About all

Does walking help bloating: The request could not be satisfied


Be Active to Beat Bloating

Everyone has gas, but some people are more bothered by it than others. Although there are many dietary and biological factors that can play a role in how much gas you experience, your lifestyle can also affect how well your body eliminates gas to help you feel more comfortable. Regular exercise, for instance, including strengthening your abdominal muscles, can aid in digestion and ease both gas and bloating.

Are You Experiencing Excessive Gas and Bloating?

Gas is a normal part of digestion, but how much you have depends on many variables, including your diet, when and how fast you eat, and the efficiency of your digestive system. “It’s normal to pass gas,” says Lena Palmer, MD, gastroenterologist, assistant professor in the department of medicine, and medical director of nutritional services at Loyola University Chicago. “The average person passes gas 10 times a day, but it’s still considered normal to pass gas up to 20 times per day. ” Dr. Palmer adds that 15 to 30 percent of healthy people also experience bloating from time to time.

But gas affects people differently. Those who are more sensitive could find even a small amount of gas uncomfortable.

Relieving Bloating: Get Moving After You Eat

One way to ease bloating discomfort is to get moving. Although you might feel like taking a nap after a big meal, walk for 10 to 15 minutes instead. Walking, jogging, calisthenics, and other types of exercise can help stimulate the passage of gas through your digestive tract.

A 2008 German study published in the Journal of Gastrointestinal and Liver Diseases examined the effects of drinking either an espresso or a flavored liqueur or walking at a leisurely pace on a treadmill after eating a large meal. Although the beverages had no effect on digestion, the study found that walking helped move food through the stomach much more quickly. When the stomach empties faster, gas is able to move more quickly into your small intestine and cause less distress.

Resist the Urge to Lie Down

Although many people who are experiencing gas or bloating feel better when they go horizontal, it’s actually better to stay upright.

“Simply lying down often provides relief from bloating,” Palmer says. “But the thing about gas and bloating is that when you lie down, gas is less likely to be able to pass out of the body. You might feel better, but you’re actually trapping more gas.”

A 2003 study published in the journal Gut involving eight healthy people found that being upright was much more effective in reducing intestinal gas retention than lying down on the back. The researchers concluded that body posture has a big influence on the movement of gas through the digestive system. They added that gas moves faster when people are standing up than when they’re lying down.

Exercise for Gas Relief

Gas and bloating can also be related to your level of activity and the strength of your abdominal wall, Palmer says. “Weakness in the stomach muscles is a factor for bloating.”

People who have a separation in their abdominal muscles, known as diastasis recti, or those who are recovering from abdominal surgery may have a harder time moving gas through their digestive system, Palmer says. “Stomach muscles help move gas through the intestines,” she adds. “Exercise to strengthen the stomach muscles or walking to help move gas through could help.”

In addition to strengthening your abdominal wall, research shows that general exercise can help provide relief from gas and bloating. A 2006 study on bloating published in The American Journal of Gastroenterology found that physical activity helped participants move gas and ease their symptoms. The researchers noted that anyone trying to ease gas and bloating should learn about the benefits of regular exercise. They also found that for gas relief, people should limit the amount of time they spend lying back in a recumbent or horizontal position.

Yoga to Aid Digestion and Reduce Gas

Some people are more sensitive to intestinal stretching from gas than others. Stress can increase this sensitivity and even stimulate colon spasms in people with irritable bowel syndrome, a chronic condition that causes abdominal fullness, gas, and bloating.

Relaxation therapies, such as meditation, can help reduce stress. In addition to regular exercise and walking, research suggests that yoga may also help minimize stress. A 2006 study published in the journal Pain Research & Management looked at 25 teens with gastrointestinal distress and found that a one-hour instructional yoga session followed by four weeks of home practice with a video reduced their symptoms and pain. The researchers noted that participants experienced this benefit with just 10 minutes of yoga daily over the course of the study.

Don’t Ignore Warning Signs

Gas typically gets worse throughout the day, but you should feel better when you wake up in the morning, Palmer says. “The normal pattern of gas is that it feels better overnight since it tends to be relieved as you sleep,” she says.

If your digestive discomfort doesn’t follow a usual pattern or your symptoms don’t come in waves (meaning they’re constant or present most of the time), see your doctor. You should also talk to your doctor if your symptoms occur more than three times a week or if your symptoms are new.

It’s also time to see your doctor if you have any of the following symptoms:

  • Stomach or pelvic pain
  • A change in urinary habits or bowel movements, such as going to the bathroom more often or less frequently
  • Fatigue
  • Unexpected weight loss

Gas is a common nuisance, but there are ways to beat the bloating once you’re sure that’s all it is. Stay active and keep stress at bay to have less gas and help prevent discomfort.

Can You Reduce Bloating With Exercise?

A bloated belly is more than uncomfortable. It makes your stomach not only feel swollen but also look bigger, and it can contribute to further digestive issues.

Causes include excessive gas production, overeating (or eating too much of the wrong thing!), hormonal fluctuations, or stress. There’s no quick fix to bloating.

Here’s what our experts suggest to reduce bloating.

Hormone changes, dietary choices, and stress can cause bloating.

“Bloating can occur for a number of common reasons,” says Dr. Sherry Ross, a practicing OB-GYN in Santa Monica, Calif.

“Dietary rituals including many B and C vegetables are classic causes of gas and bloating … [such as] beans, broccoli, Brussels sprouts, cabbage, and cauliflower.” According to Ross, other dietary culprits include:

  • rich and fatty foods
  • whole grains
  • fruits like apples, peaches, pears
  • sugar-free foods containing sorbitol, mannitol, and xylitol
  • lactose intolerance
  • carbonated beverages
  • overeating or eating too fast
  • lack of exercise
  • drinking alcohol

According to Dr. Susan Besser, a primary care provider specializing in family medicine at Mercy Personal Physicians in Baltimore, Maryland, bloating is due to the digestive process.

As food gets digested, gas forms as a chemical reaction. Eating a large volume of food at one time or swallowing air while eating can lead to bloating and a distended stomach. Intolerance to specific foods can be a culprit as well, adds Aaptiv trainer Kelly Chase, This usually isn’t detected unless you go through a process of elimination to see what triggers it.

Stress may be a contributing factor, too, says NYC-based personal trainer and clinical nutritionist Ariane Hundt. “High stress levels reduce stomach acid, and that reduces the ability to digest foods properly, leaving you with undigested food particles that can irritate your small intestines and then in the large intestines cause gas and bloating,” she explains.

Meditation can help with your stress levels. Make sure you take an Aaptiv meditation class today!

For women specifically, Dr. Ross says bloating is quite common around the time of your period. “Most women experience mild bloating a week or two before a period that is caused by normal cyclic hormonal changes,” she says.

Regular exercise does help reduce bloating, but there’s no special stretch for elimination.

Some researchers say exercise helps reduce symptoms of bloating primarily because physical activity supports the passage of gas through one’s digestive system. Still, working out won’t necessarily address the root cause, Hundt says. Dr. Ross agrees with the sentiment that you can’t “stretch your bloating away.” Focus on regular exercise four to six times a week for a minimum of 30 minutes to help keep bloating at bay.

However, stretching can have a calming effect. This may aid how you feel during a bloated episode. For example, Chase personally finds that certain yoga poses such as happy baby and child’s pose can reduce discomfort and pain associated with gas or bloating, but that will vary per individual.

Our yoga workouts can give you the stretch you need to help relieve some discomfort.

“Some stretches can absolutely help,” says Aaptiv trainer Candice Cunningham. “One thing that can cause you to look bloated is having tight hips, namely hip flexors and psoas. When these are tight, it lengthens hamstrings and weakens lower-back and glute muscles. When added up, these issues can cause your pelvis to tilt forward (known as ‘anterior tilt’) and your stomach to ‘hang,’ so to speak. By stretching your hips and activating your hamstrings, glutes, and lower back, you can help pull your pelvis back in line.”

Bloating usually isn’t serious but can indicate a bigger health issue.

“While the vast majority of us have experienced bloating without serious repercussion, it is important to keep in mind that it can also indicate a bigger health issue,” Dr. Ross advises.

In her opinion, it can be related to irritable bowel syndrome, constipation, diarrhea, gastroesophageal reflux, celiac disease, ovarian cancer, pancreatitis, or other intestinal abnormalities, just to name a few. This has been shown to help.

She also states that certain medications intended to treat IBS and constipation can contribute to bloating, such as Metamucil, Citrucel, and Miralax, plus laxatives like Ex-Lax and Senokot.

Of course, this doesn’t automatically mean you have a serious health problem if you experience bloating. But if unusual symptoms persist, be sure to talk to your healthcare provider.

A healthy diet, probiotics, hydration, and exercise can all help reduce and prevent bloating symptoms.

Hundt suggests cutting down on sugar, including that from fruit, to help with water retention. “Every gram of sugar makes you retain about 3g of water, so you’ll notice a flatter stomach, you’ll go to the bathroom to pee a lot more as your body releases excess bloat, and you’ll notice your face and bags under eyes disappear within two to three days,” she says.

You can also try cooking vegetables instead of consuming them raw. Cooking helps with digesting fiber and preventing constipation. Hundt says that because gluten can irritate some people’s digestive tract, you can experiment with skipping grains and starches from beans and legumes.

In terms of how probiotics assist with bloating, research is mixed. One study says probiotics do help with bloating. Another sees benefits only related to gas. Hundt advocates for use to balance bacteria in your large colon. “An overabundance of bad bacteria will create more gas and bloating, and probiotics will balance that imbalance and in turn reduce bloating and gas,” she says. “Aim for a probiotic that contains at least 25-50 billion active bacteria from at least three different strains.”

Dr. Besser advises, “Stay away from carbonated beverages. Eat smaller meals and chew thoroughly. If you find certain foods cause gas take simethicone (like this one with great reviews) before a meal. Light stretching can help reduce bloating by physically rearranging things in your abdomen and helping food (and gas) move further down your digestive system.”

If nothing else, Chase concludes, stick to healthy eating and activities.

Yoga, stretching, walking, or meditation can help with digestive health and we have classes for those categories you can take right now in the Aaptiv app.

Stomach bloating exercise: Prevent trapped wind pain by walking and yoga

Most people have been affected by stomach bloating at some point in their lifetime, according to the NHS.

It’s caused by eating too much food in one go, eating too quickly, or by swallowing too much air.

But making some changes to your diet or lifestyle could help you to get rid of bloating pain.

One of the best exercises to prevent stomach bloating after dinner is walking, it’s been revealed.

Walking helps to improve your metabolism and kickstarts digestion, said medical website AXA PPP Healthcare.

But, be sure to take your time while walking. It loses its benefits for the gut when the exercise becomes high-intensity.

Stair-climbing could also help to get rid of trapped wind, added LiveStrong.

It helps to relieve abdominal bloating, and allows gas to pass through the digestive tract.

Just 10 minutes of stair-climbing should have the desired effect, but any form of cardio should help to get rid of trapped wind, it said.

“Cardio exercises may help relieve abdominal bloating, it said.

“When you exercise, it can help gas pass through the digestive system.

“Participate in a form of cardio exercise for a minimum of 10 minutes to find relief.

“Besides walking, you can participate in swimming, cycling, jogging, step aerobics or stair-climbing.

“Increase the time of your cardio workouts until you are exercising 25 to 30 minutes three to five times per week.”

Yoga could also help to relieve stomach bloating, nutritionists have claimed.

Try doing 15 minutes of yoga before going to get rid of any trapped wind or tummy aches.

People are more likely to feel bloated when they eat meals during the nighttime.

The digestive system is more active when it’s light outside, scientists have found.

Bloating could also be caused by talking with your mouth full, skipping meals, or by chewing gum.

Speak to a GP if bloating symptoms persist, as it could be a warning sign of something more serious.

Tips for Getting Rid of Gas and Bloating During and After Exercise

By Chris Carmichael
CEO/Head Coach of CTS

Increasing your activity level and weekly training hours leads to a lot of positive changes in your fitness and health, but many athletes notice some effects that are not as pleasant. When you exercise more, you need to consume enough energy to support your workouts and activities of daily living. Between the changes to your diet and effects that intensity and overheating can have on your digestive system, a lot of athletes experience excess gas and bloating during and after strenuous and/or prolonged exercise. While gas medication might be a short-term solution, try the following steps to avoid exercise-induced gas and bloating before they start.

Go Low Fiber

High fiber fruits and vegetables are good choices for your health and helping you feel full and satisfied. The downside is that high fiber fruits and vegetables give some people gas. If you have a history of exercise-induced gas, try reducing intake of foods like beans, lentils, broccoli, apples, and whole grains for at least two days before an important training session or goal event.

Even if a low fiber strategy helps with reducing exercise induced gas or bloating, permanently eliminating high fiber foods would remove a lot of important and nutrient-dense foods from your lifestyle. Rather, work with a dietitian or coach to develop a strategy that balances your training goals and nutritional needs.

Swallow less air

Not all of your post-exercise gas comes from the foods you eat. Some of it is just swallowed air that gets trapped in your digestive system. While you burp up most air you swallow, some of it makes it into the small intestine. Athletes tend to swallow more air when they eat and drink during period of high intensity because you’re gasping for air and gulping down food and fluid at the same time. Sometimes it’s unavoidable, but it’s another reason to take advantage of downhills or lulls in the action to do most of your eating and drinking.

Drink plenty of water with concentrated carbohydrates

During workouts and races longer than 60-90 minutes athletes benefit from consuming carbohydrate. Most athletes rely on concentrated carbohydrate sources in the form of gels, bars, chews, or foods like bananas, rice balls, or peanut butter and jelly sandwiches. These are the right foods to eat, but the concentration of carbohydrate needs to be diluted in order to avoid delayed gastric emptying. Slow gastric emptying can make athletes feel nauseated and bloated, and reduce subsequent hydration and energy intake. A good rule of thumb is to consume half a standard water bottle each time you consume a high carbohydrate food during exercise.

Stay Cool

As a result of reduced blood flow to the gut, gastric emptying and digestion in your small intestine slow down during high intensity exercise and when core temperature is elevated. To prevent nausea and bloating you want to keep things moving. Slowing down and cooling down are also two of the primary steps for alleviating GI distress during long events.

Train your gut

Your gut is trainable. As your fitness improves and your hourly energy and hydration requirements increase, your body adapts so you can process more food and fluids more quickly. Individual sugars (glucose, fructose, galactose) need transporters to get through the intestinal wall, and increased carbohydrate intake during training increases the transporters you have available. This is part of the reason some athletes can tolerate 90 grams of carbohydrate per hour while absorption is limited to about 60 grams per hour for most people. Because they use separate transporters, consuming both glucose and fructose is another way to increase the amount of sugar you can absorb per hour.

Athletes on a chronically low carbohydrate diet sometimes try to increase carbohydrate intake for important events, with the idea they can capitalize on increased fat oxidation and the high-octane energy from carbohydrate. These athletes may be more susceptible to exercise induced gas, bloating, and diarrhea because their bodies have downregulated availability of glucose and fructose transporters. As a result, they’re not capable of absorbing the carbohydrate fast enough and it continues moving down through the small intestine and into the large intestine, which can lead to gas and bloating. Unfortunately, this sometimes reinforces the low-carb athlete’s assertion that carbohydrate is not a good fuel for endurance performance, when it’s more likely a response to how they’ve trained their gut.

Reduce intake of high FODMAP foods

Dietitians and gastroenterologists recognize that some carbohydrates are easier to digest than others. For patients with irritable bowel syndrome (IBS) and crohn’s disease, they sometimes recommend reducing intake of Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols (FODMAP). These short chain carbohydrates and the sugar alcohol sorbitol are harder to digest. A person with a healthy gut can typically handle the extra work, but they can lead to diarrhea, gas, bloating, and constipation for people who already have digestive problems. Foods high in FODMAPs include apples, pears, apricots, onions, broccoli, whole garlic, and higher lactose dairy products (cow’s milk, soft cheeses). Sorbitol is found in a sweetener used in some low-calorie processed foods.

Everyone’s digestive system is a little different, and your gut may respond differently than mine to specific strategies above. As with so many aspects of training and sports nutrition, you have to start with the science and find out what works best for your individual physiology.

Bloated After a Workout | How to Prevent Bloating

Usually a run leaves you feeling exhilarated, strong, and confident. But sometimes, you might feel bloated after a workout instead, which isn’t uncommon. So what’s going on?

“When people say they feel bloated, mostly what they feel is not food but air,” says Daniel Freedberg, M.D., a gastroenterologist and Assistant Professor of Medicine at Columbia University Medical Center. “Usually, it’s air in the colon, which is kind of like a storage unit that can be decompressed like a balloon; it can be flat and almost nothing, or it can be all full of air and really big in volume. And when it’s big and full of air, people feel bloated and uncomfortable.”

When you’re running, you’re likely breathing heavy, gulping down air. But “instead of going into our lungs, some of that air goes down our esophagus and then into our stomach and eventually into our intestines and colons,” explains Freedburg. “A small percent of it can be absorbed across the wall of the intestine, but most of it has to come out and it does so via flatulence.”

Running also puts your body in a stressful state where your fight-or-flight response is engaged—so it’s not exactly the best time for your bowels to be doing anything. (Ahem, never trust a fart after mile 9.) “The GI tract tends to slow down, and it’s not going to move that air through as well,” says Freedburg. That’s going to cause it to build up in your lower abdomen; hence, bloating.

To combat this, rather than gasping for air when you run, which can lead to more stress, you’ll want to focus on belly breathing. Try inhaling through your nose and out your mouth. Focus on taking longer, slower breaths, especially when running at an easy pace.

Why do I bloat after exercise?

Because exercise acts as a stressor, it triggers your adrenal gland to release the stress hormone cortisol. “We secrete cortisol in times of stress—for example, a hard run or a stressful job will both increase cortisol levels,” says Tiffany Chag, R.D., C.S.C.S., a sports performance specialist and sports dietitian at the Hospital for Special Surgery in New York City.

[Runner’s World 10-Minute Cross-Training, gives you five muscle-building routines that take just 10 minutes to get you stronger.]

That spike in cortisol caused by exercise promotes the production of glucose by the liver for ready-to-use energy, the breakdown of muscle protein into amino acids that are then converted to glucose for energy, and the secretion of glucose into the bloodstream for ready-to-use energy, Chag explains. All good things during a workout! But “chronically-elevated levels of cortisol can lead to chronically elevated blood pressure, which can then lead to fluid retention,” she adds. When your body’s hanging on to extra water, it can make you feel and look heavier, or bloated.

Of course what you eat before or during a run has an even bigger role on how you feel throughout. “When you’re running, blood is diverted away from the gut and into the working muscles,” explains Natalie Rizzo, R.D., author of The No-Brainer Nutrition Guide for Every Runner. “If you eat a large meal shortly before a run, chances are the food is going to sit undigested in your stomach and cause distress.” The same can happen if you eat fatty foods, because they take a long time to digest, or sugary drinks and high-fiber foods, which can both cause bloating and gas when consumed too close to a run.

How do you get rid of bloating after a workout?

New runners are especially susceptible to a distended stomach, says Rizzo. “The stomach is a muscle and needs to be trained in how to handle the up and down motion of running,” she says. Longer distance or more experienced runners aren’t immune, though. “People who haven’t figured out their sports nutrition yet will probably have issues, and those who rely on a lot of sports products may have some bloating until their body gets used to the products.”

To avoid that puffed up feeling during or after a run, nailing your fuel strategy is key. “Don’t overload yourself with fatty foods, fiber, or sugary drinks before a run. Simple carbs like fruit or starches are considered easy to digest prerun fuel,” says Rizzo. “Listen to your stomach and pay attention to certain foods that may not agree with it. And, most importantly, stay hydrated throughout the day!”

Ashley Mateo
Ashley Mateo is a writer, editor, and UESCA-certified running coach who has contributed to Runner’s World, Bicycling, Women’s Health, Health, Shape, Self, and more.

This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. You may be able to find more information about this and similar content at piano.io

Walking for digestion benefits from a gastroenterologist

Spending more time at home means a lot of us aren’t walking nearly as much as usual. No walks to the subway, no spontaneous lunchtime walks with coworkers, and no walks from the car to your dinner destination. As someone who lives in New York City, it’s not usually hard for me to get my steps in, but since I hunkered down at my parents house in Buffalo, I’ve transformed into a socially distant sloth. And my gut can tell—farts, aggressively loud tummy grumbles, and stomach pain have become the norm. Gastroenterologist and internist Niket Sonpal, MD, says I’m not alone.

“During quarantine our diets are very much disturbed, our mental health is not good, we are not exercising enough, and our routines are disturbed. All of these factors throw off the motility of our GI tract, and change the natural flora that live there,” says Dr. Sonpal. “Walking and exercise contract the abdominal muscles but sitting around for long periods does not. Just a simple walk will contract your belly muscles and help push out gas and stool and keep you regular. Once you are regular gas and bloating will subside.”

And if you’re also noticing more farts, Dr. Sonpal says that’s to be expected. “When the GI tract is not moving enough, due to sedation or a poor diet, poop sits for longer and produces more gas,” he says.

Related Stories

Being sedentary can have adverse effects on anyone’s digestion, but Dr. Sonpal says it may be more noticeable in those who used to be more mobile.

“Any sudden change in activity can lead to motility issues of our gut,” he says. “Throw in the anxiety of social isolation and and poor diets you are looking at the perfect storm for IBS or bloating.”

Since digestion occurs, ya know, after eating, does this mean movement for digestion has to occur after a meal?

“It depends on the degree of activity,” says Dr. Sonpal. “Big exercise routines should be before meals. But a calm soothing walk after a heavy meal can do wonders for digestion too! In general all movement is good movement as long as it’s within the ability of the person and isn’t causing pain or discomfort.”

Walking for digestion can also help regulate your blood sugar.

“After eating, food must be broken down into forms of energy for the body to use,” says Adam Feit, PhD, assistant director of performance nutrition with Precision Nutrition. “Research has shown that as little as ten minutes of post-dinner walking can improve blood glucose levels compared to other times during the day.”

If you haven’t been moving much and you’re noticing some digestion issues, Dr. Sonpal suggest getting some daily activity. While the amount and level of exercise will differ depending on joint and cardiovascular health, 10 to 20 minutes of a good heart-rate raising workout will do the trick.

“This will also elevate your mood and help the abdominal muscles contract more,” he says. “This will get the bowel moving and expel stool and flatus.” And who doesn’t want that?

3 Exercise Habits That Cause Bloating

We all know that exercise is incredibly good for you, and for so many reasons, but did you also know that it can also bring relief to a myriad of stomach issues and reduce the frequency of tummy aches? So why is it that often after a gruelling workout session, instead of viewing a flat belly in the mirror, we notice that our bellies have ballooned up?

The cause is easy to explain and even easier to rectify. Here are some of the most common causes of after workout belly bloat and how you can fix them:

  • Not breathing properly

    Sometimes it can be easy to forget breathing while you exercise. Strenuous physical exertion which involves a lot of core engagement is crucial for core strength and stabilization and spin protection. Forgetting to breathe can prevent you from enjoying these benefits and you may even end up with a bad tummy ache. So, make sure you concentrate on your breathing while exercising. A common rule of thumb would be to exhale while you exert your body, for example when you are pushing in a push up and inhale when you are “relaxing”, which in this case would returning to your starting position.

  • Spot training and frequent core workouts

    When you do more than a hundred crunches per day, you aren’t only killing your abs, but you’re making your workouts less effective too. Firstly, spot reduction is a myth. So, if you’re trying to improve your midsection with thousands of crunches and situps, we have some bad news for you: it doesn’t really work! You’re working your muscles, but you’re making no attempt to reduce your fat which can be best done with cardio and other high-intensity workouts.

    Back to the main concern, bloating. Common culprits of bloating include too many Russian twists, side planks, crunches and situps. Many people experience belly bloat and stomach discomfort if their workouts include these exercises – but why?

    Note that ab exercises improve blood circulation to digestive organs but not stretching can tighten the abdominal muscles (in a bad way) and slow down the circulation and movement in this area resulting in digestive issues.

    In order to loosen the muscles in your abdominal region, it is important that you stretch after core exercises. You can even perform some excellent yoga poses for this purpose, which include the camel pose, the bow pose and the cow/cat pose.

  • Not keeping yourself hydrated while exercising

    Next time you visit the gym, try counting the number of people who don’t have a water bottle and make sure you’re not one of them. Not taking regular sips during your workout can cause dehydration and its symptoms. While exercising, you lose water through sweat. Continual activity will compel the body into driving water out of vital organs, particularly the kidneys and the liver. This can result in stomach bloat, tummy pain and gas.

How can you fix tummy bloat outside the gym?

Apart from correcting your exercise errors, there are some ways to prevent bloat at home by making a few lifestyle and diet changes:

  • Walk home from the gym.

    If your house is not too far, walking may help relax tensed muscles and boost digestive performance. You get to burn some extra calories too!

  • Drink more water.

    Fluid retention is a common cause of belly bloat but this can be easily reduced by having more water. Drinking plenty of water will regulate sodium levels and improve bowel movements.

  • Have ginger every day.

    Ginger is a popular remedy for nausea, but research also suggests that it may help prevent bloating. Ginger consists of phytonutrients which improve digestive problems.

    Tip: try this ginseng, ginger and almond tea recipe.

  • Avoid common triggers.

    Common bloating foods include milk and gluten. Many people are lactose intolerant; so, having milk can cause more than just trouble in your waistline. Some sensible substitutes can be soymilk, almond milk and Greek yogurt (the straining removes most of the lactose). Similarly, if you’re gluten intolerant, reducing foods such as wheat and rice may help. Other common culprits of stomach bloat and gas include carbonated drinks, alcohol and chewing gum.

  • Have more stomach-friendly foods.

    These include citrus fruits, watermelon, turkey, fish, eggs, lentils and green tea.

  • Incorporate more cardio into your routine.

    Most people tend to underestimate cardio in an attempt to pile on more muscle. However, research shows that cardio doesn’t only burn fat, but it amps your metabolism, increases digestive function and boosts brain function too, so get to it and enjoy a firmer, flatter belly!

Like this? You should share it!

Shomaila Issam

Shomaila is a fitness-loving, clean-eating, keyboard-stabbing bookworm. Being involved in a sedentary lifestyle, she enjoys releasing her frustration through exercise, especially Pilates, and sharing her thoughts via the interwebs.

Therapeutic exercises for constipation | Articles of the Medical Center Medical Clinic

How to deal with constipation? Advertising offers many laxatives – syrups, “candy”, teas, etc. But their use is not always justified and not as safe as it seems. Especially for children. As a rule, a laxative fights not with the cause of constipation, but with the consequence. This means that the intestines will get used to being lazy and will have to literally “live on laxatives”. To activate peristalsis and normalize intestinal tone, and at the same time to strengthen the abdominal muscles, special physical exercises that are suitable for both adults and children from four years old will help.Children can do gymnastics on their own, with the help of adults.

Constipation can be atonic and spastic , depending on the cause. Atonic constipation occurs due to the weakening of the musculature of the intestinal walls, insufficient peristalsis. Figuratively speaking, the intestines do not have enough strength to excrete the contents. This problem can develop after operations on the abdominal cavity, due to the action of general anesthesia, as well as with a sedentary lifestyle.Symptoms of the atonic form are hard, profuse stools, painful bowel movements. With a spastic form, intestinal motility is impaired. In some of its areas, muscle spasm occurs, and the intestinal contents cannot move further. A characteristic symptom is hard stools in small lumps. In this case, bloating may be observed. The patient has a feeling that the intestines are not completely emptied.

The proposed set of exercises helps with both atonic and spastic constipation.To achieve a positive effect, gymnastics should be performed regularly, gradually increasing the load: during the first month of classes, exercises should be performed 3-5 times, then 5 to 10 times. It is better to do gymnastics at the same time, on an empty stomach – for example, in the morning.

If exercises cause discomfort (severe pain in the intestines, bloating, heart palpitations, nausea), then the course should be temporarily stopped and a doctor should be consulted.

Perform exercises slowly, combining with correct breathing, without sudden jerks.Watch your body position! Adults must show children the correct execution and control the process of gymnastics.

Contraindications for gymnastics are fever, ulcerative colitis, pain in the intestines, diarrhea, concomitant diseases at the stage of exacerbation.


1. Place your hands on your stomach and inhale deeply, pushing it out. As you exhale, draw in your stomach and lightly press on it with your hands.

2.As you inhale, move your arms behind your head and stretch while pulling in your stomach. As you exhale, lower your arms along your body.

3. Bend your knees alternately without lifting your heels off the surface (sliding your feet over the surface).

4. As you exhale, bend your left leg and stretch your knee toward your stomach. Do not help yourself with your hands! Lower your leg and inhale.

5. Repeat for the right leg.

6. Repeat the same for both legs at the same time.

7.Bend your knees without lifting your heels off the surface. Then tilt your legs to the left – to the right.

8. The same, but lifting the heels off the surface.

9. Bend your legs. On exhalation, tear the pelvis from the surface with support on the shoulder blades and feet. With a sigh, lower the pelvis.

10. Inhale. On exhalation, perform 3-5 circular movements “bicycle”.

11. Inhale. On exhalation, perform 3-4 scissors movements, crossing straight legs.

12. Inhale.Spread your arms to the sides. On exhalation, rotate the upper body, touching the left hand with the right hand and vice versa. Try to keep only the upper torso off the floor and keep the pelvis in place.

Lying on the right side

13. Right arm under the head, left on the stomach, legs bent at the knees. While inhaling, stick out your stomach, while exhaling, draw in, helping with your hand.

14. While inhaling, straighten your left leg and stretch your hand forward over your head. As you exhale, pull your knee to your chest, helping with your hand.

Lying on the left side

15. Repeat 13 and 14 exercises, changing the supporting hand.

Lying on stomach

16. Hands under the shoulders. Without taking your hands off the floor, first get on all fours, and then roll onto your feet. Return to starting position.

17. Perform alternate leg swings: lift the legs while inhaling, and lower them while exhaling.

18. While inhaling, stick out the stomach, while exhaling, draw in.


19. Walking in place for 2 minutes.

20. Inhale, while exhaling, sit down, remaining on a full foot. You can stick to something for balance.

21. While inhaling, raise your arms up, while exhaling, bend forward, lowering your hands to the floor and drawing in your stomach.

22. Hands on the belt. Alternately raise straight legs forward and up.

23. During the first minute, perform normal walking in place, during the second – walking with rolling from heel to toe.

Complete the set of exercises by repeating exercise # 1.

Information prepared on the basis of materials from Internet resources

Make an appointment Back to the list of publications


Appendicitis – inflammation of the appendix, – the appendix of the cecum, located in the lower right part of the abdominal cavity. The appendix does not have any specific function.Appendicitis is manifested by pain in the lower right abdomen. However, for most people, pain starts around the navel and then travels to the right and downward. As the inflammation builds up, the pain of appendicitis usually gets worse and gets more intense over time. Although anyone can develop appendicitis, it most often occurs in people between the ages of 10 and 30. Usually, the inflamed appendix is ​​surgically removed.


Subjective and objective symptoms of appendicitis include:

  • Sudden pain in the lower abdomen on the right
  • Sudden pain that occurs around the navel and often moves down and to the right
  • Pain that worsens with coughing, walking and sudden movements
  • Nausea and vomiting
  • Loss of appetite
  • Low-grade fever, which may increase as the disease progresses
  • Constipation or diarrhea
  • Bloating
  • The location of pain may vary with age and position of the appendix.During pregnancy, appendicitis pain is localized higher because the appendix shifts higher during pregnancy.

When to see a doctor?

Make an appointment with your doctor if you or your child has anxiety symptoms. Severe abdominal pain requires immediate medical attention.


The probable cause of the development of acute appendicitis is a blockage of the lumen of the appendix. At the same time, bacteria begin to multiply rapidly in the appendix, as a result of which inflammation develops, swelling of the wall of the appendix, and it fills with pus.In the absence of timely surgical treatment, the appendix may rupture.


Acute appendicitis can cause serious complications such as:

  • Rupture of the appendix with infection spreading throughout the abdominal cavity (peritonitis). This condition is life-threatening and requires immediate surgery.
  • Abscess of the abdominal cavity. If your appendix ruptures, you can develop a pocket of infection (abscess).In most cases, the surgeon drains the abscess by placing the drain through an opening in the anterior abdominal wall into the abdominal cavity. The drain is left on for two weeks and antibiotics are prescribed at the same time to clear the infection, after which the appendix is ​​removed. In some cases, the abscess is drained quickly and the appendix is ​​removed immediately.

How to prepare for a doctor’s appointment?

Contact your family doctor or general practitioner if you have a stomach ache.If you have appendicitis, you will likely be admitted to the surgical ward to have your appendix removed.

Questions the doctor might ask you! To find out the cause of your abdominal pain, your doctor will likely ask you a series of questions, for example:

    • When did the abdominal pain start?
    • Where does it hurt?
    • Did the pain move?
    • How severe is the pain?
    • What makes the pain worse?
    • What helps relieve pain?
    • Do you have a fever?
    • Do you feel nauseous?
    • What other signs and symptoms do you have?

Questions you can ask your doctor:

    • Do I have appendicitis?
    • Do I need to get tested?
    • What else could be the cause of the pain?
    • Do I need surgery, and if so, how soon?
    • What are the risks of the operation?
    • How long will I need to stay in the hospital after surgery?
    • How long does it take to recover?
    • How soon after surgery can I return to work?
    • Do I have a ruptured appendix?

Feel free to ask other questions.

Diagnostics! To diagnose appendicitis, your doctor will examine your complaints and symptoms, perform a general examination, and examine your abdomen. Tests used to diagnose appendicitis include: Examination of the abdomen. The doctor will lightly press on the painful area of ​​the abdominal wall and then release the arm. If the pain intensifies, this indicates inflammation of the peritoneum of the appendix (peritoneal symptoms) The doctor also examines the presence of tension in the muscles of the abdominal wall during palpation (muscle defense), which also indicates the presence of an inflammatory process in the abdominal cavity.In addition, your doctor will perform a rectal digital examination. To do this, he, putting on a sterile glove and abundantly lubricating it with petroleum jelly, will insert his index finger into the patient’s anus. For women of childbearing age, a gynecological examination should be performed to rule out possible gynecological problems that can cause abdominal pain. Blood test. Allows your doctor to detect an increase in white blood cell counts, which may indicate an infection. Analysis of urine. Your doctor may ask you to have a urine test to make sure your stomach pain is not caused by a urinary tract infection or kidney stones.Visualization studies. Your doctor may also recommend abdominal x-rays, abdominal ultrasounds, or computed tomography (CT) scans to confirm appendicitis or find other causes of your pain.

Treatment! Surgery is usually required to treat inflamed appendicitis. You may be given an antibiotic once before your surgery to prevent infection. Surgery to remove the appendix (appendectomy). An open appendectomy is performed using one abdominal incision 5 to 10 centimeters long (laparotomy) on the anterior abdominal wall, and laparoscopic using several small incisions.During laparoscopic appendectomy, the surgeon inserts special surgical instruments and a video camera into the abdominal cavity to remove the appendix. In most cases, after laparoscopic interventions, patients have a shorter rehabilitation period, less pronounced postoperative pain and less scarring. This method is more suitable for older or obese people. However, if your appendix is ​​perforated and the infection has spread to your abdomen (peritonitis) or an abscess forms, you may need an open appendectomy to allow your surgeon to debride the abdominal cavity.After having your appendix removed, you will need to spend one or two days in the hospital.

Drainage of appendicular abscess! If an appendicular abscess has formed, a drain is placed into the abdominal cavity through an opening in the anterior abdominal wall to drain it. A few weeks after the abscess has been drained, the appendix may be removed. Lifestyle changes and home treatments! Recovery from an appendectomy will take several weeks. If the appendix ruptures and peritonitis develops, recovery will take longer.

To speed up the recovery process after surgery:

  • Avoid physical stress. If the appendectomy was performed laparoscopically, limit activity for three to five days. If you’ve had an open appendectomy, limit your activity for 10-14 days.
  • Always ask your doctor about regimen extension, exercise, and return to work.
  • Support your stomach when coughing. Place a pillow on your stomach and apply pressure before coughing, laughing, or moving to relieve pain.
  • Tell your doctor if pain relievers do not help. Pain is additional stress for the body and slows down the healing process. If you still have pain despite taking pain relievers, tell your doctor.
  • Get up and move when you’re ready. Start expanding the regimen slowly and increase your activity gradually. Start with short walks.
  • Sleep if you feel tired. You may feel drowsy after surgery.Calm down and rest when you need to.
  • Discuss returning to work or school with your doctor. You can return to work when you feel empowered. Children can return to school less than a week after surgery. However, it should take two to four weeks before returning to active activities such as sports.

90,000 Bloating and flatulence in children and adults: causes and treatment

Bloating is almost impossible to miss.He is literally bursting in different directions, he becomes more visually, rumbling sounds are heard, there is a feeling that the abdomen is about to burst. Perhaps the most unpleasant symptom among all that complex is the release of accumulated digestive gases, in order to restrain which, you have to make every effort.

Causes of bloating

Flatulence, as this condition is otherwise called, can occur for a variety of reasons, many of which are quite serious.Bloating and gas formation occur due to the presence of:

  • Chronic pancreatitis – an acute deficiency of nutritional enzymes produced by the pancreas. Since there is nothing to digest food, it accumulates in the stomach, creating a feeling of heaviness of bloating after eating;
  • irritable bowel syndrome – a person has bloating and abdominal pain due to changes in bowel movements;
  • dysbiosis – a disease characterized by malfunctions in the area of ​​microflora, due to which pathogenic microorganisms on the walls of the mucous membrane begin to produce gases that interfere with the full functioning of the gastrointestinal tract;
  • individual lactose intolerance – the diagnosis is also associated with enzyme deficiency: the patient lacks milk sugar, which contributes to the full assimilation of lactose.In the presence of this syndrome, intestinal flatulence can occur at any age, but it is diagnosed most often before the age of 5-8 months;
  • intestinal obstruction is a rather serious disease, diagnosed early. In this case, flatulence is associated with the growth of polyps or the formation of a tumor in the intestinal region. In most cases, requires surgery;
  • celiac disease is an extremely rare disease, but it still occurs. According to statistics, in our country only 1 person in 1000 is exposed to it.Celiac disease is associated with a partial or complete inability to break down gluten, as a result of which toxic compounds are created in the body that negatively affect the intestinal surface. If a patient is diagnosed with a similar diagnosis, then, first of all, he is prescribed a diet for flatulence, based on the complete elimination of gluten from the diet. This includes sausages and sausages, barley. Wheat, rye, oatmeal, pasta made from ordinary flour, baked goods, ready-made sweets, store-bought yoghurts and curds, etc.Also, a gastroenterologist may prescribe enzymatic drugs designed to break down the gluten that enters the body.

Often, one of the causes of bloating is improper diet and abuse of foods that do not bring any benefit to the body.

  • Frequent consumption of various carbonated drinks such as Coca-Cola and sparkling mineral water. Bloating in the lower abdomen, which occurs for this reason, usually goes away on its own and quickly enough: gases are absorbed into the body through the intestinal walls, and then removed from it without additional help.
  • Food portions are too large. Nutritionists around the world categorically do not recommend eating huge portions. Hurriedly absorbing food, swallowing it quickly instead of chewing normally, is harmful to the digestive process. For this reason, bloating and gas formation require a simple treatment – just change your approach to nutrition.
  • Abundance in the diet of foods that cause fermentation, which, in turn, stimulates bloating and gas formation in an adult or child.The solution to this problem is not difficult: it is necessary to limit the consumption of sweets, pastries, legumes, potatoes and other foods known for their starch content and fast carbohydrates.
  • Eating foods that are incompatible with each other. So, for example, any fruit should be separated from the main meal: they should be eaten about 1 hour before or 2 hours after breakfast, lunch or dinner.

Treatment of bloating

Bloating requires treatment in a complex, since it is necessary to eliminate not only the annoying symptom, but also the cause, otherwise the situation will repeat itself.

Any appointments should be made by a specialist – a gastroenterologist or therapist. As a rule, the standard scheme always includes the intake of enterosorbents, which allow the gases accumulated in it to be removed from the body as soon as possible. Since these drugs cannot independently distinguish harmful compounds from useful ones, they cannot be taken for a long time.

Depending on the patient’s history and the causes of bloating, intestinal bloating, non-toxic defoamers used even at a very young age, enzymatic agents, probiotics that restore the damaged intestinal microflora may be prescribed.The specialist will also definitely recommend adhering to a diet for some time that does not burden the work of the gastrointestinal tract system.

It is very important to find the cause as quickly as possible in order to alleviate the patient’s condition as soon as possible. Therefore, it is necessary to contact only experienced therapists and gastroenterologists. You will meet such people within the walls of JSC “Medicine” (the clinic of Academician Roitberg) – a multifunctional medical center located in the very center of Moscow. The building is located at 10 2nd Tverskoy-Yamskaya lane, next to the Mayakovskaya metro station.

Here they will quickly select a medicine for bloating, which will specifically solve your cause, since the main principle of this clinic is an attentive and individual approach to each patient.

You can sign up for a consultation, diagnosis and treatment by calling the round-the-clock phone +7 (495) 775-73-60 or by using the feedback form on the website of the medical center https://www.medicina.ru.

Answers to the most common questions

  • What foods that cause bloating should you avoid?
    You need to eat in a variety of ways, and in the absence of individual food intolerances, you can eat everything.However, you should be careful about the consumption of sweets, white and black bread, baked goods, legumes, white cabbage, starchy foods.
  • Severe flatulence. What to do?
    Consult a doctor for a medication. Only a specialist, based on your history, can decide which drug to prescribe. It can be syrups, suspensions, pills for bloating.
  • What causes bloating in women during pregnancy?
    Indeed, this symptom is popular in women carrying a baby, especially in the first trimester.This is mostly due to unstable hormonal levels and is considered completely normal. However, it is necessary to inform your gynecologist about this, since he can prescribe drugs that relieve the tone of the uterus and alleviate the condition of a pregnant woman.

Bloating with diarrhea – causes and treatment of bloating

Number of views: 46 567

Date of last update: 20.04.2021

Average reading time: 4 minutes

Diarrhea is called frequent stool.This condition can be accompanied by bloating (flatulence) due to the accumulation of gas in the digestive system. The reason for this is excessive gas formation in the intestine or insufficient excretion of gases outside. Even in the absence of any disturbances, a certain amount of gas is contained in the gastrointestinal tract. It is formed during the vital activity of the intestinal microflora and during the neutralization of gastric juice and normally does not cause discomfort to a person, gradually coming out in a natural way.

Causes of bloating

There are various causes of bloating. At a high rate of food intake, aerophagia (swallowing air) occurs. The use of carbonated drinks and some products (legumes, cabbage, black bread, beer) leads to an increase in gas formation. Exposure to hormones and constriction of the intestines during pregnancy causes a slowdown in peristalsis and gas accumulation.

Flatulence occurs in some diseases – enzyme deficiency, food allergies, inflammatory processes, with mechanical obstacles – adhesions, tumors and intestinal stenosis.Bloating is caused by a decrease in intestinal motility during peritonitis, intoxication, circulatory disorders and after operations. Bloating is possible with diarrhea caused by infection, dysbiosis, psychosomatic causes.

Help for bloating and diarrhea

Various medications and non-drug measures are used to eliminate bloating.

Proper nutrition. An important point in the fight against flatulence is the correction of the diet and diet.Products that enhance intestinal fermentation are excluded from the menu. In the presence of enzyme deficiency and food allergies, certain foods should be avoided. Overeating and snacks on the go are undesirable, food must be chewed thoroughly.

Healthy lifestyle. Moderate exercise is beneficial for bloating. Walking creates a rhythmic load on the internal organs, improves their blood supply, the abdominal muscles stimulate the intestines and help empty it from gases.A sedentary lifestyle promotes stagnation in the small pelvis, impairs the peristalsis of the digestive system. Getting rid of bad habits will improve blood oxygenation and tissue nutrition, which will also affect the intestinal function.

Medicines. For bloating, various medications are prescribed depending on the cause. If flatulence occurs with diarrhea, IMODIUM ® Express can become the drug. It affects the motility and secretion of the intestine, against the background of its intake, propulsive peristalsis decreases, the time of absorption of water and electrolytes increases, and the hypersecretion of mucus in the large intestine decreases.This allows you to quickly cope with the symptoms of diarrhea, resulting in improved intestinal digestion and absorption.

Seeing a doctor. Bloating can usually be dealt with on your own, but it can be a manifestation of a serious illness. With diarrhea, medical advice is required if there is an admixture of blood in the stool, increasing dehydration, severe intoxication. The asymmetry of the swelling and severe pain require the exclusion of surgical pathology.

A timely visit to a doctor will help to establish an accurate diagnosis, choose the right treatment and avoid serious complications.

Enterocolitis – ProMedicine Ufa

Enterocolitis is one of the most common diseases of the gastrointestinal tract, in which both the small intestine (enteritis) and the large intestine (colitis) become inflamed. Enterocolitis can occur due to a wide range of intestinal infections (dysentery, salmonellosis, shigellosis), malnutrition, the use of spicy and fatty foods, alcohol, prolonged use of antibiotics, food allergies, etc.

Depending on the course of the disease, enterocolitis is acute and chronic. Chronic enterocolitis can be a consequence of inadequately treated acute enterocolitis or other intestinal infection. During an exacerbation of the disease, a person feels abdominal pain, stool disorders, bloating, flatulence are manifested.


There are several main causes of the inflammatory reaction in the mucous membrane of the gastrointestinal tract:

– Almost 80% are allocated to intestinal infections caused by various microorganisms.Most often it is a conditionally pathogenic E. coli, which is normally present in all people in the intestine, salmonella infection, enterovirus infection.

– Parasitic infestations, various protozoa (opisthorchiasis, Trichomonas and amoebic parasites), which penetrate the intestines with poorly processed food, fish, meat.

– Toxic causes of enterocolitis have now begun to occur more and more often, these include poisoning with low-quality alcohol, drugs, household pesticides.

– Improper and poor-quality nutrition in combination with stress can also lead to an inflammatory reaction in the intestines.

– Non-inflammatory diseases of an allergic or autoimmune nature (ulcerative colitis, irritable bowel syndrome).


Acute enterocolitis begins suddenly, with severe acute clinical symptoms: pain, rumbling in the abdomen, bloating, nausea, and may be vomiting. The tongue is coated with a bloom, palpation reveals soreness of the abdomen.As a rule, the disease is accompanied by diarrhea. In cases of an infectious nature of enterocolitis, mucus, sometimes blood, is detected in the feces. In addition, infectious enterocolitis is characterized by an increase in body temperature and symptoms of acute intoxication (weakness, headache, muscle aches).

Chronic enterocolitis occurs both with mild clinical symptoms in the early stages of the disease, and severely, with the development of life-threatening complications.

The following symptoms are most typical for exacerbation of chronic enterocolitis:

– Pain in the abdomen, most often in the navel, but it can be diffuse.An increase in pain occurs a couple of hours after a meal, before a bowel movement, during exercise, brisk walking, running, jumping.

– Disorder of defecation – constipation or diarrhea, their alternation.

– Flatulence – bloating. It occurs as a result of excess gas formation due to indigestion.

– Dyspeptic syndrome. Violation of the digestion of food in the intestine in a fermentative, putrefactive or mixed type.

People with predominantly colitis may lose weight if they refuse to eat as a result of fear of pain and progression of the disease.


The diagnosis is made on the basis of studying the symptoms of enterocolitis (anamnesis), laboratory tests of blood and feces (coprogram), as well as instrumental studies of the intestines. The most informative are colonoscopy (an endoscopic method of studying the intestinal mucosa, helps to determine colitis) and an X-ray examination of the intestine using an X-ray contrast agent.


During the acute stage, a water-tea diet is prescribed.If necessary, gastric lavage is performed. With severe diarrhea and vomiting, it is imperative to control the volume of fluid entering the body, detoxify with droppers. The pain is relieved by the appointment of antispasmodics.

If intestinal inflammation is caused by an infection, antibiotics and sulfonamide preparations are used in combination with drugs against dysbiosis. Further treatment of enterocolitis depends on the cause of the disease.

When parasites are detected, antiparasitic therapy is prescribed, if enterocolitis is secondary, then they fight the underlying disease.Chronic enterocolitis requires a diet that excludes salty, spicy, sour fried foods.

If putrefactive dyspepsia is expressed, limit the consumption of coarse fiber, fermented milk products, complex proteins. With the fermentation option, the consumption of cabbage, rye bread, milk, sugar is reduced.

They use enzyme preparations that improve food digestion, pre- and probiotics that restore microflora, means for the normalization of intestinal peristalsis, vitamin complexes.

Local treatment is carried out in the form of microclysters. For diarrhea, infusions of plants (St. John’s wort, oak bark, bird cherry) are injected, for flatulence – a decoction of chamomile, and for constipation – sea buckthorn oil. Adequate and timely measures taken ensure complete cure of acute enterocolitis within 3-6 weeks. Long-term remission of the chronic process can be achieved by maintaining a correct lifestyle, adhering to a diet, and appropriate therapy for the first signs of inflammation.

90,005 90,000 causes, symptoms and treatment at the Medinef clinic in St. Petersburg and Kirishi

The best treatment for heart failure is its prevention, which includes the treatment of arterial hypertension, prevention of atherosclerosis, a healthy lifestyle, exercise and diet (primarily salt restriction).
Early treatment for heart failure significantly improves a patient’s life prognosis.

The main function of the heart is to supply oxygen and nutrients to all organs and tissues of the body, as well as to remove their waste products. Depending on whether we are resting or actively working, the body requires a different amount of blood. To adequately meet the needs of the body, the frequency and strength of heart contractions, as well as the size of the vascular lumen, can vary significantly.

A diagnosis of heart failure means that the heart has stopped supplying enough oxygen and nutrients to tissues and organs. The disease is usually chronic and the patient can live with it for many years before being diagnosed.
Tens of millions of people around the world suffer from heart failure, and the number of patients with this diagnosis is increasing every year. The most common cause of heart failure is narrowing of the arteries that supply oxygen to the heart muscle.Although vascular disease develops at a relatively young age, the manifestation of congestive heart failure occurs most often in the elderly.

According to statistics among people over 70 years old, 10 out of 1,000 patients are diagnosed with heart failure. The disease is more common in women, because men have a high percentage of deaths directly from vascular disease (myocardial infarction) before they develop into heart failure.

Other factors that determine the development of this disease are hypertension, alcohol and drug addiction, changes in the structure of heart valves, hormonal disorders (for example, hyperthyroidism – excessive thyroid function), infectious inflammation of the heart muscle (myocarditis), etc.

Classification of heart failure

The following classification has been adopted worldwide, based on the effects manifested at different stages of the disease:

Class 1: no limitation of physical activity and no impact on the patient’s quality of life.
Class 2: mild limitation of physical activity and no discomfort during rest.
Class 3: Perceptible decrease in performance, symptoms disappear with rest.
Class 4: Total or partial loss of working capacity, symptoms of heart failure and chest pain occur even during rest.

Symptoms of heart failure

Depending on the nature of the course of the disease, acute and chronic heart failure are distinguished.

The manifestations of the disease are:

  • slowing down the speed of general blood flow,
  • decrease in the amount of blood ejected by the heart,
  • increased pressure in the heart chambers,
  • accumulation of excess blood volumes, which the heart cannot handle, in the so-called “depots” – the veins of the legs and abdominal cavity.

Weakness and rapid fatigue are the first symptoms of heart failure.

Due to the inability of the heart to cope with the entire volume of circulating blood, excess fluid from the bloodstream accumulates in various organs and tissues of the body, usually in the feet, calves, thighs, abdomen and liver.

As a result of an increase in pressure and accumulation of fluid in the lungs, a phenomenon such as dyspnea or respiratory failure can be observed.Normally, oxygen easily passes from the capillary tissue of the lungs into the general bloodstream, but when fluid accumulates in the lungs, which is observed in heart failure, oxygen does not fully penetrate the capillaries. The low concentration of oxygen in the blood stimulates faster breathing. Often, patients wake up at night from attacks of suffocation.

For example, US President Roosevelt, who suffered from heart failure for a long time, slept while sitting in a chair due to breathing problems.

The release of fluid from the bloodstream into tissues and organs can stimulate more than breathing problems and sleep disorders. Patients gain dramatically in weight due to soft tissue edema in the feet, lower legs, thighs, and sometimes in the abdomen. Swelling is clearly felt when pressed with a finger in these places.

In severe cases, fluid can accumulate inside the abdominal cavity. A dangerous condition arises – ascites. Ascites is usually a complication of advanced heart failure.

When a certain amount of fluid from the bloodstream is released into the lungs, a condition called pulmonary edema occurs. Pulmonary edema often occurs with chronic heart failure and is accompanied by pink, bloody sputum when coughing.

Insufficient blood supply affects all organs and systems of the human body. From the side of the central nervous system, especially in elderly patients, there may be a decrease in mental function.

Left side or right side?

The various symptoms of heart failure are due to which side of the heart is involved. For example, the left atrium (the upper chamber of the heart) receives oxygenated blood from the lungs and pumps it into the left ventricle (lower chamber), which in turn pumps blood to the rest of the organs. If the left side of the heart cannot effectively move blood, it is thrown back into the pulmonary vessels, and excess fluid penetrates through the capillaries into the alveoli, causing breathing difficulties.Other symptoms of left-sided heart failure are general weakness and excess mucus (sometimes mixed with blood).

Right-sided insufficiency occurs in cases of difficulty in the outflow of blood from the right atrium and right ventricle, which happens, for example, with poor functioning of the heart valve. As a result, pressure increases and fluid accumulates in the veins ending in the right chambers of the heart – the veins of the liver and legs. The liver swells, becomes painful, and the legs swell a lot.With right-sided insufficiency, there is a phenomenon such as nocturia or increased nighttime urination.

With congestive heart failure, the kidneys cannot handle large volumes of fluid and renal failure develops. Salt, which is normally excreted by the kidneys along with water, is retained in the body, causing even greater swelling. Renal failure is reversible and disappears with adequate treatment of the main cause, heart failure.

Causes of heart failure

There are many reasons for the development of heart failure.Among them, the most important place is occupied by ischemic heart disease or insufficient blood supply to the heart muscle. Ischemia, in turn, is caused by blockage of the heart vessels with fat-like substances.

A heart attack can also cause heart failure due to the fact that some part of the heart tissue dies and heals.

Arterial hypertension is another common cause of the development of insufficiency. The heart requires much more effort to move blood through the spasmodic vessels, which leads, as a result, to an increase in its size, in particular, the left ventricle.In the future, weakness of the heart muscle or heart failure develops.

The reasons influencing the development of heart failure include cardiac arrhythmias (irregular contractions). The number of strokes more than 140 per minute is considered dangerous for the development of the disease, because the processes of filling and ejection of blood by the heart are disrupted.

Changes in the heart valves lead to disturbances in the filling of the heart with blood and can also cause the development of heart failure.The problem is usually caused by an internal infection (endocarditis) or rheumatic disease.

Inflammation of the heart muscle caused by infection, alcoholic or toxic damage, also leads to the development of heart failure.

It should be added that in some cases it is impossible to establish the exact cause of the failure. This condition is called idiopathic heart failure.
Diagnosis of heart failure

Using a stethoscope, the doctor listens for unusual noises in the lungs due to the presence of fluid in the alveoli.The presence of fluid in a particular area of ​​the body can also be detected using X-rays.

The doctor listens to heart murmurs arising during filling and ejection of blood, as well as during the work of heart valves.

Blue limbs (cyanosis), often accompanied by chills, indicates insufficient oxygen concentration in the blood and is an important diagnostic sign of heart failure.

Swelling of the extremities is diagnosed by finger pressure.The time it takes to smooth out the compression area is noted.

To assess the parameters of the heart, methods such as echocardiogram and radionuclide cardiogram are used.

In cardiac catheterization, a thin tube is inserted through a vein or artery directly into the heart muscle. This procedure allows you to measure the pressure in the heart chambers and identify the site of the blockage of blood vessels.

An electrocardiogram (ECG) allows you to graphically evaluate changes in the size and rhythm of the heart.In addition, with the help of an ECG, you can see how effective drug therapy is.
What are the body’s defenses to combat deficiency?

In cases where an organ or system of the body is unable to cope with its functions, defense mechanisms are activated and other organs or systems take part in solving the problem that has arisen. The same is true in the case of heart failure.

First, there are changes in the heart muscle. The chambers of the heart increase in size and work harder to supply more blood to organs and tissues.

Secondly, the heart rate increases.

Third, a compensatory mechanism called the renin-angiotensin system is triggered. When the amount of blood expelled by the heart decreases and less oxygen reaches the internal organs, the kidneys immediately begin to produce the hormone renin, which allows you to retain salt and water excreted in the urine and return them to the bloodstream. This leads to an increase in the volume of circulating blood and an increase in pressure.The body needs to be sure that enough oxygen is being delivered to the brain and other vital organs. This compensatory mechanism, however, is only effective in the early stages of the disease. The heart is unable to work in an increased mode for many years under conditions of increased pressure.

Treatment of heart failure

For the drug therapy of heart failure, the following groups of drugs are used: diuretics, cardiac glycosides, vasodilators (nitrates), calcium channel blockers, beta-blockers and others.In severe cases, surgical treatment is performed.

Diuretics have been used since the 1950s. The drugs help the heart work by stimulating the excretion of excess salt and water in the urine. As a result, the volume of circulating blood decreases, blood pressure decreases, and blood flow is facilitated.

The most important in heart failure is a group of drugs derived from the digitalis plant or “cardiac glycosides”. These medicinal substances were first discovered in the 18th century and are widely used to this day.Cardiac glycosides affect the internal metabolic processes inside the cells of the heart, increasing the strength of the heart contractions. Thanks to this, the blood supply to the internal organs is noticeably improved.

Recently, new classes of drugs have been used to treat heart failure, for example, vasodilators (vasodilators). These drugs primarily affect the peripheral arteries by stimulating their dilation. As a result, due to the facilitation of blood flow through the vessels, the work of the heart improves.Vasodilators include nitrates, angiotensin-converting enzyme blockers, calcium channel blockers.

In emergency cases, surgical intervention is performed, which is especially necessary when the insufficiency is caused by disorders of the heart valves.

There are situations when a heart transplant is the only way to save a patient’s life.


It is estimated that about 50% of patients diagnosed with heart failure live with the disease for more than 5 years.However, the prognosis for each individual patient depends on the severity of the disease, concomitant diseases, age, effectiveness of therapy, lifestyle and much more. Treatment of this disease pursues the following goals: improving the work of the left ventricle of the heart, restoring work capacity and improving the patient’s quality of life.

You can make an appointment by phone: 8 (812) 603-03-03

We are located at St. Petersburg, st. Botkinskaya d.15, building 1
(5 minutes walk from the metro station Ploshchad Lenina, exit to Botkinskaya street).

Online consultation with a coloproctologist

Your question has been sent and will be published after moderation!

Question text: *

Contact Information

Ask a Question

  • Why, after intercourse with a partner in a condom, there were unpleasant cuts in the perineum between the vagina and the anus, it is when urine gets into it very strongly, as if an open wound.With what it can be connected?

    Read more

  • Normal stool after 3/4 days, lower abdomen hurts, menstruation in that month was 2 days, now there is a delay, the test is negative, the abdomen is growing from bad stool for sure, what could be

    Read more

  • Hello! Today is the 3rd day after laser node removal. Hemorrhoids are combined therefore there is a wound on the outside and several stitches.Today is the 4th day after going to the toilet for the most part there is a little red blood. The feces are not hard. Is this normal or is it time to sound the alarm?

    Read more

  • Stoma hernia
    Hello, my mother is 80 years old. In 2005, she was taken out with a colostomy (ate fish and sperforated the sigmoid colon) In 2007, a hernia appeared. then it stops, we use peroxide, brilliant green, sal.Zinc ointment) No pain. The feces are clean without blood. The blood is light scarlet. From where periodically I don’t understand the blood. We can’t go to the hospital, her legs don’t walk, flickering arrhythmia. Help with advice please.

    Read more

  • After getting the flu, I started bleeding and stomach pains. 20 years ago, 90,276 of my uterus were removed. Doctors diagnosed
    Neoplasms on the cervix
    I doubt it. I have pain
    Above the ass.Increased with food intake. It calms down at night and if in the morning there is almost no food. As I eat and immediately the pain intensifies. Constipation torments.
    What advice can you give?

    Read more

  • Good afternoon!
    A problem has bother me for a couple of months. It lies in the fact that at the moment of bowel movement, I feel that something as if “clutches” the anus from the inside. I visited a surgeon, a coloproctologist – no cracks, no hemorrhoids, nothing. What do you think is the reason?
    Thank you!

    Read more

  • I had acute pyelonephritis 2 months ago.And now it became a little cold for me and after that it was a little uncomfortable for me to go to the toilet on the little one and pulls the lower abdomen, aches.
    Tomorrow I will go to Moscow, maybe there is an option without tests to prevent this pain, inflammation is possible?
    Can candles anti-inflammatory

    Read more

  • Good evening, please tell me, what are the consequences if betadine is used in the anus?

    Read more

  • Hello, I noticed today that I often went to the toilet on a small toilet (sometimes just urging unnecessarily), after urinating for a few seconds, throbbing pains in the urethra are disturbed, and there are traces of blood on the paper.

    Read more

  • Good afternoon! Please tell me why there is discomfort in the vagina after a bowel movement?
    And also there is frequent urination after a bowel movement?
    No cystitis.
    Was at the urologist, said maybe urethritis.
    Was a proctologist, said that this can happen reflexively.
    What do you recommend?

    Read more

  • Hello, I am 4 months pregnant.my butt hurts when I sit, lie, walk … what could be the problem?

    Read more

  • Good time.
    Yesterday I got drunk. Boiled purified water and carried out the process. Everything went well. But letting go, for a while, after about an hour or two, unpleasant sensations appeared inside me, over time, somewhere in another hour, it turned into a burning sensation. After a few hours, it turned into very unpleasant sensations, the burning sensation seemed to begin to move upward inside me.Tell me how to be?

    Read more

  • After childbirth, constipation appeared, and itching already started after going to the toilet, it stopped, and so that constipation was not again drank duphalac, now my stomach hurts a little, but when I push the knot is small, what to do and how to understand what stage and type hemarrhoids

    Read more

  • After taking Zhanin, it became painful to go to the toilet for a long time.At first, the pain is insignificant, and then it hurts very much in the area of ​​the pus (colitis, burns), but not for long.

    Read more

  • Good afternoon.
    I had hemorrhoids, there was no pain, sometimes it bled and disappeared. There was no discomfort at all. After treatment for the stomach, one day there was a wild pain. This has never happened before. After going to the toilet, for the most part, after a while it starts to hurt. The anus begins to throb and hurt wildly. If you do not go out, you do not have much pain and there is no discomfort.How can I relieve swelling or spasm so that it does not hurt. Relief helps temporarily, but not for long. I also use Bepanten ointment. Please advise, as there are no good doctors in our area.

    Read more

  • Hello. Tell me, my grandmother hasn’t been going to the toilet for a week and a half while she eats, but she can’t drink a lot of water, and the laxative arrives doesn’t help her, she doesn’t even feel like

    Read more

  • Not long ago I gave birth to a lyalechka! I went to the toilet well for the most part, but for the second day I can’t walk it hurts, the urge seems to go, that’s all it will come out but alas! It even began to bleed! What to do?

    Read more

  • good! Was at the reception at the proctology was diagnosed with a chronic anal fissure and an external gem node, offered an uncontested operation for excision with sphincterothermia, but the doctor said there is no difference with a laser or a scalpel, nevertheless, patient reviews speak of a significantly easy postoperative period of rehabilitation after laser surgery, you can Is it easy to explain to me – is it not a particular doctor’s possession of laser technology, or is there really no difference in the pain factor after the operation? And is there a price difference?

    Read more

  • The anus itches constantly, sometimes in wrong sitting positions, for example, tingling.There is mucus after a bowel movement, the feeling of an incomplete act, there is no blood. I examined the anus and found a loose bump on the skin right next to the purple hole. What could it be? For some reason I will not be able to go to the doctor for another 3 days. What would you advise so as not to aggravate the situation by that time.

    Read more

  • Hello! Some kind of lump comes out from the winter, at first I thought that something had bitten, but it more than once comes out first, like a mosquito bite, then it itches more and more, becomes large and dense when you touch this place, it is hotter.Such a lump is on my mother’s navel and on my mother-in-law’s hand and on my back. Thanks

    Read more

  • Hello. Tell me, please, my left lower abdomen periodically aches, sometimes it even gives into the anus, that neither sit nor stand up … rarely, but it happens. OK . I did a colonoscopy, everything is fine … But sometimes streaks of blood are visible in the feces, clots … What is it and why?

    Read more

  • It hurts so I can’t sit on the right side, it also hurts to strain, and the right side of the anus is hard.What it is?

    Read more

  • Good day! In November 2020, while undergoing medical examination, a neoplasm of the rectum was discovered. After examinations and biopsy results, the diagnosis was made: Cr ampullar rectum with involvement of the mesorectal fascia in the process, m. levatori ani on the left of extramural invasion of the mesorectum vessels, intimate adherence to the seminal vesicles on the left. From January to April, he underwent radiation therapy + chemotherapy at the N.I.P. Pavlova, St. Petersburg. At the end of this treatment and the examinations carried out after the treatment, the oncologist surgeon said that the operation to remove the tumor would be carried out by leaving the stoma removed before the start of treatment and suturing the anus. Is it possible to leave my anus when this tumor is removed and will I be able to fully live and work fruitfully in the future? If so, is it possible to undergo surgical treatment in your clinic for the compulsory medical insurance and VMP quota?
    I would like to know the opinion of your experts on my question.
    Yours faithfully Andrey Andreevich Vaschenko.

    Read more

  • Hello. After giving birth, the skin near the anus was stretched. Outwardly, there are no strong changes, but to the touch it has become thinner, there is no elasticity. What can be done in this case? Many women who gave birth are tormented by the question … (((
    Thanks for the answer!)

    Read more

  • Good afternoon! Turned to a proctologist for a simple examination.There are (absolutely) no symptoms, just to avoid possible problems, since my work is sedentary and I move a little. As a result, the doctor diagnosed stage 2 chronic hemorrhoids. I doubt the doctor’s decision for a number of reasons, but there is a certain concern. Please tell me if this diagnosis is characterized by the absence of any even mild symptoms? Considering that constipation occurs periodically, but passes without problems, and the stool itself is hard enough?
    The doctor’s examination lasted one and a half to two minutes, is it possible to say so precisely about this particular disease, given that this part of the intestine is susceptible to many diseases?
    The doctor also argued that conservative methods could not fix the problem, that a rather expensive procedure was needed to remove the nodes.
    Thank you for your reply.

    Read more

  • Hello! My name is Tatyana. I am 37 years old. On April 29, an operation was performed for hemorrhoids. After the operation, we prescribed Relief pro suppositories and an ointment for healing wounds and phlebodia 600. Today, May 18, the edema still does not subside. I am very worried about how many days the swelling lasts after the operation.
    Thank you in advance for your reply.

    Read more

  • The guy has a bump on his butt.She’s not worried. We have undergone a course of treatment for hemorrhoids – no result. The bump disappears and appears. We have already bought sea buckthorn candles. Like the bump has disappeared. And then she appeared again. Tried other candles didn’t work either. We have been adhering to the diet for 2 months already. No spices, fried, alcohol, soda, etc.
    After the candles, the lump disappeared, and now it reappears (Maybe this is not crap, but something else?

    Read more

  • Discomfort in the anus
    I noticed something like blood on paper
    There is a slight itching
    The color of the anus is dark blue, it seems
    You can also feel a small bump
    No constipation
    Before that, itching was often worried
    Was the surgeon said there are no problems with it

    Read more

  • Pregnancy 13 weeks lower abdomen hurts on the right side What can it be

    Read more

  • The child is three weeks old with an umbilical hernia when fed, it increases when pressed, as if it gurgles inside and I see that the child is uncomfortable, although the doctors say that she does not bother her and does not hurt her, now we cannot go to the toilet , prescribed a bandage and massage, is it possible for us to drink a laxative with a Mikrolax hernia and what can we do with a hernia?

    Read more

  • Hello.My child is 4 years old. He has been running very often for a week already, gets up and asks me, “I pooped?” I thought he was just joking until he started pooping a little bit, but not always, and he had a temperature, for two days already 37.2. I don’t understand what it is. The stomach says it doesn’t hurt. Help please

    Read more

  • Hello!
    I have a diagnosis of “Chronic anal fissure. Preliminary. Chronic posterior anal fissure.”Posterior incomplete internal fistula of the rectum. Lumbago. “The doctor said that an operation for the fistula is needed.
    1. How sick and complicated the operation is
    2. How much recovery and how long can I go to work and the usual rhythm of life
    3. Do I need to stay in the hospital after operations or go home on the same day? Can a fistula not heal or will a fistula appear again after operations?

    Read more

  • My stomach hurts in the toilet I don’t want to go big and belch too my stomach twists when I lie on one side it doesn’t hurt and when they turn it over it hurts to go to the toilet I want to go big but I can’t

    Read more

  • Hello, I recently had a lump between my anus and vagolisha; it doesn’t hurt, it doesn’t bleed and doesn’t interfere.What could it be

    Read more

  • Hello! The abdomen is constantly as if inflated, heaviness, terrible discomfort, sleep at best is possible only on the back, when turning on the side, it feels like pulling pain begins as if in this side or maybe in the kidney. The pain below the navel then appears and then releases, when going to the toilet “on a small”, the pain below the navel with a return to the anus, urination became small portions without blood and frequent urge.Sometimes a not pronounced aching pain in the lower back in the kidney area is felt together with pain below the navel. He began to carefully take drugs “Duspatalin”, “Amoxiclav”, “Nimesil” and as a safety net “Prostamol” for the third day. After that, the pain with recoil during urination began to subside, at the moment there were frequent urges to go to the toilet, a small portion of urine (it seemed that it increased after taking medication). On the general symptoms as I think it is similar to “cystitis” or “adenoma”. But my head does not converge from where there is still a heavy and swollen belly, such that it interferes with walking straight, when straightening it pulls forward and also in the area below the navel there is a feeling that you are being pulled into an embryo position.

    Read more

  • I’m 33 years old When I went to the proctologist, a circular tumor was found at the depth of a finger. As a result of the examination, colonoscopy and MRI revealed that the tumor was 5 cm deep, t3n0m0 2a stage 2. When contacting the oncologist, the doctor said that there is a risk of life-long colostomy. How can you avoid this? To date, chemotherapy has been prescribed, followed by radiation therapy

    Read more

  • A lump has appeared near the anal passage.It does not itch. Such sensations that a ball was driven under the skin. Located at the top,

    Read more

  • Good afternoon!
    Recently I noticed that my anus is kind of “relaxed”, to put it more clearly, 50/50 air incontinence does not shrink
    And as if there is something inside there and colitis
    I used to notice a similar tingling sensation, I went to the gynecologist about my business I wrote out suppositories into the anal passage for gynecological purposes, after that the tingling sensations passed, maybe a coincidence
    Tell me, what could it be? (

    Read more

  • Hello, my name is Oksana, I am 40 years old, it hurts in the rectum, digestion is disturbed, it seems to me, there is gastritis, bile stasis, constant cramps in the stomach, belching loud air very often, the pressure rises to 140/90, today All night long the stomach pulled the intestines, sometimes when I went to the toilet it was easier, the pressure decreased, the stool, that is, it was not, then it was liquid, could it be intestinal obstruction? trembling in the intestine, pain in the rectum, temperature 37.how to help yourself get out of this state? before going to the doctors.

    Read more

  • Hello, this has never happened before, I sat down to go to the toilet today for a big, and accordingly after, when urinating I noticed blood, before I suffered only from hemorrhoids, tell me what to do?

    Read more

  • Black pimple on the anus, hurts and bleeds. Interferes with going to the toilet and running

    Read more

  • Hello! I noticed blood in the anus, I press with a napkin, gives a stabbing sensation to the abdomen, to the left to the side.What could it be?

    Read more

  • Already 7 months worried about pain in the right lower abdomen. Periodic cramping pains, mainly during movement. There are stabbing pains in the anus. Feces that are normal, then sheep or ribbon-like in the toilet can go several times a day, sometimes to no avail, there is often mucus when solid feces Rumbling and flatulence. There was severe pain in the right testicles. 25 years old, suspicious, can it all be due to nerves?

    Read more

  • Already 2 weeks have passed after menstruation, but pulls the lower abdomen, as with menstruation and stool, too, as with menstruation.What could it be?

    Read more

  • Hello, please tell me the situation is such that during diffraction, a ball was pushed strongly and a ball formed in the anal area and there was discomfort and, as if something was interfering, an unpleasant pain, but literally everything passed the ball overnight, the next trip to the toilet went fine.
    A couple of days passed since I went to work (as a waiter) and literally in the evening a ball formed again and immediately passed overnight.I thought it was because of a heavy load.
    Can you please tell me what it could be?
    Can a Hemorrhoid appear and pass back? Or is it not a Hemorrhoid at all?

    Read more

  • After hard sex, the lower abdomen hurts very much, for the second day it is hard to get up, turn over and the like

    Read more

  • Two days ago there was intercourse, now there are pains in the lower abdomen, what can this mean?

    Read more

  • Hello, the swelling of the right side near the anus has been worrying for a long time.Not inside the anus, but just a swelling near. Only the right side, as if swollen. Sometimes not such a strong swelling, sometimes, on the contrary, it swells very much. Pain sometimes when touching. Pushing hurts too. What is it and what to do, please tell me

    Read more

  • Hello! Hemorrhoids worried. After each toilet, I still feel great pain, burning, sharp pains for a long time. Sometimes you even have to take pain relievers.Can you please tell me what it is? How to relieve pain? What to do?

    Read more

  • Good afternoon! Operation for combined hemorrhoids 4 tbsp. passed a week ago. Disturbed by abundant discharge from the anus. A lot of fluid flows out especially at night. There is practically no pus. This is normal? And how long it can go on.

    Read more

  • Hello. I came to my mother in Yeisk and immediately went to the hospital.There were cramping spasms, I sat on the pot, but practically nothing came of it. They were admitted to the hospital. After 6 days I was discharged, allowed myself to eat a baked apple and everything started again. And in the hospital, the feces were already practically processed.
    I am now taking ceftriaxone. But there is little effect. What could it be, doctor? Upon arrival home in Volgograd, which doctor should I visit?

    Read more

  • Hello! A 1.3-year-old child has a pointed hard lump in front of the anus.The surgeon said inflammation of the excess skin folds of the anus on the background of the anal fissure. This lump is growing. Prescribed Relief ointment, Levomikol ointment. And candles are religious. From candles he often goes to the toilet. Today I noticed a hard white lump on the anal ring. How would you treat such a cry

    Read more

  • Hello doctor, I’m 17, I can’t find a proctologist in my city, tell me what to do, for about 4 days I have been feeling a pimple-like lump on my anus, when I touch it, too, like a pimple, the pain does not bother almost, only when going to the toilet and when I touch it (I have constipation, and earlier it happened that after going to the toilet a drop of blood remains on the paper).help please

    Read more

    Hello. It can be both thrombosis of the hemorrhoidal node and manifestations of rectal fistula. I strongly recommend visiting a surgeon, they are more common than proctologists.

  • Doctor, Hello, can I come to you for an in-person consultation and perhaps treatment in a referral from my clinic … how to do it right … thanks in advance for your answer

    Read more

    Hello.Yes it is possible. To begin with, you need a referral for a consultation on form 057 / y, drawn up at our clinic. Further, during the consultation, we will figure out what to treat and how to treat.

  • I got a bump in the anus, he writes external hemorrhoids on the Internet, well, I think that’s right, and so, she’s already two days old, it hurts to sit and wipe the anus after exposure. Didn’t have time to go to the doctor, do you need to smear it somehow or is it worth visiting a doctor after all?

    Read more

    Hello.The lump can be both a thrombosis of the hemorrhoid and paraproctitis. I highly recommend visiting a doctor.

  • It has been very painful to go to the toilet for a week already. Cutting pain in anus and small drops of blood remain on the paper. Then, during the day, the anus hurts, by the morning everything seems to pass, but as soon as I sit down to poop again, the same strong cutting pain inside. Previously, I often went to the toilet, I could go a lot several times a day, now once a day or every 2 days.It is felt that the calla lilies are hard and when you come out, it is as if something cuts inside. What to do? I’m already afraid to go to the toilet, every time to tears from pain. Cutting pain only at the moment the calla leaves. After going to the toilet, relief is felt, but unpleasant sensations remain.

    Read more

    Hello. More like an anal fissure. For the appointment of treatment, a full-time examination is required. Taking into account the complaints, I recommend visiting us as soon as possible, since the effect after the start of treatment occurs in a few days, and not instantly.

  • Hello, doctor, I was 48 years old at 22 I had a hemorrhoiectomy … in 2917 there was a relapse, a sphincterotomy operation was performed, an anal fissure was performed … and in 2019 again scar deformity, pain not supervising anything … compensated stenosis … pain constant .. surgeons can not help .. let me issue a VMP to YOU ​​.. no more strength to endure this pain .. help !!!

    Read more

    Hello. To select the optimal treatment tactics, a full-time examination is required.If possible (if you can do it), provide the results of anorectal manometry and colonoscopy – to speed up the diagnostic process and choose a treatment method. This interference is not included in the list of quotas according to the order.

  • For the third day in a row, pains appear sharply in the lower abdomen, after going to the restroom everything goes away, there are up to 3 or more times a day, the feces are similar to “sheep’s”, I don’t know what the reason is.

    Read more

    Hello.You need to carefully consider what you eat. In your case, an in-person consultation is highly recommended, since this is the only way to identify diseases of the perianal region, which can also cause a similar condition.

  • Hello. I don’t suffer from any diseases of the rectum (at least I don’t know, I haven’t applied anywhere). And often, almost always, if I have a very loose stool (well, usually in the morning after beer), before it becomes completely unbearable to endure, there is a sharp, sharp pain right in the sphincter, short-lived, for 10-15 seconds, but not bearable, I can’t move.And it repeats itself until you empty. The most interesting thing is that this does not happen with a normal chair, even if you really want to go to the toilet, but only with a liquid one.

    Read more

    Hello. You are most likely to have chronic anal fissure. To choose a method of treatment, an in-person consultation is required.

  • Year of gasad during bowel movements it became very painful, perhaps I overextended myself and there were hellish pains somewhere in the rectum on the side of the right side, I can’t say what kind of pain it was, as if I had stretched a muscle.And after that the whole day it hurt and the next days it hurt only when I have to strain during bowel movements. After a few weeks it got better, but still this pain remained during bowel movements on one side and at one point.
    From time to time the pain arises more strongly, sometimes weakly, if I slowly and slowly strain and + I ate a lot of vegetables it does not feel so pain, but if I have to strain, pain immediately on the right side somewhere in the rectum where the tailbone is slightly higher than the coccyx on the right …
    There was never any blood, even after the incident when I picked something up, I go to the toilet normally, nothing bothers me except that.
    Is it possible that this is oncology? I am 22 years old.

    Read more

    Hello. It is highly doubtful that this is oncology. It is possible that these are the consequences of old damage to muscles and ligaments. I strongly recommend the MRI of the pelvic organs and the subsequent face-to-face examination

  • good afternoon! All night long I suffer from acute pains, cramping cramps in the lower abdomen in the intestines, it seems like the rectum, but the pain is not focused only in the back, but as if it exists along with the pain due to menstruation.The pain sometimes very sharply radiates to the anus, for a few seconds it is simply unbearable, then it leaves, circulates through the intestines, the air wanders strongly. It seems that the pain is closely related to the coming menstruation, it happens to me, sometimes it can seize very sharply, but then it lets go and I forget, now it lasts for many hours in a row. (I am being treated for cystitis, at the moment I am taking the drug urofuragin) Can you please tell me what it can be?

    Read more

    Hello.It can be both chronic anal fissure and endometriosis. It can be said more precisely only after examination and examination.

  • For a couple of years every month I suffer from pain over the navel, once a month it hurts with a cutting pain for more than a day, pain relievers, suppositories do not help, doctors constantly put gastritis, but at the same time they do an examination, ultrasound, all indicators are normal. I notice that before the stomach begins to ache, constipation, feces often scratch the walls and blood forms. I sat down on proper nutrition, did not eat anything salty, sweet, fatty, does not help, in principle I eat normally, I rarely boast of fatty or salty foods, so we cannot understand what to do and what could be.

    Read more

    Hello. It is necessary to be examined during pain. While digestion processes are disrupted. while hard feces are formed, one must have time to understand what is wrong.

  • Good evening!
    Diagnosed with epithelial coccygeal passage – 5 fistulas.
    I wanted to clarify whether it is possible to perform an operation on the OMS pole at your place? And what is the action plan to get a referral or quota
    Thanks in advance

    Read more

    Hello.Operational intervention under the compulsory medical insurance policy or under the quota is possible, provided that this operation is included in the compulsory medical insurance standards or in the order of the VMP. To understand what kind of surgery you need, you need an in-person consultation with a previously completed MRI of the pelvic organs. VMP quotas are issued by our institution, the CHI referral is formed by the surgeon at the place of residence (057 / y). Please note that hospitalization requires a full examination.

  • Good afternoon!
    During anal stimulation with a sausage, she broke in half, and half was stuck in the rectum (or possibly deeper).Can you please tell me if there is a possibility in this case to independently achieve its extraction, or, perhaps, it will dissolve or be digested and come out in the process of defecation? Or do you need to see a doctor? In this case, what measures may be required to retrieve it?

    Read more

    Hello. It is doubtful that the sausage will be digested in the rectum – there are unsuitable conditions for digestion. Given the relative softness of a foreign body, it is highly likely that it will self-evacuate with feces.In case of problems with stool or deterioration of health, you should contact a proctologist. The likelihood of surgical intervention to solve the problem in your case is low.

  • Hello, can you please tell me for 4 months now I am worried about pain in the right hypochondrium. Initially, there was a change in stool, diarrhea, constipation, hemorrhoids, then passed. For a while, the pain did not bother.
    Now again pain in the right hypochondrium, gas formation, hums constantly, and I would not say that this is pain, more like discomfort.Sometimes mucus is just from the anus, whether it has gone to the toilet or not. The gastroenterologist has diagnosed irritable bowel syndrome in question. Prescribed an antibiotic, vitamin b, meteospasm. If you do not go to do gastroscopy. But I divide it for the second time in a year, and everything is fine there, no deviations, but says that we will do it anyway. Another doctor diagnosed dyspepsia and referred to a proctologist. How to be? What could it be?

    Read more

    Hello.For a comprehensive examination, it is necessary to undergo an ultrasound of the abdominal organs, a colonoscopy, and also provide the results of an EGD. Without a full-fledged examination, diagnosing your problem will be akin to fortune telling on coffee grounds.

  • Good afternoon! In October 2019, I had a miscarriage, I was cleaned. In December, they burned me with erosion, and after those two moments, I cannot have sex. It doesn’t hurt my posture. It feels as if the strings are stretched there, starting from the very entrance to the vagina, as if everything is torn there.Acute pain can be given either to the anus or in the direction above the abdomen. And a constant feeling of tightness in the lower abdomen. I went to the doctor, they did the Uzi all right. They said that where the nerve was pinched, they prescribed a bunch of pills, but nothing helped. For a year and a half I have not been able to live a normal sex life, that it hurts, that on a purely psychological level I cannot turn off my head, because I know that there will be pain and I am waiting for this pain .. What to do, where to go?

    Read more

    Hello.With dyspareunia (pain during intercourse), it is better to turn to gynecologists, since this is not really our profile.

  • In the morning of April 30, I underwent an operation to remove a foreign object from the rectum, but it so happened that I left the ward at night on May 1, I had to urgently leave, upon returning I was told that I had been discharged. They did not say what and how to proceed further. I still have a tampon there, and I don’t know how to pull it out, it’s painful to pull on it, as I understood it stuck.
    How do I get it?

    Read more

    Hello.Yes, the tampon is most likely stuck. When it is forcibly removed, there may be slight bleeding (if the tampon is inserted for hemostatic purposes). For a softer removal, I recommend moistening it abundantly, then it can independently move away from the mucous membrane.

  • Good afternoon. Recently, one problem began to torment. During intercourse, there are pains in the lower abdomen that radiate into the anus. Not every time, but it happens. Aggravation during menses. It happens that I just stand, and a sharp stabbing pain in the anus.Sometimes it hurts so much that I can’t even straighten up. Can you tell me what it might look like?

    Read more

    Hello. This can be both a manifestation of chronic anal fissure and endometriosis (if we take into account the relationship with menstruation). I recommend going along the path of eliminating the simplest – to come for a full-time examination in order to understand whether there is a crack or not.

  • Hello. I will try to tell you in more detail how it all began.My first manifestation happened in early October. I was bothered by a rumbling in my stomach while walking. Then in the morning I began to pull to the toilet. The chair was 3 times a day. There was mucus in the stool. I made an ultrasound obp. Uneven swelling of the ascending region. I have chronic diseases since 9 years old. Uzit sent for additional examination in order to exclude enterocolitis and worms. She advised me to donate blood for yersineosis. Donated blood and feces. No worms were found, but yersineosis 0.3 is positive.Treatment was prescribed by an infectionist. Antibiotics gentamicin and doxycycline hydrochloride. Take linex together. Passed the course. Has passed the blood test negative. I finished the course on December 10. Of the improvements, there is no mucus in the stool. But the bloating and discomfort in the sitting position remained. Depression and irritability appeared against the background of this state. I drink duspatalin before meals and take espumisan. But there is no improvement in the sitting position. I am a very suspicious person. I am very worried about my health.

    Read more

    Hello.You have taken the right step towards treatment by providing such detailed data. In your situation, a gastroenterologist and a psychotherapist will better help. The Clinic for Propedeutics of Internal Medicine, with which we cooperate, has such doctors. If they find that they cannot do without the help of a coloproctologist, they will certainly invite us for joint treatment.

  • Good afternoon, 2 days ago I removed 3 polyps (from 5 to 10 mm) in the large intestine. The doctor said that you can eat as usual after the first chair.There was no chair yet. But I doubt if it’s that simple. Do I need to follow any special diet? If necessary, what time and how long? Thank you!

    Read more

    Hello. If removal was easy enough (EMR method), then after the first stool you can return to your previous diet. If you are worried or do not know the method of removal, then I recommend nutrition for the so-called. table SCHDk (excluding fruits, vegetables, fiber; mainly processed protein foods such as boiled meat, eggs, cheese, as well as liquid cereals).

  • Hello, when walking fast, it starts to prick like a sharp anus and ceases to be like stopping or going slower. A couple of days ago I noticed, abruptly grabbed and released, but this and repeated again. Would you like to know what it could be?
    There are no changes or impurities in feces. It doesn’t hurt to go to the toilet

    Read more

    Hello. It can be both chronic hemorrhoids and anal fissure (with sudden movements, the edges diverge, causing pain).

  • Hello. It can be either an anal fissure or a rectocele. It is difficult to answer more precisely without examination.

  • Good day! The situation is this:
    Pain when walking or running in the anal canal. It’s always after football. I play football. I go to training. And when the training is hard, then there is a strong discomfort in the anus .. it’s hard to walk .. if I don’t play football, then everything is fine. This has already happened twice. There are no bumps and never were.Recently I began to travel a lot .. maybe because of this .. what’s wrong with me, helpMi!

    Read more

    Hello. It can be a prolapse of the hemorrhoid, which is self-reducing, or an anal fissure. It is necessary to examine in person.

  • I have a problem that an organism has appeared in my butt that hurts a lot. What can I do about it? How to deal with it?

    Read more

    Hello.It can be both thrombosed hemorrhoids and many other interesting conditions. To understand this exactly, a full-time examination is needed, and at the same time treatment (possibly operational) will be prescribed

  • 3 times operated in her hospital again relapsed, the operating coloproctologist did not prescribe any examinations. Is it possible to undergo surgery in your clinic and what examinations do you need to undergo?

    Read more

    Hello. We deal with rectal fistulas.Before an in-person consultation (it is necessary to understand the scope of the operation), it is necessary to do an MRI of the pelvic organs, come with a disc and a conclusion.

  • Hello, two days ago there was discomfort in the anal area, a feeling of heaviness or a foreign body inside the anus, I feel more with the help of a part, I can’t feel anything with my finger, discomfort when I sit, the pain intensifies a little during differentiation, is it dangerous and what to do, thanks

    Read more

    Hello.Most often, this is a thrombosis of the hemorrhoid. However, it can also be paraproctitis. Both conditions require urgent consultation with a coloproctologist for prompt treatment.

  • Hello! There was blood on toilet paper, the blood itself only at the end of the act of defecation, the day before there was a slight diarrhea and I drank loperamide, and after that blood appeared. My appointment with a doctor is free only on May 18. The fact is that 1.5 years ago, an operation was performed to remove a tumor from the bladder through the urethra.Perhaps you can do some examinations in order to go to the appointment with them? Thanks in advance!

    Read more

    Hello. You will most likely have an acute anal fissure. But taking into account the anamnesis, I highly recommend to undergo a colonoscopy before visiting the proctologist! Rectal neoplasms can behave similarly.

  • Hello. Sore in the sacrum region, aching pain without interruption, now, there is external hemorrhoids, but the fact is that you constantly allegedly want to go to the toilet for the most part, as if you did not defecate, but this is not so and presses on the exit.I don’t want to go to the toilet, just such strange urges that do not stop and do not allow me to live. They say that the uterus presses. But can this be the case with a cross and a posterior opening for such a short time. It is impossible to tolerate. Especially false urges. Wash in the anus. as with the usual urge to defecate.

    Read more

    Hello. To find the cause, a full-time examination is required. Against the background of pregnancy, all organs are displaced to some extent and do not function perfectly.Mild nagging can also be a manifestation of a chronic fissure.

  • When I walk for a long time, I push, then everything will come to my mind .. and how else are there bubbles near the anus, but then during the day everything passes .. what is how to treat? I am pregnant

    Read more

    Hello. If these “bubbles” are also purple, then this is a common problem during pregnancy – hemorrhoids. In our clinic, hemorrhoids are successfully treated during pregnancy, especially in the case of thrombosis, as this often causes pain.

  • Hello! Over the course of 10-15 years, periodically (at first once every few months, now more often), shooting pains of a stabbing nature of low intensity in the anus, according to sensations – on the left, are disturbed. I cannot connect them with anything. What disease is characterized by stitching pains?
    Thank you.

    Read more

    Hello. In 90% of cases, the cause of stabbing pains is an anal fissure, which was not cured in time.Contact us, we will help you find the source and prescribe treatment.

  • Hello. Can you please tell me this is the norm or not? The situation is as follows: somehow I went to the toilet on a small one, decided to get my ass wet (I don’t know why), on a piece of paper I saw a little dark mucus (the color of poop), wiped it off, and went to wash. Sometimes it happens, I go to the little one, and when I blot my ass, then there is mucus of a dark color. It happens 3 times a day, it happens for weeks there is nothing, the linen is clean. I can hold back the gases.Tell me please, is it normal that the mucus stands out so it should be? I was at the doctor, he said that everything was fine. There is also hemorrhoids, sticking out like a tail.

    Read more

    Hello. Confused by dark mucus. I recommend to undergo a colonoscopy for peace of mind, because this procedure does not cause discomfort with sedation. And if you are worried about hemorrhoids, then it can always be eliminated; in what way, it can be discussed only at a face-to-face examination, since the intervention is selected exclusively individually

  • The lower abdomen began to hurt very badly during tuzhin, Defecation.What could be the reason. It hurts 3 times a week. Especially after alcohol. I drink alcohol often.

    Read more

    Hello. This can be both manifestations of hemorrhoidal disease and other causes. I recommend colonoscopy as the first stage, and already with its results for a full-time examination.

  • Hello. Girl 23 years old.
    Did a paid operation to remove hemorrhoids 2 tbsp., And anal fissure. But for half a year I have been suffering from pain, severe pain and burning after a bowel movement with blood, followed by painful bouts of pain.After emptying, I can’t go to the little one, I sit and wait for half an hour until everything goes …
    I went to the hospital for free, conducted a finger examination, and prescribed suppositories, washing with potassium permanganate and medicine for veins.
    But there is no result, the pain is the same …
    It is very painful to inject candles with ointment ..
    Even in the navel area, the stomach hurts, constipation and diarrhea constantly … Vomiting, belching stomach pains.
    The strength is no longer for anything.

    Read more

    Hello.Most likely, you have non-healing wounds after surgery. This happens when there is insufficient pain relief after surgery. For a more accurate diagnosis and treatment, I recommend a full-time examination.

  • Good afternoon. Tell me please, about three months ago, it began to hurt in the lower left abdomen and on the left under the ribs.
    Stool is normal and painless (no blood, sometimes I notice a little mucus), but there was swelling, gas and itching / tingling of the anus. The doctor said that there are problems with the pancreas and intestines.Medicines were prescribed to normalize the gut flora and diet. Milking prophylaxis pill is protoworm.
    A week later, everything was fine, but after another week, the itching / tingling sensation of the anus, sometimes gases, will again be a little disturbing.

    Read more

    Hello. To understand where your pains come from, you need a face-to-face examination. Without this, it will not be possible to establish a diagnosis and prescribe the correct treatment.

  • Three days ago I had creepy, loose stools, I could not get out of the toilet.I drank water and immediately went to the toilet. After that my stomach got up and I no longer eat normally for the fourth day. The chair never returned to normal.

    Read more

    Hello. You may be currently suffering from foodborne illness (food poisoning). I recommend contacting an infectious disease specialist.

  • What laboratory tests should be for this disease and what should be on EFGDS, X-ray, radioisotope method?

    Read more

    Hello.As a rule, there are no significant changes in laboratory tests. The diagnosis is usually established by irrigoscopy and passage of barium along the gastrointestinal tract.

  • It hurt the child to poop for several days, it hurt to wipe the bottom, and then the blood started to flow a little

    Read more

    Hello. Our clinic does not deal with childhood diseases. In your case, it may be a sharp anal fissure. I recommend contacting a children’s hospital, pediatric surgeons deal with similar diseases (pediatric coloproctologists are less common)

  • Good afternoon! A lump appeared in the anus; it hurts no blood… appears every five years! How to be in this situation?

    Read more

    Hello. Removing this node is best. Exactly which method can be performed, it is possible to decide only after an internal examination.

  • During intercourse, the girl’s belly grabbed, and after that she was even drawn to vomit, what could it be ??

    Read more

    Hello. With such meager data, it’s hard to say anything concrete.Possibly food poisoning.

  • Good night! Help me please there were medications for the intestines, but did not help.

    Read more

    Hello. Pain always indicates a problem, but it is not always easy to find it. You need a full examination to make a diagnosis, and you can’t do without a face-to-face examination.

  • Painful on the right side, in the lower abdomen, painful to walk and painful urination.

    Read more

    Hello. It is difficult to establish the exact disease based on such scanty data. But taking into account the fact that such complaints can be with some variants of the location of the appendix and its inflammation, I recommend calling the ambulance team when the complaints increase.

  • After the lead of the internal hemorrhoid, the temperature increased.What do we have to do?

    Read more

    Hello. You should see the doctor who performed the procedure for an examination. There may be an inflammation that requires treatment

  • Hello. Unfortunately, this condition is non-core for our clinic. I recommend contacting our colleagues from the Clinic of Urology. R.M. Fronshteina

  • Hello, tell me at 36 weeks of pregnancy, it started to hurt at the bottom of the pubis on the right side when I want to go to the toilet for the most part that it could be
    But I can’t go quickly it doesn’t work

    Read more

    Hello.During pregnancy, all organs of the abdominal cavity experience overload and compression. Alas, it is difficult to establish the cause without a full-time examination. I recommend contacting your leading obstetrician-gynecologist.

  • Hello. More like a psychogenic illness. I recommend contacting a psychologist to find the root cause of this condition. It is most often impossible to do this on your own.

  • Good afternoon. Can you please tell me why there may be an urge to defecate during intercourse? Previously, these symptoms were not observed.

    Read more

    Hello. There are few initial data for making a diagnosis. In this situation, a long conversation is required to understand the mechanism of the appearance of the urge to defecate in your case. I advise an in-person consultation.

  • Hello, I have a question: For a year now I have been bothered by the feeling of a foreign body in the anus after a bowel movement. The fact is that I do not have bleeding and itching, and the feeling of a foreign body appears after a bowel movement and after 10 minutes everything passes.What could it be?

    Read more

    Hello. It is best to arrive for a full-time examination, and it is better with the results of a colonoscopy.