The most common symptoms of indigestion (dyspepsia)

Indigestion or dyspepsia-is a general feeling of discomfort in your upper abdomen. It may be an unpleasant or even painful sensation in the top of the abdomen or lower part of the chest, which usually comes after eating or drinking. Indigestion is a symptom but not a disease as such.

Symptoms

People with indigestion may have one or more of the following symptoms:

  • Abdominal burn
  • Bloating/feeling of distension in the upper abdomen.
  • Nausea.
  • Early fullness while eating.
  • Feeling uncomfortable after eating

When to see a doctor

Consult your doctor if discomfort persists for more than two weeks. Contact your doctor right away if pain is severe or there is

  • Reduced appetite
  • Unintentional weight loss
  • Recurrent vomiting or vomiting with blood
  • Black, tar-like stool
  • Difficulty in  swallowing
  • Fatigue or weakness

 

 

 

 

 

 

 

 

 

 

 

Dr. Vijay Anand

Specialist Gastroenterologist

Aster Clinic, Al Qusais (Damascus St.)

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Living with PCOS

PCOS is one of the most common endocrine disorders in women of reproductive age, often complicated by chronic anovulatory infertility and hyperandrogenism with the clinical manifestations of oligomenorrhoea, hirsutism, and acne.  Many women with this condition are obese and have a higher prevalence of impaired glucose tolerance, type II diabetes and sleep apnoea than is observed in the general population. They exhibit an adverse cardiovascular risk profile, as suggested by a higher reported incidence of hypertension, dyslipidemia, visceral obesity, insulin resistance and hyperinsulinemia. PCOS is frequently diagnosed by gynecologists and it is therefore important that there is a good understanding of the long-term implications of the diagnosis in order to offer a holistic approach to the disorder.

Counselling :

Women should be made aware of the long-term implications of their condition, including their cardiovascular risk, by their doctor, in a way that is tailored to their individual circumstances. Women should be made aware of the positive effect of lifestyle modification, including weight loss, for improving their symptoms. Especially those women who are overweight or obese.

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Don’t take Obesity lightly

A 2016 health survey conducted by the Dubai Health Authority stated that 36.1% of the total population was considered to be in the pre-obesity stage, i.e. they were overweight and nearing obesity unless the necessary actions were taken. And 11.9% of the total population included obese individuals.[1]

Obesity is a growing health concern across the world, causing various chronic health conditions and reducing people’s life expectancy. Obesity and being overweight are terms used to describe weight that is generally unhealthy for a given age and height.

As defined by the WHO, obesity is abnormal or excessive fat accumulation that may impair health. Excessive fat accumulation is caused by a combination of factors including, genetics, high-calorie intake, lack of exercise, sedentary lifestyle practices etc. A crude population measure of obesity is the body mass index (BMI) – a person’s weight (in kilograms) divided by the square of their height (in meters). A person with a BMI of 30 or more is generally considered obese, while a person with a BMI equal to or more than 25 is considered overweight. Obesity is now a growing phenomenon across the globe and is directly linked to causing some of the preventable chronic diseases like diabetes, blood pressure, knee and joint problems, stroke, conditions of the heart, as well as certain cancers.

So why are people in Dubai becoming obese? Genetic and cultural factors do play a role in determining an individual’s chance of becoming obese, however, most people blame it on their sedentary lifestyles, long working hours, unhealthy food practices, lack of physical activity, and easily available fast food options. We all give these excuses, but do we realize that we are letting these factors get in the way of good health. Are these really the causative factors for obesity?

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Your questions on Breast Cancer answered

Since what age should women start a breast examination?

Breast cancer is one such cancer that can be cured if detected and treated during initial stages. It is extremely important for women to know what their breasts look and feel like normally so that they are able to differentiate in case of any changes. Breast cancer can happen to women across all age groups, although a majority of the cases of breast cancer occur in women over 40 years of age. However irrespective of the age, women should be aware of their body and its changes. Diagnosing breast cancer in women under 40 years of age is difficult because the breast tissue during that age is much denser than in older women. However self-breast examinations must be done once a month and can be done by women in their 20’s as well. During the teens, women tend to feel lumps in the breast which is quite normal as the breasts are developing and the lumps normally disappear on their own gradually. However, if the lump gets bigger in size or causes pain/discomfort it is better to consult a specialist in order to understand the cause.

A self-breast examination should be done by women whose breasts are fully developed (post-adolescence). Beginning the practice early will help women create a habit out of it and they will become much more familiar with their breasts and can address any changes that the breast undergoes. The self-examination should be done after the days of mensuration as during those days the breasts tend to be swollen. At a younger age, regular examination at frequent intervals is recommended in order to rule out any health condition. Mammograms are not recommended for women below 40 years of age because of the dense breast tissue women have at a younger age, hence mammograms may not be extremely efficient. Women over 40 years of age should screen themselves annually. In case of women who are at higher risk of developing breast cancer; i.e. women who have a family history of breast cancer, women who started menstruating before 12 years of age, women with poor lifestyle habits, women diagnosed with benign breast conditions previously etc. it is recommended to consult a specialist who would be able to advise on the right time to begin mammogram screening.

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Restless Leg Syndrome

Do you feel a strange sensation in your leg or the urge to kick or flail your legs at night, resulting in you either waking up or your sleep getting disturbed?

If yes, then you might be suffering from a neurological disorder called ‘Restless Legs Syndrome’ or RLS.

The causes of RLS can be divided into the following categories:

  • Idiopathic (Without any specific cause)
  • Familial (May run in some families)
  • “Iron deficiency anemia,” in which there is too little iron in the blood
  • Other medical conditions like kidney disease, diabetes, and multiple sclerosis.
  • Pregnancy

What are the symptoms of RLS? — People who have RLS get an uncomfortable urge to move their legs when they are at rest. They describe the feeling as crawling, creeping, pulling, or itching. And they say the feeling is deep in the legs – not on the skin – usually below the knees. These symptoms usually get worse as the day moves on, and they are worst at night. The only way that the sensation goes away is when people kick or move their legs. Some people with RLS find that their legs move on their own while they are asleep.

In short, the symptoms of RLS include:

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