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  Health Information Center  :  G  :  Gastroesophageal Reflux (GERD)

 Digestive Diseases: Frequently Asked Questions

 

1. What are hemorrhoids?
Hemorrhoids are swollen blood vessels near the anus and lower rectum (lower part of the large intestine). These blood vessels are found in spongy cushions of tissue just under the lining of the anal canal. Hemorrhoids bleed when the blood vessels rupture (for example, from straining during a bowel movement). Because bleeding can be a sign of colon cancer or colon polyps, you should consult with your doctor whenever you have bleeding from the rectum, blood in your stools, or blood in the toilet after a bowel movement. Your doctor may recommend a visual examination of the lower colon (sigmoidoscopy) or entire colon (colonoscopy).

2. How can I prevent hemorrhoids?
The best way to prevent hemorrhoids is to keep your stools soft so they pass easily without any straining. Eating a high-fiber diet and drinking plenty of fluids (six to eight glasses each day) can help you stay regular and help your stools remain soft, reducing constipation and lowering the risk of developing new hemorrhoids.

3. What is gastroesophageal reflux disease?

When you swallow, food passes down your throat and through your esophagus to your stomach. A muscle called the lower esophageal sphincter controls the opening between the esophagus and the stomach and remains tightly closed except when you swallow food. When this muscle fails to close, the acid-containing contents of the stomach can splash back up into the esophagus. This backward movement is called reflux. When stomach acid enters the lower part of the esophagus, it can produce a burning sensation, commonly referred to as heartburn.

Gastroesophageal reflux disease (GERD) occurs when this reflux is frequent enough to affect your daily life, and/or damage your esophagus.

4. What is laparoscopic surgery?
Laparoscopic surgery is “minimally invasive” surgery in which several small (usually 5- to 10-millimeter) incisions are made in the abdomen. The laparoscope and surgical instruments are inserted through these incisions. The surgeon is guided by the laparoscope, which transmits a picture of the internal organs onto a monitor.

Laparoscopic antireflux surgery is used in the treatment of GERD when medications are not successful. Laparoscopic antireflux surgery is a minimally-invasive procedure that corrects gastroesophageal reflux by creating an improved valve mechanism at the bottom of the esophagus. 

Laparoscopic antireflux surgery is most appropriate for people who have not had previous abdominal surgery, those who have small hiatal hernias without complications of GERD, and those who experience most symptoms of reflux when lying down.

Patients who have laparoscopic antireflux surgery generally experience less pain and scarring after surgery, and have a quicker recovery and less risk of infection than those who have traditional antireflux surgery.

5. What are the benefits of healthy eating?
Eating a balanced diet can help you avoid digestive discomfort. Unhealthy diets can contribute to digestive system difficulties. Many people eat too much processed food and sugar, and not enough fiber, fruits, and vegetables. Be sure to get adequate amounts of fruits, vegetables, and fiber in your diet.

6. What steps can I take to avoid digestive discomfort?
Many digestive problems can be prevented with lifestyle changes. Poor eating habits, such as eating too quickly or skipping meals, can result in digestive discomfort. Be sure to eat food slowly, chewing thoroughly. You might want to try eating several small meals throughout the day to help lessen any symptoms of digestive discomfort.

7. How can I help a loved one to cope with digestive difficulties?

Encourage your loved one to seek treatment as soon as symptoms appear. Immediate treatment can help in relieving as much discomfort as possible. Diarrhea, vomiting, poor absorption of nutrients, and side effects of drug treatment all may lead to malnutrition. If the symptoms do not get better after a few days or if they are very severe, call a doctor to ensure that your loved one receives proper evaluation and treatment.

8. What is celiac disease?
Celiac disease (also known as celiac sprue or gluten-sensitive enteropathy) is a digestive and autoimmune disorder. An autoimmune disorder is one in which the immune system directs antibodies to attack the body. The antibody of celiac disease is directed against gluten, a protein found in grains. In people who have celiac disease, the immune system causes damage to the small intestine and prevents the proper absorption of nutrients from food.

9. What is endoscopy?
Endoscopy is a procedure that uses a flexible, lighted tube to look inside the esophagus, stomach, duodenum (first section of the small intestine), colon or rectum. The procedure is commonly used to help diagnose: 

  • Abdominal or chest pain
  • Nausea and vomiting
  • Heartburn
  • Bleeding
  • Swallowing disorders
  • Ulcers
  • Tumors
  • Inflammation
  • Bowel movement difficulties

10. What is liver failure?








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