Understanding GERD

If you’re part of the significant percentage of adults that has been diagnosed with gastroesophageal reflux disease (GERD) or suspect that you may have it, the sooner you get to know the physiology of acid reflux—what’s happening in your body—and its causes. the more you can do to avoid episodes and ease symptoms—and the more comfortably you can live your life.

Nearly everyone has heartburn now and then. But heartburn is also the most common symptom of GERD, so talk to your doctor if:

GERD background concept glowing

  • Your heartburn happens 2 or more times a week
  • Your heartburn gets worse
  • Your heartburn happens at night and wakes you from sleep
  • You’ve had heartburn now and then, but for several years
  • You have difficulty or pain when swallowing
  • Your discomfort or pain interferes with your daily activities

Gastroesophageal refers to the stomach and the esophagus. Reflux refers to the back-flow of acidic or non-acidic stomach contents into the esophagus. There is no known single cause of GERD. It occurs when the esophageal defenses are overwhelmed by stomach contents that reflux into the esophagus.

A band of muscles at the junction of the stomach and esophagus called the lower esophageal sphincter (LES) normally acts, in conjunction with the diaphragm, as a barrier to prevent reflux of stomach contents into the esophagus. If that barrier is relaxed at inappropriate times or is otherwise compromised, reflux occurs.

GERD symptoms are often persistent, such as chronic heartburn and regurgitation of acid. Sometimes, though, there are no apparent symptoms, and the presence of GERD is revealed when complications become evident.

Symptoms vary from person to person. The majority of people with GERD have mild symptoms, with no visible evidence of tissue damage and little risk of developing complications. However, even occasional heartburn – if it has occurred for a period of 5 years or more, or is associated with difficulty in swallowing– may signal a more serious condition. People with long standing chronic heartburn are at greater risk for complications including stricture or a potentially pre-cancerous disease that involves a cellular change in the esophagus called Barrett’s esophagus.

If you are in the Las Vegas area and suffer from any of these symptoms or have been diagnosed with GERD, schedule an appointment with Dr. Heidi Ryan. Dr. Ryan is one the few surgeons in the area trained in LINX® — a revolutionary solution for reflux. It’s a simple device with life-changing potential.

Read more online at: http://www.linxforlife.com/


Tip the Scale in your Favor

Most people go into the weight loss process wanting to lose weight, right? However, if you’re just getting started, the scale may be the worst choice for tracking your progress. In fact, your weight may be the least important thing to keep track of.

It may seem counter intuitive, but the scale is better at helping you maintain your weight than it is at helping you lose it. The reason? There are important changes happening in your body that the scale can’t measure or detect, such as:

  • Changing Body Composition: While your weight is important, what’s even more important is how much muscle you have. Muscle takes up less space than fat, making you look slimmer, and it’s more metabolically active. When you exercise, you gain muscle, raise your metabolism and lose fat, but that fat loss won’t always show up on the scale. Where it will show up is in measurements, how your clothes fit and how your body looks.
  • Changes on the Inside: You may not know about what’s happening inside your cells when you exercise, but what’s going on in there can actually help you lose weight. Exercise teaches your body how to release more fat-burning molecules. The fitter you are, the more fat you burn.
  • More Strength and Endurance: If you exercise regularly, you’ll be able to do more and more each time. You may start out exercising for a few minutes at a time or lifting light weights, but after a few workouts, your body adapts, allowing you to lift heavier and go longer.

Woman on scale with fingers crossedYour weight is just one aspect of your progress and, in many cases, it’s not even the most important one. Having your weight at a certain number might be nice, but the scale can’t tell you how fit you are or how much muscle you have. Relying only on the scale may even make those workouts feel like a waste of time, even though each one helped you burn calories, get stronger, protect your body from diseases and made you more fit than you were before.

If weighing yourself motivates you in a positive way, there’s no reason to change what you’re doing. However, if the scale makes you feel like a failure, it may be time to try something new.

Read more online at: http://www.jillianmichaels.com/fit/lose-weight/myth-weighing-yourself

If you are considering bariatric surgery in the Las Vegas area, schedule an appointment with Dr. Shawn Tsuda. He and his expert team can help you find the right treatment for you.

Make Exercise a Priority after Bariatric Surgery

The successful bariatric surgery patient regularly does three things in their life after surgery. He/she:

  1. follows an appropriate bariatric diet plan
  2. actively participates in weight loss surgery support groups
  3. follows a consistent and progressive exercise routine

The first of these is easier to adhere to because if you don’t follow your diet plan, you will most likely get sick with problems ranging from trouble with digestion to vitamin deficiency. Participating in weight loss surgery support groups is the next easiest thing to keep consistent. They’re interactive and fun, and if time is an issue there are great at-home options available in the form of online weight loss support. Not surprisingly, exercise for bariatric surgery patients is often the component that slips. It can seem daunting, especially after a long day at work or an especially difficult week.

But you must make it a priority for two big reasons:

  • You will lose more weight.
  • The benefits to your physical and mental health are astounding.

Exercise for bariatric surgery patients and obese individuals alike has been shown to improve a vast array of physical and mental issues, including:

  • Increased life expectancy
  • Reduced abdominal fat
  • Stronger heart, muscles, bones and lungs
  • Reduced risk of heart diseaseobese woman exercising Dollarphotoclub_88386595
  • Lower blood pressure
  • Reduced triglycerides
  • Increased good cholesterol and reduce bad cholesterol
  • Improved blood sugar control
  • Improved insulin control
  • Reduced risk of cancer
  • More energy
  • Improved balance
  • Improved appearance
  • Improved motivation and mental “sharpness”
  • Improved libido

Check with your surgeon to be sure, but exercise for bariatric surgery patients can generally begin within three to six weeks following surgery. When you have a weight loss surgery procedure, you lose weight because the amount of calories you are able to eat is much less than your body needs to operate. The body has to make up the difference by burning reserves or unused tissues. Your body will tend to burn any unused muscle before it begins to burn the fat it has saved up. If you do not exercise daily, your body will break down your unused muscle and you will lose muscle mass and strength. Daily aerobic exercise for at least 20 minutes will communicate to your body that you want to use your muscles and force it to burn the fat instead.

Read more online at: http://www.cdc.gov/healthyweight/losing_weight/keepingitoff.html

If you are considering bariatric surgery in the Las Vegas area, contact Dr. Heidi Ryan to schedule a consultation. Dr. Ryan and her team of experts can help you find the right treatment for you.

Calm Your Fear Before Surgery

Once your decision has been made to have bariatric weight-loss surgery, you will probably be very excited to take this important step toward becoming more healthy. Unfortunately for many, as the day of surgery nears, those who just a few weeks before approached their surgery date with excited anticipation, can begin to question their decision about undergoing such a life-changing surgery.

Weight-loss surgery does carry risk. Surgery is a major, life-changing decision, but if you have made the decision to have surgery based on the right reasons and placed your faith in a qualified medical team, there is no reason to be overly concerned.

Facing the unknown is always daunting. One way you can calm your fears is by preparing yourself with knowledge and information. Do your homework. Research. Discuss your concerns with your surgeon and the team of professionals who are there to see you succeed. Talk to successful weight-loss surgery patients who can relay the truth about life after surgery.

Knowing the facts about what lies ahead will help lessen your fears. Make sure you know Nachdenkliche Frau beim Studiumthe truth about the procedure you are having as well as the risk you are taking. Weigh the pros and cons and make your decision based on facts. There will always be things in life that are out of our control, but the key is to make wise decisions about the things we can control. Instead of focusing on the all the things that can go wrong, lean on the expertise, skill, and reputation of the qualified medical team you chose to perform your surgery and the positive aspects of life after surgery.

Make a list and focus on the positive aspects that you expect the surgery to offer—health, the opportunity to experience a better quality of life and a life-long tool to make our weight loss efforts come to fruition, and results that can last a life-time. Imagine your life with more flexibility and a return to health and normalcy. Whatever goals are on your list, write them down and focus on the positive. Armed with accurate knowledge about the truth, placing your confidence in the right place, and refocusing on the positive—you can once again look forward to your surgery date with less second guessing and more anticipation.

If you are considering weight-loss surgery in the Las Vegas area, schedule a consultation with Dr. Shawn Tsuda. He and his expert team can help ease your fears and give you the information you need to make educated decisions about this major step toward taking control of your health.

Information is Power: Knowing What to Expect After Bariatric Surgery

Lifelong Habits for the Long-Term Success

The first year after surgery is a critical time that must be dedicated to changing old behavior and forming new, lifelong habits that will control your weight. Our series has taken you through the specific, gradual food phases that one must adhere to for the first several weeks post surgery. In the long term, however, certain diet and lifestyle changes are more likely to contribute to success.

These changes include:

  • EATING–Eat three well-balanced meals and two snacks per day.
  • DRINKING–Drink water rather than juice, carbonated, sweetened, caffeinated and alcoholic beverages.
  • VITAMIN SUPPLEMENTATION -Take a daily multivitamin, calcium + vitamin D, vitamin B12, and if directed, additional vitamin D, iron, zinc.
  • SLEEPING–Sleep an average of at least 7 hours each night.
  • EXERCISE–Exercise at least four times a week for 40 minutes or more.
  • PERSONAL RESPONSIBILITY–Take personal responsibility for staying in control. Monitor weight weekly. Monitor intake to control weight.

Surgery itself will not lead to long-term weight loss. The way you eat after surgery must be permanently altered. Your long-term goal is to continue to restrict the volume of food while providing a more nutritionally balanced intake.

Even at this stage, there are foods you should avoid because they may cause gastrointestinal symptoms, such as nausea, pain, or vomiting.

Foods to avoid:

  • Nuts and seeds
  • Popcorn
  • Dried fruits
  • Carbonated beverages
  • Granola
  • Stringy or fibrous vegetables, such as celery, broccoli, corn, or cabbage
  • Tough meats or meats with gristle
  • Fried foods
  • Breads

Over time, you may be able to try some of these foods again, with the guidance of your doctor. It’s possible that foods that initially irritated your stomach after surgery may become more tolerable as your stomach continues to heal.

To ensure that you get enough vitamins and minerals and keep your weight-loss goals on track, at each stage of the gastric bypass diet, you should:

  • Eat and drink slowly
  • Keep meals small
  • Drink liquids between meals
  • Chew food thoroughly
  • Focus on high-protein foods
  • Avoid foods that are high in fat and sugar
  • Try new foods one at a time
  • Take recommended vitamin and mineral supplements

Read more online at: https://asmbs.org/patients/life-after-bariatric-surgery

Remember that if you return to unhealthy eating habits after weight-loss surgery, you may not lose all of your excess weight, or you may regain any weight that you do lose. If you live in the Las Vegas, Nevada area and are considering bariatric surgery, schedule an appointment with Dr. Heidi Ryan. She will work with you to find the right treatment for your unique situation.

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Bariatric Surgery: Know your Options

Dollarphotoclub_49398133If you are considering weight loss surgery, you’ll want to learn about the various types of procedures. What’s best for you depends on your goals, your health, your surgeon’s recommendations, and which surgeries your health insurance covers. The types of bariatric surgery you should consider depends on a number of factors, including how much weight you want to lose, which health problems you are looking to improve, risk level, and cost.

All types of bariatric surgery work in one of 3 ways:

  • Restrictive
    • These surgeries shrink the size of the stomach which reduces the amount of food it can hold. This makes you feel full when eating much sooner than you did before surgery.
    • Types of restrictive surgeries include:
      • Adjustable gastric banding (lap band surgery)
      • Gastric sleeve
      • Intragastric balloon (gastric balloon)
    • Malabsorptive
      • These surgeries rearrange and/or remove part of your digestive system, limiting the amount of calories and nutrients that your body can absorb.
      • Treatments with a large malabsorptive component result in the most weight loss but tend to have higher complication rates.
      • There are no longer any purely malabsorptive operations being performed.
    • Combination
      • When surgery combines both restrictive and malabsorptive techniques, it is know as a combination procedure (although some surgeons also refer to this type of surgery as malabsorptive).
      • Most types of bariatric surgery carry at least a small element of both components, but the following established surgeries achieve a notable portion of weight loss from each:
        • Gastric bypass (more malabsorption than the restrictive procedures listed above, but works primarily through restriction)
        • Duodenal switch (more malabsorption – the sleeve stomach is the restrictive portion and the intestinal bypass (duodenal switch) is the malabsorptive component)

Read more on this topic online at: http://www.mayoclinic.org/tests-procedures/bariatric-surgery/in-depth/weight-loss-surgery/art-20045334

Weight loss surgery can be lifesaving, but you need to be dedicated to making dramatic and permanent changes to how you eat, exercise, and live. Schedule an appointment with Dr. Shawn Tsuda. He can help you find the right treatment for your unique situation.


Information is Power: Knowing What to Expect After Bariatric Surgery

Food Phase 4

This phase is not the last, but it is the regular food phase after bariatric surgery while still losing weight. Many can start this phase about 6 weeks after surgery. Most solid foods can be eaten in small portions as long as they are reduced in fat and sugar. This phase is the tool you will need for weight loss success.

The portion size for each meal should be no less than 1/2 cup and no more than 1 cup in size. Meat portions should not exceed 2 ounces per meal. You will be eating the same foods as on the pureed diet for the most part, but they won’t all be soft at this point.

Typical guidelines for this stage include:

  • Consume three balanced meals each day containing nutrient-rich foods, such as:
    • lean meat, poultry, pork, and fish
    • low fat dairy products
    • low fat starches and whole grains
    • vegetables and fruits
  • These foods contain the energy, protein, vitamins, and minerals that your body needs.
  • If you can’t tolerate the amount of food at one meal, you may have to consume six smaller meals each day.
  • Stop eating whenever you feel full.
  • Protein — You should be able to meet your protein needs through foods. If not, you may need to supplement with protein shakes between meals.
    • Women: 50–60 grams of protein
    • Men: 60–70 grams of protein
      Gastric Bypass Patients: To meet protein needs, you may have to consume a low calorie protein food between meals.
  • Liquids between meals
    • Wait at least 30 minutes after each meal. Then consume an 8 ounce protein supplement or shake, followed by 16 ounces of sugar free, clear liquids.
    • Try to spread fluids out over a three-hour period.
    • Stop drinking at least 30 minutes before mealtime.

Read more online at: http://www.hallmarkhealth.org/dmdocuments/BariatricDietStagesGastric.pdf

The first year after surgery is a critical time that must be dedicated to changing old behavior and forming new, lifelong habits that will control your weight. Next week we will conclude our series by exploring what living and eating can look like after your successful weight-loss surgery.

If you are considering bariatric surgery in the Las Vegas area, schedule an appointment with Dr. Heidi Ryan. Bariatric surgery is not a quick fix to obesity and related health problems, but if you are willing to make a change that could save your life, it could be right for you.Set of products for healthy food