Gout : Diagnosis, Risk factors and diet plan

What is Gout

Gout is inflammatory arthritis that develops as a result of high uric acid levels in the body. Uric acid is a waste material resulting from the breakdown of purines. Purines are part of all human tissues and are found in many foods especially those high in protein.

If there is hyperuricemia (high levels of uric acid in the blood), it means that uric acid is overly produced or not excreted in the body. This excess uric acid can accumulate, crystalize and then deposit in certain joints. It deposits most commonly in the big toe, and this can lead to an attack of inflammation.

This inflammation causes sudden, severe pain, tenderness, redness and swelling in the affected joints which can last for a few days if untreated. The higher the level of the uric acid, the greater the incidence of gout. 


Gout diagnosis includes heaving an acute joint swelling, demonstration of elevated uric acid levels in the blood. And detection of uric acid crystals in affected joints through joint aspiration.

What is joint aspiration for gout

A joint aspiration is a procedure that obtains fluid from the swollen joints. This fluid is then analyse if there are any uric acid crystals. This is confirmatory for gout and can help exclude other possible causes for joint swelling, such as infection. At the same time when we remove the fluid, steroids can also be given into the joint itself to resolve the attack of swelling much more rapidly. Removal of fluid as well relieves the joint.

Risk factors

Are there any risk factors for gout? the answer is yes. These are essential risk factors or causes for elevated uric acid levels.

The first one is diet. Eating foods high in purine content such as high fructose corn syrup containing foods, meats and seafood. Alcohol can also increase uric acid levels and lead to gout. 

Gender and age are another risk factors. Men tend to have higher uric acid levels and develop gout at an earlier age than women. Women tend to develop gout after menopause, due to the protective effect of estrogen. 

Ethnicity and family history is also a risk factor. Studies have shown that hyperuricemia is highly hereditable. If family members have gout, you are more likely to develop it. 

Obesity and other medical comorbidities are risk factors. Medical conditions like high cholesterol, high blood pressure, diabetes and kidney issues tend to accompany gout. These conditions can all increase the risk of high uric acid levels as well as tend to decrease the clearance of uric acid through the kidneys. 

A serum uric acid level above 6.8 milligrams per deciliter is also known as hyperuricemia.

How to better manage your gout

  1. Take your medications as prescribed. 
  2. Do not stop your medications without telling your doctor. 
  3. Check your uric acid levels twice a year.
  4. The goal should be a uric acid level below 6 milligrams per deciliter.
  5. Maintain healthy body weight. Someone at an ideal body weight is at lower risk of gout.
  6. Get regular exercise. Exercise 30 minutes a daily for at least 5 days of the week. You do not have to join a gym for this. good walking can do better for you. 
  7. Drink plenty of water. Water may help remove your uric acid from your bloodstream. 
  8. Stay away from drinks made from high fructose corn syrup.
  9. Maintain a healthy and balanced diet. eat foods that are low in purines.

Gout attacks can come on suddenly and result in a very painful, red, swollen joint. It is important to understand what factors can put you at risk for this condition. As well as how to manage your gout attacks a little better. 

The gout diet

A gout diet is basically the same as a balanced healthy diet. If you are overweight, you increase the risk of developing gout. Losing weight will help lower your risk. 

  • Try to eat more complex carbohydrates rather than more processed foods. 
  • Eat more fruits, vegetables and whole grains. Avoid foods such as white bread, cake, candy, soda and drinks with high fructose corn syrup.
  • Cut back on saturated fats from red meats, fatty poultry and high-fat dairy products. 
  • Drink plenty of water. Increasing the amount of water you drink may help lower the numbers of gout attacks you have. Drink eight to 16 cups of fluid a day and half of that should be water. 
  • Eat only 4 to 6 ounces (113 to 170 grams) of lean meat, fish or poultry a day. You can get additional protein from low fat or fat-free dairy products, beans and nuts.
  • Low-fat dairy products like yoghurt and skim milk are linked to lower uric acid levels. Low-fat yoghurt can be very satisfying as a mid-afternoon snack. 
  • While some vegetables are high in purines, they do not raise the risk of gout attacks. Your diet should contain lots of fruit and vegetables. Try vegetables raw and cooked. there are a number of vegetables that make a great snack.

There are certain foods you should avoid

  • Stay away from meats such as liver and kidney. They are high in purine.
  • Stay away from oily fish such as sardines, trout, paddock, mackerel and tuna.
  • You should also avoid shellfish like mussels, shrimps, lobsters and crab. 
  • Avoid all alcohol if you have frequent gout attacks or your gout is not under control.
  • Stay away from beer. beer is known to put you at a higher risk of gout attacks.
  • Whiskey and other hard liquors may be linked to gout attacks but not as much as beer. Wine may be a better choice but you should discuss this with your doctor. 

In short, there is evidence that following a well balanced diet can decrease your risk of gout attacks. Always keep in mind that a well balanced diet does not mean that it takes the place of your medications. 1



7 Easy to make healthy breakfast ideas for you

Today, i’m going to show some of the best and easy to make healthy breakfast ideas.

It is always believed that people should have a substantial breakfast. Most of the people often skip breakfasts to maintain a proper diet.

But this concept is wrong and not at all acceptable. After a good break, you should wake up early in the morning and maintain a good diet.

If you have a proper breakfast, you can work peacefully for the whole day. Apart from all this, it will also give you the strength to increase your immunity.

We are living in a polluted world, and it is essential to consume a proper diet so that you can easily fight with external enemies.

Healthy breakfast should not only be a stomach-filling one but also be a nutritious one. Here are some healthy breakfast ideas for you.

Some Healthy breakfast ideas

Now in the next few lines, we will try to explore some of the best healthy breakfast ideas for our family. It will help you to get a good health.

As breakfast is the most important meal of the day, it should be appropriately taken. These breakfast ideas can help you to choose the best one for your health and family.

1. Chia seed oatmeal

Oats are always good for breakfast. It can help you maintain good health. The main thing about oats is that it can be taken in any way.

You can have it with milk or normally.

In this aspect, Chia seed oatmeal is one such item that can provide extra strength and boost your energy.

If you soak oats overnight, it will become soft very soon. It also becomes creamy liked the cooked ones.

Chia seeds are very popular for Omega 3, and they can add a nutty flavor to the food.

Now you can add some syrup on the food to make it more delicious and yummy.

2. Peanut banana cinnamon smoothie

Smoothies are always accepted for breakfast.

It can give you good energy and make you feel full. Both the kids and the adults will always love to have these types of smoothies.

If you add a pinch of cinnamon on the smoothie, it can make the whole thing much delicious and healthy for the consumers.

3. Savory egg muffins with spinach

It is also presumed to be one of the healthy breakfast ideas. If a small bit of quinoa is added, it can make the muffins more delicious and yummy.

It is best for vegetarians and people who love gluten-free diets.

The whole product is packed with spinach, onion, and cheese, and all these items increase the taste of the food to a good extent.

It can be a great breakfast idea for your family.

4. Honey apple toast recipe

It is merely a great healthy breakfast for your family. The apple cheesecake is a great one in this case. It comes with fantastic taste and flavor.

The main thing required is whole grain bread, skimmed cheese, and thinly sliced apple.

Now place the apple on the bread along with the cheese. Just take a bite, and you will feel great. You can also make it like a sandwich.

5. Banana bread bars

Banana bread bars are an easy way to make your breakfast. It is easy to prepare and good for your health.

The whole product is toasted with white bread, white bananas, and dates, walnuts.

All these ingredients will always add a wonderful taste to the entire item. You can easily have it with a morning cup of coffee.

It will increase your immunity level to a great extent. You can cut the bread into slices and store it in some place for future use. It can be consumed at any time of the day.

6. Instant pot yogurt

it is also one of the best healthy breakfast ideas for today’s people. Yogurt contains good fat and protein that is required by the human body.

It is easy to prepare this dish with the help of an instant pot.

If you chill the whole item, it can also help you to have a great taste. Just have it and include it in your daily diet.

7. Cream cheese pancakes

If anyone in your family prefers to have a gluten-free and low carbohydrate diet, you should always try to give him this food.

Cream cheese, eggs, and maple syrups are blended in a bowl. If you wish, you can dust it with powdered sugar on the top to give a good look.

The taste is also good and can be tried quickly.

It also takes less time to prepare this food. You can try it for your everyday breakfast. Some people also love to put berries on the dish.

Cream cheese pancakes are always good for the health of the people. 

The time has come when we all should be cautious about our health. Single negligence can bring a lot of problems.

To maintain good health, people should always follow and keep some healthy breakfast ideas for their families.

There are many types of frozen foods available in the market, but you should go with the healthy and delicious ones. 

These foods may take a lot of time and energy to prepare, but as a whole, it is very easy to prepare all those.

It takes very little time to prepare those foods, and you will enjoy a lot to have a flavor of these foods. 

11 habits that damage your immune system

What is immune system

The immune system is our body’s number one defence mechanism. It protects us from various types of bacteria, viruses and other disease-causing pathogens.

Our immunity and our health are directly related. The stronger the immune system, the more protection you have against colds, viruses and other illnesses that can attack your body. On the other hand, a weak immunity can make you more vulnerable to frequent colds, sinus infection and slow wound healing as well as causing anaemia, fatigue and lethargy.

it is a quite surperising fact that many common daily habits harm our immune system. In fact, most of our habits directly impact our immune system. To keep our immune system strong, it is important to adopt healthy habits and quit the bad ones. Let’s take a look at the top 11 everyday habits that directly harm our immune system.

These 11 habits are following :

1. Being a night owl

If you work late nights or like watching television or doing projects late into the night, you may have weak immunity. Poor sleep habits lower the immune system functioning and reduce the level of white blood cells that fight germs. Sleep deprivation also reduces the production of protective cytokines. While you sleep, your immune system releases different types of cytokines and help to protect your body against infections and diseases. If you are sleep deprived, their production decrease significantly.

2. Avoid skipping on sleep

Develop proper sleep hygiene. Be in the bed at a fixed time every night and try to wake up at the same time every morning. Insomnia is also a factor which affects our immune system. Be sure to get seven to nine hours of good quality sleep every night.

3. Excessive sugar intake

If you often eat or drink something sweet to satisfy your craving, you can suffer from weak immunity. Refined sugar can reduce the capability of white blood cells to kill germs. Sugar actually prevents vitamin C from getting into the white blood cells resulting in weakened immunity. Interestingly the immune-suppressing effects of sugar start within 30 minutes after ingestion and may last for many hours. If you need to eat something sweet, go for fruits like oranges, apples, mangoes, watermelons and other that contain natural sugars to satisfy your cravings. Vitamin C in these fruits will also help your immune system to work in a more efficient manner.

4. Excessive alcohol consumption

The benefits that a daily glass of wine can contribute to cardiovascular health is scientifically proven. But excessive consumption of alcoholic beverages can throw away all the benefits of moderate consumption. In addition, not all alcoholic beverages have the same benefits of wine. Many have a high alcohol level that our body can not metabolise which depress the ability of the immune system. Also, excessive alcohol consumption reduces the number of white blood cells, slows down digestive activity and overload liver work reducing its ability to store vitamins. All these factors contribute to the poor immunity in alcoholics.

5. Smoking

Some alcoholic beverages can be acceptable in a controlled amount. But in the case of tobacco, there is no limit allowed. Cigarettes contain more than 250 highly harmful substances. Some out of these are considered poisonous such as ammonia, arsenic, nicotine and toluene. The human body is not made to process chemicals as potent and devastating as those contained in the cigarettes. Slowly, smoking affects all systems of the human body and the immune system is no exception.

6. Consuming too much caffeine

Drinking too much coffee and other caffeinated beverages is also lower our immunity. Excessive caffeine stimulates your system by increasing the tension level of the body. A high-stress level causes the release of stress hormones like cortisol. Cortisol suppress our immune system and make us more prone to infections and other health problems. Elevated cortisol also linked to health issues related to the heart, blood sugar and high cholesterol. When taken in moderation, coffee provides many health benefits like increased alertness, mood and energy. So limit yourself to just one to two cups of coffee per day.

7. Eating junk food

Eating junk food in excess can be bad for your immunity. Junk food is usually high in fat and eating excess fat is the main reasons behind obesity. A diet high in saturated fats can harm the immune system even before the weight begins to show. Obesity can affect the ability of white blood cells to multiply and produce antibodies. Thus making you more prone to infections. So cut down on fast food and choose a healthy diet instead.

8. Inadequate intake of water

The human body is mostly made of water. In every cell of our body, water performs numerous functions. If you don’t drink enough water to replenish what your body needs, it will surely affect your immune system. Proper hydration is essential for building stronger immunity. A healthy person should drink about eight to ten glasses of water per day. however, the amount of water you drink may depend upon the climate in which you live, how physically active you are and your overall health.

9. Sedentary lifestyle

Lack of regular physical activity is harmful in every way for the body. The sedentary lifestyle literally makes the immune system sleep. Engaging in any sport or some form of physical exercise activates it to fight viral and bacterial infections. Physical exercise decreases the possibility of suffering from chronic diseases such as osteoporosis, arthritis or heart disease. Exercise reduces stress and increases the production of antibodies and white blood cells. On the other hand, when we work out, our body temperature rises. This elevation of body temperature reduces the possibility of bacterial growth on your body. Physical activity is essential for building a stronger immunity and there is no doubt about it.

10. Excessive exercise

As we told you earlier that exercise helps to enhance our immunity. But excessive exercise lowers our immunity. Our body has a fixed limit. If we attempt to push it beyond its physical limits, it stops functioning correctly. Your immune system also stops responding efficiently and you fall prey to infections easily.

Researches show that over 90 minutes of high-intensity exercise can build you more vulnerable to illness for up to 72 hours after the exercise session. Intense exercise seems to cause a short term decrease in immune function.

During these intense workout periods, the body produces certain hormones that temporarily lower the immunity. Cortisol and adrenaline are stress hormones perform numerous important functions in our body. But they also raise blood pressure and cholesterol levels and also suppress the immune system.

Always make sure that you’re taking proper rest and don’t overwork yourself. The heavy long run exercise like marathon running and intense gym training has been proven to lower your immunity and reduce the ability to fight viral infections.

11. Poor social relation

Believe it or not, avoiding people or human connections may also affect your immunity. Social relationships, both the quantity and quality affect our mental state which affects our health behaviour and indirect affects our immunity also .

Those who have poor social relations usually run a minimum of twice the chance of serious illnesses and premature death compared to the people that have good social relations. If you wish to be healthier, you can’t avoid people .1Believe it or not, our body is desighned to be a part of the society. Putting time and efforts into positively interacting with others will inevitably bring you a lot health benefits.

Don’t Go to Sleep? Here are 5 Easy Ways to Get Rid of it

it happens with most of us everyday that we want to sleep but we didn’t. If you ask this question to medical science, then you may suffer from insomnia. Insomnia is common now-a-days due to our tense lifestyle. So, let’s take a look about causes of why you don’t go to sleep.

What is insomnia

Insomnia is a condition in which you feel trouble with falling asleep. In insomnia, you don’t go to sleep even if you have the opportunity of sleeping full night. It can happen to you even if your weather conditions are in favour.

Some people with insomnia have trouble falling asleep while some other wakeup throughout the night. These disturbances typically happen at least three times a week.

Acute insomnia lasts shorter than a month whereas chronic insomnia lasts over a month. Insomnia affects both the quality and quantity of sleep which causes daytime sleepiness and fatigue. If you don’t go to sleep, it can lead to professional and personnel problems, as well as day to day challenges like falling asleep while driving.

If we go by the definition of insomnia, we divide the night sleep into three parts. In other words, insomnia has three types of symptoms:

  • First is not having proper sleep. If we don’t go to sleep in one to two hours after going to bed. Or it is simply called the delay in sleep.
  • Another type of insomnia is when we sleep for a short time and then wake up. Or it is a condition when we complete our sleep in 3 to 4 short sleep cycles.
  • When we woke up early in the morning without any alarm or having proper sleep.

The above written symptoms appear in the night. If the problem stops here, we call it just the lack of sleep. But insomnia is when these symptoms appear in the daytime also. The daytime symptoms of insomnia are tiredness, headache, changes in mood, irritation, not able to concentrate etc.

Causes of insomnia (why you don’t go to sleep)

Insomnia can happen from any underlying cause. it can even accompany and worsen other problems like pulmonary disease, psychiatric conditions, and an entire sort of conditions that may cause pain.

  1. If you are facing any health-related problem from a very long time like the joint problem, backache, lungs problem, heart problem etc, then it may cause you sleeplessness.
  2. If you are taking any kind of medicine which have an alerting effect on our brain and body.
  3. Our daily routine or our lifestyle is also a major cause of insomnia. Our habit of staying up late at night or use of electronic gadgets also cause sleeplessness.
  4. Insomnia is also a common side effect of stimulants like caffeine, as well as depressants like alcohol which can both disrupt the sleep cycle.
  5. Smoking is also a cause of insomnia.
  6. Finally and most typically, insomnia may be the consequence of daily stresses from work or relationships additionally as environmental factors like having a job during an evening shift.

Biological factors related why you don’t go to sleep

There are variety of biological factors related why you don’t go to sleep. Studies have shown that people with insomnia might have a heightened level of the stress hormone cortisol. It plays a role in the process of waking every morning.

People with insomnia are more sensitive to the effect of cortisol. Typically they wake up at a far lower level of cortisol as compared to the common population. In addition, insomnia is also associated with a reduced level of estrogen and reduced levels of progesterone. It can happen during menopause.

Commonly, individuals with insomnia will self medicate with alcohol and benzodiazepines, both of which might be extremely dangerous.

Alcohol abuse can cause variety of physical and psychological changes which will rapidly worsen the sleep-wake cycle and cause dependence. Similarly, benzodiazepine, especially short-acting ones, also can create dependence and have a high abuse potential. they may actually worsen insomnia if someone tries to give a pause using them.

Also read: 11 habits that damage your immune system

Treatment (Easy ways to get rid of it)

There are many ways to cure insomnia. They are as follow:

1. Good sleep hygiene

One method of treatment is getting good sleep hygiene, which involves getting to sleep and awakening a similar time each day including weekends, getting good exercise (but not right before bed), reducing alcohol intake, avoiding daytime naps, avoiding caffeine and smoking in the evening, and not going to sleep hungry.

2. Stimulus control

Another potential treatment is stimulus control which comprises using the bed only to sleep instead of an area from which to watch television, text, or talk on the phone. It also helps to keep the environment calm. It also help in sleep faster by removing bright lights like a computer or phone screen and minimizing noise. Sometimes, though, these are unavoidable in which case eye covers and earplug can definitely help.

3. Drinking water cycle

Avoid drinking water after 5 pm. If you drink water afternoon, then it may cause pressure on your kidney. You feel a continuous urge to pee again and again. This urine pressure can cause trouble with your stomach. Due to which, your brain send a signal to you to go to the toilet. Thus frequent urination also disturbs your sleep cycle.

4. Chamomile tea and yoga


If you tried above ways and still don’t go to sleep, then you can drink chamomile tea before going to bed. And make sure that your bedroom light should not be very bright. Use a dim light lamp in your bedroom. Practice yoga daily and make it your lifestyle. (1)

5. Behavioural therapy

Also for treatment, there is behaviour therapy, which includes relaxation techniques as well as cognitive behavioural therapy to help better manage problems and life stressors.

while you practice these techniques, your doctor may advice you some medications also. These medications are such as melatonin agonists, non-benzodiazepine sedatives, and occasionally benzodiazepines might be prescribed to help with sleep. These medications can often have side effects. (1) That is why they are generally used for fewer than two months, usually together with behavioural therapy techniques.

5 Most Important Nutrients for healthy eyes

List of 7 nutrient for healthy eyes

1. Vitamin A

Vitamin A is an essential micronutrient for healthy eyes. Our body doesn’t make it. So we should need to take it from food. Our body stored vitamin A in the liver until it required by the body.

It also helps in maintaining healthy eyes, teeth, skeletal and soft tissue, mucus membrane, and skin.

The scientific name of Vitamin A is Retinol because it produces the pigmentation in the retina in the eyes.

Food Rich in Vitamin A

Vegetarian Source

Vitamin A Per 100g
1. Carrots852 μg
2. Sweet potato961 μg
3. Broccoli77 μg
4. Spinach524 μg

Non-vegetarian source

Vitamin APer 100g
1. Beef liver9442 mcg
2. Liver sausage8384 mcg
3. Cod liver oil30000 mcg
4. King mackerel252 mcg
5. Salmon149 mcg

2. Omega 3

Omega 3 Fatty acids are the “building blocks” of fat. These essential nutrients are critical for the production and functioning of cells, muscles, nerves, and organs and maintaining healthy eyes.

Omega 3 is required for the production of hormone-like compounds that help regulate blood pressure, heart rate, and blood clotting.

Several studies show that omega-3 fatty acids may help protect adult eyes from macular degeneration and dry eye syndrome.
In a recent study of dry eyes induced in mice, omega-3 fatty acid ALA led to a significant decrease in dry eye signs and inflammation associated with dry eye.

Food Rich In Omega 3

Vegetarian source

Omega 3Per 100g
1. Flax seed22813 mg
2. Walnut9080 mg
3. Chia seed17830 mg
4. Avocado111 mg

Non-vegetarian source

Omega 3Per 100g
1. Salmon2260 mg
2. Herring2366 mg
3. Mackerel5134 mg
4. Sardines2205 mg
5. Oyesters435 mg

3. Vitamin C

Vitamin C is a water-soluble vitamin and a powerful antioxidant. It is essential for healthy eyes.

this is required for the production of collagen, a protein that provides structure to your eye, particularly in the cornea and sclera.

Several observational studies suggest that vitamin C may help lower your risk of developing cataracts, a condition that causes your eye to become cloudy and impairs vision.

Some studies suggest that long-term consumption of vitamin C also may reduce the risk of forming a cataract and vision loss from macular degeneration.

The research into taking this nutrient for cataracts shows that 300 mg daily is the minimum to prevent cataracts.

Food Rich In Omega 3

Vegetarian source

Vitamin C Per 100g
1. kiwi fruit93 mg
2. Guava228 mg
3. Strawberries59 mg
4. Papaya61 mg
5. Orange53 mg
6. Broccoli89 mg

4. Vitamin E

Vitamin E is a powerful antioxidant. It is a fat-soluble vitamin. It may help protect your cells from free Radicles.

A 2014 review looked at studies linking vitamin E to the prevention of cataracts.

Some studies found that lens clarity was better in people who took vitamin E supplements

Food Rich In Vitamin E

Vegetarian source

Vitamin EPer 100g
1. Sunflower seeds36 mg
2. Almonds26 mg
3. Peanuts5 mg
4. Avocado2 mg

Non-vegetarian source

Vitamin EPer 100g
1. Rainbow trout2.8 mg
2. Abalone4 mg
3. Snail5 mg
4. Octopus1 mg

5. Zinc

Zinc is a trace mineral. It is essential for healthy eyes, immune system, brain, and other body parts.

It plays a vital role in bringing vitamin A from the liver to the retina to produce melanin, a protective pigment in the eyes.

The recommended daily dose of zinc needed in your daily diet is 8 milligrams per day for women and 11 milligrams per day for men.

Food Rich In Zinc

Vegetarian Source

ZincPer 100g
1. Oatmeal1 mg
2. Low-fat yogurt1 mg
3. Hemp seeds10 mg
4. Shiitake mushroom1 mg

Non-Vegetarian Source

ZincPer 100g
1. Oyster61 mg
2. Chicken2 mg
3. Beef12.3 mg

Feeding tube insertion (gastrostomy)

what is a feeding tube

A feeding tube could be a tool which is inserted into your stomach through your abdomen. Gastrostomy is performed because a patient temporarily or permanently troubles in eating and must be fed directly through a tube within the stomach.

A g-tube is meant to provide nutrition if you have got trouble eating. Feeding tube insertion is additionally called percutaneous endoscopic gastrostomy (PEG), esophagogastroduodenoscopy (EGD), and G-tube insertion.

Types of G-tube

There are different varieties of Gastrostomy tubes which can be aware of aid you. Though each patient features a different medical condition, therefore the sort of tube selected depends thereon . Your doctor will determine the foremost effective quite G-tube for you and explain this thoroughly at the time of the evaluation.

A gastrostomy tube often called a G-tube, may be a device surgically placed device to offer direct access to your stomach for supplemental feeding, hydration or medication.

Below are two of the foremost common sorts of G-tubes :

One of the foremost common sorts of G-tubes is understood as a low-profile tube sometimes called a “button”. this sort of tube lays on top of the inner wall of the stomach and is kept at a spot within the stomach by a water-filled balloon. During your hospital admission, you’ll learn the way to use, clean and lookout of the G-tube. It creates a path to the stomach so nutrition and medications could also be administered directly. Most tubes have a water-filled balloon which helps keep the tube securely in position within the stomach.

Sometimes an extended tube is used instead of the low-profile button. These longer tubes are also surgically placed into the stomach and held in position with either stitches or a water-filled balloon. Sometimes a Hollister dressing is kept at the region around an extended tube. A Hollister dressing which may be a large circular dressing that allows the tube to stay in position with a ziplock-type device.

Why G-tube is used

G-tubes are used for a variety of medical conditions, but the foremost common use is for feedings to spice up your nutrition.

When an indvidual is unable to eat enough food orally, a G-tube helps deliver enough calories and nutrients to support their growth.

This treatment is reserved for the time once you’ve got trouble eating on your own.

Conditions which will cause you to have trouble eating include:

  • burns
  • cerebral pulsy
  • stroke
  • dementia
  • motor neuron disease

A gastrostomy tube is inserted because:

 • When a person cannot swallow correctly

• People that cannot take enough food orally to stay healthy

• Difficulty swallowing or keeping food down.

• If you aren’t getting enough nutrition or fluids orally.

Gastrostomy is performed because a patient temporarily or permanently must be fed directly through a tube within the stomach. Gastrostomy is additionally performed to provide drainage for the stomach when it is necessary to bypass a long-standing obstruction of the stomach outlet into the small intestine. Obstructions could even be caused by peptic ulcer scarring or a tumor.

Gastrostomy is additionally performed to supply drainage for the stomach when it’s necessary to bypass a longstanding obstruction of the stomach outlet into the tiny intestine. Obstructions could also be caused by peptic ulceration scarring or a tumor.

How to place the feeding tube

Gastrostomy, also called gastrostomy tube (g-tube) insertion, is surgery performed to offer an external opening into the stomach. Surgery is performed either when the patient is under general anaesthesia or local anaesthesia . generally anesthesia, the patient feels as if he or she is during a deep sleep and has no awareness of what’s happening. under local anaesthesia , the patient is awake, but the a part of the body cut during the operation is numbed.

The procedure to put the gastrostomy tube is usually a fast one, and should or might not require anesthesia counting on your condition.

Fitting the gastrostomy tube or g-tube usually requires a brief surgery that lasts about half-hour . During the surgery, a hole (stoma) about the diameter of a little pencil is cut within the skin and into the stomach; the stomach is then carefully attached to the wall . The g-tube is then fitted into the stoma. it’s a special tube held in situ by a disc or a water-filled balloon that features a valve inside allowing food to enter, but nothing to return out.

how the g-tube hole is made

The hole may be made using two different methods.

The first uses a tube called an endoscope that features a light at the tip, which is inserted into the mouth and fed down the gullet (esophagus) into the stomach. The brightness shines through the skin, showing the surgeon where to perform the incision. The endoscope may be a long thin instrument with a bright small lamp and a camera on the tip that enables the provider to observe the procedure on a monitor.

The other procedure doesn’t use an endoscope. Instead, a tiny incision is created on the left side of the abdomen. A little flexible hollow tube, usually made from polyvinylchloride or rubber, is inserted into the stomach. The stomach is stitched closely round the g- tube, and therefore the incision is closed.

The outside portion of the gastrostomy tube contains a cap that enables the tube to be opened, and for food and fluids to be gently pushed through the tube into the stomach. With good tube care, the incision will close more tightly at area around the tube, and any leaking of food or fluid that happens within the days immediately following the procedure should be minimized with healing.

The length of duration the patient has to remain at the hospital depends on the age of the patient and therefore the patient’s general health. In some cases, the hospital stay may be as short as a single day day, but often is longer. Normally the healing process takes five to seven days.

Before the procedure

Before the procedure, you are required to get rid of any jewelry or dentures. You’re then given an anesthetic and something to alleviate pain. After laying you on your back, your doctor places the endoscope in your mouth and takes it down to your easophegus. The camera helps the doctor visualize your stomach lining to make sure that the feeding tube is positioned properly. When your doctor can see your stomach, they create small incision in your abdomen. After that, they insert the tube through the opening. They then secure the tube and place a sterile dressing round the site. There could also be a bit drainage of bodily fluids, like blood or pus, from the wound.

You will be provided a sedative and a painkiller. In most cases, these medicines are given through a vein in your arm. You ought to feel no pain and not remember the procedure. Numbing medicine could also be sprayed into your mouth to stop the urge to cough or gag when the endoscope is inserted. A mouth guard is also inserted to guard your teeth and also the endoscope. The entire procedure usually lasts about an hour.

After the operation

Immediately after the operation, the patient is fed intravenously for a minimum of 24 hours. Once bowel sounds are heard, indicating that the digestive system is functioning , the patient can begin clear liquid feedings through the gastrostomy tube. The amount of the feedings is gradually increased.

Your doctors will check you deeply if there are any signs of infection, bleeding, or other complications.

The feeding tube is applied a tape to make it stick to your stomach. You would possibly see some drainage around it for the starting day or two. A sterile gauze will cover your cut, and your nurse will change the dressing as required . Once the dressing comes off and your wound has healed, you’ll required to wash the region daily with soap and water.

Your abdomen could feel a small amount of soreness for a few of days where the tube went in. It would feel like a pulled muscle. Your doctor will offer you pain medicines for the primary day after the surgery.

Feeling pain for a couple of days round the place where the incision was made is normal. you have to ensure to keep the region dry and clean to avoid skin irritation or infection.

Risk factors

There are few risks related to this surgery. The critial complications are infection, bleeding, dislodgment of the g-tube, stomach bloating, nausea, and diarrhea.

Excessive bleeding and infection are risks whenever you have got surgery, even with a minor procedure like a feeding tube insertion.

Gastrostomy is relatively simple procedure. Like any surgery, however, patients are more likely to experience complications if they’re smokers, obese, use alcohol heavily, or use illicit drugs. Additionally , some prescription medications may increase risks related to anesthesia.

In case of a child

First ensure that your child is sitting up either in your arms or in high chair.

If your child fusses or cries while feeding, pinch the tube with the help of your fingers to prevent the feeding until your child is more calm and quiet.

Feeding time may be a social, happy time. Make it pleasant and fun. Your child will enjoy a mild talk and play.

avoid your child to keep pulling the tube.

Since your child isn’t using their mouth yet, your provider will seek advice from you other ways to permit your child to suck and develop mouth and jaw muscles.

When to consult a doctor

Before you are allowed to leave the hospital or clinic, be sure that you understand the way to take care of your feeding tube and when you need to see or contact a doctor. you must call your doctor if :

  • The tube comes out or gets dislodged
  • Food won’t go through the tube
  • If the tube is blocked
  • You notice bleeding on area around the tube insertion site
  • You have drainage round the site after several days
  • You have signs and symptoms of an infection, including redness, swelling, or a fever