hilarious welcome to dr. Shannon today
dr. Afridi's with us consultant
gastroenterologist and hepatologist
hello dr. you yeah fine doctor it's
pleasure to having an program a doctor
could you explain us what are the common
problems you come across from your
patients the common problems that I come
across these days is mostly acid reflux
problem as well as irritable bowel
syndrome we can explain a little more in
detail about all these problems but that
is something which we encounter very
commonly almost 9 out of 10 patients
come with these symptoms so basically
irritable bowel syndrome or it's also
called as IBS it's a condition where
patients may experience some change in
their bowel habits in the sense they
might have constipation they may have
diarrhea they may have abdominal pain
bloating and usually a triggering factor
is you know sometimes when they eat some
food which is which they have not been
routinely eating like eating in the
restaurants and stress also plays a
major role in symptoms of IBS if you are
hypersensitive to certain foods that can
be one reason where you can have this
irritable bowel syndrome so there is
alternation in your bowel habits
sometimes there is diarrhea sometimes
there is constipation and sometimes even
both as well as there is abdominal pain
and bloating so that's basically you
know what encompasses the irritable
bowel syndrome doctor what are the
causes so like I mentioned earlier
causes more frequently basically it's a
condition which is this which is you
know that your bowel is hypersensitive
to certain external stresses now
incident stress could be in the form of
environmental stress like stress at your
office stress at home yeah or sometimes
you know food change in the food habits
like if you you know if you are eating
out at a restaurant certain ingredients
can make you have changing about habits
as well as you know certain change in
your food habits
amount of sleep that you are getting all
these factors are the reasons for
irritable bowel syndrome
mm-hmm doctor what are the signs and
symptoms effect so a science and
symptoms usually patients present with
you know tea
and bad habits they'll tell you that yes
you know earlier I was having more
frequent you have regular balance now
I'm having more liquid stools or
diarrhea or sometimes they might have
constipation which means that they are
having a difficulty in passing stool
they may complain of very big abdominal
pain which is usually like although one
they may say that it's like a discomfort
or sometimes they may also say that they
feel really bloated bloated is in the
sense that if you eat a little bit you
feel that you've eaten a whole lot and
you know stomach bloating so these are
the signs and symptoms of ideas mm-hmm
doctor what are the treatment options
are available for this so treatment
options is usually targeted based on
what the symptoms are so let's say if
the patient comes in with diarrhea we
treat them with certain with probiotics
basically probiotics are nothing but
good bacteria which is available in the
medication form and that actually gives
you a lot of good bacteria and the colon
and helps you know with the symptoms of
diarrhea and of course if they are
constipated we generally give them
laxatives and which will help regularize
their bowels yeah and sometimes you know
they might not have any bowel changes at
all they may have normal stools but they
may have pain and in that situations are
very big this floating sensation and all
that in those situations we usually give
them some agents called as prokinetic
agents like which helps increase the
motility of the stomach which will help
with their bloating and all that and in
certain situations we also use some
relaxing medications like you know
amitriptyline or anything just to rate
and reduce their hypersensitivity and
that also plays a role because usually
there is always a psychological
component involved with our yes doctor
what are the other common problems you
come across so the other most common
problem that I always encounter in the
clinic has acid reflux disease as it is
also known as GERD so that is something
which we see very commonly along with
the ideas doctor what are the symptoms
of it so the symptoms of acid reflux
disease the classic symptoms is hard
burn where the patient complains that
they are having a burning sensation in
the chest and they may also complain of
a bitter liquid coming in the back of
their throat yeah actually when they are
sleeping or even otherwise there are
also other atypical presentation they
may present with chest pain they are
they actually might feel that they are
having a heart attack but when they end
up in the emergency room and have all
the workup done it is not the heart but
it is the acid reflux then absent with
cough so they have multiple presentation
but the most common is in digestion
feeling what the patient complains has a
burning sensation in the chest and
frequent burping or belching those are
the most common symptoms what is the
causes for this doctor the causes of
this problem again is you know few
things your body weight how you're
eating your eating habits basically how
you're eating what you are eating the
timing of your eating the gap between
your meals and your sleeping and of
course there is always stress component
stress is something which triggers as
many to us so those are the things that
we normally ask our patients and the
patient population that I come across
specially in in this location is mostly
you know patients young patients who
have very long shifts where they don't
pay much attention to their eating
habits and the timings and all that and
that's a very common reason for acid
reflux doctor what is the treatment
options for this the treatment option is
usually we treated medically with
medications like what is call us proton
pump inhibitor or something like Alexian
extra or some plus if they don't have
any alarm symptoms like weight loss or
anything the initial therapy is
medications for at least a month but if
they have severe symptoms and if they
are not responding to the treatment then
we offer them an endoscopy just to see
you know any infection or any acid
reflux changes in the stomach but at the
same time they also have tomorrow you
know we give them measures about anti
reflux measures as well as lifestyle
modification eating habits have to be
honest scheduled eating habits small
meals five times a day and
eating should there should be at least a
gap of two hours between your bedtime
and your dinnertime avoiding excessive
coffee carbonated beverages tea mostly
eating more time that's the most
important thing as adequate sleep of at
least seven to eight hours that also is
extremely important in this condition
and weight loss thanks for the
information doctor okay I hope the
viewers will find it more informative
and they can you know use these measures
that I talked about in life yeah ah dr.
Chandra I hope you found this video
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