The digestion process is complex and takes place in the digestive system and involves many organs. It starts with the esophagus which helps the stomach carry food. Many different organs like the pancreas and gall bladder produce digestive juices that help break down food for digestion. Digestion problems can occur at any stage of the digestive process. The gas is formed as a natural discipline of the digestive process and passes through your mouth or through our anus.
Some foods produce more gas than others. This is why it is important to avoid taking certain types of food. Unnecessary build-up of gas in the stomach and intestines can make you feel bloated. Inflammation can lead to serious complications in the future. This is why it should be treated by incorporating some lifestyle changes. You can take lactase supplements, alpha-galactosidase, simethicone, and probiotics.
Insults cause heart palpitations and can make you feel really uncomfortable. If you are suffering from this condition and take some medicines then you can avoid fatty and oily foods and aerated drinks. Peptic ulcers cause abdominal pain and can cause internal bleeding and can also form a hole in the abdominal wall.
Antibiotic treatment usually works to alleviate the condition with 10–14 days of acid reduction treatment. Gallstones are made up of cholesterol and bile salts and in some cases may require treatment. Removal of the gallbladder can be done through laparoscopy and through the mouth or vagina without any external incision. Other disorders include constipation, diarrhea, hemorrhoids and others.
However, for acute digestive disorders, the main treatments are islet auto transplantation for gastric electrical stimulation and chronic pancreatitis.
How is treatment done?
Gastric electric stimulation or GES is performed in patients who suffer from gastroparesis due to diabetes or some other cause. This method uses a device implanted in the abdomen to send mini electrical impulses to the smooth muscles and nerves of the lower abdomen.
Gastroparesis is a condition where the nerves and muscles of the stomach are affected and it delays emptying of food from the stomach to the small intestine. It can occur in people with diabetes or nervous disorders and sometimes, the cause is not known.
A pocket-clock size device is inserted into the abdomen through surgery that usually lasts 2-3 hours. Sometimes surgeons choose to use minimally invasive methods instead of going for open abdominal surgery. In the former case, a small incision is made and a viewing tube called a laparoscope is used to guide the entire process. A neuro-stimulant is applied to the right side of the abdomen.
While two insulated wires are placed in the abdominal muscle wall. It is then neuro-stimulated and penetrated from skin to skin. Once the device is activated the wires transmit low-energy electrical impulses to the stomach. The therapist activates and programs the device externally using a hand-held programmer. The doctor can adjust the frequency and energy of nerve impulses according to the patient’s requirement. However, most people do not feel lightning impulses. Chronic pancreatitis requires auto-islet transplantation after a total pancreatomy that removes the entire pancreas.
Chronic pancreatitis is a serious condition that causes inflammation of the pancreas that worsens over time and causes permanent damage. It gradually reduces a patient’s ability to digest food and produce pancreatic hormones. During islet autotransplant, the patient’s cells are isolated from the pancreas. When the patient starts receiving insulin they are put back.
Who is eligible for treatment? (When is treatment done?)
GES or gastric electrical stimulation occurs when a person is diagnosed with gastroparesis due to diabetes or some other unknown cause. It can also be done if someone is suffering from chronic nausea, vomiting or both.
This treatment can also be started if a person has not responded to the medication or is intolerant to the drug. It should also be kept in mind that only those undergoing surgery should be given gastric electrical stimulation.
People suffering from chronic pancreatitis are eligible for islet auto transplantation. Also, if you have to take medication to treat other forms of digestive disorders, it is always good to consult a doctor first.
Who is not eligible for treatment?
Gastric electrical stimulation can only be performed by patients who have the ability to withstand surgery. People with such physical fortitude are not eligible for this treatment.
Islet autotransplantation for the treatment of chronic pancreatitis includes pancreatectomy. This process can induce permanent diabetes due to its effect on insulin. Thus people with diabetes or those at risk of developing diabetes should avoid undertaking this treatment.
Are there any side effects?
Heartburn patients are usually prescribed H2 blockers which reduces the amount of stomach intake. However, there are many side effects of taking H2 blockers: they can cause constipation, diarrhea, headache or nausea and vomiting. Islet autotransplantation involves complete removal of the pancreas. It exposes the patient to the risk of developing permanent diabetes.
A patient must then take an insulin shot or use an insulin pump for the rest of their lives. Gastric electrical stimulation can cause pain at the implant site, infection, abdominal wall perforation, intestinal lead obstruction, lead / device problems and lead penetration, irritation, swelling, uncomfortable stimulation, tissue damage and more.
What are the guidelines after treatment?
Gastric electrical stimulation helps to reduce the symptoms of chronic latent vomiting and gastroparesis-related nausea. But this is not a complete cure for gastroparesis in itself. It helps to reduce the symptoms but patients usually need to take medication and even after undergoing this surgery follow a special diet to control the symptoms.
Islet autotransplantation can induce permanent diabetes in some people. Those people have to take insulin shots or use insulin pumps for the rest of their lives.
How long does it take to recover?
Most patients are discharged within 1–5 days of the gastric electrical stimulation procedure. However, this surgery does not end on its own, so a person will have to go to the doctor for regular check-ups. Other digestive disorders such as gas, heartburn, constipation and diarrhea can be treated within a few hours with the help of proper medication and proper food. The islet auto transplantation process is complex and a person may need some time to recover.
Are treatment results permanent?
Common gastric disorders such as gas, constipation, diarrhea and heartburn are more frequent than the result of lifestyle irregularities. Thus, such problems are rarely permanent solutions. Gastric electric stimulation does not end on its own and patients require medication and regular check-ups to maintain symptoms of gastroparesis. The islet transplant procedure can cause chronic pancreatitis to subside, but has many side effects.
What are the options of conversation?
There is no such option for islet autotransplantation because these methods are adopted only when all other options have failed. Chronic gastric stimulation is used to treat gastroparesis.
Alternative methods of treating gastroparesis may include changes in the diet of the patient and medications.
Medications such as metoclopramide and erythromycin can be used to stimulate the abdominal muscles. Other drugs that help with nausea and vomiting may include prochlor perisin and diphenhydramine.