Category: Gastroenterologist

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Gastroenterologist Kartik Goyal

Exploring the Surgical Dilemma and Potential Solutions

Surgeons face a surgical dilemma when it comes to addressing gallbladder disease in high-risk patients, such as those with cirrhosis. The choice between a cholecystectomy (surgical removal of the gallbladder) and a less invasive cholecystostomy (gallbladder depletion) requires careful deliberation. In this blog article, we will delve into the surgical quandary that surrounds cholecystectomy or cholecystostomy in high-risk patients, evaluating potential solutions and considerations from many angles.

Understanding the Surgical Dilemma

Cholecystectomy and cholecystostomy are two distinct techniques for managing gallbladder disease. Cholecystectomy is the surgical removal of the gallbladder, whereas cholecystostomy is the creation of a temporary drainage tube to relieve the gallbladder of excess fluids. The decision gets more complicated in high-risk cirrhotic patients due to a variety of reasons such as increased risk of bleeding, impaired liver function, and complications associated with sedation.

The Importance of an Individualized Approach

Adopting an individualised strategy when faced with the surgical problem of cholecystectomy is critical. Each patient’s condition, severity of symptoms, and overall health should be thoroughly evaluated. Collaboration among the patient, gastroenterologists, hepatologists, and surgeons is critical to achieving the best possible outcome.

Potential Solutions and Considerations:

  1. Preoperative Optimization: Preoperative optimisation is critical in cases when cholecystectomy is judged feasible. This may entail monitoring cirrhosis-related problems such as portal hypertension, coagulopathy, and hepatic encephalopathy through medication modifications, nutritional assistance, and other therapeutic measures.
  2. Minimally Invasive Techniques: Surgeons can study the use of minimally invasive methods, such as laparoscopic cholecystectomy, in carefully selected cirrhotic patients to reduce the risks associated with surgery. Laparoscopic techniques provide advantages such as reduced blood loss, smaller incisions, and faster recovery compared to customary open surgery.
  3. Cholecystostomy as a Bridge: In certain high-risk cases where cholecystectomy isn’t practical, cholecystostomy can act as a bridge to manage acute symptoms. It gives temporary help by draining the gallbladder and can be followed by an additional evaluation to decide the requirement for conclusive treatment.
  4. Close Postoperative Monitoring: Regardless of the selected approach, close postoperative monitoring is important. High-risk patients with cirrhosis require careful perception of complications such as infection, bleeding, or worsening liver function. Regular follow-up consultation and communication between the patient, healthcare suppliers, and surgical team are important for ideal intercession if any issues emerge.
  5. Shared Decision-Making: Shared decision-making among patients and healthcare providers is essential in exploring the surgical dilemma. Giving patients comprehensive information about the risks, advantages, and potential outcomes of cholecystectomy enables them to actively participate in the decision-making process in view of their qualities, preferences, and overall health objectives.

Conclusion

The surgical dilemma encompassing cholecystectomy in high-risk patients with cirrhosis requires careful consideration of individual factors, potential solutions, and shared decision-making. A patient-centered approach, taking into account the patient’s overall health, symptoms, and objectives, is crucial. At GastroGynae, we comprehend the complexities of managing gallbladder illness in high-risk patients. Our group of experienced gastro doctor in Ludhiana and surgeons is dedicated to giving individualized care and investigating the most ideal choices for each patient. If you or a friend or family member is facing the surgical dilemma of cholecystectomy, we are here to help you all through the decision-making process and give comprehensive care.

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Gastroenterologist Gynecologist Painless Delivery Shuchita Batra

Is painless delivery the best choice? How to prepare for painless delivery?

Do What It Says

Painless Delivery: Is it the choice that I should go for?

For pregnant women, there’s often the concern of labor pain or how to bear the same. In some cases, the women’s labor journey goes like a dream, but sometimes it can be a terror side. In case you are the one who is having thoughts on how to cope with labor pain, you need advanced medical intervention by seeking assistance from the best Gynecologist In Ludhiana.

With time medical advancement has proven to be fruitful in several ways, and it continues to do so with each passing year. And that’s where the concept of Painless Normal Delivery in Punjab has started to seek huge attention. But it’s important to understand that you don’t expect the concept of painless delivery to vanish all the pain. The new and inventive techniques are just a help to make the journey easier. To prepare yourself for the same, read the tips mentioned below.

Tip on: ‘How to prepare for painless normal delivery?’

Tip 1: Boost your stamina and take a walk

Make sure not to live a sedentary lifestyle; otherwise, your pregnancy can be filled with complications, and the labor pain can worsen. Just make sure to keep yourself active and healthy throughout the pregnancy journey.

Tip 2: Do breathing and pregnancy exercise

You need to keep yourself fit and healthy throughout pregnancy. For that, start breathing and pregnancy-friendly exercise. If you are not sure about the right methods and techniques during pregnancy regime, you should ask the same to the doctor.

Tip 3: Consider Birth Partner

During the pregnancy, you must select a birth partner you want to be by your side. You can select your partner or any close family member to help you during the said period. Their guidance will make it easier to enjoy the journey with ease.

Tip 4: Select the best gynecologist

Most importantly, select the most experienced and skilled team of gynecologists and nursing staff to help you go through the pregnancy journey comfortably. Their assistance right from the start to every step of your pregnancy will go with ease and perfection. So, better start everything with the right approach so that results are obtained just like you want them.

Can childbirth be painless?

YES! To make your childbirth painless, you need epidural anesthesia. It’s one of the important choices for pain relief during labor. Make sure to get the same when you are in active labor, and the contraction frequency is three every 10 minutes. To know more about the same and what’s the best time for you, consult your gynae doctor.

Can epidural make childbirth completely painless?

The aim of an epidural is only to reduce the pain and sensations that occur with pregnancy in the lower half. So, I don’t think it works as an effective measure in terms of 100% pain relief. Although, it’s right to say that the epidural can offer the following benefits:

  • Helps you to relax during labor pain
  • Helps you get relief and don’t get too exhausted or feel irritable
  • Try to focus more on labor

 

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Gastroenterologist vitamins

Why should you incorporate vitamins into your diet for gut health?

Digestive-Health

List of important vitamins for the gut health

When you hear the term vitamins, there are different factors that come to your mind. The intake of vitamins is crucial for the overall functioning of the body and makes the digestive system function on the right track. The use of vitamins is crucial for overall digestion. If there seems to be a problem with your gastro health, then it’s better to take assistance from an experienced and skilled Gastro doctor in Punjab. Your body needs different vitamins as an important part of your balanced diet. So, for healthy digestion, there are a few vitamins that should be an integral part of your daily diet.

Top vitamins essential for gut health

B Vitamins

Vitamin B offers the most nutritional value to keep the overall well-being right and healthy. You should include meat, dairy products, fish, poultry, and other options. It’s even present in beans and green leafy vegetables. It’s referred to as a water-soluble option which means your body needs to have the same on a regular basis. The most vital options for Vitamin B are:

  • Vitamin B1 helps to regulate appetite and cells energy
  • Vitamin B3 allows breakdown the of alcohol, fat, and carbohydrate
  • Vitamin B6 helps the digestive system process protein in the appropriate manner
  • Vitamin B12 makes the nervous system function in the right manner
  • Biotin

Please Note!

If you would like to add the Immunity Booster Supplement to your diet, then you better take the assistance of gastro health. Depending upon your condition, he will suggest to you the most appropriate choice and how much you need to take.

Vitamin C

Vitamin C is filled with the goodness to boost the overall immune system and prevent the chances of having a cold and make digestion better. Having vitamin C in the right amount allows you to keep the gums, teeth, and overall teeth health in the right state. Some of the good sources of Vitamin C are:

  • Berries
  • Broccoli
  • Tomatoes
  • Citrus fruits
  • Peppers
  • Fortified cereal

Vitamin D

Vitamin D is another important choice of vitamin that allows the body to take down calcium in the appropriate manner. Vitamin D plays a crucial role in increasing the overall health of the nerves, immune system, and overall muscle health. The most significant sources of Vitamin D are:

  • Sun exposure
  • Include the food options that allow the body to have the right amount of Vitamin D, like saltwater fish, egg yolks, cereal, and fortified milk.

Individuals diagnosed with inflammatory bowel disease need to have Vitamin D in a significant amount to help improve the entire state in a better means.

Vitamin A

Another important type of Vitamin is Vitamin A. The primary role of Vitamin A is to boost overall vision, reproductive well-being, and bone health. It does make a difference in increasing the overall immunity of the body. Some of the natural sources of Vitamin A are:

  • Kale
  • Potatoes
  • Carrots
  • Dark green leafy vegetables
  • Milk

Final thought!

So, for your gastro health, these are a few options of vitamins that you should make a part of your daily diet to improve your gastro health. To make the necessary improvement, you should schedule a consultation at Ludhiana Gastro & Gynae Centre.

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Gastroenterologist Kartik Goyal Piles

Dr. Kartik Goyal talks about Hemorrhoids and their management options

Treat Haemorrhoids Or Piles With Gastro Doctor

Hemorrhoids treatment (Piles Treatment)

Dr. Kartik Goyal, a known gastro doctor in Punjab, recently discussed piles or hemorrhoids conditions. He shared his views, saying, “Hemorrhoids is one of the common conditions that usually occur in patients with an anal fistula or anal fissure problem. With the diagnosis of the condition, most patients are left with the thought of why it happens and whether there’s a need to undergo Hemorrhoids Surgery in Ludhiana or not?

Breaking down the types of Hemorrhoids

Hemorrhoids have two main categories that include:

Type 1: Internal Hemorrhoids

Internal hemorrhoids lead to rectal bleeding, and there’s a possibility of protruding. Moreover, the patient notices the hemorrhoids go back inside on their own. On the other hand, it might stay outside all the time.

When you visit the best gastro doctor in Ludhiana with his expertise, you can get the treatment performed as an in-office method. The procedure works best as rubber band ligation.

During the procedure, the rubber is placed on the hemorrhoid base. Later, hemorrhoids fall with the band that’s attached to them. The procedure is not that painful; you can expect some normal discomfort.

Type 2: External Hemorrhoids

An external hemorrhoid problem occurs if there’s a blood clot and is medically termed a thrombosed external hemorrhoid. Some of the most common symptoms are:

  • Acute onset of anal or butt pain, which has a link to a lump

The procedure works best as an in-office procedure to ensure the hemorrhoids get excised correctly the way it’s needed.

Analyze the causes of haemorrhoids

A basic understanding of hemorrhoids helps the individual to know what’s the problem and what to do next for its management. Some of the possible causes are:

  • Strain during bowel movement
  • Being obese
  • Being pregnant
  • Doing anal intercourse
  • Heavy lifting continuously
  • Have faced constipation or chronic diarrhea
  • Intake of a low-fiber diet

 

Please be mindful!

One of the common symptoms of hemorrhoids is itching, although it’s not known why it happens and what should be done next for its management. Additionally, the patients have bleeding problems, so the doctor can ask you to get a colonoscopy for its management.

Prevention tips for hemorrhoids

For hemorrhoids, it’s essential to understand preventive tips to make it much better for making everything balanced. And that’s why to manage the symptoms; there are a few tips that I often suggest my patients follow like:

  • Make sure to increase your intake of high-fiber food options like whole grains, fruits, and vegetables. The high-fiber food helps to soften the stool and won’t let you put strain. Moreover, it even works against gas problems.
  • Increasing water intake as a liquid diet helps the stool to get soft.
  • You need to have fiber supplements in your diet. Make sure you have at least 20 to 30 grams daily to make the situation much more manageable.
  • You should never strain or try to hold your breath while passing the stool. Always go right away when you feel the urge.

What happens next?

To know more, schedule initial consultation at Ludhiana Gastro & Gynae Centre to understand what should be the next step.

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Gastroenterologist Kartik Goyal Piles

All About Piles: What are the pile’s types, symptoms, and treatment?

Everything-to-do-with-piles

Piles Treatment

Are you uncomfortable with a bowel movement in and around the anal cavity or sitting? It’s one of the major signs of piles. The pile’s prevalence rate is higher among all age groups, although more common among pregnant women and older adults. With the booming count of over 10 million cases of piles in India every year, you need to get prompt assistance from a medical expert. The expertise of medical professionals ensures you get the most effective and appropriate Piles Treatment in Ludhiana for managing your situation.

Let’s have a deeper understanding of piles

Piles (Haemorrhoids) are inflamed and swollen veins in the rectum area. The problem will put increased pressure on veins present in the rectal area. If you suspect this problem, consult one of the best gastro doctor in Ludhiana to ensure everything can effectively be managed. In some cases, bleeding piles can be the reason behind infection and makes it essential to get medical treatment on time. Otherwise, the problem can go to severe stages over time.

Types of Piles

Depending on locations, the haemorrhoids are divided into different types:

  • Internal haemorrhoids

Internal haemorrhoids are present inside the rectum, which means it’s difficult to feel or see them. In many cases, there’s no pain, and bleeding can be a major sign of this type.

  • External haemorrhoids

External haemorrhoids are present under the skin around the anus area. As the area involves pain-sensing nerves, it’s essential to seek treatment immediately. You may experience bleeding and hurt.

Common signs and symptoms of piles

In many cases, the individuals don’t experience piles symptoms, and some of the most common ones are:

  • Pain or discomfort when you sit
  • Soreness and redness around the anus area
  • Itching and irritation around the affected area
  • Bleeding following a bowel movement
  • Mucus discharge during defecating
  • Painful lumps or swelling around the anus area

All in all, you need to be mindful about getting proper medical attention and ensure the symptoms are addressed effectively.

Treatment options for piles

In some cases, there’s no need for piles treatment, and the condition gets better on its own. But, you must consult the doctor to understand how to handle the situation effectively. Some of the known ways that work best for piles treatment are mentioned below:

  • Taking care at home during piles

For pain relief, you should take warm water for 10 minutes, or you can keep a warm water bottle. These methods work as pain relief and limit irritation. Do not rub the area or apply any lotion.

  • Diet change

Piles are related to chronic constipation, so make sure to have food that helps the stool soft and reduces strain. Make sure to follow the given necessary tips like increase water intake, do not have caffeinated drinks, and increase fibre intake in the diet like vegetables, fruits, and wholegrain bread

  • Undergoing surgery

Although, only 10% of cases of piles require surgery. Your doctor can tell you better whether your condition needs surgery or not. Some known signs of surgical preference are intense pain, prolapsed haemorrhoids, excessive bleeding, and tissues not getting enough blood supply.

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Gastroenterologist Kartik Goyal Piles

Gastro doctor views on Hemorrhoids and available treatment options

Hemorrhoids Swollen Vein In Lower Rectum

Hemorrhoids (Piles) Treatment Punjab

Hemorrhoids mean swelling and inflammation of the vein in the rectum that leads to bleeding and discomfort. In medical terms, it’s also called vascular cushions that surround the anus.

Types of Hemorrhoids

  • Internal hemorrhoids: Covered by mucosa, present inside the anus
  • External hemorrhoids: Covered by skin, present outside the anus

The type of treatment given by your Gastrologist in Punjab will depend upon the type of hemorrhoids you have. So that is why a proper understanding of your condition is essential to determine the most reliable solution.

Different grades of Hemorrhoids

The hemorrhoids are divided into five grades, and these are mentioned below:

  • Grade 1

The hemorrhoids happen due to cushion problems like bleeding or protruding. The bowel movement causes excess pressure and inflammation. There’s a problem of swelling and bleeding in the stool.

  • Grade 2

The cushions can expand quickly when you push the stool. Sometimes, it might pop inside the anus. However, when you don’t push, it can get sucked back in, and medically it’s called spontaneously reducing.

  • Grade 3

With time, the cushions can stay outside the body once you stop. In such a case, you should wear gloved fingers and push back the anus. Medically, it’s called manually reducing, and your healthcare provider does it.

  • Grade 4

In case of an advanced problem, pushing won’t help, and it keeps coming back outside. Internal hemorrhoids that protrude or bleed won’t cause burning or sharp pain. Such pain occurs due to anal fissures.

External hemorrhoids have problems due to a small blood clot leading to a knot or little ball outside the anus. Sometimes, these dissolve within 3 to 4 days, and the pain disappears.

How to prevent and treat hemorrhoids?

The medical expert suggested Hemorrhoids Surgery in Ludhiana when the condition worsens, and the grade is higher. Surgery is the only way to address the concern and improve your overall well-being.

In case the condition is at the initial stage, and you are looking for non-surgical methods, then the gastro doctor will suggest you:

  • Increase fiber intake
  • Drink enough water
  • Don’t have food that causes constipation like white bread, processed grains, red meat, white rice, bananas, and alcoholic beverages.
  • Do not strain or push too much during bowel movements.
  • If bowel movement does not happen even after sitting for a long time, then better try again later.

Do you notice bleeding in bowel movements?

Well! It’s one of the emergency signs that you need to consult a medical expert. If you have these symptoms, consult the experienced gastro doctor at Ludhiana Gastro & Gynae Centre to analyze effectively what’s wrong with your condition and how to manage everything. Please be free to ask any doubt that comes to your mind and make the further decision.

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Colonoscopy Gastroenterologist Kartik Goyal

What Is Colonoscopy, Why Is It Used, And What Are Its Risk Factors?

A colonoscopy is basically a test that the doctor takes to look for any kind of changes such as swollen, irritated tissues, cancer, or polyps in the rectum or large intestine (colon). The help of a video camera that the doctor attached to the tip of a tube makes it possible for the Gastro doctor in Ludhiana to get a view of the entire colon.

In fact, if it is deemed necessary, the doctor can also remove polyps and some other types of abnormal tissues via scope at the time of colonoscopy. Apart from that, the surgeon is also liable to take the tissue samples known as biopsies during colonoscopies.

Why Do The Doctors Conduct Colonoscopy?

  • To investigate intestinal symptoms and signs

With the help of a colonoscopy, the doctor can explore many possible causes of abdominal pain, chronic diarrhea, rectal bleeding, and other intestinal problems.

  • Screening for colon cancer

If you are the age 45 or more, then you might be at average risk of colon cancer. There is no other risk factor associated with colon cancer than age. This is why your doctor might advise you to have a Colonoscopy in Ludhiana after every ten years. In case you have some other risk factors, then there is a chance for the doctor to ask you to have a screen sooner than later. It is one of the few options that help in screening for colon cancer.

  • Look for more polyps.

If you have a history of polyps, then there is a good chance that your doctor might suggest a follow-up colonoscopy to look at and remove the additional polyps. The doctor conducts this procedure to reduce the risk of colon cancer.

  • Treat a condition

There are also situations wherein the surgeon might conduct the colonoscopy for treatment purposes. Some of those treatments include placing a stent or removing the object from the colon.

What Are The Risk Factors Of Undergoing Colonoscopy?

There are few risks associated with colonoscopy. Although all these are for rare occasions, it is still wise to know all the details beforehand for better understanding.

  • There can be a reaction to sedatives that the doctor uses at the time of the exam.

  • There is bleeding from the site where the doctor took a tissue sample, also known as a biopsy.

  • Bleeding from a polyp or some other abnormal tissues, which the doctor removes.

  • There is a tear in the rectum wall (perforation) of the colon.

How Can You Prepare For The Colonoscopy?

Before the doctor begins the procedure of colonoscopy, they might ask you to empty or clean out the colon. If there is any residue in the colon, then the doctor might find it challenging to get a good view of your colon as well as the rectum at the time of the test.

To clean your colon, the doctor might ask you to:

  • Follow a special diet the day before the exam

  • Take a laxative.

  • Adjust your medications.

Final Comments

Schedule your initial consultation with Ludhiana Gastro & Gynae Center. 

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Gastroenterologist Gastroenterology Kartik Goyal

Everything you should know about an intragastric balloon for weight loss treatment

Intragastric Balloon For Instant Weight Loss

Intragastric Balloon For Weight Loss Treatment

The intragastric balloon treatment makes one of the most appropriate choices for weight loss. The procedure uses endoscopy to fill the stomach with a balloon and limit the intragastric space. The stomach stays there for six months, and Intragastric Balloon for Weight Loss in Punjab helps the patients lose around 10 to 15 kg. So, if you have been searching for weight loss treatment, then better consult the doctor.

Procedure of endoscopic guidance

The silicon balloon gets placed in the stomach through endoscopic guidance. The procedure aims to make you feel full and reduce your hunger feeling. Don’t consider the procedure a permanent weight loss treatment. The market have different types and sizes of balloons. Depending on what’s best for you, the doctor will suggest the necessary choice when you visit for the initial consultation at Gastro hospital in Ludhiana and clarify all your doubts.

Signs that I need to undergo intragastric balloon treatment (For weight loss)

  • BMI is more than 30, and therefore, your condition demands an effective approach
  • Class 2 obesity (BMI falls between 32 to 37) and surgery is impossible due to other health issues.
  • For BMI > 37, procedure makes best before bariatric surgery to ensure there’s no problem linked to the surgical approach.
  • All the dietary measures have failed, and you have conditions like infertility, PCOS, and other problems.

With all these conditions, you must consult a medical expert without worrying about anything.

The expert team performs weight loss surgery in Ludhiana

There’s no need for surgery during intragastric balloon for weight loss treatment. The medical expert team will give you a necessary treatment plan to improve your condition. When you consult the doctor, you will get the following information:

  • Right kind of assessment.
  • Proper guidance is available to you.
  • Discuss the different methods. Make sure to ask any questions that come to your mind.
  • Depending on the initial evaluation and diagnosis, the team informs that you are a suitable candidate for intragastric balloon treatment for weight loss.

Are there any tests done before the weight loss treatment?

  • Hemogram, RBS, HbA1C
  • Cortisol, Blood Group
  • Calcium, S. Magnesium
  • GAD Antibodies, IA2 Antibodies (in diabetic patients)
  • His Ag, HIV I & II, Anti HCV, VDRL, Urine RE
  • ECG, X-Ray Chest PA, USG abdomen, Dexa Scan
  • C peptide fasting, C peptide 1 hr pp, Insulin fasting
  • Liver function test, Lipid Profile, Thyroid function test, and Renal function test

Placement of the intragastric balloon

The procedure requires endoscopy and mild anesthesia. The tube contains a camera to see the inside of the stomach. The balloon is silicone elastomer, soft and pliable. The balloon gets placed through sterile solution or air. Following that, the doctor gently pulls the catheter from the inner side, and the balloon self-sealing valve won’t result in leakage or air. The procedure takes 20 minutes. You might need to stay overnight or return home a few days after surgery.

Do you have any doubts?

Schedule your initial consultation at Ludhiana Gastro & Gynae Centre to seek all necessary information.

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Gastroenterologist Gastroenterology Gynecologist

Everything you need to know about the healthy diet plan for IBS

IBS (Irritable Bowel Syndrome): Diet Plan for IBS

IBS is one of the most problematic conditions that affect your gut and your overall lifestyle. It’s even seen that IBS symptoms flare up with the intake of specific food options. And that is why it’s suggested to change the diet plan. Irritable bowel syndrome can trigger in some people by consuming specific food options. 

Food is a powerhouse to generate your body’s well-being towards the right path. And that is why our Gastroenterologist in Ludhiana has shared essential insider tips for the ‘Best Diet Plan For IBS.’ When you consult our gastroenterologist, he will guide you towards the right possible option to make your bowel health better and healthy.  

Gastro doctor guide: Diet Plan for IBS

Your IBS diet plan includes three significant steps. And those are mentioned below:

Step 1: Live a healthy lifestyle and follow the healthy diet plan

For a healthy IBS Diet plan, you should:

  • Eat fruits and vegetables
  • Drink an adequate amount of water, at least 10 to 12 glasses, every day 
  • Include scratchy carbohydrates like rice, bread, pasta, potatoes, cereals, and chapatis. 
  • Milk & dairy products. Individuals with lactose intolerance should have rice milk, oat milk, and soya milk. 
  • Include protein-enriched food like eggs, fish, meat, pulses & beans. 
  • Don’t have an excess amount of sugary and high in fat food
  • Don’t have saturated food like cakes, butter, ghee, cheese, biscuits, etc. 

For a healthy IBS lifestyle

  • Do not miss out on any meal
  • Never eat your food in a hurry
  • Properly chew the food
  • Avoid eating late at night
  • Exercise regularly
  • De-stress yourself 
Step 2: Change IBS diet depending on symptoms

With a healthy diet and lifestyle, you have to change your diet plan depending on the symptoms. Therefore, modify the diet to get the symptoms under control. Here are some of the changes you should make:

  • Limit the regular intake of coffee

Coffee stimulates the colon and makes symptoms worse. So, limit coffee and tea intake to not more than 3 cups in a day. Additionally, limit soft drinks. 

  • Do not drink alcohol

Just like alcohol, you need to limit alcohol intake daily. It’s better to keep at least two days without any alcohol intake

  • Limit intake of resistant starch 

Some starch doesn’t react well to digestive health and aggravates IBS symptoms. Here’s what you have to avoid:

  • Ready meals
  • Pastry
  • Cold potato, salad, or pasta 
  • Savory snacks
  • Processed food of any kind
  • Whole grains, sweet corn, green banana, and muesli
  • Make your fiber intake better

For most individuals diagnosed with IBS, fiber intake is not correct. And some have to increase their fiber intake. So, depending on how your body reacts, you should manage your fiber intake every day. 

  • Reduce fatty foods

Some fatty foods are problematic for the body to digest, and their intake can worsen symptoms. So, you should:

  • Avoid fatty meat products such as sausages, pies, and pasties
  • Take cheese in a small amount
  • Intake of lower-fat dairy food like low-fat yogurt, semi-skimmed milk, and cottage cheese
  • Use tomato-based sauces 
  • Cakes, biscuits, chocolates, and pastries.
  • Make dressings and sauces with mayonnaise and salad cream but add small amounts. 
  • Opt for different and healthy cooking methods: Microwaving, grilling, steaming, boiling, and poaching. Avoid frying.

Did you know? 

Probiotics can also help. Talk to the doctor about which one you should have. 

Step 3: Begin with an elimination diet

Additionally, some studies have shown if indicated to follow a low FODMAP diet, the symptoms improve. And it’s

  • Fermentable
  • Oligo
  • Di
  • Monosaccharides
  • And
  • Polyols

Little Breakdown on IBS Diet:

Foods to eat Foods to avoid
Fruits Oranges, grapes, kiwi, blueberries, strawberries, and raspberries,  Peaches, mangoes, apples, watermelon, pears, and plums nectarines
Sweeteners Agave, stevia High fructose corn syrup, and Sorbitol, xylitol, 
Legumes Peas Chickpeas, kidney beans, and lentils
Vegetables Carrots, eggplant, pumpkin Artichokes, Brussels sprouts, onions, asparagus, and broccoli
Other foods Eggs, lean meat, oatmeal Wheat products, nuts, milk products, coffee, and alcohol

Do you have any doubts?

Schedule your initial consultation at Ludhiana Gastro & Gynae Centre to better understand what kind of diet plan to follow during IBS.

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Gastroenterologist Pregnancy

How does smoking affect women’s health and chances of safe pregnancy?

Smoking: One of the most troublesome situations for women’s health

In India, around 267 million adults over 15 consume tobacco daily. And by the time you are reading this, there might be someone involved in this deadly habit. Not just men but even women consume tobacco products and smoke. We all know ‘How smoking affects the overall well-being?’ and that’s not all; even reproductive health gets down. And this is why for a woman, it’s essential to seek immediate assistance from one of the known Gynecologist In Punjab.

As the present state keeps increasing, the stats of women going through smoking will see a considerable rise. It’s high time to understand how to follow better practices to reverse cigarette smoking. If you are trying to conceive or thinking about it, you need to consult one of the experienced Obstetrician Gynecologist In Ludhiana to inform you better about the situation. If you used to smoke in the past, tell your gynae about the same.

Smoking negatively affects the reproductive health of women

Different studies have concluded that smoking does take a toll on women’s reproductive health. In such cases, there is a problem getting pregnant on your own, and it might take a lot of tries. There’s a high possibility of women conceiving even if they used to smoke. Then What?

Women who get pregnant but smoke: What happens?

In this scenario, several things can happen:

  • Increased risk of premature rupture of membranes
  • Increased risk of placenta previa, which means:
  • Total obstruction
  • Partial obstruction

The obstruction happens in the cervix opening by the Placenta.

  • Increased chances of bleeding: Between the area of the uterine wall & Placenta. It leads to an increased case of an emergency.
  • Higher chances of preterm delivery

The women who smoke and have a child might not have an average birth weight. Moreover, the risk of stillbirth and perinatal mortality is higher than the typical cases.

Can smoking affect breastfeeding?

YES! Smoking can affect breastfeeding. The problem can result in the form of:

  • Milk quantity decline
  • Milk quality reduces

If you take oral contraceptives, you are at higher risk of coronary artery disease. And the given state is even higher among women who smoke. The women in this state should not smoke at all; otherwise, there will be an issue.

Did you know?

Smoking also makes the menstrual cycle extremely painful. Moreover, have higher chances of going through:

  • Frequent menopause symptoms
  • Severe menopause symptoms

That’s not all. Women who smoke have higher chances of experiencing menopause at least two years early than women who don’t smoke.

What should I do to stop smoking?

Some of the fruitful ways to stop smoking are:

  • Do not smoke from the start of 1st trimester of pregnancy as it helps to improve the infant’s weight.
  • If you cut down on smoking habits for at least 1 to 2 years, the chances of artery disease are reduced by at least 20% to 25%.
  • Reduced chances of paralysis and stroke

Final word!   

Smoking affects the overall well-being by increasing the chances of getting different health issues like paralysis, stroke, myocardial infarction, and other problems. Stop smoking, and you will feel a lot healthier yourself. Schedule an initial consultation at Ludhiana Gastro & Gynae Centre to begin your pregnancy journey safely.