{"id":180,"date":"2019-06-23T08:24:57","date_gmt":"2019-06-23T08:24:57","guid":{"rendered":"http:\/\/doctorprabhjot.com\/?p=180"},"modified":"2020-10-10T10:57:31","modified_gmt":"2020-10-10T10:57:31","slug":"40-falling-to-pieces","status":"publish","type":"post","link":"https:\/\/doctorprabhjot.com\/index.php\/2019\/06\/23\/40-falling-to-pieces\/","title":{"rendered":"40 &#038; falling to pieces&#8230;"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\"><strong>Gastric ulcers and severe reflux disease in the 20\u2019s, haemorrhoids and abdominal pains in the 30\u2019s and liver disease and cancers in the 40\u2019s. The young are getting conditions that tended to occur in later age. Growing up, it would be rare to hear of someone in these age groups have such ailments but it\u2019s a different story now.<\/strong><\/h4>\n\n\n\n<p>Maybe it\u2019s access to information that leads to a doctor\u2019s visit. Maybe it\u2019s being more aware of one\u2019s own health and not ignoring a symptom that leads to early diagnosis? Maybe it&#8217;s fear because you know of someone who passed on too soon. Or maybe it\u2019s time to accept that these things are in fact starting at an earlier age and the last thing you should be doing is thinking is \u201cI\u2019m too young to get this\u201d.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>But why is this happening?<\/strong><\/p><\/blockquote>\n\n\n\n<p>At this stage, we don\u2019t know 100% but as with most things, it\u2019s a combination of factors. To blame genetics alone is not enough as the rate of change is too rapid and general aging aside, I think it is what we do to our self that has a large part to play in it all. With this I mean the environment we are in, the diets we have and the lifestyles we lead. Sound like the same old mantra right? Here\u2019s something to chew on. <\/p>\n\n\n\n<p>Gastric ulcers, gastritis and GORD can be linked to a history of increased work stresses, fad diets for slimming, unvetted supplement usage both for bodybuilding and weight loss, fast foods, fried foods and medication use to self-medicate which we tend to go for much quicker now, are much easier to get; quite common in the modern-day young. <\/p>\n\n\n\n<p>Then there\u2019s liver\ndisease. There are links and some very strong links between liver disease and obesity,\npoor dietary choices, sedentary lifestyle, alcohol excess and supplements including\nthe sorts that claim to be good for the liver and that promote wellbeing. In\nMalaysia, we are the most obese in South East Asia and with political\ncorrectness telling us that having a little \u201cextra\u201d weight is OK, I fear it may\nbe a licence to pushing the limit of \u201cacceptable weight\u201d further. <\/p>\n\n\n\n<p>Shifting to haemorrhoids\nand abdominal pains. The poor fluid intake, obesity, poor fibre intake and in\nsome cases too much fibre, stress, imbalanced diets, poor toileting habits,\nerratic eating timing and habits and a sedentary lifestyle all contribute. <\/p>\n\n\n\n<p>The biggest worry is the fact that more colorectal cancers are being picked up in the under 50\u2019s than ever before putting into question the age where surveillance or a screening colonoscopy should happen. Family history aside, increased risk of colorectal cancers are linked to being overweight, the consumption of processed foods, high red meat intake and smoking all of which have become too common in modern-day man. (note:&nbsp; A person born in 1990 has double the risk of developing early colon cancer, and 4x of developing early rectal cancer, compared with someone born in 1950, according to a landmark 2017 study published in the Journal of the National Cancer Institute).<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>What can you do about it?<\/strong><\/p><\/blockquote>\n\n\n\n<p>First let me say that\nthere are many reasons for diseases and some out of your control for example\nviruses and autoimmune conditions to liver disease, thyroid disease and raised\ncalcium to constipation, and inflammatory bowel disease and colon polyps to the\nincreased risk of colon cancers. <\/p>\n\n\n\n<p>But there are things we can easily change to reduce the risk and it basically the things we already know but either find excuses not to do anything about or just don\u2019t have the time but I don\u2019t think we can afford that luxury anymore. Start with having the awareness that many diseases are happening earlier and the shorter time you have a condition; the less damage will be done. Of course, prevention or delaying it is another approach that should be considered by removing the factors we can actively change. Start with the simple things, exercise regularly, stop smoking, avoid processed foods, avoid supplements unless prescribed, stay away from fad diets, get enough sleep and so on.<\/p>\n\n\n\n<p>Important to remember of\ncourse, if you were unfortunate enough to have any symptoms or experience a\nchange of any form from your usual self even at an early age, see your doctor. Red\nflag signs can include, weight loss, anaemia, rectal bleeding, abdominal pains,\nchange in bowel habit, jaundice. Trust me when I say we would much rather tell\nyou nothing is wrong than to tell you it\u2019s advanced. <\/p>\n\n\n\n<p>As an end note, modern medicine has made it possible for us to live much longer than ever before and so with that you shouldn\u2019t be expecting to be 40 and falling to pieces.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><em><a href=\"https:\/\/doctorprabhjot.com\/index.php\/about\/\">Doctor Prabhjot<\/a> has been a Consultant in Gastroenterology &amp; Hepatology in the UK for 19 years and is now back in Malaysia. With this blog, he aims to raise awareness of healthy living so we can all enjoy life to the fullest.<\/em><\/h5>\n\n\n\n<p><a href=\"http:\/\/www.doctorprabhjot.com\/\">www.doctorprabhjot.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gastric ulcers and severe reflux disease in the 20\u2019s, haemorrhoids and abdominal pains in the 30\u2019s and liver disease and cancers in the 40\u2019s. The young are getting conditions that tended to occur in later age. Growing up, it would be rare to hear of someone in these age groups have such ailments but it\u2019s [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":219,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2],"tags":[6,117,7,55,57,45,54,50,22,23,9,20,122,27,49,73,48,127,126,36,120,21,51,11,53,123,87,56],"class_list":["post-180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterology-hepatology","tag-40-years-of-age","tag-age","tag-aging","tag-alcohol","tag-bowel","tag-cancer","tag-choices","tag-colon","tag-diet","tag-food","tag-gastric-ulcers","tag-gastroenterologist","tag-gastroenterology","tag-gerd","tag-haemorroids","tag-health","tag-heatlhy","tag-hepatologist","tag-hospital","tag-inflammatory-bowel-disease","tag-life","tag-lifestyle","tag-liver","tag-liver-disease","tag-obesity","tag-physician","tag-supplements","tag-wellbeing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>40 &amp; falling to pieces... - Doctor Prabhjot<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doctorprabhjot.com\/index.php\/2019\/06\/23\/40-falling-to-pieces\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"40 &amp; falling to pieces... - Doctor Prabhjot\" \/>\n<meta property=\"og:description\" content=\"Gastric ulcers and severe reflux disease in the 20\u2019s, haemorrhoids and abdominal pains in the 30\u2019s and liver disease and cancers in the 40\u2019s. 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