INTERNAL MEDICINE CENTER

Zion Women셲 Hospital, Serving with Love

A peptic ulcer causes pain when the stomach is empty and has a symptom of waking up while sleeping due to abdomen pain, which can be alleviated by drinking milk or eating food. Peptic ulcers can be detected through an upper GI endoscopy, during which a biopsy can be performed to find any Helicobacter pylori.
Both the gastric ulcer and the duodenal ulcer must be treated for the peptic ulcer. Complications such as occasional hemorrhaging, gastric outlet obstruction and enterobrosia must be treated through surgery.

Irritable bowel syndrome is a functional disease of the bowels that occurs in many people who eat Westernized meals and go through a lot of physical and mental stress. It is accompanied with months of chronic abdominal pain and diarrhea or constipation. It is characterized in that although various tests were taken at various hospitals to treat symptoms and physical pain of the gastro-intestinal tract, there is not structural lesion like an inflammation or a tumor. There is no significant harm on overall health but severe cases interfere with normal or work life and may cause chronic fatigue or depression.

01. Definition of Irritable Bowel Syndrome
Irritable bowel syndrome refers to the long-lasting, repeated and chronic condition in which, although no structural problem appears on a colonoscopy or an imaging test, unpleasant symptoms of the digestive organ, such as abdominal pain and abdominal distension, are repeated after eating or after receiving mental or physical stress, or defecation disorders including frequent farting, diarrhea and constipation are developed.

02. Cause of Irritable Bowel Syndrome
A clear cause has not been identified but it is assumed to be caused by the internal organs becoming too sensitive or too dull, the change in the motility of the gastro-intestinal tract or the increase or decrease in the expansion of the gastro-intestinal tract.
Mental stress has recently come to be known as the major cause of irritable bowel syndrome and approximately 7~15% of the population show symptoms that indicate the syndrome. Similar symptoms may appear with abnormal proliferation of enterobacteria.

03. Symptoms of Irritable Bowel Syndrome
Typical symptoms are abdominal pain and changes in bowel movement patterns, and the abdominal pain is alleviated after a bowel movement. The characteristic of the syndrome is that, even if the symptoms, such as phlegmatic stool, abdominal distension, frequent burps, farts, fatigue of the whole body, headaches, insomnia, shoulder discomfort and depression, are continued for months or years, there is no significant effect on the state of the body.

04. Treatment of Irritable Bowel Syndrome
What is most important in the treatment of irritable bowel syndrome is eliminating the psychological anxiety and conflict that are causing the condition. It is good for the patient to understand the condition and avoid food that can severely irritate the colon. Refrain from overeating, eat regularly and have a peaceful mind. It helps to exercise and rest appropriately to relieve stress. Medication for the syndrome includes anticonvulsants to reduce the sensitivity of the bowels, bulk laxative that are effective for constipation, and digestives to suppress the abnormal proliferation of enterobacteria, and a small dosage of tranquilizers may be used on the side if the symptoms are severe.

05. Lifestyle Guides for Irritable Bowel Syndrome
Reducing stress is crucial for patients suffering from irritable bowel syndrome. It is important that the major cause of the stress be understood, the lifestyle adjusted to reduce that stress, and the patient rests and exercises appropriately. Walking or jogging can be a good form of treatment since walking in particular is extremely effective in activating bowel movements.
Food that cause symptoms after being eaten should be avoided since certain food can exacerbate the symptoms. Avoid caffeine, alcohol and food that is rich in fat.
Fruits and vegetables that are rich in fiber are the best in eliminating the symptoms of the syndrome, vegetables that are rough like young radishes, radishes, and cabbages are particularly good, and it is recommended that fruits are eaten without peeling, if possible. East multi-grain rice for meals and select food that is low in fat and milk. Meat should be eaten with vegetables.

Until the symptoms show, most people with a biliary tract and Pancreas disease are not aware of their condition. Diseases that commonly occur in the bile duct or the gallbladder are benign conditions such as cholelithiasis, bile duct stones, cholecystitis, and malignant conditions such as gallbladder cancer and bile duct cancer. Common symptoms for such bile duct abnormalities are upper right abdominal pain, jaundice, difficulty digesting greasy food and experiencing diarrhea and weight loss.

The pancreas, which helps the digest and absorption of food by secreting various digestive elements and has an important role in the body셲 glucose metabolism by secreting hormones such as insulin and glucagon, can show symptoms of severe abdominal pain, vomiting, no bowel movement, shock, hypotension, lumps on the abdomen, and ascites due to acute pancreatitis, chronic pancreatitis and pancreatic cancer, which may lead to a life threatening condition if severe.

Fatty liver disease develops due to an excess of fat (mainly neutral fat) accumulating in the liver and it is generally diagnosed as fatty liver disease if the fat is accumulated to a weight over 5%of the liver셲 weight. The fatty liver disease can be divided into alcoholic FLD, which is caused by overdrinking, and non-alcoholic FLD, which is caused regardless of drinking and developed in connection to obesity, diabetes or hyperlipidemia.
Alcohol is the main cause of fatty liver disease. Long-term drinking causes malnutrition, accumulation of fat in the hepatocytes and damage of the hepatocytes by the metabolites of the alcohol. Most people who have been drinking for a long time (approximately 90%) develop alcoholic FLD. If the drinking is continued while suffering from fatty liver disease, around 20% develop hepatitis and then liver cirrhosis. Although there are many types of alcoholic drinks according to the ingredient and production method, the extent of liver damage does not differ according to the type or drinking method of alcohol and so what are most important is the volume of the drinks and the frequency of the drinking.
Although it was thought in the past that only people who drink alcohol can develop fatty liver disease, it is now acknowledged that even those who do not drink can have the condition. That is why it is named the 쐍on-alcoholic fatty liver disease. Non-alcoholic FLD does not refer to a single disease but encompasses various conditions from light FLD to chronic FLD and liver cirrhosis. Most cases of fatty liver disease are light conditions but 1 in 4 of FLD patients may come to suffer from liver cirrhosis, which is a serious liver disease, as time progresses if they do not treat the condition.
Non-alcoholic FLD, which occurs in connection to obesity, diabetes and hyperlipidemia, can develop into hepatitis and liver cirrhosis when an excess of calories are continuously ingested, fat accumulates in the adipocytes and the liver, and the increased fat secretes various substances that are harmful to the liver (cytokine).
Medication such as steroids, antiflammatory analgesic drugs, and heart medication, Korean medicine or various home remedies can also cause fatty liver disease.

沅곴툑븯떊 궡슜쓣 寃깋빐二쇱꽭슂!