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Digestive Health Archive
Articles
Attack of the gallstones
They affect more women, but men still are at risk.
Image: iStock
Most people never think about gallstones—that is until they experience the severe, gut-piercing pain of a gallstone attack. "These often strike after eating, especially a high-fat or high-cholesterol meal, and can last about 30 minutes to two or more hours," says Dr. William Brugge, past director of gastrointestinal endoscopy at Harvard-affiliated Massachusetts General Hospital.
The attacks often begin in the upper-right side of the abdomen and may spread to the back, between the shoulder blades, and under the right shoulder. Nausea or vomiting may also occur.
Concern about recurring hiccups
Hiccups are often caused by many everyday situations, including distention of the stomach (which can be the result of overeating), swallowing air, or drinking carbonated beverages. They usually go away on their own, but episodes that last longer than 48 hours could be a sign of certain medical problems.
Too much of a good thing?
Proton-pump inhibitors are among the most-prescribed medications, but is long-term use safe?
Proton-pump inhibitors reduce stomach acid, which helps to treat symptoms of acid reflux.
Image: kamontad123/Thinkstock
Proton-pump inhibitors (PPIs), which are used to treat a variety of gastrointestinal problems, are among the most popular drugs in the United States. In fact, the FDA estimates about one in 14 Americans has used a PPI.
Should you keep taking that heartburn medication?
It may be time to re-evaluate if it's been a while since you started using proton-pump inhibitors.
Long-term use of some heartburn medications appears to be associated with an increated risk of dementia, heart attack, and chronic kidney disease.Ìý
Image: Thinkstock
You may think you're reaching for heartburn relief when you take a proton-pump inhibitor (PPI), a type of medication that helps block the production of stomach acid. PPIs are effective, and some—such as lansoprazole (Prevacid) and omeprazole (Prilosec)—are readily available over the counter. Others, such as pantoprazole (Protonix), are frequently prescribed for long-term use. But PPIs may have risks when taken over a long period.
8 ways to quell the fire of heartburn
Heartburn is a common problem. It's caused by the backwash of stomach acid into the esophagus, the tube connecting the mouth and stomach. This is formally called gastroesophageal reflux disease (GERD). More than just a minor discomfort, heartburn can significantly reduce quality of life. "Heartburn can cause damage to the esophagus and even increase the risk of cancer if ignored and untreated," says Dr. William Kormos, editor in chief ofÌýHarvard Men's Health WatchÌýand a primary care physician at Massachusetts General Hospital.
These eight steps can help ease heartburn.
- Eat in a heartburn-smart way.ÌýLarge meals put pressure on the muscle that normally helps keep stomach contents from backing up into the esophagus. The more you eat, the longer it takes for the stomach to empty, which contributes to reflux. Try smaller, more frequent meals â€� and don't wolf down your food.
- Avoid late-night eating.ÌýHaving a meal or snack within three hours of lying down to sleep can worsen reflux, causing heartburn. Leave enough time for the stomach to clear out.
- Don't exercise right after meals.ÌýGive your stomach time to empty; wait a couple of hours. But don't just lie down either, which will worsen reflux.
- Sleep on an incline.ÌýRaising your torso up a bit with a wedge-shaped cushion may ease nighttime heartburn. Wedges are available from medical supply companies and some home goods stores. Don't just prop your head and shoulders up with regular pillows â€� doing so can actually increase pressure on the stomach by curling you up at the waist.
- Identify and avoid foods associated with heartburn.ÌýCommon offenders include fatty foods, spicy foods, tomatoes, garlic, milk, coffee, tea, cola, peppermint, and chocolate. Carbonated beverages cause belching, which also causes reflux.
- Chew sugarless gum after a meal.ÌýChewing gum promotes salivation, which helps neutralize acid, soothes the esophagus, and washes acid back down to the stomach. But avoid peppermint-flavored gum, which may trigger heartburn more than other flavors.
- Rule out medication side effects.ÌýAsk your doctor or pharmacist whether any of the medications you take might cause pain resembling heartburn or contribute to reflux.
- Lose weight if you need to.ÌýBeing overweight puts more pressure on the stomach and pushes stomach contents into the esophagus. The tight-fitting clothing and belts that come with weight gain may also be a factor.Ìý
For more on relieving heartburn and treating a sensitive gut,Ìýpurchase The Sensitive Gut by Harvard Medical School.
Can everyday spices make you healthier?
Turmeric, coriander, and cumin may boost your health and breathe new life into tired dishes.
The health benefits of foods such as berries, broccoli, and salmon are well known. But your kitchen's spice rack may also hold some secret weapons against conditions such as inflammation, heart disease, cancer, and more. "Spices are underused, but it would be very easy to take advantage of them and improve health," says Dr. Lipi Roy, an internal medicine physician at Harvard-affiliated Massachusetts General Hospital.
There are few large randomized trials that demonstrate spices' health effects. But many studies in animals suggest that several spices offer benefits. So instead of flavoring your food with salt and butter, which can contribute to high blood pressure and heart disease, consider using the following spices.
Heartburn medications and the heart
Image: ThinkStock |
Ask the doctor
Q. I've read news reports that the heartburn drug I take may cause heart attacks. Should I worry about this?
A. Several studies have reported an association between proton-pump inhibitors (PPIs) and heart attacks. PPIs are medications for heartburn, such as omeprazole (Prilosec) and pantoprazole (Protonix). Overall, however, the evidence suggests these medications are not risky for your heart.
Ask the doctor: Do I need gallbladder surgery?
Ìý
Q. I've been having abdominal pain that may be due to gallstones. Is surgery the best solution, or are there other things I can try first?
A. The first thing to determine is whether your abdominal pain is in fact due to gallstones. They typically cause pain on the upper right side or in the center of the abdomen just below the breastbone that radiates to the back or right shoulder. The pain is often brought on by eating—especially fatty foods—or may occur at night. Sometimes gallstone pain is accompanied by sweating, bloating, nausea, or vomiting.
Is your heartburn pill working for you?
Image: iStock |
For optimal results, you need to take your medication regularly and time it correctly to your meals.
Have you tried to cool the burning discomfort of heartburn with medication and failed to get full relief? If so, a few simple adjustments to optimize your treatment may be all you need.
Easy ways to stay regular
Increasing fluids mayÌýhelp improve regularity.ÌýIn general, healthy older adults should consume about 3 to 6 cups of fluid per day. |
Improve digestive health by addressing underlying causes of irregularity, as well as fluids, diet, and exercise.

What can magnesium do for you and how much do you need?

Dry socket: Preventing and treating a painful condition that can occur after tooth extraction

What happens during sleep � and how to improve it

How is metastatic prostate cancer detected and treated in men over 70?

Could biofeedback help your migraines?

Plantar warts: Options for treating this common foot condition

Cancer survivorship: What comes next after treatment

Nutritional yeast: Does this savory, vegan seasoning pack a nutritional punch?

Salmonella is sneaky: Watch out

Two jobs may lower the odds of dying from Alzheimer's disease � but why?
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