These Foods May Be Making Your IBS Worse

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How to Prevent IBS Flare-Ups From Happening

Posted
June 16, 2022 by
Temple Health

Irritable bowel syndrome (IBS) affects as many as 1 in 5 adults, causing a variety of symptoms such as constipation, diarrhea, stomach pain, cramping, bloating and gas. Each person with IBS has different symptoms that may be triggered by different foods or other factors. Below are some of the most common ones.

Foods that may make IBS diarrhea worse

• Fried foods
• Fatty foods
• Dairy (especially if you are lactose intolerant)
• Foods containing wheat (if you are gluten-sensitive)
• Too much fiber (especially from fruit/vegetable skin)
• Chocolate
• Carbonated drinks
• Caffeine
• Alcohol

Foods that may make IBS constipation worse

• Processed foods (cookies, chips)
• Refined grains (white flour)
• Dairy (especially cheese)
• Too much protein
• Carbonated drinks
• Caffeine
• Alcohol

If you’re not sure what foods are triggering your symptoms, try the elimination approach. Make a list of foods you suspect may be causing your symptoms and eliminate one food at a time for 12 weeks to see if it makes a difference in how you feel.

Other tips for managing IBS symptoms

• Eat multiple small meals throughout the day instead of three large meals.
• Don’t eat too quickly.
• Limit processed foods, which can contain unsuspecting ingredients that trigger IBS flare-ups.
• Eat soluble fiber instead of insoluble fiber to ease constipation without bloating or diarrhea (oats, avocados, sweet potatoes, beans, apples, broccoli, carrots).
• Try ginger, peppermint or chamomile, which may improve various digestion issues.
• Don’t smoke. Smoking can worsen symptoms.
• Reduce stress and anxiety, which have been shown to trigger IBS flare-ups.

Get help and relief from your IBS symptoms

If your IBS symptoms are getting worse causing you more pain, schedule an appointment with a Temple gastroenterologist today. They can recommend lifestyle and diet changes, as well as medicines that can help ease symptoms.

Request an appointment today or call 800-TEMPLE-MED (800-836-7536).

Helpful Resources

Looking for more information?

• How to Manage Your IBS Symptoms While Social Distancing
• 9 Ways to Avoid IBS Symptoms
• What Other Conditions May Be Causing Your Stomach Pain?
• Meet Our Team of Gastroenterologists

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Irritable Bowel Syndrome Food to Avoid & Triggers

Written by WebMD Editorial Contributors

• 1. Diet Triggers for IBS Constipation
• 2. Diet Triggers for IBS Diarrhea
• 3. Stress and Anxiety Triggers for IBS
• 4. Drugs That Can Trigger IBS
• 5. Menstrual Triggers for IBS
• 6. Other Triggers
• More

When you know the things that can make your IBS symptoms flare up, called triggers, you can make a plan to avoid them. That way, you can work on keeping problems with constipation, diarrhea, belly pain, and bloating to a minimum.

IBS is different for everyone, but it may help to keep track of how you react to the most common symptom triggers and learn to prevent them.

Some foods can make IBS-related constipation worse, including:

• Breads and cereals made with refined (not whole) grains
• Processed foods such as chips and cookies
• Coffee, carbonated drinks, and alcohol
• High-protein diets
• Dairy products, especially cheese

Better Diet Choices for Constipation:

• Gradually boost your fiber intake by 2 to 3 grams per day until you’re eating 25 (for women) or 38 (for men) grams per day. Good sources include whole-grain bread and cereals, beans, fruits, and vegetables.
• Eat a moderate amount of foods that are higher in the sugar substitute sorbitol, such as dried plums and prune juice.
• Drink plenty of plain water every day.

Try ground flaxseed. You can sprinkle it on salads and cooked vegetables.

Foods that can make IBS-related diarrhea worse for some people include:

• Too much fiber, especially the insoluble kind you get in the skin of fruits and vegetables
• Food and drinks with chocolate, alcohol, caffeine, fructose, or sorbitol
• Carbonated drinks
• Large meals
• Fried and fatty foods
• Dairy products, especially in people who can’t digest the milk sugar lactose, called lactose intolerance
• Foods with wheat for people who are allergic to or have a bad reaction to gluten.

Better Diet Choices for Diarrhea:

• Eat a moderate amount of soluble fiber. It adds bulk to your stools. Good sources are whole wheat breads, oats, barley, brown rice, whole-grain pasta, the flesh of fruit (not the skin), and dried fruits.
• Don’t eat foods at opposite temperatures, such as ice-cold water and steaming hot soup, in the same meal.
• Stay away from broccoli, onions, and cabbage. They cause gas, which can make you feel worse.
• Eat smaller portions.
• Drink water an hour before or after meals, not while you eat.
• Talk with your doctor or a dietitian if you think you may have a wheat allergy.

To ease symptoms of bloating and gas, try to avoid gassy foods such as beans, Brussels sprouts, wheat germ, raisins, and celery.

Stress and anxiety can make IBS symptoms worse. Worries can come from a lot of sources, including:

• Work
• Your commute
• Problems at home
• Money problems
• A sense that things are out of your control

How to Manage Stress:

• Choose healthy habits. Eat a well-balanced diet that works for your IBS. Get regular exercise and enough sleep.
• Do something fun as often as you can. Listen to music, read, shop, or take a walk.
• Learn better ways to calm down with behavioral therapy. There are a few types: relaxation therapy, biofeedback, hypnotherapy, cognitive behavioral therapy, and psychotherapy.
• If you feel comfortable, talk to family members, close friends, your boss, or co-workers about your IBS. When they know what’s going on, they can support you and better understand how it affects you.

Some drugs can trigger constipation or diarrhea. People with IBS may have trouble with:

• Antibiotics
• Some antidepressants
• Medicine made with sorbitol, such as cough syrup

How to Choose Better Meds:

• Talk with your doctor about switching to a drug that won’t make your symptoms flare. But ask them before you stop taking your meds.
• Choose antidepressants wisely. Older ones, called tricyclic antidepressants, can cause constipation. Standard ones, called selective serotonin reuptake inhibitors, like fluoxetine (Prozac, Sarafem) and sertraline (Zoloft), can cause diarrhea. Work with your doctor to find the right one.

Women with IBS tend to have worse symptoms during their periods. There’s not a lot you can do to prevent it, but you can ease pain and discomfort during that time of the month.

How to Feel Better:

• Think about taking birth control pills. They can make your periods more regular. But they can cause side effects, like upset stomach, vomiting, stomach cramps or bloating, diarrhea, and constipation. Work with your doctor to find one that works without causing other problems.
• Treat severe PMS. Some drugs that treat depression can help, such as fluoxetine (Prozac, Sarafem), paroxetine (Paxil), and sertraline (Zoloft).

• Eating while you work or drive
• Eating too quickly
• Chewing gum
• Not enough exercise

What to Do:

• Cut out distractions while you eat.
• Try to get at least 30 minutes of exercise each day. It can help you prevent constipation and ease stress.

Also, be sure to talk to your doctor about all your treatment options for IBS with constipation and IBS with diarrhea.

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Ischemic heart disease Heart Clinic in Stary Oskol

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Ischemic heart disease is a pathological condition based on myocardial ischemia resulting from an imbalance between the needs of the heart muscle and coronary blood flow.

In 90% of cases, the cause of IHD is atherosclerosis, which occurs as a result of a violation of cholesterol (lipid) metabolism and contributes to the formation of plaques on the walls of the coronary arteries.

What you need to know about cholesterol?

Cholesterol is one of the fatty fractions of the blood. The liver synthesizes 80% of the required cholesterol, no more than 20% should be supplied with food. In healthy people, cholesterol is used for the formation of new cells, the synthesis of bile acids, etc., and the excess is utilized. In violation of lipid metabolism, excess cholesterol is deposited on the walls of blood vessels in the form of plaques.

From the liver, cholesterol penetrates into various organs and walls of blood vessels in the form of special particles – low-density lipoprotein (LDL) and high-density lipoprotein (HDL).

LDL (“bad”) cholesterol contributes to the deposition of fat on the walls of blood vessels and leads to a narrowing of the lumen.

HDL cholesterol (“good”) removes cholesterol from the vascular wall and prevents the formation of atherosclerotic plaques. To maintain a normal level of cholesterol in the blood, it is first necessary to limit its intake from food.

Triglycerides are another type of fat carrier in the blood. They serve as the main sources of energy. With an increase in triglyceride levels of more than 2 mmol / l, the risk of the appearance and growth of atherosclerotic plaques also increases.

What is a lipid profile?

Lipid profile is a special blood test that determines the levels of concentration of fats and lipoproteins.

Target (normal) lipid levels

How is coronary heart disease manifested?

Ischemic heart disease begins to manifest itself when at least one of the large coronary arteries is narrowed by more than 50-70%.

With narrowing of the lumen of the arteries, blood delivery is significantly reduced and the heart muscle does not receive the necessary amount of oxygen and nutrients, resulting in ischemia and, as a result, pain behind the sternum.

In critical situations, the plaque completely blocks the vessel, the blood supply to the myocardium stops and a life-threatening condition develops – myocardial infarction.

MAIN FORMS OF CORONARY HEART DISEASE

The main forms of CAD are stable angina, unstable angina, coronary syndrome and myocardial infarction .

Stable angina

Stable angina is characterized by the appearance of pain behind the sternum, which occurs when the work of the heart increases against the background of physical or emotional stress, when the need for oxygen is greater than its intake .

Symptoms of stable angina

Pain, a feeling of heaviness, pressure, burning sensation behind the sternum or in the region of the heart, which radiate to the neck, shoulders, arms (usually the left one).

First aid for angina

1. Stop physical activity. Stop, sit down if possible. Provide fresh air.

2. Measure your blood pressure (BP). When blood pressure rises to 160–180/100 mm Hg. Art. chew 1 tablet of corinfar (10 mg) or capoten (25 mg).

3. If this is not the first attack and there is a doctor’s recommendation, then take 1 tablet of nitroglycerin under the tongue or nitrospray inhalation. If the pain does not go away after 3-5 minutes, then repeat taking 1 table. nitroglycerin under the tongue or nitrospray inhalation.

4. If an attack of retrosternal pain cannot be relieved within 20 minutes, then you should immediately chew 1 tablet (0.5 g) of aspirin (myocardial infarction cannot be ruled out) and urgently call an ambulance!

Unstable angina

Unstable angina is characterized by chest pain that occurs at rest or during previously well tolerated exercise.

Symptoms of unstable angina

The symptoms are the same as in stable angina pectoris, but the attacks are longer, recur more often, the pain becomes more intense.

It is important to distinguish a stable course of the disease from an unstable one, when seizures suddenly begin to occur at rest or more often than usual. For example, before you could walk 500 m at your usual pace without an attack, and suddenly the pain began to appear after 100 m of walking up the stairs to the fifth floor, and now chest pains occur after the second floor.

How to stop an attack of unstable angina?

First aid is the same as for stable angina pectoris, however, more than 1 to 2 doses of nitroglycerin or nitrospray inhalations are required to stop unstable angina attacks. If there is no effect from taking nitroglycerin for 20 minutes or if you feel worse, call an ambulance immediately!

Acute coronary syndrome

Acute coronary syndrome (ACS) is an acute phase of coronary heart disease lasting up to 24 hours. ACS is a primary (temporary) diagnosis that transforms within 24 hours into myocardial infarction or unstable angina.

Symptoms of acute coronary syndrome

Acute coronary syndrome is a borderline between unstable angina and myocardial infarction. Patients with this diagnosis are a high-risk group and need emergency and intensive treatment (“Ambulance” and hospitalization in the intensive care unit or the Vascular Center)

Myocardial infarction

Myocardial infarction – the death of a section of the heart muscle due to blockage of the coronary artery by a thrombus against the background of an atherosclerotic plaque.

The cause of angina attacks is a violation of blood flow through the narrowed coronary arteries affected by atherosclerosis. A rupture can occur on the surface of the plaque and platelets begin to accumulate and stick together in its place, as a result, a thrombus is formed – a blood clot that first impedes blood flow, and then, partially or completely blocking the coronary vessel, leads to myocardial infarction.

Symptoms of myocardial infarction

Compressive, pressing pain behind the sternum, in the region of the heart, in some cases in the lower part of the sternum and in the epigastric region, radiates to the neck, left arm, shoulder, very strong in intensity and often has a wave-like character

First aid for acute coronary syndrome and myocardial infarction

If MI is suspected, the timely call of an ambulance is a decisive factor, since the first two hours from the onset of the pain syndrome are the most dangerous for the patient’s life due to severe complications of acute MI.

Effective specialized cardiac care:

– “Ambulance”: the dissolution of a blood clot (intravenous thrombolytic therapy) – the sooner the better!

– Delivery to the Vascular Center, where coronary angiography is performed and, if necessary, stenting of the affected coronary arteries.

CORONARY ANGIOGRAPHY

The blood supply to the heart is carried out through the left and right coronary arteries.

The coronary arteries are the vessels that branch off from the aorta at its very beginning. They deliver blood to the heart, providing its pumping function and supply all the organs and tissues of the body with nutrients.

If even one artery becomes blocked or narrowed, blood flow decreases and ischemia occurs. The intensity and frequency of attacks depend on the degree of atherosclerosis damage to the coronary arteries that feed the heart.

The “gold standard” in the diagnosis of coronary artery disease is coronary angiography – X-ray contrast study of the vessels of the heart, which with great accuracy allows you to determine the nature, location and degree of narrowing of the coronary artery.

Main indications for coronary angiography (CAG):

– exacerbation of coronary artery disease, acute coronary syndrome and myocardial infarction;

– unstable angina;

– severe form of stable angina III-IV functional classes.

CAG is the most informative method for diagnosing coronary atherosclerosis, which allows you to obtain information about the anatomical state of the coronary arteries, choose a treatment method and determine the prognosis.

With CAG, a puncture is made in the radial or femoral artery and a contrast agent is injected through special catheters into the coronary arteries. X-ray image of the coronary arteries displays the lumen of the main arteries and their branches, which allows you to accurately determine the location, nature and extent of their damage.

If the therapeutic treatment of coronary artery disease is ineffective and the diameter of one or more coronary arteries is narrowed by 50–70% or more, coronary vessel revascularization (restoration of the lumen of an artery affected by atherosclerosis) is prescribed using the method of angioplasty with stenting.

CORONARY STENTING

Angioplasty with stenting is a minimally invasive way to restore the internal lumen of stenotic heart arteries using endovascular devices – balloon catheters and stents.

How is coronary artery stenting performed?

If critical narrowings in the coronary arteries were found during coronary angiography, then a stenting procedure is immediately performed.

Through the femoral or radial artery, using a catheter, a folded balloon with a stent (metal frame) is inserted into the site of vessel stenosis.

At the narrowing site, the balloon expands under pressure and “crushes” the atherosclerotic plaque, expanding the artery and straightening the stent.

After that, the balloon is deflated and removed from the artery, and the stent remains in the place of the former stenosis permanently, providing normal blood flow, and thereby eliminating the cause of angina attacks. Several stents may be needed depending on the length and location of the stenoses.

This intervention is a low-traumatic procedure that does not require anesthesia, the patient is conscious and helps the doctor by reporting his feelings. The duration of the procedure is 45-60 minutes.

Postoperative period

1. After stenting, the patient is transferred from the operating room to the cardiological resuscitation and intensive care unit (OCRI) under the supervision of medical personnel with constant monitoring of ECG, pulse, blood pressure.

2. A tight bandage is applied to the puncture site.

3. The patient must comply with strict bed rest, with radiation access and the absence of contraindications for the underlying disease, it is possible

4. Time spent in BRIT:

– with unstable angina – 12-24 hours

– with myocardial infarction – 1-4 days

– with stable angina – 12-24 hours

5. Upon discharge, the patient must receive:

– an extract from the medical history and ECG

– disk with the results of CAG and stenting

– recommendations for further treatment.

6. After discharge, a patient who underwent stenting requires drug therapy, lifestyle recommendations, and cardiac rehabilitation to adapt and prevent complications.

Medical treatment after coronary artery stenting

So, you have a stent installed in your coronary vessel and your heart has received a “second life”. However, you should know that stenting only eliminates the narrowing of the vessel, but does not affect atherosclerosis – the cause of stenosis, and if the underlying disease is not treated, then a relapse will inevitably occur: the formation of blood clots and overgrowth of the stent, hence the re-development of myocardial infarction. All patients after coronary artery stenting should take the following groups of drugs. − Antiplatelet drugs

Acetylsalicylic acid: aspirin (75-100 mg) in the morning – indefinitely. Regular intake of aspirin in the absence of contraindications (gastric ulcer, duodenal ulcer, hypersensitivity to aspirin, etc.) in coronary heart disease reduces the risk of myocardial infarction by an average of 25-30%.

Ticagrelor (90 mg twice daily) or clopidogrel (75 mg daily) in the morning for at least 1 year.

Cholesterol-lowering drugs

Statins: rosuvastatin, atorvastatin – 1 time in the evening. The positive effect of statins on the life expectancy of patients with coronary artery disease is observed after 1.5-2 years, and the first favorable changes – after 3-6 months. Statins are prescribed once, in the evening, since cholesterol synthesis is most active at night. The dose of the statin is determined by the doctor depending on the levels of the lipid profile (target LDL cholesterol < 1.8 mmol/l)

Beta blockers

Metoprolol, bisoprolol, nebivolol – prescription doses

Nitrates

To stop angina attacks, it is necessary to take drugs from the nitrate group (nitroglycerin, nitrospray), to prevent attacks – isosorbitol-5 mononitrate.

ACE inhibitors, angiotensin II receptor antagonists

For the treatment of high blood pressure and heart failure, prescribe:

– angiotensin-converting enzyme inhibitors (ACE inhibitors): enalapril, perindopril, lisinopril

– angiotensin II receptor antagonists (prescribed if a cough occurs when taking an ACE inhibitor): valsartan, candesartan, losartan

HOW SHOULD A PATIENT’S LIFE BE CHANGED AFTER CORONARY STENTING?

Healthy lifestyle

Blood pressure monitor

Daily measurement of blood pressure and pulse with an entry in the Patient’s Diary. With repeated increase in blood pressure over 140/90 mm Hg. Art. You need to see a doctor for corrective treatment!

Absolute smoking cessation

Hypolipidemic diet

– Reduce intake of animal fats. The diet should be dominated by lean meats and poultry (150 g / day)

– Increase the proportion of unsaturated fats: vegetable, olive oil, oily fish of the “cold seas” (herring, mackerel, trout and salmon)

– Low-calorie fermented milk and dairy products (0.5-1%)

– Vegetables and fruits – at least 500 g

– Wholemeal bread, bran, whole grain cereals

– Limit sugar, salt (no more than 1 teaspoon without top, including prepared foods) – Eliminate alcohol

Body weight normalization

The most widely used for determining overweight is the Quetelet index:

IR = body weight (kg) : height ²
(m ² )

IR = 19-24 – normal weight

IC = 25-29 – overweight

IR = 30 or more – obesity

Excess body weight is an independent risk factor for coronary artery disease and is accompanied by an increase in myocardial oxygen demand. The cause of obesity in 80% of cases is overeating and a sedentary lifestyle, 20% – endocrine and cerebral disorders.

To normalize weight in obesity, a low-calorie diet (1600–1800 kcal per day) and aerobic physical activity (walking, swimming, etc.) for 30–60 minutes are recommended. 3-5 times a week in accordance with the doctor’s recommendations.

Adequate exercise

In recent years, there has been a clear trend towards a more active prescription of dosed aerobic exercise in patients with coronary artery disease, including those after coronary artery stenting. The intensity and mode of physical activity are selected individually.

Cardiac rehabilitation

Effective cardiorehabilitation improves the quality of life and reduces mortality among patients after myocardial infarction and coronary stenting. The recovery program should be carried out under the supervision of a cardiologist. After discharge from the hospital, rehabilitation must be continued in outpatient cardiac rehabilitation centers, coronary clubs, country rehabilitation centers, and cardiological sanatoriums.

A full cycle of cardiorehabilitation will help the patient to adapt to real life conditions after he finds himself without constant medical supervision.

Physical rehabilitation

Permissible intensity and mode of physical activity are selected individually depending on the severity of the disease based on the threshold value of the heart rate (HR), which is determined by the doctor during the stress test.

A stress test is performed by a doctor on a bicycle ergometer or “treadmill” with registration of blood pressure, pulse, ECG. The heart rate at the time of chest pain or ischemic changes on the ECG is considered a threshold, and the safe heart rate zone (ZBP) is defined as follows:

ZBP = HR threshold x (0.6…0.75)

Example During testing, chest pain or ischemia appeared on the ECG at a heart rate of 120 bpm. / min. Hence, heart rate threshold. = 120, and ZBP is from 72 to 90 bpm / min ZBP1 \u003d 120 x 0. 6 \u003d 72; ZBP2 = 120 x 0.75 = 90

Taking into account the ZBP for each patient, a cardiologist and a physiotherapist draw up an individual program of dosed physical training, determine their intensity, duration and frequency.

For patients with coronary artery disease, only aerobic training is favorable (walking, jogging, cycling, swimming, etc.). Static loads (lifting weights) are contraindicated. Long-term physical training in aerobic mode increases the reserves of the heart, reduces the frequency of angina attacks, which allows you to reduce the dose of drugs and improve the quality of life.

The training cycle takes place under the supervision of a doctor until the patient is fully adapted to the load. Then the patient must continue training on their own. Home workouts can continue indefinitely, but always 1 time in 6-12 months. load tests should be carried out.

Psychological rehabilitation

Frequent angina attacks, fear of a possible myocardial infarction or a heart attack that has already occurred are often the cause of prolonged stress.

Timely consultation of a psychotherapist will help to identify depression, anxiety and other psychoneurotic disorders using the “scale of depression and anxiety”, the computer test “SMOL” and prescribe adequate treatment (rational psychotherapy, video-audio technologies, auto-training, muscle relaxation, sedatives and psychotropic drugs).

Vocational rehabilitation

Vocational rehabilitation implies the mandatory coordination of the permissible intensity of loads, regimen and working conditions with the attending physician. If possible, it is necessary to exclude night shifts and long business trips, it may be necessary to change the profession associated with physical exertion or frequent stress. If necessary, the attending physician with a cardiologist sends the patient to a special commission to resolve the issue of a disability group and switch to easier work.

Sexual rehabilitation

During intimacy in patients with coronary artery disease, the pulse may increase to 120 – 130 beats. / min. and a significant increase in blood pressure. This leads to an increase in the need of the heart for oxygen and can be a provocative moment for the development of an angina attack.

The question of the possibility of resuming sexual relations in patients with coronary artery disease requires achieving a certain level of physical activity and is decided by the doctor after performing a stress test with a load of at least 75 W or a Larsona load test (climbing stairs 20 steps in 10 seconds without pain and discomfort in the chest) .

Medical health monitoring

For acute pain behind the sternum for more than 20 minutes. – urgently call an ambulance!

1. Two weeks of ECG monitoring (2 times a day)

2. Stress test (treadmill test, bicycle ergometer) 2 months after stenting – as prescribed by a cardiologist

3. Control examination by a cardiologist of the RSC (with you to have the results of a stress test, esophagogastroduodenoscopy) after 2 months. after discharge, after 1 year, or according to individual indicators.

4. If you feel worse (the appearance or increase in angina attacks), contact the cardiologist of the polyclinic (therapist), in case of an attack within 20 minutes, immediately call the ambulance.

Dispensary observation

1. A visit to the doctor in the absence of complaints of chest pain – 1 time in 3 months. for 6 months, then 1 time per year

2. Functional research methods (as prescribed by a doctor): ECG – 1 time in 3 months. within 6 months, then 1 year; stress test on a bicycle ergometer or treadmill (“treadmill”) – after 3 months, then 1 time per year at 6-12 months; 24-hour ECG monitoring (HolterECG) – after 3 months. and ECHOCG – after 6 months.

3. Lipid profile control every 3 months. within 1 year after stenting, subsequently – as prescribed by the attending physician.

Patients who have stents installed in the coronary arteries should remember that stenting eliminates only the narrowing of the vessel, but does not eliminate the underlying disease. In order to avoid recurrent stenosis, regular medical supervision, adequate drug therapy and lifestyle improvement aimed at correcting risk factors for coronary heart disease are required.

Ischemic heart disease: symptoms and signs. Treatment of coronary disease in Ryazan

What symptoms will help to recognize coronary disease

The insidiousness of pathology lies in the absence of any symptoms in many cases. It can develop for years, while a person does not even know about the presence of coronary heart disease in the body. The first signs of the development of coronary artery disease are discomfort in the chest area, panic attacks, fear of death. Over time, coronary artery disease progresses and manifests itself with different symptoms. The clinical picture varies, depending on the specific form of the disease. Periods of exacerbation alternate with a stable state.

IHD is evidenced by the following symptoms:

• fatigue, lethargy, weakness and dizziness;
• sensation of short-term lack of air;
• burning and heaviness in chest;
• nausea;
• during exercise – discomfort in the chest.

Other symptoms of coronary heart disease: shortness of breath when walking and running fast, arrhythmia, a sharp increase in pressure, excessive sweating and others. According to the listed signs, one can guess the development of coronary disease, however, they do not appear simultaneously, but depending on the type of pathology and the degree of its neglect. If you notice two or three of the symptoms listed above, do not postpone a visit to a specialist.

Types of ischemia

Among all forms of coronary artery disease are often found:

• Angina — this form is characterized by pressing pain in the sternum, heaviness in the heart. The nature of pain: cutting, pressing, squeezing. In some cases, an acute lack of oxygen replaces an attack of pain. Symptoms come on suddenly and go away after a few minutes.
• Myocardial infarction – long-lasting pain of high intensity. There is a feeling of lack of oxygen, possibly cold sweating, severe weakness, an attack of fear.
• Heart failure – a disturbed natural heart rhythm, shortness of breath is observed even with not intense exertion, weakness, swelling of the legs.
• Irregular heart rhythm is another common form of pathology. Interruptions are observed in the work of the heart muscle. The feeling of fading is replaced by an accelerated heartbeat.

Methods of treatment of coronary heart disease

In many countries of the world, coronary artery disease is recognized as a disease with high mortality. At a serious stage of pathology resort to surgical intervention. In other cases, doctors use an integrated approach aimed not only at healing the patient’s heart, but also at changing his lifestyle. To determine the form of coronary heart disease, a preliminary diagnosis is required. First of all, a preliminary survey is carried out, recurring symptoms are clarified. Physical examination, ECG, ultrasound, blood test and other tests.

Based on the obtained data on the state of the heart muscle, accompanying pathology signs, the specialist prescribes the appropriate treatment, including one or a combination of methods:

Non-pharmacological treatment – includes physical and apparatus procedures, such as massage, hydrotherapy and other methods.

In the treatment of coronary disease, it is important to strictly adhere to the doctor’s prescriptions, fulfilling all prescriptions. Only an integrated approach to treatment and compliance with the rules promise a positive outcome.

Factors provoking coronary heart disease

The main cause of coronary heart disease is atherosclerosis. Its essence lies in the presence of atherosclerotic plaques in the blood vessels, which compress or completely block the access of blood to different parts of the heart, thereby provoking insufficient blood supply.

Ischemic heart disease occurs not only due to insufficient blood supply to the heart, but also due to a number of other reasons. The factors for the development of pathology are unbalanced nutrition, the abuse of fast food, bad habits, frequent stress, metabolic disorders, obesity, and heredity. It provokes coronary disease and a sedentary lifestyle, long-term use of hormonal drugs, including contraceptives, age over 50 years. After the fiftieth birthday, the main risk group is, as a rule, men. However, the development of coronary heart disease in women with previous diseases (diabetes mellitus, hypertension, and others) is not excluded.

Preventive measures

Any kind of disease, including SBS, is easier to prevent than to treat. It will help you to follow some simple rules. Important:

• Minimize your intake of fatty foods.
• Give preference to foods rich in vitamins and trace elements.
• Stop drinking alcohol and smoking.