Stomach Growls After Eating Are Common Source of Embarrassment

Don’t be embarrassed, it is your body at work

The noise we attribute to the stomach growl, is actually not coming from your stomach at all. It is coming from your intestines.  The process causing the noises: digestion. Your intestines are hollow tubes which allow food and liquids to flow through them.  Acid travels through the tubes breaking down food for the body to absorb it. The noises happen when food is being moved and gas and liquid are displaced in the intestine.

This can also occur when there is no food to digest. Your digestive tract has a two hour cycle in which acid is moved through the intestines and thus could still create this growl or gurgle noise. The noise is often louder when there is no food in the mix, but it can still occur even after there is food present.

Don’t be fooled that you’re still hungry or needing food; it is not necessarily a call to action or cry of help from your stomach. If you are in good health and seek to eliminate the noise, drink a glass of water or eat a few crackers to quiet your tract down.

If you experience a growling noise with cramping and or burping, your body is trying to emit a bacteria or gas.  If you experience vomiting or diarrhea after these symptoms, you should rehydrate with water and electrolytes and seek medical attention from one of our Physicians at Digestive CARE located in South Florida, with offices throughout Broward County and Palm Beach County including cities such as Coral Springs, Sunrise, Fort Lauderdale, Plantation, Boca Raton, Boynton Beach, Palm Beach and more.

 

 

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.

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Fast Food is Not OK for Seniors

Avoiding fast food and focusing on your nutrition lowers your health risks and increases your energy!

Your fast food encounter may go something like this: You decide to take a trip but you didn’t pack any food. You are excited about reaching your destination and don’t want to spend time eating a long meal so you see a fast food place and you decide to stop. You should really think twice.  A majority of these foods are packed with bad carbs and fats and sodium which contribute to health complications, lower energy and digestive problems. This “short fix” will lead to a lifetime of lasting problems. In South Florida, throughout Broward andPalm BeachCounties, fast food restaurants abound and inside each one, gastroenterological (GI) problems are lurking. Fast food can cause everything from indigestion to constipation to flatulence and burping, and even more serious issues.

Eating healthy shouldn’t just be a phase, it should be a lifestyle. The benefits of healthy eating for a senior citizen are plentiful. Use the word nutrition instead of the word diet when developing healthy eating habits. Diets are often fads and have deadlines. Focusing on your overall nutrition and not just a cookie cutter diet will help you understand, welcome, and enjoy a more nutritious lifestyle.

By eating healthy as a senior you can continue to develop increased mental awareness, a stronger immune system, higher energy, faster recovery time and help prevent or manage chronic health problems.  Just by changing your eating habits you can reduce your medical visits and bills.

It is important to eat nutrient and antioxidant rich foods. Eating healthy reduces your risk for heart disease, stroke, type-2 diabetes, high blood pressure, bone loss and cancer. Eating less processed foods and eating more fresh and colorful fruits and vegetables can make a significant difference in your attitude and well-being.

A woman over 50 should need between 1600-2000 calories depending on her activity level. A male over 50 should need between 2000 and 2800 calories depending on his activity level.  Eating whole grains, as opposed to refined ones, can help boost your energy for physical activity.

Physical activity is very important moving into your fifties to maintain flexibility, joint movement and heart health. You don’t need to run a marathon to be active. Gardening, taking a walk on the beach or bird watching can all be activities that will keep you healthy. If you already suffer from joint or muscle pain you can exercise in a pool as to alleviate impacting activities while still helping your overall health.

Nutrition Tips:

Plan ahead – To avoid stopping at fast food places, pack your meals ahead of time in BPA free containers or coolers in the car as well as small snack bags of fresh fruits or veggies

Important vitamins to consider taking: Vitamin B and Vitamin D

Reduce sodium intake – High amounts are found in processed foods

Eat good fats – Avocados, salmon, almonds, olive oil

Fiber for Fuel – Raw fruits and veggies, whole – grains and beans

Label Look out – Read food labels for hidden sugars like corn syrup, cane juice, fructose or

Fried out – Frying foods should be eliminated from your cooking. Grilling, steaming or baking are much healthier options

Waterfall – Continue to drink water throughout the day 8-10 glasses is ideal

For a closer examination of your health, please contact our nutritionist Melissa Ventura Marra, PhD, RD, LD/N. Digestive CARE can sort through your nutrition to point out areas where you can improve a live healthy and happily into your senior years.

 

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.

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What is the FODMAP Diet for People Dealing with IBS?

FODMAP’s are types of carbohydrates that some people with Irritable Bowel Syndrome (IBS) may have trouble absorbing. A FODMAP diet is one in which you are reducing your FODMAP consumption. FODMAP stands for Fermentable Oligosaccharides Disaccharides, Monosaccharides And Polyols.

These carbohydrates are poorly absorbed into the small intestine and therefore are not digested properly which can lead to unwanted gas or bloating, especially for people with IBS.

The most common FODMAP is fructose. Fructose is the sweetest of all naturally occurring carbohydrates and because of its taste can be added to prepared foods in smaller amounts then if using table sugar. Among other foods are those high in lactose, alcohols and wheat.

Switching to a FODMAP diet could help you experience relief in as little as a few hours and will continue to have relief over the next two weeks. People who suffer from IBS will notice that a reduction in fructose alone will help relieve many of their symptoms.

Starting a FODMAP diet can be an undertaking and is not a simple diet to follow. You should have the assistance of a dietitian to ensure a balanced diet.  Digestive CARE has a full time Registered Dietitian, Melissa Ventura Marra, PhD, RD, LD/N, is experienced in working in a variety of settings including individual and group counseling. Our Registered Dietitian can provide you with practical advice regarding your nutritional needs to enhance your overall well being and lifestyle. Feel free to contact our dietitian at Digestive CARE to schedule an appointment to develop a custom diet for your needs.

Here is a small list of foods that you should avoid eating as well as a list that is safe to eat:

Fruits NOT to eat

  1. Apples
  2. Apricots
  3. Cherries
  4. Mango
  5. Pears
  6. Nectarines
  7. Peaches
  8. Pears
  9. Plums and prunes
  10. Watermelon

Vegetables NOT to eat

  1. Asparagus
  2. Avocado
  3. Broccoli
  4. Brussel sprouts
  5. Cabbage
  6. Cauliflower
  7. Garlic
  8. Mushrooms
  9. Okra
  10. Onions
  11. Peas
  12. Sugar snap peas
  13. Snow peas

Fruit you CAN eat

  1. Banana
  2. Blueberry
  3. Grapefruit
  4. Grapes
  5. Honeydew melon
  6. Kiwi
  7. Lemon
  8. Lime
  9. Mandarine oranges
  10. Orange
  11. Raspberry
  12. Strawberry

Vegetables you CAN eat

  1. Bok choy
  2. Carrots
  3. Celery
  4. Corn
  5. Eggplant
  6. Green beans
  7. Lettuce
  8. Parsnip
  9. Scallions (green parts only)
  10. Tomato

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Colorectal Cancer Most Common in People Over 50

Warning signs of colorectal cancer for people over 50

Colorectal cancer can develop at any age but is more common in people over 50. In fact, 9 out of 10 people who are diagnosed with this cancer are over the age of 50.

What is Colorectal cancer?

It is a disease that develops when abnormal cells in the colon or rectum divide without control. These divisions can lead to a primary tumor. These tumors can spread and travel to other parts of the body and even develop new tumors.

Start by checking with your family about their health history to know if you could be at greater risk. Find out when they were diagnosed so you can be sure to be checked for symptoms early. There are several factors related to your lifestyle that can lead to colorectal cancer which include diet, weight and exercise. These types of factors are some of the most influential for any type of cancer. These lifestyle factors can all be corrected and help you lower your risk for cancer.

A diet that is high in red or processed meats puts you at a higher risk for colorectal cancer. Having a diet high in vegetables, fruits and whole grains has been shown to lower the risk of colorectal cancer and has other added health benefits. Also it is known that heavy alcohol drinkers or people living with Type 2 Diabetes are also at a higher risk for colorectal cancer and should monitor their health closely.

Early detection is the best method of removing the threat that this cancer carries. Through early detection the abnormal cells can be removed and reduce the risk of it spreading. These symptoms can be detected though a colonoscopy or stool test that can be performed at our Digestive CARE offices located throughout Palm Beach and Broward counties.

All cancer is serious and our staff at Digestive CARE makes this process less terrifying with our inviting staff that truly cares about your wellbeing and overall health. Don’t wait, contact us today to schedule an appointment and put your health first in 2012.

 

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.

 

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Digestive CARE’s Tips on How You Can Get Heartburn Relief

A few simple changes to your daily eating habits. 

Did you know that over 60 million Americans suffer from heartburn during the month and almost 25 million Americans deal with heartburn on a day to day basis? If you are someone who suffers from continuous pain, use these tips from us at Digestive CARE to help develop better habits to alleviate your heartburn and enjoy much need relief.

  1. Size Matters | Change your eating focus from three meals a day to four or five smaller meals. This will not only increase your metabolism but it will keep you feeling full throughout the day without a heavy amount of food digesting at one time.
  2. Stay Vertical | After you eat, refrain from laying down horizontal at least two to three hours to avoid stomach acids from irritating your esophagus.
  3. H20 | Drink plenty of water after meals to help dilute your stomach content and any acid that may develop.
  4. Blow Bubbles | It is okay to chew gum after eating as well. Chewing gum helps stimulate the glands in your mouth to produce saliva which will also help to neutralize stomach acid. Avoid peppermint flavored gum!
  5. Hi-Fi | Get more fiber into your diet. Studies have shown that more fiber in your diet helps reduce symptoms of reflux and heartburn.

To receive additional help in controlling your heartburn talk to our clinical physician or contact Digestive CARE to get relief today!

 

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.


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Make the playoffs and Super Bowl XLVI a light one!

You’ve waited all week for Monday Night Football! Well it’s here. The last one after sixteen weeks of highs and lows and I’m sure drinking beer. So why make the switch?

First let’s determine how healthy beer is for you. Studies from Emory University discovered that those who consume 1.5 drinks daily had half the risk of suffering from heart failure. Studies have also shown that beer may have anti-inflammatory properties and can lower the risk for heart disease. Lastly MRI scans have shown light to moderate drinking can reduce strokes.

I think it is safe to say that in moderation that beer can benefit your health. Now why light beer?

Light beers, or “lite beers”, typically contain half as many carbs and one third less calories than regular beer. You may not think you are gaining a lot when you could be losing taste but let’s think about it in terms of calories and weight.

If you drink two beers a night, seven days a week, that could amount to 2016 calories from drinking regular beer. If you drink light beer you would be saving 672 calories alone. What do calories mean to you? Consider that in order to burn these extra calories you would need to go cross country skiing for over an hour to burn them off. Don’t like to work out? Over the course of one year, these extra calories could add up to an extra 10 pounds of weight!

Now back to football. Super Bowl XLVI is only four weeks away on February 5, 2012. In those four weeks you could save 2688 calories! So now is the time to make a pact with your friends to lose the weight this year and not gain it. People who are overweight carry a higher risk for heart disease which means beer can both help and hurt your heart health. Don’t let it be the later.

Why should you do this with your friends? Statistics prove that working with other people keeps you more accountable and raises you chances for success. So in order to win during the NFL Playoffs, even when your team might be losing, cheer your friends with a bottle of light beer and score a touchdown with your health in 2012!

 

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.


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Prepare a Healthy and Nutritious Christmas Feast for the Entire Family

Worried about cooking Christmas dinner for the whole family? Here are a few quick tips from Digestive CARE for how to prepare a healthy and gastrointestinal (GI) friendly meal!  

Digestive CARE offers Nutritional Services as part of our comprehensive and integrated approach to the well being of our patients. The holidays, most notably Thanksgiving and Christmas, tend to be an all-out feast for our stomachs and our waist lines. Make this year the start of a new tradition and transform your table into one of good health. You don’t have to sacrifice all of your favorites, just use a few alternatives to the traditional high calorie foods and slightly modify your cooking habits for better health.

Appetizer: Place bowls out of fresh fruits or nuts. Fruits can include fresh strawberries, grapes, apples or pineapple. Nuts can include almonds, cashews or pecans. These are quick and simple.

Starter Salad: Put the Ranch and Caesar dressings aside and make a mixed green salad including spinach and romaine lettuce. Use fat free dressings which come in a wide variety and try to use a “clear” dressing as opposed to a creamy dressing. Balsamic or Italian are good choices.

Main course: Yes you can still have ham but look for a better cut. Ask for a lean cut, shank, low sodium and smoked which will reduce the fat. Baking, roasting or smoking your ham are all better options than deep frying (and safer too!) If you are not into having ham, try baking or grilling fish or seafood. Salmon makes a fantastic holiday dish that is nutritious and mouthwatering with a high protein content.

Veggie: Use vegetables in your side dishes. One of which could include cauliflower with a tomato relish on top. Also you can still have your carbs but use red potatoes that can be sliced open and drizzled with a little olive oil and then roasted and topped with parsley and thyme for a professional chef taste and look.  Another crowd pleaser that’s good for you too are fresh cooked green beans which are rich in fiber, antioxidants and help with high blood pressure. Prepare without butter and simply use salt and pepper to flavor.

Dessert: You don’t have to sacrifice taste with a vegan fudge cake or sweet cherry almond cake that are high in fiber and low in fat! If you are on a gluten free diet, take up a cranberry sauce recipe that should take less than 20 minutes to prepare.  Cranberries are packed with phyto-nutrients, antioxidants and offer protection from inflammatory diseases.

Enjoy your holidays with your friends and family and now you can provide a few healthy dishes to spread the joy even further.  Looking for more tips about enjoying a healthier diet and more GI-friendly meals? Contact Digestive CARE for a consultation with one of our board certified gastroenterologists or a consultation with our full time Registered Dietitian and nutritionist, Melissa Ventura Marra, PhD, RD, LD/N.

 

 

 

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.

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New Groundbreaking Procedure Featured on Good Morning America to Treat GERD

Now offered by Digestive CARE –  TIF (Transoral Incisionless Fundoplication).

Earlier this year, ABC’s Good Morning America featured a new procedure administered by Digestive CARE known as TIF (Transoral Incisionless Fundoplication). TIF is a treatment option for patients suffering from GERD (Gastroesophageal Reflux Disease). Digestive CARE is the only physician group in South Florida offering this technique, offered by Barry Ross, M.D.

What exactly is GERD, and how do you know if you are suffering from GERD? GERD is what happens when the lower esophageal sphincter (LES) does not close correctly and stomach matters escape back, or reflux, into the esophagus.  Stomach acid that reaches the lining of the esophagus can cause a burning sensation in the chest or throat known as heartburn. GERD can be treated with medication and changes in diet however, those treatments are not always enough.

Digestive CARE is able to bring much sought after relief to patients suffering from severe or chronic GERD. Digestive CARE’s Dr.  Ross, Board Certified in Internal Medicine and Gastroenterology was featured on ABC’s Good Morning America in a recent interview about TIF.

TIF (Transoral Incisionless Fundoplication) is a new and innovative technique now used in the treatment of severe GERD and it’s sequelae. This technique is designed to recreate the anatomic esophago-gastric valve in patients suffering from gastroesophageal reflux disease.

Approved by the FDA in September of 2007 this procedure has helped thousands of patients with chronic GERD who require and respond to pharmacologic therapy.  It has been extremely effective in treating those with GERD symptoms, reducing hiatal hernias less than 2 cm, increasing LES (lower esophageal sphincter pressure) and reducing overall symptoms to allow those patients to reduce or discontinue pharmacologic antireflux therapy.  TIF allows doctors to perform the gastrointestinal procedures through the mouth rather than through an abdominal incision. Only a handful of hospitals around the country perform the operation.

Digestive CARE of North Broward, a subsidiary of Digestive CARE has partnered with South Florida Surgical Specialists, LLC in performing these procedures. Dr. Ross said that, “Thus far our team has been 100 percent successful in reducing or eliminating the need for antireflux medications in our patients who have undergone the TIF procedure.

Patient selection for antireflux endoscopic surgery includes but is not limited to those who have failed medical management or patient desire for TIF despite successful medical management.   Patient work up is similar to those being considered for laparscopic antireflux surgery.

TIF will play a pivotal role in our battle against reflux disease especially as the future of endoscopic therapy continues to gain worldwide acceptance. For more information about whether TIF might be right for you, contact Digestive CARE for a consultation.

 

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.


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Don’t be a softy…

Causes of Diarrhea and Treatment Options

Loose and watery are two terms you don’t want to describe your poop! Diarrhea, although common and usually not serious, can be an inconvenience to say the least. Typically, diarrhea lasts two to three days, and in most cases it can be treated with over-the-counter medicines. But in others cases, diarrhea can be a part of a chronic disease of the large intestines or from Irritable Bowel Syndrome (IBS)— a disorder that leads to abdominal pain and cramping and changes in frequency of bowel movements—in which case treatment options should be discussed with your gastroenterologist.

To understand why you are spending more time in your bathroom than you care to admit, we will start with what causes diarrhea in the first place.  The most common cause of diarrhea is a virus that infects the gut. The infection, commonly known as the “stomach flu,” usually lasts a couple of days. However, diarrhea may have been brought on by a number of other causes such as a bacterial infection from food poisoning, eating foods that upset the digestive system, allergies to certain foods, medications and diseases of the intestines (e.g. Crohns Disease and Ulcerative Colitis).

Longing to step outside and not worry that you may be far from a bathroom? Let’s discuss how you can remove the old ball-and-chain between you and your bathroom with your treatment options. If you have a mild case of diarrhea, often times you can let it run its course—inconvenient, yes, but an option non-the-less.  If you opt to not suffer through it, you can purchase over-the-counter medicines, such as Pepto-Bismol, Imodium A-D, and Kaopectate.  In addition, drinking at least six 8-ounce glasses of fluids per day between meals instead of with meals is recommended to replenish the fluids lost by your frequent bowel movements—fruit juice without pulp, broth, or soda (without caffeine), tea with honey, and sports drinks are good choices. If you find that your diarrhea lasts more than a week, make an appointment to visit your gastroenterologist, it could be a symptom of a more serious disease.

For more on the causes, prevention or treatment of diarrhea, visit www.digestivecareonline now!

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.

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Keep it Moving…

Poor Diet Can Lead to Constipation

This is one time you want to go to the bathroom and can’t! Many of us are all too familiar with bowing over with stomach pains or sitting on our porcelain thrones hoping to just move our bowels in order to feel better. So, now you’re backed-up and you don’t know how you got to this point.

Understanding what causes constipation will help you to learn how to treat it, and better yet—how to prevent it. First we must determine if what ails you is actually constipation. Your symptoms can be identified as constipation if you find that you are moving your bowels less than three times per week, with stools that are usually hard, dry, small in size, and difficult to eliminate.

Wondering what’s causing you to not keep it moving, (or has you “pushing” which can lead to hemorrhoids!)? Often times, a poor diet leads to constipation, such as not getting enough fiber in your diet. It is recommended that we consume 14 grams per 1000 calories and most Americans consume an average of 14 grams per day—significantly lower than the recommended intake. Although the most common cause of constipation is due to diet, it is not the only cause.  Constipation can also be caused by the following:

  • Medications
  • Milk
  • Irritable Bowel Syndrome
  • Changes in life or routine such as pregnancy, aging, and travel
  • Abuse of laxatives
  • Ignoring the urge to have a bowel movement
  • Dehydration
  • Problems with the colon and rectum
  • And more

So now that we have determined you have been – or are – suffering from constipation, and what may have caused it, let’s talk about how you can treat your symptoms. Treatment depends on the cause, severity, and duration of your constipation. Good news is that in most cases making an adjustment to your dietary intake can cure your constipation. A great start is by adding fiber and increasing water to your diet. Fiber adds bulk to your stool, while water softens it, making it easier to eliminate waste. Fiber can be found in fruits and vegetables, wheat and oat bran, cereal, pasta and nuts. If your constipation persists, it is best to consult your gastroenterologist for additional treatment options.

For more on the causes, prevention or treatment of constipation, visit www.digestivecareonline now!

Digestive CARE™ is a medical Group of 52 Broward and Palm Beach County gastroenterologists dedicated to providing state-of-the-art, efficient and high quality medical care. Our commitment is to ensure the South Florida Community receives the ultimate access to a broad range of high-quality gastroenterology services including diagnostics and treatments. Dedicated to excellence in gastroenterology care, we are sure you’ll find that our Digestive CARE™ physicians are among the very best in Florida.

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