Sunday, 2 April 2023

BLOATED BELLY – A COMMON PROBLEM WHICH CAN BE SINIATER

 



Bloating of belly or Dyspepsia is a fairly common problem encountered by most of us, particularly after a heave meal. Though a natural process of the body, bloating is caused when the stomach and the intestine fills with gas, generated while digesting the food we ate. The gases in the stomach occur due to intestinal microflora microorganisms - bacteria that help the digestive process. The harder the stomach and intestines have to work to digest food, the more gases are produced. There are few things in life as frustrating as a bloated belly when you’re working out and sticking to a healthy diet. Even though you might be doing all the right things, feeling the way you want to feel might be less about cutting things out and, well, adding things in.

 

 

The Causes of Stomach Bloating

Stomach bloating can be caused by quite a number of different things. Here are some of the most common reasons it occurs:

• Long hours of fasting, you are hungry for too long.

• Constipation.

• Indigestion.

• A recent change in your diet.

• Lactose intolerance.

• Consuming gas-producing foods, such as fizzy carbonated drinks, broccoli, beans or cauliflower.

• Certain drugs, such as opioid painkillers, aspirin or antacids, iron supplements or multivitamins.

• Underlying medical condition, such as gastritis, irritable bowel syndrome (IBS), or cancer.

• Premenstrual syndrome (PMS).

 

Signs & Symptoms Bloated Belly

Dyspepsia or bloated belly is quite common. If you find yourself experiencing any of the following symptoms, then there's a good chance that you're suffering from stomach bloating:

• Stomach feels very full and tight in upper abdomen over the navel.

• Stomach pains.

• Passing a lot of flatulence.

• Repeated and continuous burping.

• Feeling of fatigue.

• Nausea or vomiting.

• Fever.

Borborygmus - gurgling or rumbling coming from inside your abdomen.

 

Possible Side Effects Bloated Stomach after eating

The majority of stomach bloating cases are rarely a cause for concern. However, there can sometimes be unpleasant side effects associated with stomach bloating, which may be signs of a serious underlying medical condition. If you experience any of the following side effects while you've got a bloated stomach, then you should seek medical attention right away:

• Difficulty breathing

• Pressure or pain in the chest area

• Fever • Dizziness

• Fatigue

• Rapid pulse

• Jaundice-like symptoms

• Severe abdominal pain

• Vomiting blood or a dark-colored liquid

Medical text books suggest that a fat, fertile female of forty when experiences bloating should be investigated for gall bladed stones and hiatus hernia

 

Treating Stomach Bloating at home

As a bloated belly or dyspepsia can be both simple and harmless as well as an early sign of something sinister. So, self medication should not be continued for too long. You may try these for some time but if you do not get relief then you must visit your physician:    

  • Massage above the navel - Place 4 fingers horizontally above the navel and massage this area for 2 to 3 minutes clockwise and counterclockwise. If the massage was successful you should feel a sour taste in your mouth and salivation will increase. 
  • Massage close to the navel - Locate the point which is situated at the height of the second finger, just above the navel. Press on the point and massage the area for two minutes clockwise and counterclockwise.
  • Massage below the navel - Place four fingers under the navel, the point is located just under the little finger. Massage the point for 2 to 3 minutes clockwise and counterclockwise. If done correctly, bloating should be alleviated. 
  • Turpentine stooping - Do the same 3 massage after applying Turpentine oil and mineral oil mixture in a circular manner all around the navel. 1tablespoon turpentine to 8 tablespoons of mineral oil for children, 1 tablespoon turpentine to 6 tablespoons of mineral oil for adults is what is required. After the massage cover the area with dry towel and apply hot fomentation over the area covered. Breathe in slowly bringing the abdomen up on inspiration and down on expiration
  • Drink a glass of warm lemon water every morning 15-30 minutes before your first meal. Doing so will help normalize the secretion of gastric acid. Lemon water will also help relieve the symptoms of heartburn, as well as prevent belching and gas formation in the intestine. Drinking warm water first thing in the morning can also help flush the digestive system and hydrate the body. Furthermore, there is evidence that drinking water with lemon first thing in the morning can help maintain a healthy weight.
  • Don't have milk or coffee for breakfast - As we get older, our body's ability to produce lactose decreases, primarily because we don't need milk anymore. As our body's ability to break down cow's milk becomes more difficult with age, we are likely to experience more bloating. Opt for yogurt or buttermilk or lassi instead as they contain probiotics. This helps stomach bacteria in the digestive processes which causes a bloated belly. 
  • Drink ginger tea throughout the day - Ginger tea is known to treat nausea as well as improve circulation and relieve menstrual problems. It also has the ability to soothe the stomach, reducing gas formation and intestinal activity. 
  • Don’t eat your food so quickly - One of the most common reasons for bloating is eating or drinking too quickly or drinking during your meals. The drinks you take with your meal dilute the gastric acid and the concentration of enzymes responsible for digestion. As a result, the food takes longer to digest, enabling the fermentation process to begin. As a consequence, increased gas formation and bloating may occur. 
  • Some over the counter medicines are commonly used. These can be Ayurvedic like Aqua Ptychotis, Pudin Hara, Kayam Churna, and Bhaskar lavan churna or regular ones like antacids – Digene, Gelusil, Sodamint etc.

 

 

What will your physician do?

Your doctor is likely to start with a health history and a thorough physical examination. Those evaluations may be sufficient if your indigestion is mild and you're not experiencing certain symptoms, such as weight loss and repeated vomiting.

But if your indigestion began suddenly, and you are experiencing severe symptoms or are older than age 55, your doctor may recommend:

  • Laboratory tests, to check for anemia or other metabolic disorders.
  • Breath and stool tests, to check for Helicobacter pylori (H. pylori), the bacterium associated with peptic ulcers, which can cause indigestion.
  • Endoscopy, to check for abnormalities in your upper digestive tract, particularly in older people with more persistent symptoms. A tissue sample (biopsy) may be taken for analysis.
  • Imaging tests (X-ray or CT scan), to check for intestinal obstruction or another issue.

 

Why is your physician asking you to take this seriously?

Bloated stomach or Dyspepsia caused by structural or biochemical disease. Thus this can be a symptom of

·        Peptic ulcer disease, Helicobacter pylori gastritis,

·        Gastroesophageal reflux disease (GERD),and Hiatus hernia

·        Gall bladder disease – inflammation, stone or cancer,

·        Pancreatic disease – infection or cancer,

·        Gastric or esophageal cancer,

·        Hepatocellular carcinoma or liver cancer,

·        Intestinal parasites (Giardia, Strongyloides),

·        Metabolic disturbances (hypercalcemia, hyperkalemia carbohydrate malabsorption),

·        Ischemic bowel disease,

·        Infiltrative diseases of the stomach (eg, Crohn disease, sarcoidosis)

·        Systemic disorders (diabetes mellitus, thyroid and parathyroid disorders, connective tissue disease)

·        Medications (including potassium supplements, digitalis, iron, theophylline, oral antibiotics [especially ampicillin and erythromycin], nonsteroidal antiinflammatory drugs [NSAIDs], glucocorticoids, niacin, gemfibrozil, narcotics, colchicine, quinidine, estrogens, levodopa)

·        Sometimes heaviness in the stomach area is also the clinical presentation of a type of heart attack – inferior wall myocardial infarction, which can be life threatening if ignored.

 

How to Prevent Stomach Bloating?

The following have been found to be the most effective at keeping stomach bloating away:

         Stop smoking.

         Avoiding the consumption of alcohol.

         Avoiding swallowing air while drinking or eating.

         Never eating more than your stomach can handle.

         Adding natural diuretics to your diet – Watermelon, Asparagus, Cucumber, Lemon, Celery, Mint, Ginger and Pineapple. They all help by removing excess fluids from your body.

         Adopting a healthy lifestyle and exercising on a regular basis

         Avoiding food that can cause gas, such as artichokes, Brussels sprouts, and milk.

         Treating any constipation issues.

         Practicing yoga mudras that ease the digestive tract, such as the Vayu mudra, Apnasana and Paschimottasana.


 

 

 

 

 

Though a bloated feeling is a very common feeling, and most of the time it is nothing serious but if it persists, do not ignore it. See your doctor so that if there is anything serious, it can be attended early, when it is still curable.

 

If you found this guide useful, then don't forget to share it with your friends and family!

Thursday, 30 March 2023

TRAVEL WITH CABIN BAGGAGE RATHER THAN CHECK IN LUGGAGE


 


 

I have blogged about ‘Baggage woes during travel’ in my blog for lost or damaged baggage

https://surajitbrainwaves.blogspot.com/2019/05/baggage-woes-during-air-travel.html

And have described the predicament of waiting for your bags to arrive at the carousel

https://surajitbrainwaves.blogspot.com/2017/11/waiting-for-your-bags.html

I don’t mind reaching the airport early, as advised by the airline but I feel my baggage should be spinning on the carousel by the time I reach the baggage belt. But that hardly ever happens. As travellers, we're universally obsessed with when our bags appear on the luggage carousel. We rush from the plane to the baggage hall, immediately furious that our suitcase isn't waiting for us. Equally distressing is the scenario of a damage that our baggage may have suffered – a broken handle, a missing wheel.

 

So how can you avoid all this? Soon your flight-mates will start congregating around you and the 'dead as a dodo belt' like migrant geese. How can you steer clear of this? Flying business or first class means you'll almost always get a "priority" bag tag that separates your luggage out from the herd. But that's not really a trick, so much as a privilege.  Some frequent flyer programmes offer this as a perk, even if you're stuck in economy.

 

So, of late, I have started travelling without a checked in baggage. I stick the sanctioned size of the cabin baggage, keep it preferably below 7 Kg and keep the rest in a sling bag which has my laptop. The downside of this method is that you will not be able to pack liquids or any other items that cannot go in a carry-on bag as you will need to bring the bag with you through the security checkpoint and to the gate. This way during departures I skip long check-in lines and go straight through to security screenings and immigration controls. And on arrival at my destination I can sail past the masses huddled around baggage carousels and clear customs ahead of the pack. As if that is not enough, I've been able to take advantage of airport trains, toting just a small rolling case with smooth wheels and an overnight bag hooked on top.


 

No big suitcases to haul into a railway carriage or hoist onto luggage racks. No more standing in the aisles of crowded trains trying to catch the eye of someone who will help me. No more dodgy shoulders from lifting bags those are too heavy or awkward. Then there have been the unexpected advantages. On a couple of occasions, I almost missed my connecting flight, a common occurrence these days with so many delays due to weather, staff shortages and mechanical problems. Both times, the plane's checked luggage didn't make the connection, but as I had everything with me, I was spared the long wait for bags other passengers had to endure.

 

Downsizing has been surprisingly easy so far, as I've mostly travelled to warm climates where a few shirts and a couple of pairs of corduroy pants or jeans have been enough. As yet, I haven't had the challenge of packing for a very long trip or a trip to a cold climate, which means bringing bulkier clothes and heavier shoes.

 

But there are compromises that I have to make. My toiletries need to be under 100 milliliters and fit into a plastic bag to make it through airport screenings. I carry a Kindle rather than the print books that I prefer. Then, if I'm tempted to pick up a bottle of wine from a vineyard, I know I won't be able to get it through security. I don't have the luxury any more of bringing clothing items "just in case". I have to edit hard and cleverly, ditching things I might only wear once or twice. But I find this quite liberating. People don't care, or even notice, if you wear the same outfit three or four times.

 

The choice of airline is important

I've discovered that the critical thing is the airline you choose. Some are more generous than others in what they allow in the cabin, and some are more vigilant in restricting what you bring on. Broadly speaking, full fare airlines are more lenient with their baggage rules than budget airlines, who eye your overweight baggage as their opportunity to retrieve some money from you which they had earlier offered you as a concession on their airfare. Thus my stroller, which can weigh nine or ten kilograms when full, wouldn't be allowed in the cabin on a budget carrier, which would scrupulously weighs everything before it's brought on board. But its measurements and weight are perfectly fine for a full fare airline like Air India, Emirates, British Airways and Qantas, which allow economy passengers 10 kilograms of carry-on luggage plus an extra four kilograms of personal items, such as a handbag or laptop bag, on both domestic and international flights.


 

There is a cabin baggage customized slot (usually 56 cm x 45 cm x 25 cm ) , and your bag must fit inside that slot. You may carry ONE of these items with you, free of charge, in addition to your cabin baggage allowance (subject to country restrictions, where applicable):

·         Ladies’ handbag ( usually 25 cm × 33 cm × 20 cm )

·         Camera / Camera bag

·         Document bag

·         Overcoat

·         Umbrella

·         Laptop / Notebook in bag

·         Infant’s amenities and food for consumption on board. The total weight of these items should not exceed 6kg

·         A walking stick, a pair of crutches and/or other prosthetic devices, if you are dependent on them

·         A small amount of duty free goods (where permitted)

 

Prior to boarding, cabin baggage that exceed the allowed limits (usually 7 Kg in budget airlines) are collected and stored in the aircraft cargo compartment. Excess baggage charge may be added if the combined weight with the bags already checked in exceeds your checked baggage allowance (usually 15 Kg). Bringing aboard any valuable item, musical instrument, or Golfing gears or diplomatic bag in the form of Unchecked Baggage exceeding size or weight limitations, may require the purchase of one or more additional seats next to the passenger(subject to availability). So be very careful with your cabin baggage.

 

Carry it effortlessly with a swag

Another trick that I have learned while towing and hoisting my stroller is keeping it light helps a lot as heaving 10 kilograms of bag onto the overhead lockers is quite an effort. I also don't want to look like I'm struggling in case the flight attendants twig and take it away to be checked in the hold. Internationally, I've just breezed through, even on airlines that are officially more restrictive, because if the airlines staffs notice that I am struggling with my stroller, they will surely weigh it. So far I haven't been stopped or asked to weigh my bags! There's a bit of swagger involved. The idea is to look professional and have it all well-contained, not in messy and overflowing bags. Get it in the lockers quickly and don't hold up others. A couple of kilos extra weight won't matter to flight attendants if you're a considerate passenger.


 

It is always worth remembering that overweight bags can be sneaked in but oversize ones are a complete no, no! You will be surely asked to check it in. The choice of bag matters too. The lightweight clamshell type with a side that compresses can fit in an amazing amount of clothing, but they can weigh two or three kilograms empty, so you have to be very careful how much you put in. I have a small overnight bag as well that can fit under the seat if necessary.

 

 

What you can’t carry in your cabin baggage

·        Personal items - Lighters, Scissors-metal with pointed tips, Realistic replica of toy weapon.

·        Liquids more than 100 ml – beverages, perfumes, water

·        Sharp Objects - Box Cutters, Ice Axes/Ice Picks, Knives, Meat Cleavers, Razor-type blades, razor blades not in a cartridge, Sabres, Swords. Sikhs can carry a kripan in our inland flights but not in international flights.

·        Sporting Goods - Baseball Bats, Bows and Arrows, Cricket Bats, Golf Clubs, Hockey Sticks, Lacrosse Sticks, Pool Cues, Ski Poles, Spear Guns.

·        Guns and Firearm  or their realistic replicas

·        Tools - Axes and hatchets, Cattle Prods, Crowbars, Hammers, Drills, Saws,  Screwdrivers, Wrenches and Pliers.

·        Martial Arts/Self Defense Items - Billy Clubs, Black Jacks, Brass Knuckles, Kubatons, Mace/Pepper Spray and Martial Arts Weapons.

 

It's quite noticeable these days that more people than ever have cottoned-on to the concept of travelling with cabin bags only. Overhead lockers aren't getting any bigger and it's a frantic race to get on first and claim that precious space above your seat. But there's nothing like that breezy feeling of galloping past everyone waiting at the baggage carousel as you head for the exit!