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Unveiling Celiac Disease: Understanding, Managing, and Thriving

Unveiling Celiac Disease: Understanding, Managing, and Thriving

 

Introduction

 

Celiac disease, a prevalent autoimmune disorder, affects millions of individuals worldwide, yet it remains widely misunderstood.

This comprehensive guide aims to shed light on celiac disease by exploring its intricacies—from its underlying causes and diagnostic methods to its management strategies and impact on daily life.

By unraveling the mysteries of celiac disease, we empower individuals to navigate this condition with knowledge, resilience, and confidence.

 

Understanding Celiac Disease

 

Celiac disease is an autoimmune condition characterized by an abnormal immune response to gluten—a protein found in wheat, barley, rye, and their derivatives.

When individuals with celiac disease consume gluten-containing foods, their immune system mistakenly attacks the lining of the small intestine, leading to inflammation and damage to the intestinal villi—small finger-like projections responsible for nutrient absorption.

This immune-mediated response can cause a wide range of gastrointestinal and systemic symptoms and may result in long-term complications if left untreated.

ceeliac disease causes - Unveiling Celiac Disease: Understanding, Managing, and Thriving

Causes of Celiac Disease

 

The precise cause of celiac disease is multifactorial, involving a complex interplay of genetic, environmental, and immunological factors. Key contributors to the development of celiac disease include:

  1. Genetic predisposition: Celiac disease has a strong genetic component, with specific human leukocyte antigen (HLA) genes—particularly HLA-DQ2 and HLA-DQ8—playing a significant role in susceptibility. Individuals with certain genetic markers are more likely to develop celiac disease when exposed to gluten.

     

  2. Environmental triggers: While genetic predisposition sets the stage for celiac disease, environmental factors such as gluten consumption and early childhood infections may act as triggers. Gluten exposure, particularly during infancy and early childhood, is considered a primary environmental trigger for celiac disease development.

     

  3. Immunological dysregulation: In individuals with celiac disease, gluten consumption triggers an aberrant immune response, leading to the production of autoantibodies and inflammation within the small intestine. This immune-mediated process damages the intestinal lining and impairs nutrient absorption, contributing to the characteristic symptoms of celiac disease.

celiac disease symptoms - Unveiling Celiac Disease: Understanding, Managing, and Thriving

Symptoms of Celiac Disease

Celiac disease can manifest with a wide range of symptoms affecting the gastrointestinal tract, as well as other organ systems. Common symptoms of celiac disease may include:

– Gastrointestinal symptoms: Abdominal pain, bloating, diarrhea, constipation, nausea, vomiting, and flatulence are common gastrointestinal manifestations of celiac disease. These symptoms result from inflammation and damage to the intestinal lining, leading to impaired digestion and nutrient absorption.

– Systemic symptoms: Celiac disease can also cause systemic symptoms affecting other parts of the body. These may include fatigue, weakness, weight loss, anemia, osteoporosis, dermatitis herpetiformis (a chronic skin rash), and neurological symptoms such as headaches, peripheral neuropathy, or depression.

– Asymptomatic presentation: Some individuals with celiac disease may experience minimal or no symptoms, a condition known as “silent celiac disease.” Despite the absence of overt symptoms, these individuals may still experience intestinal damage and long-term complications if left untreated.

 

Diagnosis of Celiac Disease

 

Diagnosing celiac disease involves a combination of medical history, physical examination, serological tests, and confirmatory procedures. Healthcare providers may consider the following steps in the diagnostic process:

 

  1. Medical history and physical examination: Healthcare providers may inquire about symptoms, dietary habits, family history, and previous medical conditions to assess the likelihood of celiac disease. Physical examination may reveal signs of malnutrition, such as weight loss, stunted growth (in children), or dermatological manifestations.

     

  2. Serological tests: Blood tests for celiac-specific antibodies, including anti-tissue transglutaminase antibodies (tTG-IgA), anti-endomysial antibodies (EMA-IgA), and anti-deamidated gliadin peptide antibodies (DGP-IgA and DGP-IgG), are commonly used as initial screening tests for celiac disease. Elevated levels of these antibodies indicate an immune response to gluten and may prompt further evaluation.

     

  3. Upper endoscopy with biopsy: If serological tests suggest celiac disease, confirmation may be obtained through an upper endoscopy with biopsy. During this procedure, a gastroenterologist examines the lining of the small intestine using a flexible, lighted tube (endoscope) and collects tissue samples (biopsies) for histological examination. Characteristic findings of celiac disease on biopsy include villous atrophy, crypt hyperplasia, and lymphocytic infiltration of the intestinal mucosa.

Schneider 3 - Unveiling Celiac Disease: Understanding, Managing, and Thriving

Management of Celiac Disease

 

The management of celiac disease centers on adopting a strict gluten-free diet, addressing nutritional deficiencies, managing symptoms, and preventing long-term complications.

Key components of celiac disease management include:

 

  1. Gluten-free diet: The cornerstone of celiac disease management is eliminating gluten from the diet. Individuals with celiac disease must avoid all foods and products containing wheat, barley, rye, and their derivatives. This includes bread, pasta, cereal, baked goods, sauces, condiments, and processed foods. Reading food labels, scrutinizing ingredient lists, and being vigilant about cross-contamination are essential for preventing gluten exposure.

     

  2. Nutritional supplementation: Addressing nutritional deficiencies, such as iron, vitamin B12, folate, calcium, and vitamin D, is crucial for individuals with celiac disease. Healthcare providers may recommend oral supplements or intravenous therapy to replenish depleted nutrient stores and promote optimal health.

     

  3. Symptom management: Medications may be prescribed to alleviate gastrointestinal symptoms, such as proton pump inhibitors (PPIs) for acid reflux, anti-diarrheal agents for diarrhea, or corticosteroids for severe inflammation. Dermatitis herpetiformis may be treated with medications such as dapsone to control skin rash and itching.

     

  4. Ongoing monitoring: Regular follow-up appointments with healthcare providers, including gastroenterologists, dietitians, and other specialists, are essential for monitoring disease activity, assessing nutritional status, and addressing any complications or concerns. Periodic blood tests and repeat biopsies may be recommended to evaluate treatment response and disease progression. 

 

Living with Celiac Disease

 

Managing celiac disease requires ongoing commitment, education, and support.

Individuals with celiac disease must learn to navigate various aspects of daily life, including social situations, dining out, travel, and food preparation, to avoid gluten exposure and maintain their health and well-being.

Joining support groups, connecting with others living with celiac disease, and accessing reputable online resources can provide valuable guidance, encouragement, and practical tips for living a fulfilling gluten-free lifestyle.

 

Conclusion

 

Celiac disease is a complex autoimmune condition with significant implications for affected individuals’ health and quality of life.

By understanding the causes, symptoms, diagnosis, and management strategies for celiac disease, individuals can take proactive steps to manage their condition effectively, optimize their nutritional health, and minimize the impact of celiac-related complications.

With proper education, support, and adherence to a strict gluten-free diet, individuals with celiac disease can lead fulfilling lives and enjoy improved overall well-being.

celiac disease infographic - Unveiling Celiac Disease: Understanding, Managing, and Thriving

 

Contact Dr. Schneider

Dr. Schneider, a distinguished gastroenterologist with a wealth of experience in digestive health, is well-equipped to provide personalized guidance tailored to individual needs.

With a commitment to patient education and well-being, Dr. Schneider ensures that individuals are informed about the procedure, addressing any concerns and emphasizing the significance of regular screenings for early detection.

Talk to us today to book your appointment.

For further reading on the procedures we perform, please visit our website or contact Dr. Schneider on 011-482-3010. 

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

Nurturing Your Colon: A Comprehensive Guide to Achieving and Maintaining a Healthy Colon

Nurturing Your Colon: A Comprehensive Guide to Achieving and Maintaining a Healthy Colon

 

The colon, a crucial component of the digestive system, plays a vital role in nutrient absorption, water balance, and the elimination of waste.

Ensuring the health of your colon is not only essential for digestive well-being but also contributes to overall vitality.

In this comprehensive guide, we’ll explore various aspects of maintaining a healthy colon, covering dietary strategies, lifestyle choices, and expert insights to empower you on your journey to digestive wellness.

 

Understanding the Colon and Its Functions

 

The colon, also known as the large intestine, plays a crucial role in the digestive system, serving several vital functions within the body.

First and foremost, the colon absorbs water and electrolytes from the undigested food material that enters it from the small intestine.

This absorption process transforms the liquid residue into a more solid form, shaping what eventually becomes feces.

Additionally, the colon is responsible for fermenting undigested carbohydrates, producing certain vitamins (such as vitamin K and some B vitamins) through bacterial action.

The muscular walls of the colon aid in propelling the fecal material toward the rectum, facilitating the elimination process.

Moreover, the colon acts as a reservoir for the storage of waste before it is ready to be expelled from the body.

In essence, the colon’s multifaceted functions are integral to maintaining proper hydration, nutrient absorption, and the efficient elimination of waste, contributing significantly to overall digestive health.

dietary strategies for a healthy colon - Nurturing Your Colon: A Comprehensive Guide to Achieving and Maintaining a Healthy Colon

 

Dietary Strategies for a Healthy Colon

 

Maintaining a healthy colon is paramount for overall digestive well-being, and dietary strategies play a pivotal role in achieving this.

  • A diet rich in fiber is particularly crucial, as it promotes regular bowel movements and helps prevent constipation.  Fiber, found in fruits, vegetables, whole grains, and legumes, also acts as a prebiotic, nourishing beneficial gut bacteria linked to colon health.
  • Adequate hydration is equally essential, as it supports the efficient movement of stool through the colon.
  • Incorporating probiotic-rich foods, such as yogurt and fermented foods, can contribute to a balanced gut microbiome, fostering a healthy environment in the colon.
  • Reducing the intake of processed and red meats, which have been associated with an increased risk of colorectal cancer, and opting for lean protein sources can further support colon health.
  • Additionally, limiting alcohol consumption and avoiding tobacco products can mitigate potential risks to the colon.
  • Ultimately, adopting a diverse and plant-centric diet, combined with hydration and lifestyle choices, forms a proactive approach to nurturing a healthy colon and reducing the risk of digestive issues.
  • Regular consultations with healthcare professionals and registered dietitians can provide personalized guidance for maintaining optimal colon health based on individual needs and health conditions.

 

Embrace Fiber-Rich Foods


Including fiber-rich foods in your diet is essential for digestive health, as fiber aids in maintaining regular bowel movements, promoting a healthy gut microbiome, and supporting overall well-being.

Here’s a list of fiber-rich foods that you can incorporate into your meals:

 

Whole Grains:

  • Quinoa
  • Brown rice
  • Oats
  • Barley
  • Whole wheat

Fruits:

  • Apples (with skin)
  • Pears
  • Berries (strawberries, blueberries, raspberries)
  • Bananas
  • Oranges

Vegetables:

  • Broccoli
  • Brussels sprouts
  • Carrots
  • Spinach
  • Kale

Legumes:

  • Lentils
  • Chickpeas
  • Black beans
  • Kidney beans
  • Peas

Nuts and Seeds:

  • Almonds
  • Chia seeds
  • Flaxseeds
  • Sunflower seeds
  • Pumpkin seeds 

Whole Grain Cereals:

  • Bran cereals
  • Whole grain muesli
  • High-fiber breakfast cereals

 

Tubers and Roots:

  • Sweet potatoes
  • Regular potatoes (with skin)
  • Turnips

Avocado:

  • Avocados are not only rich in fiber but also provide healthy fats.

Popcorn:

  • Air-popped popcorn is a whole grain and a good source of fiber.

Berries:

  • Strawberries, raspberries, and blueberries are not only delicious but also packed with fiber.

Whole Grain Bread:

  • Opt for whole grain or whole wheat bread instead of refined white bread.

Brussels Sprouts:

  • These cruciferous vegetables are high in fiber and other essential nutrients.

Artichokes:

  • Both globe and Jerusalem artichokes are rich in fiber.

Kiwi:

  • Kiwi is a small fruit with a high fiber content and is a great addition to your diet.

Prunes:

  • Prunes, or dried plums, are well-known for their natural laxative effect due to their fiber content.

Incorporating a variety of these fiber-rich foods into your meals can help you meet your daily fiber needs and contribute to better digestive health.

Remember to increase your fiber intake gradually and stay adequately hydrated for optimal benefits.

ehalhty food for colon - Nurturing Your Colon: A Comprehensive Guide to Achieving and Maintaining a Healthy Colon

Include Resistant Starches

 

  • Benefits: Resistant starches resist digestion in the small intestine and reach the colon, where they serve as food for beneficial bacteria.
  • Sources: Green bananas, legumes, and certain whole grains contain resistant starch.

Limit Red and Processed Meats

 

  • Risks: High consumption of red and processed meats is associated with an increased risk of colorectal cancer.
  • Alternatives: Choose lean protein sources such as poultry, fish, and plant-based proteins.

Stay Hydrated

 

  • Benefits: Proper hydration supports the mucosal lining of the intestines and ensures smooth passage of waste.
  • Recommendation: Aim for at least eight 8-ounce glasses of water per day.

Regular Physical Activity

 

  • Benefits: Exercise stimulates bowel movements, promoting regularity and preventing constipation.
  • Recommendation: Aim for at least 150 minutes of moderate-intensity exercise per week.

Maintain a Healthy Weight

 

  • Risks: Obesity is linked to an increased risk of colorectal cancer.
  • Strategies: Adopt a balanced diet and engage in regular physical activity to maintain a healthy weight.

Importance of Screening

 

  • Purpose: Regular screenings are crucial for early detection of colorectal conditions, including polyps and cancer.
  • Recommendations: Colonoscopies are typically recommended starting at age 50, or earlier if there are risk factors.

Know Your Family History

 

  • Significance: A family history of colorectal conditions can increase your risk.
  • Action: Inform your healthcare provider of your family history to determine the appropriate screening schedule.

The Role of Beneficial Bacteria

 

  • Functions: Beneficial bacteria in the colon contribute to the fermentation of fiber, producing short-chain fatty acids that nourish the colon lining.
  • Support: Consume probiotic-rich foods like yogurt and kefir to support a healthy gut microbiome.

Cruciferous Vegetables

 

  • Benefits: Cruciferous vegetables, such as broccoli and cauliflower, contain compounds that may have protective effects against colorectal cancer.

Fruits and Berries

 

  • Antioxidants: The antioxidants in fruits and berries may help protect colon cells from damage.
  • Variety: Include a variety of colorful fruits in your diet for a range of nutrients.

 

Persistent Digestive Symptoms

 

  • Red Flags: Persistent symptoms such as changes in bowel habits, blood in stool, or unexplained weight loss warrant immediate medical attention.
  • Timely Intervention: Early detection and intervention are crucial for positive outcomes.

gastroenterologist visit colonoscopy - Nurturing Your Colon: A Comprehensive Guide to Achieving and Maintaining a Healthy Colon

 

Consultation with Gastroenterologists

 

  • Importance: Gastroenterologists specialize in digestive health and can provide personalized guidance based on your unique needs.
  • Screening Recommendations: Follow your healthcare provider’s recommendations for screenings and consultations.

Dietary Counseling

 

  • Registered Dietitians: Seek guidance from registered dietitians who can create personalized nutrition plans to support colon health.

 

Conclusion: A Lifelong Commitment to Colon Wellness

 

As you embark on the journey to nurture your colon, remember that it’s a lifelong commitment rooted in mindful choices and regular screenings.

By prioritizing a fiber-rich diet, staying active, and being vigilant about preventive screenings, you empower yourself to take charge of your digestive health.

A healthy colon is not just a marker of digestive well-being; it’s a cornerstone of overall vitality and longevity.

Here’s to a life of digestive wellness and a flourishing, healthy colon!

nurturing your colon infographic - Nurturing Your Colon: A Comprehensive Guide to Achieving and Maintaining a Healthy Colon

Contact Dr. Schneider


Contacting Dr. Schneider is a prudent step towards gaining comprehensive insights into colonoscopy and screening methods.

Dr. Schneider, a distinguished gastroenterologist with a wealth of experience in digestive health, is well-equipped to provide personalized guidance tailored to individual needs.

With a commitment to patient education and well-being, Dr. Schneider ensures that individuals are informed about the procedure, addressing any concerns and emphasizing the significance of regular screenings for early detection.

Talk to us today to book your appointment.

For further reading on the procedures we perform, please visit our website or contact Dr. Schneider on 011-482-3010.

 

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

Gastrointestinal Disorders: Symptoms, Causes, and Management

Gastrointestinal Disorders: Symptoms, Causes, and Management

 


The human
gastrointestinal (GI) system, a complex and intricate network of organs and tissues, plays a pivotal role in digesting food, absorbing nutrients, and expelling waste.

However, it’s susceptible to a range of disorders, many of which can cause discomfort, distress, and long-term health complications.

In this comprehensive guide, we’ll explore some of the most common gastrointestinal disorders, providing insights into their symptoms, causes, and management strategies.

Understanding the Gastrointestinal System

 

Before delving into specific disorders, it’s essential to comprehend the gastrointestinal system’s main components:

Mouth: The digestive process begins here as food is broken down by chewing and mixed with saliva, which contains digestive enzymes.

Esophagus: A muscular tube that transports food from the mouth to the stomach.

Stomach: Food is mixed with digestive juices, including stomach acid and enzymes, to form a semi-liquid mixture called chyme.

Small Intestine: This is where the majority of nutrient absorption occurs. The walls are lined with tiny hair-like structures called villi, which increase the surface area for nutrient uptake.

Large Intestine (Colon): Water and electrolytes are absorbed here, and waste materials are formed into feces for elimination.

Liver: It produces bile, which is essential for fat digestion, and detoxifies the blood.

Gallbladder: Stores and concentrates bile, releasing it into the small intestine when needed for digestion.

Pancreas: It produces digestive enzymes that are secreted into the small intestine and hormones like insulin and glucagon, which regulate blood sugar levels.

 

gastrintestinal disorder symptoms causes 2 - Gastrointestinal Disorders: Symptoms, Causes, and Management

 

Common Gastrointestinal Disorders

 

1. Gastroesophageal Reflux Disease (GERD)

Symptoms: Heartburn, regurgitation, chest pain, difficulty swallowing, chronic cough.

Causes: Weak lower esophageal sphincter (LES), which allows stomach acid to flow back into the esophagus, often due to diet, obesity, or a hiatal hernia.

Management: Lifestyle modifications (diet, weight loss), medications to reduce acid production, and in severe cases, surgery to repair the LES.

 

2. Irritable Bowel Syndrome (IBS)

Symptoms: Abdominal pain, cramping, bloating, diarrhea, constipation, or both (IBS-D, IBS-C, IBS-M).

Causes: Exact cause is unknown, but factors like altered gut motility, visceral hypersensitivity, and psychological stress may contribute.

Management: Dietary changes (low-FODMAP diet), stress management, medications for specific symptoms, and psychological therapies.

3. Inflammatory Bowel Disease (IBD)

Crohn’s Disease
Symptoms: Abdominal pain, diarrhea, weight loss, fatigue, inflammation can occur anywhere from mouth to anus.

Causes: Likely involves an abnormal immune response and genetic predisposition.

Management: Medications to control inflammation, surgery in severe cases, and lifestyle changes.

 

Ulcerative Colitis
Symptoms: Diarrhea, rectal bleeding, abdominal pain, weight loss, inflammation is limited to the colon and rectum.

Causes: Complex, involving genetics, immune system abnormalities, and environmental factors.

Management: Medications, lifestyle changes, and surgery in some cases.

 

4. Gallstones

Symptoms: Abdominal pain (biliary colic), nausea, vomiting, inflammation of the gallbladder (cholecystitis).

Causes: The formation of hardened deposits in the gallbladder, often due to the imbalance of substances in bile.

Management: Surgery to remove the gallbladder (cholecystectomy) is the most common treatment.

5. Celiac Disease

Symptoms: Digestive symptoms, as well as fatigue, joint pain, skin rash (dermatitis herpetiformis), triggered by gluten consumption.

Causes: An autoimmune reaction to the protein gluten, found in wheat, barley, and rye, in genetically predisposed individuals.

Management: A lifelong gluten-free diet, which typically leads to symptom resolution.

 

6. Diverticulitis

Symptoms: Abdominal pain, fever, changes in bowel habits, typically on the left side of the lower abdomen.

Causes: Small pouches (diverticula) in the colon can become inflamed or infected.

Management: Mild cases are often treated with antibiotics, while severe cases may require surgery.

7. Gastroenteritis

Symptoms: Diarrhea, vomiting, abdominal pain, fever, typically caused by viral or bacterial infections.

Causes: Infection with pathogens like norovirus, rotavirus, or food poisoning.

Management: Rest, hydration, and, in severe cases, medications to control symptoms.

gastrointestinal disorders management - Gastrointestinal Disorders: Symptoms, Causes, and Management

Management Strategies for Gastrointestinal Disorders

 

Managing gastrointestinal disorders often involves a combination of lifestyle modifications, dietary changes, medications, and, in some cases, surgery.

Let’s delve into these management strategies:

Lifestyle Modifications:

 

  1. Dietary Changes: Many GI disorders benefit from dietary modifications. For example, GERD may require avoiding acidic and spicy foods, while IBS patients often find relief with a low-FODMAP diet.
  2. Stress Management: Stress can exacerbate many GI conditions, so stress-reduction techniques like yoga, meditation, and deep breathing exercises are essential.
  3. Regular Exercise: Physical activity can help regulate bowel function, reduce stress, and promote overall well-being.
  4. Sleep Hygiene: Ensuring adequate and restful sleep can have a positive impact on GI health.

Medications:

 

  • Antacids and Proton Pump Inhibitors (PPIs): These medications are often prescribed for GERD to reduce stomach acid.
  • Anti-Inflammatory Drugs: In cases of IBD, anti-inflammatory drugs like mesalamine or steroids are used to control inflammation.
  • Immunosuppressants: For more severe cases of IBD, immunosuppressive drugs may be prescribed to modulate the immune system’s response.
  • Antispasmodics: These medications help relieve abdominal cramping and pain, which are common in IBS.

gi disorders lifestyle change - Gastrointestinal Disorders: Symptoms, Causes, and Management

 

Surgery:

 

In some cases, surgery is necessary to manage or treat gastrointestinal disorders. For example:

  • Cholecystectomy: Surgical removal of the gallbladder to treat gallstones.
  • Colectomy: In cases of severe ulcerative colitis or diverticulitis, removal of a portion of the colon may be required.
  • Ileostomy or Colostomy: In severe cases of IBD, diverticulitis, or trauma, these procedures involve creating a stoma to allow waste to exit the body, bypassing the affected area. 

The Importance of Early Diagnosis and Medical Guidance

 

Gastrointestinal disorders can significantly impact an individual’s quality of life.

While lifestyle modifications and over-the-counter medications can help manage mild symptoms, early diagnosis and medical guidance are crucial for more severe or persistent conditions.

If you suspect you have a gastrointestinal disorder or are experiencing symptoms like chronic abdominal pain, changes in bowel habits, unexplained weight loss, or persistent discomfort, seek medical evaluation and diagnosis from a healthcare provider.

gi disorders diagnose - Gastrointestinal Disorders: Symptoms, Causes, and Management

What Can I Do to Prevent Digestive Issues?

Preventing digestive issues and promoting gastrointestinal health involves adopting a proactive approach to your diet and lifestyle.

Here are some practical steps you can take to minimize the risk of digestive problems and maintain a healthy gut:

  1. Eat a Balanced Diet:
  • Fiber: Include plenty of fruits, vegetables, whole grains, and legumes in your diet to promote regular bowel movements and a healthy gut microbiome.
  • Probiotic-Rich Foods: Incorporate yogurt, kefir, sauerkraut, kimchi, and other fermented foods to support the growth of beneficial gut bacteria.
  • Limit Sugar and Processed Foods: Excessive sugar and processed foods can negatively impact the gut. Reducing their consumption can help maintain gut health.
  1. Stay Hydrated:
  • Drinking an adequate amount of water is essential for digestion and the absorption of nutrients. Dehydration can lead to constipation.
  1. Control Portion Sizes:
  • Overeating can lead to discomfort and indigestion. Practice portion control to avoid overloading your digestive system.
  1. Manage Stress:
  • Chronic stress can disrupt digestion. Engage in stress-reduction techniques like meditation, yoga, deep breathing, or mindfulness to maintain a healthy gut-brain connection.
  1. Exercise Regularly:
  • Physical activity helps promote gastrointestinal motility and overall well-being.
  1. Get Adequate Sleep:
  • Quality sleep is essential for gut health and overall physical and mental health.
  1. Limit Alcohol and Avoid Excessive Caffeine:
  • Both alcohol and excessive caffeine can irritate the gastrointestinal lining. Moderation is key.
  1. Avoid Smoking:
  • Smoking can contribute to various digestive problems, including acid reflux and peptic ulcers. Quitting smoking is beneficial for both your overall health and your gut.
  1. Be Mindful of Food Intolerances:
  • If you suspect you have food intolerances, such as lactose intolerance or gluten sensitivity, identify and manage these triggers by adjusting your diet accordingly.

gastrointestinal disorders infographic - Gastrointestinal Disorders: Symptoms, Causes, and Management

 

Contact Dr. Schneider

 

In conclusion, gastrointestinal disorders encompass a wide range of conditions that affect the digestive system, from the mouth to the rectum.

These disorders can cause discomfort, pain, and disruption to daily life.

However, with early diagnosis, proper management, and often simple lifestyle changes, many individuals can effectively manage their gastrointestinal issues and improve their quality of life.

Dr. Schneider is located at the Mill Park Hospital, Parktown, Johannesburg.

Services offered include consultation, and endoscopy procedures, including gastroscopy, colonoscopy and video capsule endoscopy.

 

For more information on the diagnosis and treatment of gluten intolerance in Johannesburg, contact Dr. Schneider or book your consultation today.

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

Celiac Disease: Symptoms, Diagnosis, Diet and Treatment

Celiac Disease: Symptoms, Diagnosis, Diet and Treatment

 

Introduction


Celiac disease is a disorder of the digestive system that occurs when the body is unable to break down and absorb gluten.

When people with celiac disease eat gluten, the gluten triggers an immune response in the body that damages the lining of the small intestine.

This damage prevents the small intestine from being able to absorb nutrients from food, which can lead to malnutrition.

Celiac disease is a serious condition that can cause a wide range of symptoms, including digestive problems, fatigue, weight loss, and anemia.

There is no cure for celiac disease, but the condition can be managed by following a gluten-free diet.

It’s estimated that about 3 million people in the US have been diagnosed with celiac disease.

However, many more people experience symptoms of celiac disease.

In this article we will talk about celiac disease and the affect it can have on the body.
Should you suspect that you might have celiac disease, it is advisable to get in contact with your doctor.

 

What is Celiac Disease?

 

Celiac disease is a condition where the body is unable to process gluten, a protein found in wheat, barley, and rye.

When someone with celiac disease eats gluten, it triggers an immune response in the small intestine, which can lead to damage of the small intestine and other symptoms.

Symptoms of celiac disease can vary from person to person, but may include abdominal pain, bloating, gas, diarrhea, weight loss, and fatigue.

Some people with celiac disease may also experience anemia, osteoporosis, and headaches.

There is no cure for celiac disease, but the condition can be managed by following a gluten-free diet.

This means avoiding all foods that contain gluten, including bread, pasta, cereal, and many processed foods.

celiac disease gluten - Celiac Disease: Symptoms, Diagnosis, Diet and Treatment

 

Symptoms of Celiac Disease

 

Celiac disease is a chronic autoimmune condition that affects the digestive system. When someone with celiac disease eats gluten, their body mounts an immune response that attacks the small intestine.

This can lead to a variety of symptoms, including abdominal pain, bloating, diarrhea, constipation, fatigue, and weight loss.

In some cases, celiac disease can also cause anemia, osteoporosis, and dermatitis herpetiformis.

 

Diagnosing Celiac Disease 

 

Celiac disease is a digestive disorder that damages the small intestine and prevents it from absorbing nutrients from food. People with celiac disease have an immune reaction to gluten, a protein found in wheat, rye and barley.

When people with celiac disease eat foods that contain gluten, their immune system reacts by damaging the small intestine.

This damage prevents the small intestine from absorbing nutrients from food, which can lead to malnutrition. Celiac disease is a serious, lifelong condition that can be treated by following a gluten-free diet.

There is no one definitive test for celiac disease. The best way to diagnose celiac disease is to start with a blood test to look for antibodies that are present in people with the disease.

If the blood test is positive, then a biopsy of the small intestine is needed to confirm the diagnosis.

celiac disease diagnosis bloodtest - Celiac Disease: Symptoms, Diagnosis, Diet and Treatment

Celiac Disease Diet

 

There is no one-size-fits-all diet for celiac disease, as each person reacts differently to gluten. However, the general consensus is that a gluten-free diet is the best way to manage the condition. This means avoiding all foods that contain wheat, barley, and rye.

For some people, this may mean making significant changes to their diet.

Others may be able to simply avoid foods that contain gluten. In either case, it is important to work with a dietitian to ensure that you are getting all the nutrients you need.

A gluten-free diet can be challenging, but it is possible to find delicious and nutritious foods that fit within the diet.

With careful planning and a positive attitude, you can maintain a healthy and enjoyable diet despite having celiac disease.

Ingredients To Avoid:

There are a few ingredients that celiacs should avoid, as they can trigger an immune response. Some of these ingredients include:

  • Gluten
  • Barley
  • Rye
  • Oats

While oats are technically gluten-free, they are often contaminated with gluten during processing. Other ingredients to avoid include soy, corn, and rice.

Most processed foods contain one or more of these ingredients, so celiacs need to be vigilant about reading labels.

 

Avoid The Following Unless the Product Indicates They Are Gluten-Free:

There are a few things to avoid unless the product indicates they are gluten-free. First, watch out for hidden sources of gluten like:

  • Soy sauce
  • Malt vinegar
  • Some types of candy.

Also, be wary of processed foods, as they may contain gluten as well.

Finally, check the labels of any medications you take, as some contain gluten as well. By being aware of these potential sources of gluten, you can help avoid accidentally consuming it.

Gluten-Free Starches You Can Eat:
There are many gluten-free starches that you can eat. Some of these include:

  • Rice
  • Corn
  • Potatoes

These starches are all safe for people with celiac disease or gluten intolerance.

They are also all healthy and nutritious options. So, if you’re looking for some gluten-free starch options, these are a great place to start.

celiac disease abdominal pain - Celiac Disease: Symptoms, Diagnosis, Diet and Treatment


Treatment for Celiac Disease

 

Celiac disease is a serious autoimmune disorder that affects the digestive system. People with celiac disease cannot tolerate gluten, a protein found in wheat, rye, and barley.  

When people with celiac disease eat foods containing gluten, their immune system reacts by damaging the lining of the small intestine. This can lead to a variety of symptoms, including abdominal pain, diarrhea, weight loss, and fatigue.

There is no cure for celiac disease, but the good news is that it can be effectively managed by following a strict gluten-free diet.

This means avoiding all foods that contain gluten, including bread, pasta, cereal, and baked goods. It can be difficult to adjust to a gluten-free diet, but there are many resources available to help people with celiac disease make the transition.

With careful planning and a commitment to following the diet, people with celiac disease can lead happy, healthy lives.

Who is at Risk for Celiac Disease?

 

Celiac disease is a condition that affects the digestive system and prevents the body from properly absorbing nutrients from food.

People with celiac disease are at risk for malabsorption, which can lead to malnutrition and other health problems. Celiac disease is most common in people of European descent, but it can occur in people of any ethnicity.

The exact cause of celiac disease is unknown, but it is thought to be a combination of genetic and environmental factors.

People with celiac disease must avoid eating gluten, a protein found in wheat, rye, and barley.

celiac disease symptoms - Celiac Disease: Symptoms, Diagnosis, Diet and Treatment

 

Contact Dr. Schneider


Celiac disease is a chronic autoimmune disorder that affects the digestive system. When people with celiac disease eat gluten, a protein found in wheat, rye and barley, their immune system responds by damaging the small intestine.

This can lead to a variety of symptoms, including abdominal pain, diarrhea, weight loss and fatigue. There is no cure for celiac disease but following a gluten-free diet is the only treatment currently available.

Dr. Schneider is a medical professional with many years of experience in the field.  His services include endoscopy procedures such as, gastroscopy, colonoscopy and video capsule endoscopy.

If you are concerned about celiac disease, talk to Dr. Schneider to book your appointment.

For further reading on the procedures we perform, please visit our website or contact Dr. Schneider on 011-482-3010.

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

The Gut-Brain Connection: How Your Gut Affects Your Mood And Overall Health

The Gut-Brain Connection: How Your Gut Affects Your Mood And Overall Health

The Gut-Brain Connection

 

We all know that what we eat, can affect our mood and our overall health, but did you know that there is a strong connection between the gut and the brain?

The gut-brain connection is a two-way street. Just as the brain can influence the gut (think nervous stomach), the gut can also influence the brain.

There are a few ways that the gut can affect the brain:

  1. The gut contains a lot of nerve cells (neurons). In fact, the gut has more neurons than the spinal cord!2. The gut produces about 95% of the body’s supply of serotonin, a neurotransmitter that plays a role in mood, sleep, and appetite.

The gut-brain connection is real, and it’s important to understand how your gut health can affect your mood and overall health.

There’s a lot more to gut health than just digestion.

The gut-brain connection is a complex one, but basically, it works like this: your gut produces neurotransmitters that send signals to your brain.
These signals can impact everything from your mood to your immune system, so, if your gut isn’t healthy, it can have a serious ripple effect on your health.

Let’s discuss the gut-brain connection in depth!

The Physical Connection

The human gut is home to trillions of bacteria, both good and bad. The good bacteria are essential for many bodily functions, including digesting food, absorbing nutrients, and keeping the gut lining healthy.

The bad bacteria, on the other hand, can cause problems like diarrhea and gastrointestinal (GI) infections.

The gut microbiome, the collection of all the bacteria in the gut, is important for overall health.

Studies have shown that an imbalance of gut bacteria can lead to a variety of health problems, including obesity, diabetes, and inflammatory bowel disease.

But the gut microbiome does more than just affect physical health. It also plays a role in mental health.
 

The Chemical Connection

The brain-gut connection is a two-way street.

The gut microbiota produces neuroactive compounds that affect the brain, and the brain regulates gastrointestinal function.

This bidirectional communication system is mediated by the vagus nerve, the sympathetic and parasympathetic nervous systems, the immune system, and the endocrine system.

The gut microbiota produces neuroactive compounds, such as GABA, serotonin, and dopamine, which interact with the brain.

The microbiota also produces metabolites that can influence the epigenetic regulation of the brain.

In turn, the brain regulates gastrointestinal function through the autonomic nervous system and the enteric nervous system.

The autonomic nervous system is composed of the sympathetic and parasympathetic nervous systems.

Untitled design 5 - The Gut-Brain Connection: How Your Gut Affects Your Mood And Overall Health

 

The Gut and Mood

We all know that what we eat affects our physical health, but did you know that what we eat can also affect our mental health?

There is a strong connection between the gut and the brain, and studies have shown that the gut microbiota can influence our mood and overall health. The gut microbiota is made up of trillions of bacteria that live in our intestines and play a vital role in our health.

These bacteria help us to digest our food, produce vitamins and minerals, and protect us from pathogens.

 

The Gut and Happiness

The gut microbiota also produces neurotransmitters, which are essential for communication between the gut and the brain.

Studies have shown that the gut microbiota can influence our mood and overall health.

For example, one study found that people who ate a diet rich in fiber had a lower risk of depression

 

The Gut and Depression

Recent research has shown that your gut microbiota can also affect your mental health.

In fact, there’s a growing body of evidence to suggest that gut health is intimately linked to mental health, and that the health of your gut can have a significant impact on your mood and overall well-being.

There are several ways in which your gut microbiota can influence your mental health.

For example, the microbes in your gut produce chemicals that can influence your mood.

These chemicals include neurotransmitters like serotonin and dopamine, which are essential for maintaining a healthy emotional balance.

gut brain microbiome - The Gut-Brain Connection: How Your Gut Affects Your Mood And Overall Health

 

The Gut And Overall Health

The gut has been nicknamed the “second brain” because of the way it affects our mood and overall health.

For example, stress can lead to gut problems like inflammation and irritable bowel syndrome (IBS).

This connection is important to understand because it can help us develop targeted treatments for conditions like IBS.

 

 The Gut and Immunity

The gut-brain connection is one of the most important, yet often overlooked, aspects of our overall health.

A healthy gut is essential for a healthy mind and body.

Unfortunately, many of us don’t have a healthy gut due to poor diet, stress, and other factors. This can lead to a host of problems, including mood swings, anxiety, depression, and even chronic illnesses.

The good news is that there are ways to improve your gut health.

By eating a healthy diet, reducing stress, and getting enough sleep, you can help your gut and your overall health.

 

gut brain immunesystem - The Gut-Brain Connection: How Your Gut Affects Your Mood And Overall Health

The Gut and Chronic Illness

 

Not only does the gut affect mood and overall health, but chronic illness can also have a major impact on gut health.

There is a growing body of evidence linking gut health and chronic illness.

For example, studies have shown that people with inflammatory bowel disease (IBD) are more likely to suffer from depression and anxiety.

IBD is a chronic inflammatory condition of the gut, and it is thought that the inflammation may contribute to the development of mood disorders.

In addition, the gut microbiome (the community of microbes that live in the gut) has been implicated in the development of chronic illnesses.

 

The Benefits of Probiotics in the Body

 

Probiotics are live, friendly bacteria that are great for our gut health.

They help to restore the balance of good and bad bacteria in our gut, and they’ve been shown to have a number of health benefits.

One of the most well-known benefits of probiotics is that they can help to improve our mood.

Probiotics have been shown to increase levels of serotonin, the “happy hormone.” They can also help to reduce stress and anxiety. 

gut brain probiotic - The Gut-Brain Connection: How Your Gut Affects Your Mood And Overall Health

What Are Probiotics?

Your gut is home to trillions of bacteria, both good and bad. The good bacteria are important for many things, including helping to break down food and keeping the bad bacteria in check.

Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. We usually think of these as germs that cause diseases.

But your body is full of them, and most are helpful. Probiotics are found in fermented foods like yogurt, kefir, sauerkraut, kimchi, and kombucha.

They’re also in supplements.

Probiotics help with diarrhea, constipation, and irritable bowel syndrome. They also help with vaginal infections and urinary tract infections.

The Benefits of Probiotics for Gut Health


Probiotics are thought to have several health benefits, including improving gut health.

The human gut is home to numerous amounts of bacteria, many of which are beneficial.

These bacteria help with digestion, protect against harmful bacteria, and produce vitamins.

gut brain health infographic - The Gut-Brain Connection: How Your Gut Affects Your Mood And Overall Health

 

Contact Dr. Schneider


In conclusion, the gut-brain connection is a complex and important one. Your gut health can have a profound impact on your mood and overall health.

By taking care of your gut and promoting a healthy microbiome, you can improve your overall health and well-being.

If you are concerned about your gut health, talk to us today to book your appointment.

For further reading on the procedures we perform, please visit our website or contact Dr. Schneider on 011-482-3010. 

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.

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The Truth About Crohn’s Disease: Causes, Symptoms, and Treatment

The Truth About Crohn’s Disease: Causes, Symptoms, and Treatment

 

What is Crohn’s Disease, exactly?

 

The intestines are responsible for the absorbing of nutrients from food, as well as eliminating any toxins or waste material.

The intestines are filled with 4 different types of cells.

1 – Paneth Cells

2 – Dendritic Cells

3 – Peyer’s Patches

4 – Blood Vessels 

The stomach secretes an acid to help break down food and the intestines absorb most of the nutrients and water from the food we digest. 

Deglutition is controlled by a group of nerves situated in the throat and mouth and is called the pharyngeal plexus. 

Crohn’s Disease (CD), or Crohn syndrome, is a type of inflammatory bowel disease (IBD) marked by patchy areas in various sections of your gastrointestinal tract that cause ulcerations and pain.

Crohn’s disease can occur anywhere along this pathway, but it most commonly manifests itself as inflammation of the small intestines (ileum) and can lead to impaired digestion, unintended weight loss and serious complications like blockage of the intestinal tract (strictures) or fistulas. 

Here we will look at some more in-depth information on the symptoms, causes and treatment of Crohn’s Disease. 

gastrointestinal tract symptoms - The Truth About Crohn’s Disease: Causes, Symptoms, and Treatment

Most Common Symptoms of Crohn’s Disease

  

Crohn’s disease affects people between their mid-teens to mid-thirties, with onset most common between fifteen and twenty years of age.

Symptoms can range from mild cases lasting just a few days to chronic conditions resulting in intestinal blockages or perforations called fistulae. 

Most people who suffer from Crohn’s can experience the following symptoms: 

  • Persistent abdominal pain
  • Rectal bleeding
  • Weight loss
  • Persistent diarrhea
  • Constipation
  • Stool that is hard and lumpy
  • Fatigue
  • Pain in lower abdomen
  • A Feeling that your lower abdomen is swollen or bloated
  • Pain when you sit
  • Bleeding after intimacy

Scientists have still not found a definite answer to this, but they believe it to be a combination of genetic and environmental factors.

 

Causes of Crohn’s Disease

 

Some of the most common ways to find the cause of the disease are as follows:

Medical Research
Some medical studies and associations have been attempted to uncover the reasons for the disease, including genetic and genetic predisposition, autoimmune, and inflammatory processes.

Biology
Some research suggests that certain aspects of the digestive tract might play a role in the disease, such as dysbiosis, bacteria-host interactions, and inflammation.
There is limited evidence that bacteria associated with the disease, or bacterial toxins in the intestine can contribute to the development of Crohn’s disease.

Environmental factors
Other research has linked Crohn’s disease to a diet.

It is believed that an incorrect diet that is too low in fibre is the primary reason Crohn’s disease was first discovered.

However, researchers have suggested that it could also be genetic or environmental.

The incidence of Crohn’s disease is low among the general population, however the number of people suffering from this chronic bowel condition continues to increase.

In 2006, Crohn’s disease was diagnosed in 27.7 million people, accounting for approximately 1.9 percent of the total population.

More specifically, around 730,000 cases of Crohn’s disease were recorded in the United States.

As with many other chronic conditions, the cause is unknown. However, one plausible reason is an alteration in the food-borne microbiota and the community of microorganisms. 

 

diagnosing crohns disease - The Truth About Crohn’s Disease: Causes, Symptoms, and Treatment

Diagnosing Crohn’s Disease

 

Crohn’s disease is diagnosed by a process of elimination, meaning your physician will start with the least invasive tests possible and then progress towards more invasive testing until a clear diagnosis is attained.

There are a number of tests available which can help diagnose the condition:

  • Digital Rectal Examination
  • Colonoscopy
  • Abdominal Ultrasound
  • Endoscopy
  • Transabdominal Xray
  • Blood Tests
  • Chemical Analysis
  • Biopsy

the truth about crohns disease - The Truth About Crohn’s Disease: Causes, Symptoms, and Treatment

How to Prevent Crohn’s Disease from Flaring Up?
 

General lifestyle modifications are recommended to help prevent flare-ups.

Among these are:

  • Diet modification (avoiding foods that cause inflammation)
  • Exercise ((a minimum of 20 minutes a day, five times a week)
  • Stress management (emphasizing sleep and relaxation techniques)
  • At-home treatments
  • Medication
  • Physical therapy

Treatment Options for Crohn’s Disease

 

The first line of treatment is generally medication to control the inflammation and decrease the amount of abdominal pain.

Is it curable?

There are currently no curative treatments available for Crohn’s disease.

However, it can be manageable with medical treatment, dietary management, and symptom management.

What are the symptoms of IBD?

  • Fatigue, including lack of energy
  • Rash, including fever
  • Bloating
  • Abdominal pain
  • Stomach cramps
  • Enlarged or distended bowel
  • Inflammation in the area of the intestine
  • Abdominal pain, bloating and diarrhea?

     

crohns disease diet - The Truth About Crohn’s Disease: Causes, Symptoms, and Treatment

Diet and Exercise for Crohn’s
 

If you consume gluten, there’s a chance that eventually your immune system will go into an attack or “auto-immune” mode.

You might not notice symptoms at first because it takes a while for the symptoms to appear; they’re often subtle and develop gradually.

However, once symptoms kick in, they’re hard to ignore especially if the symptoms are severe like stomach cramping, diarrhea or other serious symptoms like bleeding ulcers or other complications.

Effects of the auto-immune response can take time to appear… If you suddenly drop weight without trying, it should be cause for concern particularly if other symptoms suddenly manifest themselves.

A leaky gut occurs when your intestines become damaged and porous, allowing food particles and other toxic bacteria into your blood stream which triggers inflammatory responses that affect all aspects of your health including your GI tract, heart and even liver functions.

The Crohn’s diet includes avoiding fats because their overconsumption contributes to infiltration by foreign particles through pores in your intestines.

 

New Research About Crohn’s Disease 

 

Increasingly, physicians are opting for surgical treatment when medical treatments fail.

Advantages of surgery include avoidance of lifetime medications and improved digestive function in over 50 percent of patients in some studies.

Surgery is still considered the treatment of last resort because it’s major abdominal surgery is associated with many complications, including death (one per 20 patients in some studies).

If there is no improvement after surgical resection of the bowel wall over 60% are likely to benefit from laxative therapy.

Early research suggests that intestinal rest, or fasting, can reduce symptoms in chronic inflammatory bowel disease (IBD) by reducing inflammation throughout the body.

 

crohns disease what to know - The Truth About Crohn’s Disease: Causes, Symptoms, and Treatment

Conclusion

 

Crohn’s disease is a condition that affects your gut, causing inflammation and ulceration of the lining of your digestive tract.

The cells that line your digestive tract are often called the mucosa, and they’re connected to your lymph nodes and other organs in your body.

Crohn’s disease is the result of an inflammatory response to the immune system’s attack on the intestines. In Crohn’s disease, the mucosa, or lining of your intestines, is damaged and inflamed.

This causes inflammation throughout the intestinal tract, affecting the bowels (intestinal tract) and the entire digestive system.

Crohn’s disease can affect any part of the intestines, including your mouth, the skin, and the lining of your abdomen.

GiDoc Johannesburg is here to provide you with expert medical advice in the field of gastroenterology and treatment of gastrointestinal issues. 

Book an appointment online or give us a call at 011 482-3010 to find out more.

 

DISCLAIMER: PLEASE READ CAREFULLY

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a Gastroenterologist or medical doctor regarding ANY and ALL symptoms or signs including, but not limited to: abdominal pain, haemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.