Many digestive diseases have similar symptoms. Here’s how to recognize them and when to visit your doctor.
1. Chest Pain: Gastroesophageal Reflux Disease (GERD)
When stomach acid backs up into your esophagus — a condition called acid reflux — you may feel a burning pain in the middle of your chest. It often occurs after meals or at night, says Neville Bamji, MD,
a clinical instructor of medicine at The Mount Sinai Hospital and a
gastroenterologist with New York Gastroenterology Associates.
While it’s common for people to experience acid reflux and heartburn
once in a while, having symptoms that affect your daily life or occur at
least twice each week could be a sign of GERD, a
chronic digestive disease that affects 20 percent of Americans,
according to the National Institute of Diabetes and Digestive and
Kidney Diseases (NIDDK). If you experience persistent heartburn, bad breath,
tooth erosion, nausea, pain in your chest or upper part of your
abdomen, or have trouble swallowing or breathing, see your doctor.
Most people find relief by avoiding the foods and beverages that
trigger their symptoms and/or by taking over-the-counter antacids or
other medications that reduce stomach acid production and inflammation
of the esophagus; however, some cases of GERD may require stronger medication or surgery.
2. Gallstones
Gallstones are hard deposits that form in your gallbladder — a small, pear-shaped sack
that stores and secretes bile for digestion. Twenty million Americans
are affected by gallstones, according to the NIDDK. Gallstones can form
when there’s too much cholesterol or waste in your bile or if your
gallbladder doesn’t empty properly. When gallstones block the ducts
leading from your gallbladder to your intestines, they can cause sharp pain in your upper-right abdomen. Medications sometimes dissolve gallstones, but if that doesn’t work, the next step is surgery to remove the gallbladder.
3. Celiac Disease
An estimated 1 in 133 Americans has celiac disease,
according to the National Foundation for Celiac Awareness, but it’s
also estimated that 83 percent of people who have celiac disease don’t
know they have it or have been misdiagnosed with a different condition.
Celiac disease is a serious sensitivity to gluten,
a protein found in wheat, rye, and barley. Eat gluten, and your immune
system goes on the attack: It damages your villi, the fingerlike
protrusions in your small intestines that help you absorb nutrients from
the foods you eat. Symptoms of celiac disease in kids include abdominal
pain and bloating, diarrhea, constipation, vomiting, and weight loss.
Symptoms in adults also can include anemia, fatigue, bone loss,
depression, and seizures. However, some people may not have any
symptoms. The only treatment for celiac disease
is to completely avoid eating gluten. Common cooking alternatives to
gluten include brown rice, quinoa, lentils, soy flour, corn flour, and
amaranth.
4. Crohn’s Disease
Crohn’s disease is part of a group of digestive conditions called
inflammatory bowel disease (IBD). Crohn’s most commonly affects the end
of the small intestine called the ileum, but it can affect any part of
the digestive tract. As many as 700,000 Americans may be affected by Crohn’s,
according to the Crohn’s and Colitis Foundation of America. This
chronic condition is an autoimmune disease, meaning that your immune
system mistakenly attacks cells in your own body that it thinks are
foreign invaders. The most common Crohn's symptoms are abdominal pain,
diarrhea, rectal bleeding, weight loss, and fever. “Treatment depends
on the symptoms and can include topical pain relievers,
immunosuppressants, and surgery,” Dr. Bamji says.
5. Ulcerative Colitis
Ulcerative colitis is another inflammatory bowel disease
that affects about 700,000 Americans. The symptoms are very similar to
those of Crohn's, but the part of the digestive tract affected is solely
the large intestine, also known as the colon. If your immune system
mistakes food or other materials for invaders, sores or ulcers develop
in the colon’s lining.If you experience frequent and urgent bowel
movements, pain with diarrhea, blood in your stool, or abdominal cramps,
visit your doctor. Medication can suppress the inflammation, and
eliminating foods that cause discomfort may help as well. In severe
cases, surgery is needed to remove the colon.
6. Irritable Bowel Syndrome
Is your digestive tract irritable? Do you have stomach pain or
discomfort at least three times a month for several months? It could be
irritable bowel syndrome (IBS), another common digestive condition. Ten to 15 percent of the U.S. population suffers from irritable bowel syndrome, according to the International Foundation for Functional Gastrointestinal Disorders. Signs of IBS
can vary widely: You can be constipated or have diarrhea, or have hard,
dry stools on one day and loose watery stools on another. Bloating is
also a symptom of IBS. What causes IBS isn’t known, but treatment of
symptoms centers largely on diet, such as avoiding common trigger foods
(dairy products, alcohol, caffeine, artificial sweeteners and beans,
cabbage, and other foods that produce gas), or following a low-fat diet
that's also high in fiber. Friendly bacteria, such as the probiotics found in live yogurt,
may also help you feel better. Stress can trigger IBS symptoms, so some
people find cognitive-behavioral therapy or low-dose antidepressants to
be useful treatments, as well.
7. Hemorrhoids
Bright red blood in the toilet bowl when you move your bowels could be a sign of hemorrhoids,
which is a very common condition. In fact, 75 percent of Americans over
the age of 45 have hemorrhoids, according to the NIDDK. Hemorrhoids are
an inflammation of the blood vessels at the end of your digestive
tract. They can be painful and itchy. Causes include chronic
constipation, diarrhea, straining during bowel movements, and a lack of fiber in your diet.
Treat this common digestive condition by eating more fiber, drinking
more water, and exercising. Over-the-counter creams and suppositories
may provide temporary relief of symptoms. See your doctor if at-home
treatments don’t help. Sometimes hemorrhoids need to be removed
surgically.
8. Diverticulitis
Small pouches called diverticula
can form anywhere there are weak spots in the lining of your digestive
system, but they are most commonly found in the colon. If you have
diverticula but no symptoms, the condition is called diverticulosis,
which is quite common among older adults and rarely causes problems;
however, if the pouches bleed or become inflamed, it’s called diverticulitis.
Symptoms include rectal bleeding, fever, and abdominal pain. Obesity is
a major risk factor for diverticulitis. Mild diverticulitis is treated with antibiotics
and a liquid diet so your colon can heal. A low fiber diet could be the
cause of diverticulitis, so your doctor may direct you to eat a diet
high in fiber — whole grains, legumes, vegetables — as part of your
treatment. If you have severe attacks that recur frequently, you may
need surgery to remove the diseased part of your colon.
9. Anal Fissure
Anal fissures are tiny, oval-shaped tears
in the lining of the very end of your digestive tract called your anus.
The symptoms are similar to those of hemorrhoids, such as bleeding and
pain after moving your bowels. Straining and hard bowel movements can
cause fissures, but so can soft stools and diarrhea. A high-fiber diet
that makes your stool well formed and bulky is often the best treatment
for this common digestive condition. Medications to relax the anal
sphincter muscles as well as topical anesthetics and sitz baths can
relieve pain; however, chronic fissures may require surgery of the anal
sphincter muscle.
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