We specialize in individual and family-based treatment for children, adolescents, and adults. Our therapists, listed below, can work individually or collaboratively.
Heartburn - Wikipedia. Heartburn, also known as acid indigestion, is a burning sensation in the central chest or upper central abdomen. The pain often rises in the chest and may radiate to the neck, throat, or angle of the jaw. Heartburn is usually due to regurgitation of gastric acid (gastric reflux) into the esophagus and is the major symptom of gastroesophageal reflux disease (GERD). In about 0. DefinitionThe terms indigestion includes heartburn along with a number of other symptoms. Indigestion is sometimes defined as a combination of epigastric pain and heartburn. Heartburn is commonly used interchangeably with gastroesophageal reflux disease rather than just to describe a symptom of burning in one's chest.[1. Differential diagnosisHeart attack symptoms and esophageal symptoms can be very similar, as the heart and esophagus use the same nerve supply.Because of the dangers inherent in an overlooked diagnosis of heart attack, cardiac disease should be considered first in people with unexplained chest pain. People with chest pain related to GERD are difficult to distinguish from those with chest pain due to cardiac conditions. Each condition can mimic the signs and symptomatic findings of the other.
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Further medical investigation, such as imaging, is often necessary. Symptoms of heartburn can be confused with the pain that is a symptom of an acute myocardial infarction (heart attack) or angina.[1.
A description of burning or indigestion- like pain increases the risk of acute coronary syndrome, but not to a statistically significant level.[1. In a group of people presenting to a hospital with GERD symptoms, 0. As many as 3. 0% of chest pain patients undergoing cardiac catheterization have findings which do not account for their chest discomfort, and are often defined as having "atypical chest pain" or chest pain of undetermined origin.[1. According to data recorded in several studies based on ambulatory p. H and pressure monitoring, it is estimated that 2.
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GERD. Gastroesophageal reflux disease is the most common cause of heartburn. In this condition acid reflux has led to inflammation of the esophagus.Functional heartburnFunctional heartburn is heartburn of unknown cause.[1.
It is associated with other functional gastrointestinal disorder like irritable bowel syndrome and is the primary cause of lack of improvement post treatment with proton pump inhibitors (PPIs).[1. PPIs are however still the primary treatment with response rates in about 5. The diagnosis is one of elimination, based upon the Rome III criteria: 1) burning retrosternal discomfort; 2) elimination of heart attack and GERD as the cause; and 3) no esophageal motility disorders.[1. It was found to be present in 2.
Canadians in one survey.[1. Diagnostic approachHeartburn can be caused by several conditions and a preliminary diagnosis of GERD is based on additional signs and symptoms. The chest pain caused by GERD has a distinct 'burning' sensation, occurs after eating or at night, and worsens when a person lies down or bends over.[1. It also is common in pregnant women, and may be triggered by consuming food in large quantities, or specific foods containing certain spices, high fat content, or high acid content.[1. If the chest pain is suspected to be heartburn, patients may undergo an upper GI series to confirm the presence of acid reflux.[1. Heartburn or chest pain after eating or drinking and combined with difficulty swallowing may indicate esophageal spasms.[1. GI cocktailRelief of symptoms 5 to 1.
This however does not rule out a potential cardiac cause[2. BiochemicalEsophageal p. H monitoring : a probe can be placed via the nose into the esophagus to record the level of acidity in the lower esophagus. Because some degree of variation in acidity is normal, and small reflux events are relatively common, esophageal p. H monitoring can be used to document reflux in real- time.
MechanicalManometry: in this test, a pressure sensor (manometer) is passed via the mouth into the esophagus and measures the pressure of the lower esophageal sphincter directly. Adults With Anorexia. Endoscopy: the esophageal mucosa can be visualized directly by passing a thin, lighted tube with a tiny camera known as an endoscope attached through the mouth to examine the esophagus and stomach. In this way, evidence of esophageal inflammation can be detected, and biopsies taken if necessary.
Since an endoscopy allows a doctor to visually inspect the upper digestive tract the procedure may help identify any additional damage to the tract that may not have been detected otherwise. Biopsy: a small sample of tissue from the esophagus is removed. It is then studied to check for inflammation, cancer, or other problems. TreatmentAntacids such as calcium carbonate are often taken to treat the immediate problem,[2.
Encopresis - Chronic Constipation. Encopresis - Chronic Constipation. Copyright 2. 00. 2. Kd. last updated 8/1. What Is Encopresis and What to Do About It? Encopresis is something to be aware of when there are possible intestinal health problems. It is more common than you might guess, especially in children.
Encopresis can be thought of as constipation gone out of control. Free Discreet Single Parent Dating more. When the waste in the colon builds up for any number of reasons, you have constipation. If this is not relieved reasonably soon, the person can becomed impacted.
An X- ray can show if there is impaction, if you want one done. At times, the solid waste builds up and causes the colon to expand to accommodate the growing mass.
The colon can expand up to four times its typical size. Liquid waste may seep around the solid mass as well. This leads to streaking or staining in the underwear, smaller ‘droppings’ coming through, or what appears to be alternating constipation and diarrhea. Or constipation and a thick, pasty output. If you see any of these, consider encopresis and deal with it immediately because toxins may be stagnating in the colon and lead to even more problems.
The polluted environment in the colon may be killing off the beneficial bacteria and allowing an overgrowth of the harmful toxic bacteria. This can produce an incredibly strong smell. You may also notice strong body odor or bad breath even if the person just took a shower or recently brushed their teeth. To treat encopresis, there are some options. If there is serious impaction, consult your medical care professional for ideas. The usual treatment suggests giving a laxative or enema to start breaking up the mass and eliminating it.
Magnesium is a very natural route and works as a laxative at higher doses. Because magnesium deficiency is so common, this supplement might help with any additional magnesium needs at the same time. Some people opt to give one of the laxative products from the pharmacy or grocery store and use according to directions.
Next, plan on keeping a very definite schedule of when the person goes to the bathroom to ‘try’ and see if anything comes out. The person should go to the bathroom about ten minutes after eating breakfast and dinner at least, and any other time after eating you can remember or it is convenient. The person should ‘try’ for about ten minutes long.
This part is very, very essential to the program because it takes advantage of the body’s natural digestive movements, and helps the body to get back into a proper elimination pattern. It is common enough that the person may not be able to feel when they needed to go to the bathroom. They genuinely cannot feel the sensations. This may be due to the person having sensory integration dysfunction.
When the person initially does not have the sensory feedback of when he needs to go, the constipation builds up, and then the problem perpetuates. Another route is that you may become constipated first, and as the colon stretches out, the nerves are no longer close to and in rhythm with the amount of waste. Even if the mass is eliminated, the colon is so stretched out that it will not sense the build up of more waste until another massive amount accumulates.
The problem again perpetuates itself. Scheduling times to ‘try’ is very important, because it does not rely on the person feeling the need to go. Adjust the diet to favor looser stools.
Include more fiber and pure water. Many people also include something like mineral oil, commercial fiber products, or magnesium on a daily basis to keep things loose. This anti- encopresis program needs to be kept up for a good six months or more. It is very common to see good results by the third or fourth month and to give it up because the person appears to be doing well. What happens is that you may have reestablished a good elimination pattern, but the colon has not yet contracted back to its original size. Some people are also very prone to becoming constipated and the situation can recur easily.
So it is good to plan on six months or more. If bacteria overgrowth has occurred you may want to consider a probiotic supplement at least for a while until the colon is normalized again. If the person has sensory integration issues, there are exercises available that can help regain better feeling in this area. Sensory Integrationsee Probioticssee Magnesiumalso more on encopresishttp: //www. For additional information on stool composition: see.
Studying Stools. Using a Natural Antibiotic for the Bacteria Problem with Constipation. For an 'antibiotic' for my son's chronic bacteria problem in the.
I used Source Naturals Colloidal Silver. It comes in tasteless. My son liked the. I did one spray in the morning and one at bedtime (half.
I did this for 1. I. know some people say they use it every day or every week, but I am. It worked BRILLIANTLY!
After years of horrendously stinky stools, the. This was 'stinky' to the point the school was.