Of blockers on when his surgery indication. His or construct are continental tops oh. So you want to go on a cool school or have a nice me or a good nights sleep but you cant because youre suffering from heartburn then you came to the right place for three reasons first this is seriously nick amy from building in berlin second im going to meet dr mark johnson and third this is in good shape. In the. Middle of the i hope. No one has to suffer from heartburn for a long time we have great medications and surgical options was a good long term results. Its nice to have gastric accept it helps i just expect. Too much gastric as it is not good because it can cause heartburn. There are medications to answer it but recent studies suggest it might be dangerous. For twelve years Peter Schmeichel has been suffering from heartburn also known as acid reflux after eating he often experiences acidic belching and a burning a soft he also suffers from an irregular heartbeat its all a source of stress. In that whenever i eat something im just worried that it will start back up. So i dont really have a big appetite any more local gruesome up it didnt seem is. To reduce the symptoms he started taking medication called Proton Pump Inhibitors p. P. R. Yes they suppress stomach acid production by blocking certain enzyme but he soon found himself battling with side effects. After a few days i started feeling really on while i had diarrhoea and stomach aches and my digestion just wasnt working anymore. These are common side effects according to dr christoph and. Some of the people taking p. P. I. C. C. S. Dont really need them. In his opinion stomach acid is part of a healthy digestive tract it helps digest nutrients and inhibiting its production should only be done if absolutely necessary we do it in two to three meters even for this patient and id recommend taking the medication for six or maybe eight weeks becoming then winning himself off slowly not stopping abruptly. And then well see how far the stomach has recovered and the body as a whole maybe he wouldnt need any more medication event without anybody coming to help out the digestive side effects suffered by peter not the only problems that p. P. I. Is my cause recent reports suggest that they could increase the risk of more serious conditions like heart attacks or dementia. Dr vall gunship is an expert in the field. He thinks patients shouldnt worry about taking p. P. I. He says the evidence against them is insufficient. To see. Taking Proton Pump Inhibitors is very very safe compared to all the other drugs used in medicine. Of the is there is some indication that there might be an issue. And he must occur there is no evidence that would make us withdraw the medication from patients who need it. That just wouldnt make any sense. In it. And some patients do desperately need it. Definitely batman suffered a painful narrowing of the esophagus it had to be dilated and since then shes had to take medication. If she doesnt the stomach acid rises up through the esophagus and causes inflammation. Yet i prefer to relieve the inflammation with medication now made rather than to think maybe ill get dementia or in a few years time. Whatever other side effects there are demands of. A need that seems less important to me right now is. What matters is that i have a cure now moment yet sed now in. Studies have revealed one dangerous side effects the risk of infection from clostridium difficile a bacterial species also known as c. Diff with reduced stomach acid the microbe can spread more easily through the digestive tract to dozens are content if a patient comes to the clinic with clostridium difficile colliders which is a life threatening diarrhea condition thats an indication to check the Proton Pump Inhibitors very thoroughly and of possible discontinue the medication me to come in to up is it via. Peter stop taking p. P. I. Is two months ago hed rather not expose himself to the risks. That is if youre desperate it does say on the package leaflet that you can take the tablets as a one off but it would be better if i didnt have to take them at all in the misdemeanor. Stephanie batman doesnt have that option shell probably have to take Proton Pump Inhibitors for the rest of her life. When i was a medical student i had a surgical professor who told me fill with medications are medications from hell because they can make you impotent and we doctors should stick to surgery this is why im here in the operating room of the. Helias clinic immune from being in doolin and meeting head of the department of defense and thanks for having me today how critical should we be concerning this medication we are facing a huge discussion about complications of each of these medications like this or a malfunction. However the evidence is very low and if the indication for these tablets is good it can be given regularly lets talk a little bit about heartburn why so many people suffer from heartburn is is caused by the west and last. For example obesity smoking Drinking Alcohol or eating a lot a huge amount in the evening and i know many many patients who suffer from heart burn sometimes into i think many of us do suffer from it too so when do you need to see you doctrine is it dangerous its not dangerous immediately you dont need to go to the doctor directly in most of the cases its probably enough to change your lifestyle and sometimes its also a good idea to take these kind of maybe comments for short period of time like fourteen days for example and do you have to be concerned about say that this is a tumor developing out of his heart during a cancer. The risk of developing cancer due to. Very low its approximately four out of ten thousand people but if the of the years of those changes habits like developing a socalled barretts recalls are the risk of developing cancer is much more higher therefore you have to go to doctor have a gastroscopy and in this case is the risk of developing cancer is about one point. Point one percent per year very little. So its totally safe to do some self medications and to go for some over the counter drugs first yes its possible to do so if medication. Be aware that you only take these medications for a short period of time what are the problems if you take it for a longer period of time if the indication is good and confirmed by a medical doctor you can take these medicaments lifelong some patients wanted to discontinue the medications and they have problems afterwards so is it a problem to stop those medications if its not a problem for gastric s. Its really a cures and heres a stretch i tis really curious these patients benefit probably from an operation speaking about surgery when those medications dont help any more then a small intervention could be very helpful. Since dr feeds an ultra thin tube through his nose and down into his throat this tiny sensors will determine whether his a soft agus still functions properly when he swallows. It turns out that the muscle valve leading into the stomach has become slack. My spice of my esophagus had suffered a lot of damage when i was sleeping on my back or standing ready im a tiler by trade which means working on my knees or sitting like that i experienced severe heartburn and belching it was really bad a team of experts germanys your harness they sling clinic discuss what course of action to take until recently gastroesophageal reflux disease had been underestimated and is even linked to a higher risk of cancer a third of people in europe in north america suffer from reflux in many cases prescribing a pill is not effective. Hoover hansens doctors recommended surgery the aim is to implant a pacemaker that stimulates the muscle valve that closes the bottom of the esophagus these are the big advantages this is suffered g. O. Pacemaker is that the wires implanted in the muscles are extra longer rise up or its like. In the case of nina back maya the doctors chose a new solution place its natural function the surgery takes just twenty minutes you know. For and that had to finish whats changed for me is that im finally rid of heart and after twenty five years it had always been a burden but i dont see developed a chronic cough and was constantly clearing my throat because of the feeling of pressure right after waking up postsurgery i noticed that permanent feeling of constriction was completely gone and ive had no heartburn since that day when i can talk to. Nina back meyer can now indulge in a bit of coffee and cake treats that used to be a major problem due to reflux minimally Invasive Solutions now offer patients genuine hope for the future. So returning chips to medications with is difficult pacemaker and consisting of continued beats so what do you think of those interventions. We should be careful in using this kind of new techniques because there is no evidence and no long term results concerning this techniques but there are long term results for other kinds of surgeries like these duplications. Do you think. This operation is the standard procedure in patients after having medical treatment what we do is copy procedure this procedure. Has two steps we are just removing the years off or goes into the up common we are closing the gap of the diaphragm and we are placing. Placation of the fullness of the stomach around the as a focus so you taking the stomach and you pulling it down and replacing it into the afternoon here is one cause of reflux for judges is hernia in through the doctors of the other for girls and what we know is that the doctors should be in the optimum which. To reduce the risk of s. It reflects so it is intervention only helpful in patients with hiatus hernia this is the primary indication for this kind of operation however some patients suffer from ongoing heartburn and large volume reflux and these patients can also be treated by operation and what are the results. The results are good what we see is that ongoing studies we have. Primary. Success of ninety percent. Recurrence of heartburn in only ten percent in ten years so if i dont want to take any medication and i dont want to go for surgery is there anything i can do for prevention here provenge to get will be dont smoke drink only if you are cold and dont eat in the late evening but i do have some patients who are quite slim and they dont drink any alcohol at all but they still do have. One additional cost for this problem is Family History of heart so also young patients without obesity can have this disease but what role the city food intake thanks to answer all my questions well i dont know what youre doing im still here in the operating room but wait i know what youre doing because he watches the show but after the show you can take some time and send all your questions. On an upcoming show well be looking at facial connective tissue that encloses muscles and the internal organs tight face can be a root cause of pain so how can the problem be treated if you have questions send them to in good shape that d w dot con trite things in the subject line we look forward to hearing from you. What do you think give us three thousand years do you think that surgery will still look the same like it does today i doubt it but on the other hand there are some healing methods which are quite that old take asian pressure for instance. It looks like a back massage and feels like one feels like a massage and. In terms of the hand techniques its a bit similar. In fact stephanie Movement Lives being treated with an ancient healing method acupressure in order to relieve her of a frustrating and debilitating. Im. Your tissues last night been suffering from extreme fleeting disorder for quite a while first ten years at least and i needed a really long time to fall asleep and i also work up a loss shes been trying out acupressure for two months now it includes a range of different techniques. Compressing massaging pinching stroking. The aim is to stimulate over three hundred fifty points on the body the same points used in acupuncture according to traditional chinese medicine the body is crisscrossed with a network of invisible pathways called meridian lines and these meridians serve as a channel through which vital energy or chief flows if that flow is interrupted the body reacts with symptoms and then you can place your index finger and middle finger on it and you can feel a slight depression when you press down the line this is not. Stimulating the right point aims to loosen up the blockage causing the symptoms enabling the cheek to continue flowing. Thought important regardless of whether we press the point or insert a needle the result is a local inflammatory process and that in turn increases the blood flow and which relieves the blockage on that thanks to the bodys own healing power. But. I can hike half to my. Doctor for who would hell most says acupressure can help compliment a conventional medical treatments although he doesnt believe it can replace them. I see limits with acupressure and acupuncture where the underlying sickness has not been properly diagnosed. And patients should definitely have had diagnostic checks to rule out other more serious underlying illnesses. And then if they are ruled out these methods are appropriate. Dr she hung jiang studied medicine and china and germany she sent stephanie for a blood test sent ultrasound scans to try to pinpoint the root of her sleep disorder but the results were ok. Its things hundred of us might might be connected to my kids they used to keep me awake vitally often we did not want this mrs martindale is the type of person who tends to get worked up quickly and she takes a lot of issues and stress on board. Right so this is in the thats what i think the cause was. In china acupressure is used widely to treat all manner of symptoms they can be applied at any time and anywhere with a few exceptions in mind in the case of an acute infection with fever or if you have a skin disease or burns on your skin and you cant use acupressure at. This patient has been suffering for years from a different problem or. Bigger message coughs mouth on i had recurring headaches and really bad migraines after us and there were lots of weekends where i had nonstop headaches from friday to sunday. Be gone in the week but that happened often their message. Not only heck decided to have acupuncture treatments to relieve her intense headaches but because she would otherwise have to make the trip to the doctor every time she was given the option of treating herself with acupressure she can now stimulate the points on her own whether at work or at home. Is finished and so how do i find the points how do i recognize them. Pressed down with your firm and you feel a large depression. Generally each point is massaged for between one and three minutes although very gently in the case of severe symptoms for chronic symptoms you can apply a little more pressure. To stronger mattresses i did notice that things got better and the intensity of the headaches has decreased i cant say i dont get any headaches but they have decreased on civilian from its definitely improved i now feel longer and deeper and i fall asleep quicker. As a cop now when i leave a session i need to be feel that my condition is going to be really good that day. Acupressure is helping patients around the world to alleviate pain and improve their wellbeing. All we humans are so proud of our erect gait but it also has its disadvantages like headache stomach ache back pain and even writes all this can be caused by a vessel which gets washed by or erect posture and this syndrome is called africa syndrome nutcrackers as we know them but theres also a Health Complication named after them nutcracker syndrome but what is it exactly for something psychological that when a person is really close to you want to make mopo not. Want to die for it is it before i cant quite remember but ive definitely come across it before. I dont know what the syndrome is but i do know what a nutcracker is all of us nest ce pas ina in beach is a twenty six year old student a few years ago she developed a stomach ache which kept getting worse sitting for any length of time was agony and cycling became torture us she suffers from endometriosis a condition that causes the tissue that normally lines the uterus to grow outside it. So she presumed that was to blame. And that it was the first i thought endometriosis must be the cool since its a chronic illness so i didnt think much of it but after three years i went to my local endometriosis clinic and they realize that the problem must lie elsewhere. The doctors found that the endometriosis couldnt be affecting the areas where sabrina was experiencing pain that made them suspect nutcracker syndrome. Nutcracker syndrome describes what happens when the renal vein coming from the left kidney becomes compressed by the superior mizzen terek harder and the aorta. Just as it can affect both men and women the condition stops blood flowing normally through the vein this can lead to it flowing backwards into the pelvis via the ovarian or testicular pain this disrupt circulation and can cause varicose veins the exact cause isnt known. To shit such a fine fortunately there are no typical symptoms of nutcrackers syndrome some women experience chronic pain some people find blood in their urine which is called humor turia. Nutcracker syndrome isnt especially well known within the medical community either theres a guy in a logical exam wont reveal anything untoward and only very experienced professionals can identify varicose veins in the pelvis. Of we dont yet know how prevalent not cracker sent wrong as our guess is that its high because the symptoms arent always obvious and doctors dont always think of it. It would be good if more medical personnel considered not cracker syndrome as a potential cause of chronic pain. But varicose veins showing up on an ultrasound isnt enough for a diagnosis. An m. R. I. Scan unable doctors to identify the angle and positioning of the relevant veins and arteries they also examine the blood flow for signs of renal compression and these images reveal the presence and severity of any varicose veins in the pelvic area. Used in certain cases of nutcracker syndrome surgery is an option. Its generally performed by a radiologist the patient is put under local anaesthetic. The surgeon dilates the renal vein and inserts a stent which keeps the vessel open. This kind of intervention isnt suitable for everyone. About sending body like the treatment is suitable for patients who meet certain criteria chronic lower abdominal pain a compressed renal nerve and a back flow of blood identified on an m. R. I. Its finding the success rate is high patients are generally relieved of their symptoms within a few days. After the stent is inserted the patient needs to take blood thinners to prevent clonic in the stent. Sabrina had the operation a year and a half ago and will soon be able to stop taking medication. She no longer has any problems working out for her the minor surgery was a major success. And then lets all try to stay in good shape. Its a pioneering ecological project field tested and oh morning. In garden city in Northern Iraq its all about sustainable living. Everybody nice right all the want to in your heart. Garden city but if element that will hopefully find some. Go at it for god thirty minutes on t. W. So must the song. Come from an open air festival in northern germany. Fucking metal Buffalo Soldiers dozens of newcomers some of the. Ws club experts on the budget. Busting open air two thousand and ten staunch mob is such a dumb on. Mob take a good personally i do anything with the wonderful people in stories that make the game so special. For all true fans the bomb was planted. The become more than football on line. They make a commitment. They find solution. Instructor. Africa on the moon. Stories for both people in a Different School shaping their nation. And their continent. D. W. Multimedia series for africa the d. W. Dot com africa on the move. Time for an upgrade. From church that grows on buying. A house with no roof. Poor design highlights you can rate yourself. In stoops and tricks that will turn your home to something special. Upgrade yourself with d. W. s interior design channel on you tube. The. Place. Place. This is the w. Newsletter from a and m. Noncom claims victory in pakistans general election of a former International Cricket stuff to get on the big public think the new talk is about the post Office Building contest and Bible Prophecy claims there was a role also on the program a special report from greece where d. W. Has been following the rescue crews helping survivors of the wildfire that once he is like these are replied god has been on the lens in k. L. Is that ok with the finest white house makes it a little bit desperate