Month: November 2016

Stomach Upset During the Holidays?



Author: Melissa Conrad Stöppler, MD
Editor: William C. Shiel Jr., MD, FACP, FACR

Many people overindulge during the holidays, especially during traditional feast days such as Thanksgiving. Not only does a holiday meal tempt even the most health-conscious to overeat, but it may also be accompanied by the consumption of food and drinks that aren’t part of your regular diet, ranging from oyster stuffing to a glass of wine with the midday meal.

It isn’t surprising, then, that stomach upset may develop after a holiday feast. Pain in the upper or lower abdomen, nausea, belching, “gas” pains, and feeling bloated are all symptoms that can occur as a result of overeating. However, these symptoms can also occur in association with more serious conditions, including food poisoning, gallstones, gastroesophageal reflux disease (GERD), pancreatitis, ulcers, infections such as hepatitis A, and true “stomach flu” (gastroenteritis). So, when should stomach pain after a big meal be a cause for worry?

If you’re a healthy person who has never had symptoms of gastrointestinal problems before, experiencing mild symptoms after holiday overeating is likely due to your recent binge. However, if the symptoms have been occurring on and off for a while or they occur anytime you eat a large meal or after consuming specific foods, you should schedule an evaluation with your doctor to determine the cause of the symptoms. In short, chronic (ongoing) symptoms are more likely to be related to an underlying problem.

Certain acute (new) symptoms, however, also suggest that a more serious condition is present. You should always contact your doctor or seek emergency medical attention if your symptoms are accompanied by the following:

What should one do about post-indulgence stomach upset? In most cases, no specific treatment is necessary. Any symptoms related to overeating should subside with time and the resumption of normal eating habits.



How Do Sports Hernias Occur?
A sports hernia occurs when the muscles in the groin tear. This causes weakness and pain. Visualize the anatomy in your mind. The internal and external oblique muscles attach to the superior aspect of the pubic bone. When the oblique muscles contract, the pelvis is pulled upward and to the side. The adductor muscles attach to the inferior aspect of the pelvis just opposite the attachment of the oblique muscles. When the adductors contract, the pelvis is pulled down and the pelvis is tilted. When both oblique muscles and adductor muscles contract at the same time there is a tug-of-war with the pelvic bone in the middle. The adductor muscles are stronger than the oblique muscles and so the most common result is for the oblique muscles to tear. Occasionally the adductor tendon will be injured where it attaches to the bone. And occasionally the pelvic bone itself will be injured resulting in osteitis pubis.

What Makes Gallstones?



Your body needs bile, but if it has too much cholesterol in it, that makes gallstones more likely. It can also happen if your gallbladder can’t empty properly. Pigment stones are more common in people with certain medical conditions, such as cirrhosis (a liver disease) or blood diseases such as sickle cell anemia.

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What Are Gallstones?


They aren’t really stones. They’re pieces of solid material that form in the gallbladder, a small organ located under the liver.

You might not even know you have them until they block a bile duct, causing pain that you need to get treated right away.

The two main kinds are:

Cholesterol stones. These are usually yellow-green in color. They’re the most common kind, accounting for 80% of gallstones.

Pigment stones. These stones are smaller and darker. They’re made up of bilirubin, which comes from bile, a fluid your liver makes and your gallbladder stores.