5 important questions to ask a gastroenterologist

5 important questions to ask a gastroenterologist

The digestive system is made up of vital organs that support functions allowing the body to absorb nutrition from daily foods. The major organs in this system are the esophagus, stomach, small intestine, bile ducts, gallbladder, pancreas, colon, rectum, and liver. And only specialist doctors treat conditions and complications that develop in the digestive system. Here are 5 uncomfortable yet important questions to ask a gastroenterologist before, during, and after treatment.

What conditions do they treat?
A general physician recommends checking up with a gastroenterologist for severe constipation and diarrhea. But gastroenterologists also advise on the best course of treatment for diseases that affect major abdominal organs. One consults to understand complications like cirrhosis, colon cancer, Crohn’s disease, gallbladder disease, gastrointestinal reflux disease, irritable bowel syndrome, ulcers, and even colitis. These doctors also specialize in endoscopy and colonoscopy procedures to confirm the development of chronic conditions.

What invasive diagnostic tests are necessary?
Problems in the abdomen, GI tract, and colon can be diagnosed by performing an endoscopy or colonoscopy. Both tests are invasive and can be a concern for many patients who are unsure about the procedure. So, the only way to overcome the fear of invasive diagnostic tests is by discussing the steps involved and understanding if these procedures are the only way to confirm the existence of a problem. In some cases, an endoscopy and biopsy must be done, whereas other patients might require only an X-Ray or CT Scan.

What are the best treatments available?
It is necessary to do as the doctor says. But it is equally necessary to ask if there are any alternatives or other viable treatments based on comfort and personal choices. Ask for details about the course of action for diseases that don’t have any cure. Some problems can only be managed with daily nutrition and lifestyle changes apart from ongoing treatments. If so, one must also ask about the outlook as the condition progresses to understand what is necessary for immediate treatment. Actively discuss the options and assess types of treatment while voicing out concerns about side effects and symptoms that flare up. It is necessary to keep an open channel of communication.

What should be done in case of remission?
Known GI tract problems can be managed to a certain extent with prescriptions, surgery, therapies, and lifestyle changes. It is quite possible to lead a good life as long as the symptoms are managed, but there are chances of remission in cases like colon cancer or tumors that develop in the GI tract or abdomen. If there are any flare-ups and remissions where the symptoms get out of control, one must be aware of the next course of action. So, talk to the doctor and understand what can be done in such cases. Prompt action and immediate management can prevent severe flare-ups, so ask the doctor about dos and don’ts to manage these events efficiently.

How good is the long-term outlook?
This is an uncomfortable question that patients hesitate to ask. But it is important to find out how good or bad the outlook is for managing something that cannot be cured. Get lifestyle advice about the best foods to eat and avoid, and changes in exercise and physical routine. Discuss preventive measures and suggestions for coping. All these help improve the long-term outlook irrespective of the expected results.

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Hyperkalemia – 10 foods to avoid

Potassium plays a huge role in the health of our heart muscles and nerve cells. And high levels of this element in the blood cause hyperkalemia. If you consume meals high in potassium, your doctor may advise you to decrease portion sizes and concentrate on fruits and vegetables with a lower potassium content. Here is a list of foods rich in potassium that must be avoided if you have hyperkalemia. Yogurt and dairy products A serving of nonfat yogurt weighing eight ounces has roughly 625 mg of potassium, making it one of the dairy aisle's highest sources of potassium. Even reduced fat milk contains 366 mg of potassium in a glass of cow's whole milk. Ricotta and cottage cheese are also high in potassium. Goat cheese is a low potassium food, proving that not all cheeses are made equal. Likewise, About 131 milligrams of potassium may be found in a half cup of vanilla ice cream. Bananas When people consider foods high in potassium, bananas frequently come to mind. A banana normally contains 422 mg of potassium. Among all the fruit, bananas are athletes' favorite as they provide energy. However, it could be highly dangerous for someone suffering from hyperkalemia. Consult your doctor if you have hyperkalemia and stick to fruits such as apples and berries. Leafy vegetables About 420 milligrams of potassium can be found in only a half cup of cooked spinach. Raw spinach, young or mature, has roughly 167 mg per cup. Fennel, bok choy, beet greens, and Swiss chard are also high in potassium. You can opt for kale instead. Kale has more nutrients than these other dark leafy greens, but it has less potassium. 73 mg is present in one cup of raw kale. Fish Clams, which provide 534 mg of potassium in just 3 ounces, are the finest source of protein from seafood. Around three ounces of skipjack tuna offers 444 mg, another major source of potassium. One of the most popular fish, salmon, frequently has a lower potassium content. Keeping a check on what type of fish you are eating if you have hyperkalemia is a must. Kidney beans Beans are a balanced addition to any meal plan as they're rich sources of protein and fiber. However, according to data from the USDA, one cup of the kidney-shaped type has 713 mg of potassium. A half-cup of black beans has 489 mg of potassium. Avocado This creamy, green-fleshed fruit is packed with 690 mg of potassium and is high in fiber and heart-healthy lipids. Although it might seem good for your heart, you should avoid it if you have hyperkalemia. Potatoes Potassium is heavily concentrated in potatoes; 925 milligrams of potassium may be found in a baked potato. A three-ounce portion of french-fried potatoes has 470 mg of potassium and a lot of fat and calories. The potassium content in an ounce of potato chips is 465 mg. Indulging in fast foods like fries is adverse for those with hyperkalemia. Oranges A single orange has 240 mg of potassium, making it a food with a high potassium content. With 450 mg per 8 oz glass, orange juice is a more potent source of potassium. Fruits vary in their potassium content. Berries are a poor source of potassium and can be a decent substitute for oranges and orange juice. Another good option is apples. Dried fruits The nutrients in fruit, including potassium, that have been dried are concentrated. You get roughly 750 milligrams from half a cup of dried apricots. Also, even though raisins and dried plums make a fantastic snack, they should be avoided by someone with hyperkalemia. Legumes and beans Legumes are a significant source of potassium as well. White beans have the most, with 600 mg of potassium in a half cup. In half a cup serving, other legumes such as lima beans and pinto beans have between 300 and 350 mg.

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6 uncomfortable questions to ask a dentist

Dental visits, no matter how unpleasant, are essential to maintain good oral hygiene. Most dental appointments may involve routine checkups and cleanings. At times, however, you may have questions regarding procedures or habits, but any feeling of embarrassment or worry over judgment from the dentist may prevent you from asking them. To make it easier for you, here are some of the most common but uncomfortable questions that people are too shy to ask. Where does the saliva go? You may have seen the suction line during any dental procedure. This suction removes the excess saliva and tooth debris from one’s mouth and helps to keep their mouth dry, which can otherwise interfere with the treatment. The device funnels waste materials, including spit, through a filtering system that separates liquids from solids. The waste is then disposed of into the office's wastewater system. Does the treatment have any side effects? Filings, extractions, and root canals may have potential risk factors. Some common side effects may include pain, swelling, or temporary sensitivity. By asking about the possible side effects of a treatment to your dentist, you can better prepare for any discomfort or complications that may arise after the procedure. What are the potential dental risks I should be aware of? You need to be aware of any potential dental risks specific to your oral condition. Some problems may be hereditary, while some can be taken care of with better oral care. Any ongoing treatments may require additional care. For example, elaborate treatments like implants and root canals may carry certain risks, including nerve damage. So, knowing the risks can be helpful in understanding your condition better. Is it true that our toothbrushes have bathroom contamination on them? When you use the bathroom, whether post shower or after flushing the toilet, tiny invisible particles and bacteria may become airborne and settle onto nearby objects. If your toothbrush is left exposed, the bristles may get contaminated. But since these particles form the body’s natural microbiota, they may not pose a serious health risk. To discourage bacterial growth, however, people are advised to store their toothbrush in an open and dry environment. It’s also a good practice to keep toothbrushes separate from each other to avoid cross-contamination. Could my other therapies interfere with my dental treatment? Dentists encourage their patients to share their health history to ensure that the treatments do not pose a risk to dental procedures. For example, any blood-thinning therapies may lead to bleeding during dental treatments, while autoimmune conditions like diabetes may delay healing and make one susceptible to bacterial infections. Coming clean about one’s health conditions and any ongoing therapies may help the dentist to alter the treatment plan to lower the risk of any potential complications. Can you tell if I don’t floss enough? Flossing is an important part of oral hygiene, which helps individuals to get rid of the plaque and food stuck between the teeth where their brush cannot reach. Having said that, most people tend to ignore this step and consider brushing to be enough, despite knowing its importance. Some even indulge in “floss-fudging” techniques, which means they only floss just before a dental appointment. In such cases, a dentist is easily able to tell the difference. Inflammation, bleeding, or persistent plaque between teeth are some telltale signs that give it away.

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