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A gastroscopy is essential to establish your stomach problem before appropriate treatment can be prescribed. It is bacteria which is present in the lining of the stomach and which occurs in as much as 70% of the normal population. The information on Health24 is for educational purposes only, and is not intended as medical advice, diagnosis or treatment. A laparoscopic Nissen repair is done by a laparoscopic technique and instead of an open operation you will have 5 small scars on the abdominal wall. You should undergo a colonoscopy every five years starting at age 40 years. Your risk of colorectal cancer is the same as that of the general population, namely 6 %. It is important to drink at least 1,5 litres of fluid per day. President George W. Bush has polyps. Please discuss the statistics regarding the longterm results of the procedure with your surgeon. Heartburn is the backwash of normal acid from the stomach into the gullet (swallowing pipe or oesophagus). An irritable colon may affect your life considerably. A 24-hour pH study will be of value to evaluate the degree of heartburn by measuring the amount of acid reflux into the gullet over a 24-hour period. Many abdominal complaints for which no organic causes can be found, but which burden the patient both mentally and physically, are hidden behind the concept of “irritable bowel syndrome”. Your risk to develop FAP is 100 %. If pain is severe, medication such as Colofac or Bevispas, Buscopan, Scopex, Spasmo-Canulase and Librax may be considered. There is a clear difference between the nature of complaints arising from patients with IBS and those with organic illnesses. Stress levels of too high an intensity, however, cause the body to react negatively. If you do have a family history of colon cancer or polyps, it is essential to have a regular colonoscopic examination after the age of 40 years. Heartburn is controlled but there is excessive regurgitation (backwash) of food and fluid into the gullet.Respiratory or ear, nose and throat symptoms, such as asthma, a sore throat and chronic cough due to the aspiration of stomach contents. A thin catheter is passed into the oesophagus and the pressures are measured over a period of about 20min. The Nissen repair has been used over the last 40 years and is a well-established technique. A great advantage of a laparoscopic procedure is that there is minimal discomfort and the hospital stay is reduced. The blog is designed to fulfill the basic needs of patients who want to know more about gastrointestinal diseases. Another common occurrence is that of constipation or diarrhoea, or an alternation between the two conditions. Dr Bets. THE TREATMENT OF HEARTBURN/GASTROESOPHAGEAL REFLUX/REFLUX OESOPHAGITIS, Treatment consists of conservative (medical treatment) or surgical treatment. You must be nil per mouth from the previous evening 22H00. The colon is surrounded by nerves, which cause the muscles thereof to contract. These actions – early detection and treatment – may save your life. You are most certainly not alone, as an estimated 10-15% of the population suffers from this condition. Drugs that influence the readings made during the manometry are Adalat, Cipalat, Amloc, Norvasc, Plendil, Isoptin, Tilazem and Euphyllin and should be discontinued 12 hours prior to the examination. Yes, the treatment consists of so-called triple therapy, namely 2 antibiotics together with an acid suppressing agent. In a few patients (less than 10%) resistance to the triple therapy is experienced and the so-called quadrigeminal therapy is advised. It is important to remember that the treatment of irritable bowel syndrome does not start with medication, but rather with a change of lifestyle. A hiatus hernia repair or an antireflux operation can be done, such as the Nissen or Toupet operation. This therapy is only advised if you have a history of stomach ulcers or have a stomach ulcer at present. The pressure of the oesophagus (peristalsis) is measured after the nostril and throat have been anaesthetised with a local anaesthetic. Learn to relax. There are however patients who do not respond to these simple measures and where surgery will be of value. If you are taking Warfarin please discuss alternative treatment prior to the gastroscopy with your doctor. Remember: Timeous removal of polyps can prevent the polyps degenerating into cancerous growths. Polyps can be removed during a colonoscopic examination and can either be cauterised (using hot biopsy forceps) or snared (polypectomy). If you have diarrhoea, consider the possibility of lactose intolerance or too much fibre in the diet. The gullet must be protected in some way, by either regular medication or an operation. This is the most important aspect of your treatment. If you have moderate heartburn, the so-called H2 blockers such as Tagamet and Zantac can reduce the acid secretion. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal This test is not really used as a routine screening test, and thanks to new technology (such as colonoscopies), used to lesser degree. DNA-tests are based on new technology and breakthroughs and are now available to detect Crohn’s disease, as well as hereditary non-polyposis colorectal cancer (HNPCC), and familial adenomatous polyps (FAP). If abdominal pain is the main symptom, treatment of IBS usually consists of the relaxation of the colon in to minimise the occurrence of cramps. Nothing else helps, I have been through a gamut of other pills which work for most people but only Zelnorm did the trick and my attacks lasted only a day or so. After the pharmacist told me that he could not continue my prescription, I got a prescription for Bevispas, which is not normally prescribed as chronic medication, but was suggested as an alternative by my medical fund. You may be hospitalised if travelling or distance is a problem. This must be combined with a strong acid suppressing agent, the so-called proton pump inhibitor, for example Nexiam, Lanzor, Losec, Controloc or Pantoloc. DNA screening is recommended after age 18. From then onwards throughout adulthood, there is a progressive replacement of the majority of the perivascular spaces with adipose and fibrous tissue. The reason for this study is to ascertain the amount of acid reflux over a 24-hour period. Special investigations. The treatment lasts for seven days and has a 90% success rate. You will be placed on a special diet for approximately one month after the operation. Patients who suffer predominantly from constipation need to improve the bowel movements with purgatives, without causing cramps. Alternatively a barium enema (x-rays of the large bowel) may be done. Early detection can improve the chances of survival drastically. Learn from their experiences about effectiveness, side effects and cost An operation is seldom indicated and is only performed when complications such as uncontrollable bleeding, narrowing of the stomach outlet or perforation occur. Your doctor may prescribe Zantac, Tagament, Lenamet and Ultak for the interim period. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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