useful in keeping track of your calorie count. You can choose to build your daily meals around certain calorie counts. The 1,500 – 2,000 range is sufficient for most average-size adults. Ask a nutritionist for more in-depth advice on a healthy caloric range. 

Exercises For IBS Weight Loss

Doesn’t Exercise Stimulate Symptoms?

Yes, exercise can stimulate the gastrointestinal system and produce reactions. But this doesn’t mean that all forms of exercise are bad for IBS patients. In fact, research shows that regular exercise can help with IBS symptoms. Even 20 to 30 minutes of exercise three times a week is already useful in improving a person’s quality of life. 

Low-intensity exercises such as swimming, yoga, and pilates are perfect for burning fat without stressing out the gastrointestinal system. Just like food, it’s important to test out which physical activities result in aggravated symptoms so you don’t end up eliminating all of them. 

What Exercises to Avoid

Below are the top three exercises to avoid when you have IBS:

HIIT: HIIT workouts are purposefully intense to keep your heart rate up. Unfortunately, your digestive system might interpret this as stress and trigger IBS symptoms. It’s still possible to do an interval training circuit without the jumping and running. Eliminate exercises that require quick bursts of movements and stick to those that are easy on the body. 

Weight Training: Swimming isn’t the only form of exercise available to you. If you want to keep training your muscles, you can use lighter weights instead of heavy weights and machines instead of freehand weights. The point is to reduce the stress on your body 

Running: Running and even jogging can irritate your stomach and affect your gastrointestinal system. Consider brisk walking or taking a route that has an incline so you can still work up a sweat. 

Manage Your IBS Gain Weight

Just because you have IBS doesn’t mean you have to deal with the extra weight. At Gastro Center in New Jersey, we find ways to improve your lifestyle as a person with IBS.

With our proactive methods, we can create a diet and exercise plan that fits your needs. Get in touch with us today. 

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Can You Join the Military With Irritable Bowel Syndrome?

Irritable bowel syndrome can be an intrusive disorder affecting a person’s quality of life. Onsets of diarrhea and constipation are to be expected on a regular, if not daily, basis. Unrestricted dietary choices, physical exertion, and psychological stress are all known triggers for IBS. 

Consequently, these conditions are also what defines military training. Interested individuals with IBS may find themselves unable to participate in military recruitment. However, IBS patients are still eligible for enlistment provided that they prove themselves healthy enough for training and deployment. 

So, is it possible to join the military even if you have irritable bowel syndrome? Yes, but prospects are suggested to undergo long-term therapy before enlisting for military service. 

Understanding IBS

Irritable bowel syndrome (IBS) is a common gastrointestinal disorder affecting up to 20% of people in the U.S. IBS is characterized by potentially disruptive symptoms such as diarrhea, constipation, and abdominal pain. 

Irritable bowel syndrome is a chronic condition that has no known cure. Symptoms can be triggered and flare up any time. This might be a deterrent to individuals who are thinking of pursuing a career in military service. On the other hand, there are treatments available that can help with symptom management.

Quick IBS Facts

Estimates suggest that there are up to 45 million IBS patients in the U.S. alone. Women are at a higher risk of developing IBS than men. Some studies suggest that estrogen production may influence IBS development.

Links between psychological disorders such as depression and anxiety VS IBS have been proven, which illustrates that patients with IBS live a lower quality of life. Stress is not the primary cause of IBS, but studies do suggest that individuals suffering from psychological disorders are more predisposed to IBS.

Although the direct cause of IBS is still unknown, research points to various factors such as the alteration of bacterial environment in the gut, brain-gut miscommunication, and muscle contractions as physiological factors for IBS development. 

IBS is considered a “functional disorder” that is typically diagnosed through elimination. IBS does not produce physical alterations (unlike ulcer and IBD) and is only identifiable through a specific diagnosis category referred to as the Rome Criteria.

Adults 50 years old and above are at a higher risk of contracting IBS than other people.

Although there is no known cure for IBS, patients can undergo medical, dietary, and even psychological intervention to help deal with symptoms. Symptoms are easily manageable with the right attitude towards diet and exercise

IBD is not the same as IBS. IBD is used to describe inflammations on the digestive tract, whereas IBS is characterized by an overactive gastrointestinal system that is not caused by inflammation.

IBS can’t evolve into a serious condition. IBS does not lead to Crohn’s disease, colon cancer, ulcer, or any other gastrointestinal disorder.

Types of IBS

IBS symptoms are sporadic and can vary depending on the most prominent symptoms specific to a patient’s case. Understanding one’s type of IBS makes it easier to manage the disorder and prepare for military training. 

IBS-C: Type of IBS with constipation as the most predominant symptom. Patients experience frequent bloating and abdominal pain. Bowel movements are delayed and often hard to pass. 

IBS-D: Diarrhea is the most predominant symptom for this type of IBS. Patients experience urgent bowel movements that are often watery and loose. 

IBS-C and D: Both constipation and diarrhea are present. Symptoms alternate and are triggered depending on various lifestyle choices including food and eating habits, exercise, and medication. 

There are medications available for all types of IBS. For diarrhea-heavy IBS, medicines such as eluxadoline and alosetron may be prescribed by doctors to help you manage diarrhea. Abdominal pain is a common side-effect. 

Patients with constipation-dominant IBS can also get medication such as linaclotide and lubiprostone. Both are used to increase fluid uptake in the colon and encourage bowel movement. 

While medications are a crucial part of symptom management, we recommend lifestyle adjustments for long-term benefits. Patients who adopt dietary changes report significant improvements in their symptoms, even without the help of pain relief medicine. 

Medical Requirements For Joining The Military

The U.S. Department of Defense laid out various criteria for military eligibility. Medical conditions are listed to help trainees identify whether or not they are qualified for military service. Among automatic disqualifiers are excessive body fat and body mass index, marijuana use, current mental health problems, and injuries to the lower extremities. 

Below are gastrointestinal conditions that may prevent interested individuals from joining the military: 

Diagnosed ulcer of the duodenum or stomach as confirmed by an x-ray or endoscopy 

Inflammatory bowel diseases such as ulcerative colitis and ulcerative proctitis

Gastro-esophageal reflux disease (GERD) also known as chronic acid reflux 

Lactase deficiency, but only if this is proven to interfere with everyday function

Persistent chronic constipation and/or diarrhea for the past 2 years

Acute or chronic hepatitis that is predicted to stay active in six months

Apparent liver failure in anyway

History of cirrhosis, abscess, and cysts from hepatitis

Abdominal hernia

Large hemorrhoids with active bleeding

Any history of anal fissure or fecal incontinence for the past 2 years

IBS and Military Eligibility 

Under section 5.12 Abdominal organs and gastrointestinal system, under small and large intestine, point 9, the document addresses IBS eligibility with the following criteria: 

“History of irritable bowel syndrome of sufficient severity to require frequent intervention or prescription medication or that may reasonably be expected to interfere with military duty”

Are IBS Patients Allowed to Enlist?

Yes, individuals with IBS are eligible for military service provided that they have their symptoms under control. The criteria states that IBS cases of sufficient severity are grounds for disqualification. 

Patients who have had long-term interventions and haven’t experienced adverse, urgent symptoms for at least 6 months have a high chance of being qualified in military service.

Are There IBS Patients In the Military?

Yes, there are people with IBS serving in the military. Note that these individuals have passed the criteria by proving that they are able to undergo rigorous training without the help of medical intervention. This is made possible through proper diet, exercise, and a long-term plan that has allowed their bowels to resemble normal functions even without constant medication. 

How Can IBS Disqualify You From the Military?

Irritable bowel syndrome is a chronic disease that can be demanding at times. Without proper planning, symptoms can flare-up and affect everyday living. Military training will be strenuous both psychologically and physically — both of which are known triggers for IBS. 

Symptom flare-ups will interfere with training and could be grounds for dismissal. Before applying to the military, it’s crucial to take necessary precautions to ensure that you maximize your chances at entering military service. 

Joining the Military with IBS

Talk to a Recruiter

Your local recruiter may have more information regarding the specifics of joining the military with IBS. A history of IBS diagnosis and treatment will be necessary to inform the recruiter regarding your case. Treatment options, methods, and evidence of success are key in ensuring you pass the interview and are allowed to train for the service. 

Know Your Triggers

The first step to overcoming IBS symptoms is knowing your triggers. The top triggers for IBS include: 

Food and Dietary Habits: Foods high in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) are known to cause flare-ups. A low-FODMAP diet that doesn’t involve dairy, synthetic sweeteners, legumes, and wheat, to name a few, are key in managing symptoms, especially diarrhea. Adopting new eating habits such as eating more times in a day in smaller quantities can help take the stress off your digestive system. 

Stress: Undergoing a stress therapy session can provide improvements to symptoms in as little as four months. Learning everyday stress relief techniques can help you from triggering IBS symptoms during the training period. 

Physical Exertion: Patients experiencing aggravated symptoms from physical exertion are often linked to unmanaged stress and dietary triggers. The evidence of IBS patients in military service show that it’s possible to undergo strenuous training provided that other factors for symptom flare-ups have been taken care of. 

Medication: Various medications, both OTC and prescription drugs, are available to help with pain and symptom management. We suggest talking to a gastroenterologist for specialized medicine. 

Keep in mind that prescription medication will not be allowed during military training so it’s essential that you learn how to manage your symptoms even without medication. 

Follow a Program

A study shows how aspiring military servants with IBS can still make for great candidates with the help of lifestyle modification. This research includes 89 participants who were diagnosed with IBS on their first screening. Scientists found that 63% of the group reported improved symptoms after military training. 

The participants were banned from alcohol and nicotine consumption. Regular exercises such as jogging and muscle training were included in their daily routine. Other military trainings such as marching and shooting were also included. All participants followed regular hours. 

Scientists found symptom improvement in the following areas: 

Improvement in bowel habits (62.9% of participants)

Improved pain score for abdominal discomfort

More participants reported normal stool consistency 

Stool frequency and urgency were reduced

This study illustrates that military training can even improve IBS symptoms provided that a person’s case of IBS is not severe.

Following long-term lifestyle changes are necessary in managing IBS symptoms. Without these modifications, IBS patients have a lower chance of enlisting in the military and serving their country due to unprecedented flare-ups. 

Learn How to Manage Your IBS

At Gastro Center NJ, we can help you enlist in the military by creating a long-term plan for controlling your IBS symptoms. We believe that chronic diseases, no matter how seemingly disruptive, can be monitored, controlled, and eventually resolved with the right treatment plan. 

Get in touch with us today. 

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