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Bleeding in the Stomach

The stomach is a potential site for bleeding problems of the digestive tract. Stomach bleeding is most often caused by ulcers—a sore in the inner lining of the stomach. Bleeding in the stomach can also be caused by gastritis, which means inflammation of the stomach. Sometimes it can be caused by tumors or cancer of the stomach.

Ulcerations (sores) in the stomach may be caused by Helicobacter pylori (H. pylrori) infections, long-term alcohol drinking, taking aspirin and other medicines called NSAIDs.

Stomach bleeding signs may include having black or tarry stool. If vomiting occurs, the vomit may be bloody or have a coffee-grounds appearance. These signs of stomach bleeding may be signs of stomach ulcer, gastritis, or cancer of the stomach.

Treatment of stomach bleeding may depend on the cause. Treating the cause may stop the bleeding as well. If stomach ulcer is the primary cause, the doctor determines the cause of ulceration. If the cause of stomach ulceration is by an H. pylori infection, it can be treated with antibiotics. Sometimes, other medications may be needed to aid in the healing of the ulcers.

Bleeding of the stomach caused by stomach cancer may need a different treatment approach, which may include surgery, chemotherapy, or radiation therapy. Sometimes, a combination of these treatments may be necessary.


Related Reading: Bleeding in the Digestive Tract

Source:
Bleeding in the Digestive Tract (November 2004). NIH Publication No. 07–1133. National Digestive Diseases Information Clearinghouse (http://digestive.niddk.nih.gov/ddiseases/pubs/bleeding/index.htm). Accessed: November 28, 2009


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Liver Disease

Liver Disease Causes, Symptoms, and Treatment. A Guide to Better Understanding of Liver Diseases

Liver disease occurs when certain diseases or conditions cause liver damage. It is a broad term used for many of the disorders or diseases affecting the liver tissue.

Most liver problems or diseases are accompanied by jaundice—the yellowing or yellowish discoloration of the skin and eyes. The presence of jaundice almost always indicates liver disease. Other liver disease symptoms depend on the part of the liver affected. Let’s have a look at some of the different types of liver diseases, their causes, symptoms, and treatment options.

Liver Cirrhosis

Liver cirrhosis occurs when normal liver tissue is replaced by a scar due to long-term liver injury. These scar tissues are not functional and cannot replace the normal liver’s functions.

Cirrhosis symptoms may not be present during the early stages. However, symptoms occur as the disease progresses including jaundice, weakness and fatigue, loss of appetite, weight loss, nausea and vomiting, abdominal pain, and bloating due to accumulation of fluid in the abdomen. Ascites is the medical term used for the accumulation of fluid in the abdomen.

This liver disease can be caused by too much alcohol drinking, such as that occurs in alcohol-related liver disease; chronic (long-term) hepatitis B, C, or D; nonalcoholic fatty liver disease; and autoimmune hepatitis where the body’s own immune system mistakenly attacks normal liver cells. In the United States, chronic alcohol drinking and chronic hepatitis are the leading causes of liver cirrhosis, according to the National Digestive Diseases Information Clearinghouse.

In some cases, diseases that damage or destroy the liver’s bile ducts—tiny passageways in the liver, and some inherited diseases like cystic fibrosis and Wilson disease, cause liver cirrhosis.

Unfortunately, experts have not yet found a way to reverse liver damage. Liver cirrhosis treatment depends on the cause of liver scarring. The ultimate goal of cirrhosis treatment is aimed at slowing the progression of liver damage. Treatment options, depending on the cause of cirrhosis, may include lifestyle changes, nutrition therapy, and medications. If too much damage to the liver occurs, liver transplantation may be necessary.

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Hepatitis

Hepatitis is the inflammation of the liver. Many health problems can cause the liver to become inflamed. Liver inflammation can be caused by infection with hepatitis viruses (the most common cause), excessive alcohol drinking, certain drugs, and autoimmune diseases.

Hepatitis symptoms may include fever, loss of appetite, nausea and vomiting, diarrhea, pale bowel movements, dark-colored urine, and stomach pain. Some people with hepatitis may have no symptoms at all.

Some virus-related hepatitis may eventually lead to chronic hepatitis, which can cause liver cirrhosis.

Hepatitis treatment depends mainly on the cause. In some, hepatitis may go away on its own without special medical attention. In severe cases, hospitalization may be necessary. Hepatitis treatment may include medicines to control liver inflammation and manage further progression of the disease.

Avoiding alcohol is necessary for alcohol-related hepatitis. Vaccines are available for the prevention of hepatitis A and B. Unfortunately, there is no vaccine available for the prevention of hepatitis C.

Autoimmune Hepatitis

Autoimmune hepatitis is a type of autoimmune disease causing the liver to swell and become inflamed. An autoimmune disease occurs when the person’s own immune system becomes overactive and attacks normal cells, in this case the liver. Nobody knows why some people’s immune system does this. However, researches believe that certain genetic factors may make some people to be prone to autoimmune diseases. According to the National Digestive Diseases Information Clearinghouse, about 70 percent of those with autoimmune hepatitis are female.

Autoimmune hepatitis may have similar symptoms with other liver conditions, such as hepatitis and cirrhosis including jaundice, enlargement of the liver, nausea and vomiting, itching, and abdominal pain.

There is no actual cure for autoimmune hepatitis. However, the condition can be controlled with proper treatment. Sometimes, medications that slow down or suppress an overactive immune system help control the progression of the disease.

Long-term autoimmune hepatitis can lead to liver cirrhosis and even liver failure if not controlled. Once liver failure occurs, liver transplantation is necessary.

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Alcoholic Liver Disease

Long-term alcohol drinking is the primary cause of alcoholic liver disease. Most people who consume minimal amounts of alcohol do not suffer liver damage. However, drinking too much alcohol for many years can cause injury to liver tissues. Over time, the condition can lead to scarring of the liver, called cirrhosis. According to the National Digestive Diseases Information Clearinghouse, alcoholic liver disease led to more deaths than cirrhosis caused by other conditions or health problems in the past.

Alcoholic liver disease symptoms may be similar to other liver diseases, such as cirrhosis and hepatitis. Symptoms may include loss of appetite, weight loss, nausea and vomiting, weakness, fatigue, abdominal pain, and jaundice.

The only way to prevent alcoholic liver disease is to stop drinking alcohol. There is no way to reverse liver damage or scarring once it has started. The primary goal of treatment is to prevent further scarring of the liver. Depending on the extent of damage, treatment of alcoholic liver disease may include lifestyle changes, nutritional therapy, and medications. Sometimes, liver transplantation may be necessary if the liver stops functioning due to extensive liver damage.

Sources:
Cirrhosis. (http://digestive.niddk.nih.gov/ddiseases/pubs/cirrhosis/). National Digestive Diseases Information Clearinghouse.

Hepatitis. (http://www.nlm.nih.gov/medlineplus/hepatitis.html) National Library of Medicine


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Colon (Colorectal) Cancer

Colon cancer is a type of cancer that forms in the colon. Cancer of the colon or rectum is also termed colorectal cancer. The colon is the longest part of the large intestine.

Colorectal cancer is the third leading cause of cancer related deaths worldwide, according to the World Health Organization (WHO). In the United States, according to the National Cancer Institute (NCI), colorectal cancer is the fourth most common cancer affecting American men and women. The disease is more common in people over the age of 50.

Cancer Information

Cancer starts in cells, the small structures that compose tissues. These tissues combine to form different organs of the body.

The cells of tissues normally divide to form new cells as part of normal processes. When old cells die, new cells are born to take their place.

However, this normal division of cells can sometimes go wrong. New cells form when the body does not need them and they do not die when they should. These newly formed cells can form a mass called tumor.

Sometimes, cancer cells can seep out of the colon and cause cancer to other parts of the body by way of the blood or lymph. When cancer spreads to other organs, this is called metastasis.

Colon Cancer Risk Factors

Experts are not really sure what causes colon cancer. It still remains a puzzle as to why a one person develops the disease while another does not. However, experts do know that colon cancer cannot be transmitted to another person as it is not contagious.

With research, it has been shown that people with certain risk factors are more likely than others to develop colon cancer. A risk factor is anything that may increase the chance of developing a disease.

The risk of developing colon cancer increases with age: commonly affecting people over 50. In fact, more than 90 percent of people with colon cancer are diagnosed after 50, according to the National Cancer Institute. You are also more likely to get it if you have

• Polyps - growths inside the colon and rectum that may become cancerous

• A diet that is high in fat

• A family history or personal history of colorectal cancer

• Ulcerative colitis or Crohn's disease

• Obesity and lack of exercise
A person who smokes cigarettes may be at increased risk of developing polyps and colorectal cancer.

Colon Cancer Symptoms

Colon cancer symptoms may be different from person to person depending on the stage of the disease. However, cancer of the colon’s common symptom is a change in bowel habits. Symptoms may include blood in the stool, diarrhea or constipation, loss of weight with no known reason, feeling that your bowel does not empty completely, and general stomach discomfort.

Early stages of colon cancer may not have any symptoms. The symptoms can be present in more advanced colon cancer.

Colon Cancer Treatment

The choice of colon cancer treatment depends mainly on the location of the tumor in the colon, the stage of the disease, and your general health. You might also want to get a second opinion about your diagnosis and treatment plan before starting with the treatment.

Colon cancer treatment options may include surgery, chemotherapy, radiation therapy and biological therapy. Some people with cancer of the colon may need a combination of these treatments. You can discuss with your doctor about which treatment approach is best for you.

Colon Cancer Prevention

Avoiding certain colon cancer risk factors, such as smoking, having a diet high in fat, being overweight, and not exercising may help in colon cancer prevention.


Colon Cancer Facts:
• Colorectal cancer can be the term used when there is cancer in the colon or rectum.
• Colorectal cancer is the third leading cause of cancer related deaths worldwide, according to the WHO.
• The WHO ranked cancer as one of the leading causes of death worldwide.

Sources:
Cancer. World Health Organization (Accessed: November 20, 2009)
Colorectal Cancer. Medline Plus, National Library of Medicine, National Institutes of Health (Accessed: November 20, 2009)
Colon and Rectal Cancer. National Cancer Institute (Accessed: November 20, 2009)

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Page Last Revised: February 16, 2010


Hepatitis B and Hepatitis C Transmission and Prevention

Both hepatitis B and hepatitis C are liver diseases. It occurs when the liver is inflamed. These two conditions are caused by viruses. Viruses are small microorganisms that cause sickness. Hepatitis B is caused by the hepatitis B virus (HBV). Hepatitis C, on the other hand is caused by the hepatitis C virus (HCV).

HBV and HCV can cause symptoms of hepatitis, such as yellowing of the eyes and skin (jaundice), easy bruising, fever, loss of appetite, dark yellow urine, feeling tired, and swollen stomach or ankles. Sometimes, people with hepatitis B and C have no symptoms. However, if hepatitis remains untreated, it can result in liver damage, producing symptoms.

Transmission

A person can get hepatitis B when he or she comes in contact with an infected person’s blood, semen, or other body fluid. According to the National Digestive Diseases Information Clearinghouse (NDDIC), you could get hepatitis B from

• being born to a mother with hepatitis B

• having sex with an infected person

• being tattooed or pierced with unsterilized tools that were used on an infected person

• getting an accidental needle stick with a needle that was used on an infected person

• using an infected person’s razor or toothbrush

• sharing drug needles with an infected person
People can get hepatitis C through contact with contaminated blood. The NDDIC has provided some information on how hepatitis C can be transmitted including:
• having been born to a mother with hepatitis C

• having sexual contact with an infected person

• being tattooed or pierced with unsterilized tools that were used on an infected person

• getting an accidental needle stick with a needle that was used on an infected person

• using the razor or toothbrush of an infected person

• sharing drug needles with a positively infected person
Hepatitis B and C are not transmitted or spread through shaking hands with an infected person, hugging an infected person, sitting next to an infected person.

Prevention

The best way to prevent getting hepatitis B is through vaccination. Unfortunately, there is no vaccine available to prevent hepatitis C.
There are other ways to prevent getting or spreading hepatitis like not sharing drug needles, wearing gloves when touching another person’s blood, using a condom during sex, and not sharing toothbrushes and razors.
Also, experts advise people who have been tested positive for hepatitis B and C not to donate blood and blood products.

Both conditions can become chronic leading to liver damage.


Common misspellings
Hepatitis can be misspelled, when searched over the internet. Common misspellings include, hepatitus, hepititis, hepatits, hepatites, and hepititus.

Sources:
What I Need to Know About Hepatitis B (April 2009). NIH Publication No. 09–4228. National Digestive Diseases Information Clearinghouse (http://digestive.niddk.nih.gov/ddiseases/pubs/hepb_ez/index.htm). Accessed: November 18, 2009

What I Need to Know About Hepatitis C (April 2009). NIH Publication No. 09–4229. National Digestive Diseases Information Clearinghouse (http://digestive.niddk.nih.gov/ddiseases/pubs/hepc_ez/index.htm). Accessed: November 18, 2009


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Stop Smoking for a Healthy Digestive System

Stop smoking today for a healthier digestive system. Smoking can cause many health problems including life-threatening diseases, such as lung cancer, colon cancer, emphysema, and heart disease. Also smoking effects to the digestive system can greatly affect digestive processes.

According to the World Health Organization, lung cancer is the leading cause of cancer-related deaths worldwide with an estimated 1.3 millions deaths each year. In the United States, about 400,000 thousand Americans die each year from cigarette smoking, according to the National Digestive Diseases Information Clearinghouse.

Smoking can affect all parts of the digestive system, contributing to common digestive problems, such as peptic ulcers and heartburn. Also, smoking can increase the risk of developing colon cancer, stomach cancer, Crohn’s disease, liver disease, and gallstones.

If you do smoke, stop smoking now to lessen your risk of developing digestive system disorders. Fact is, smoking and digestive system do not go together. Quitting smoking can also decrease your chances of getting lung cancer, emphysema, and heart disease.

Read about detailed discussions on the Effects of Smoking on the Digestive System.

Sources:
Cancer. Fact Sheet No. 297, February 2009. World Health Organization (http://www.who.int/mediacentre/factsheets/fs297/en/index.html). Accessed: November 14, 2009

Smoking and Your Digestive System. NIH Publication No. 06–949, February 2006. National Digestive Diseases Information Clearinghouse (http://digestive.niddk.nih.gov/ddiseases/pubs/smoking/). Accessed: November 14, 2009


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Cancer in the Digestive System

Cancer in the digestive system, may it be on the digestive tract or other organs of the digestive system can occur. The common digestive organs affected by cancer are the stomach, colon, rectum, liver, esophagus, and the pancreas. Among these, the World Health Organization ranked stomach cancer as the second leading cause of cancer-related deaths worldwide. Of the digestive system, stomach cancer is the top cause of digestive cancer-related deaths.

Cancer occurs when cells in organs abnormally divide and produce new cells without control. Experts are not really sure how or why this occurs in cells. However, most cancers can be treated if it found during its early stages when cancer cells have not spread to other organs.

To learn more about cancers affecting the digestive system, read the following cancer articles of the digestive system.

Colon Cancer
Stomach Cancer
Liver Cancer
Cancer of the Pancreas
Source:
Cancer (February 2009). World Health Organization (WHO). Accessed: November 6, 2009


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What is Cholesterol? Is it Good or Bad?

Cholesterol is a naturally occurring substance in the body. It is a waxy, fat-like substance, some of which are needed by the body to function normally. However, too much cholesterol in the blood can cause it too stick on the walls of the arteries. This results in plaque formation on the arterial wall. Over time, this plaque can narrow the arteries or may totally block blood flow.

There are two types of cholesterol in the blood. These are: the high density lipoprotein (HDL) or good cholesterol and the low density lipoprotein (LDL) or bad cholesterol.

The good cholesterol protects the body against heart diseases. It controls blood cholesterol by taking away cholesterol in the blood and transporting it to the liver.

Bad cholesterol, on the other hand, carries cholesterol from the liver to other parts of the body through the bloodstream. Having too much bad cholesterol in the blood puts a person at risk for heart disease and stroke.

So how do we lower bad cholesterol in the blood?

Experts recommend exercise and following a good diet. Eating more fruits and vegetables can help prevent the development of heart disease or stroke. Using unsaturated fats are preferred than saturated fats. Try to read the food labels in the nutrition facts of store-bought foods. Look for unsaturated fats. Sometimes, manufacturers would label them as either monounsaturated or polyunsaturated fats. Both of these types of fats are good. However, among the two, polyunsaturated fats may be preferable.

Sometimes medications to lower blood cholesterol may be prescribed by the doctor.

Sources:
Cholesterol. MedlinePlus, National Library of Medicine. Updated November 4, 2009. Accessed: November 6, 2009

Fats and Cholesterol: Out with the Bad, In with the Good. Harvard School of Public Health. Accessed: November 6, 2009


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Cancer of the Pancreas (Pancreatic Cancer)

Cancer of the pancreas or pancreatic cancer is a type of cancer that forms in the pancreas. The pancreas is a fish-like, elongated organ on the side of the duodenum—the first part of the small intestine—near the stomach. Pancreatic cancer is also called pancreatic carcinoma.

In the United States, according to the National Cancer Institute (NCI), it is estimated that about 42,470 new cases of pancreatic cancer will be diagnosed in 2009. According to the National Library of Medicine (NLM), cancer of the pancreas is ranked as the fourth leading cause of cancer-related deaths in the United States.

Functions of the pancreas include production of hormones, such as insulin and glucagon, and making pancreatic juices, which contain enzymes that aid in the digestion of food. Insulin and glucagon help normalize blood sugar levels. The pancreatic juices pass through small passageways, called ducts, which join with the common bile duct of the liver. The juices then enter the duodenum.

Most pancreatic cancers start in the ducts where the pancreatic juices pass. When cancer cells from the pancreas travel and cause cancer to other organs, it is called metastatic pancreatic cancer. The spread of cancer to other organs is called metastasis.

Who are at risk for developing pancreatic cancer?

Certain risk factors, which increase the chances of a person to develop the disease, have been discovered by experts. A risk factor is anything or something that increases a person chance of having a disease.

Studies have shown the following risk factors may increase a person’s chance of developing pancreatic cancer:

• Smoking

• Long-term diabetes

• A family history of cancer

• Chronic (long-term) pancreatitis

• Above 60 years of age
Also, other studies suggest that a diet high in fat and exposure to certain chemicals in the workplace may increase the chance of developing pancreatic cancer.

Signs and Symptoms of Pancreatic Cancer

Early stages of pancreatic cancer most often do not cause symptoms. This is why it is sometimes called a “silent disease.” But as the cancer progresses, it can cause signs and symptoms, such as:
• Pain in the abdomen and back

• Loss of appetite

• Unexplained weight loss

• Weakness

• Nausea and vomiting

• Yellowing of the skin and eyes
Treatment of Pancreatic Cancer

Because cancer of the pancreas is often found late and cancer has spread quickly, it can be difficult to treat. However, pancreatic cancer may be cured if it is found early, before cancer has spread to other organs. Several treatment options are available, which a person can discuss with their health care provider. Treatment options for cancer of the pancreas may include surgery, radiation therapy, or chemotherapy. Sometimes, a combination of treatments may be necessary.

Sources:
Pancreatic Cancer. National Cancer Institute (NCI). National Institutes of Health (NIH). http://www.cancer.gov/cancertopics/types/pancreatic (Accessed on November 2, 2009)

Pancreatic Cancer. National Library of Medicine (NLM). National Institutes of Health (NIH). http://www.nlm.nih.gov/medlineplus/pancreaticcancer.html (Accessed on November 2, 2009)


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