I get crazy diarrhea and constipation during the Chinese New Year! The inspection found nothing unusual? The doctor lamented: "This disease" is difficult to cure even with medication.
During the New Year and festivals, when relatives and friends are reunited and the whole family is happy, it is inevitable to accompany them with big fish and meat. This is the time when people are most likely to overeat. If coupled with abnormal work and rest and lack of exercise, it is more likely to cause gastrointestinal burden. Dr. Zheng Naiyuan, chief director of Lian On Preventive Medicine Institution, reminds people with a history of “Functional Gastrointestinal Disorder” to avoid overeating during the Chinese New Year, otherwise it may lead to the onset of symptoms.
Even with medication, the therapeutic effect is limited! What is “functional gastrointestinal disease”?
Dr. Zheng Naiyuan said that functional gastrointestinal diseases refer to the discomfort caused by abnormal functions of the esophagus, stomach, small intestine, large intestine, gallbladder, biliary tract and other digestive system organs, but no serious inflammation, ulcers, polyps or Tumors and other abnormalities. The diagnosis of this type of disease is not as good as other organic diseases. There is no examination method that can directly point out which organ is the problem, and it is difficult to directly use drugs to deal with it.
“Patients’ symptoms are usually diverse, but a drug can only target one symptom, and usually only treats the most severe one. Therefore, the drug’s therapeutic effect on the disease is often limited.” Dr. Zheng Naiyuan said in “Irritable Bowel Syndrome” “As an analogy, patients often complain of diarrhea or constipation, but they may also have both. A common situation is that when treating diarrhea, the drug is too powerful or personal reactions lead to constipation, which in turn triggers the emergence of new symptoms.
Dr. Zheng Naiyuan recommends that those with occasional abnormalities in the gastrointestinal tract can undergo a complete gastroenteroscopy. However, if no problem is found, it is not recommended to continue gastrointestinal testing. Instead, blood tests, high-sensitivity C-reactive protein, or functional tests can be performed. Medical testing (such as acute and chronic allergen testing, intestinal bacteria genetic testing) evaluates whether the body has anemia, inflammation, etc., and improves it through diet.
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In addition, many people’s gastrointestinal symptoms are related to their usual eating habits. Dr. Zheng Naiyuan emphasized that for patients with functional gastrointestinal diseases, diet is indeed a part of treatment, which is why the “FODMAP” diet came into being. FODMAP is the abbreviation of Fermentable Oligo-, Di-, Mono-saccharides And Polyols, which means “fermentable oligosaccharides, disaccharides, monosaccharides and polyols”.
Dr. Zheng Naiyuan explained that certain groups of people may be unable to digest FODMAP foods, or may not digest them completely. Incompletely digested foods remain in the intestines and are decomposed by microorganisms to produce “short-chain fatty acids”, causing physical and chemical changes in the body. These changes emit The signal causes a reaction in the intestines and also affects the neurological function of the brain, making people prone to feeling uncomfortable.
“The ’low FODMAP diet’ is a clinically recommended diet for patients with irritable bowel syndrome. Patients with functional gastrointestinal diseases can also try it to eliminate foods that may cause discomfort!” Dr. Zheng Naiyuan also emphasized that this does not mean that high FODMAP foods are unhealthy or harmful. The degree of food absorption in the intestines, mood, time of eating, food texture, and meal portion may all affect intestinal reactions.
It is even more important to be “conscious and moderate” when it comes to eating during festivals! Doctors urge patients to avoid “revenge eating”
Dr. Zheng Naiyuan stated that those who want to try a low-FODMAP diet should consult a professional physician or nutritionist for advice. After a period of low-FODMAP diet, they should slowly adjust to their original eating habits to find out what is really causing their discomfort. reason for feeling.
“Every Chinese New Year and festival, many people forget to eat in moderation due to the atmosphere and environment, causing serious gastrointestinal discomfort. The original intention of the Chinese New Year is for the whole family to get together, feel the warmth of the family, and comfort each other. If you indulge because of a whim, If you harm your body, you will lose the meaning of the New Year!”
Dr. Zheng Naiyuan reminds the public that not only during the New Year but also during the holidays, they should also take their eating habits seriously. They should also return to the significance of food to the human body, which is to provide nutrition and health. Therefore, the diet should be less processed, fresh and fresh, and should not be excessive. principles, and pay attention to chewing slowly and separating dry and wet food to avoid excessively high GI value. If you have a correct awareness of diet, you can avoid “revenge eating” and prevent functional gastrointestinal diseases from coming to your doorstep.
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