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Health Conditions Related To Obesity

How Obesity and Acid Reflux Are Connected—and What You Can Do About It

11/11/2024 21 Comments

If you’re dealing with both obesity and heartburn, you’re not alone. Many people notice that carrying extra weight can trigger acid reflux, also known as GERD (gastroesophageal reflux disease). GERD occurs when stomach acid flows back into the esophagus. It causes heartburn and a burning sensation in the chest. 

But how does excess weight make this problem worse?

Obesity and GERD are closely linked for several reasons. Let’s understand how they’re connected so you can manage both conditions more effectively. In this article we are going to explore the main ways extra weight affects acid reflux and how making a few simple changes can lead to significant improvements.

 

  1. Extra Weight Increases Pressure on Your Stomach

When you put on extra weight, especially around your belly, it puts added pressure on your abdomen. This belly fat presses down on the stomach and nearby organs.

This extra pressure causes stomach acid to flow back up into the esophagus. Esophagus is the tube that connects your throat to your stomach. 

Normally, the lower esophageal sphincter (LES) works as a one-way valve that prevents stomach contents from rising. 

But because of this excess pressure, the LES weakens and relaxes, causing acid to leak into the esophagus, creating the burning sensation known as heartburn.

 

  1. Visceral Fat Causes Inflammation


Visceral fat is a type of fat that wraps around organs like the stomach and liver. Unlike regular fat, visceral fat is active and releases chemicals called adipokines, such as interleukin-6 and tumor necrosis factor-alpha. 

These chemicals are inflammatory. And they interfere with the function of the lower esophageal sphincter (LES). When the LES becomes weaker, acid is more likely to flow back into the esophagus, increasing the risk of acid reflux.

Inflammation doesn’t only impact the LES; it can affect the entire digestive system, leading to more frequent episodes of acid reflux. This is why individuals with higher levels of visceral fat often experience more severe GERD symptoms.

 

3. Obesity Increases the Risk of Hiatal Hernia

 

A hiatal hernia occurs when part of the stomach pushes up through the diaphragm into the chest area. This disrupts the normal barrier between the stomach and esophagus, making it easier for acid to reflux into the esophagus.

Obesity raises the risk of developing a hiatal hernia because the extra weight pushes the stomach upward. 

This pressure can cause part of the stomach to slide through the diaphragm. When a hernia occurs, acid reflux becomes more likely and harder to control, worsening GERD symptoms.

 

4. More Frequent Lower Esophageal Sphincter (LES) Relaxations

 

Studies show that people with obesity experience more frequent transient lower esophageal sphincter relaxations (TLESRs). 

These are moments when the LES muscle relaxes, usually after eating, to release gas or relieve excess pressure in the stomach. 

However, if the LES relaxes too often, it allows stomach acid to slip into the esophagus.

Because individuals with obesity tend to eat larger meals, their stomachs stretch more, leading to even more TLESRs. This can create a cycle of acid reflux that’s difficult to break.

 

Research Behind the Link Between Obesity and GERD

Researchers have found that excess weight significantly increases the risk of GERD:

  • People with obesity are nearly three times more likely to develop GERD compared to those of normal weight.
  • A study in Scandinavia showed that overweight or obese individuals are six times more likely to experience GERD symptoms than those with a normal weight.

How Weight Loss Helps with GERD

Losing weight is one of the most effective ways to relieve GERD symptoms. 

Here’s how it helps:

Less Pressure on the Stomach: Losing weight, especially around the abdomen, reduces pressure in the stomach area. This helps the LES stay strong and prevents acid from pushing up into the esophagus. Since there is less pressure, acid reflux episodes lower down.

Reduced Inflammation and Improved LES Function: When the body sheds of visceral fat, the inflammation reduces and the esophageal muscles get strengthen. A stronger LES does its job better, keeping acid where it belongs.

Fewer LES Relaxations Smaller meals and less stomach stretching help reduce how often the LES relaxes, especially after meals. This means fewer times where acid can flow back up after eating.

 

Bariatric Surgery: An Effective Solution for GERD in People with Obesity

Bariatric surgery has proven to be one of the most effective solutions for those who haven’t found relief from GERD through weight loss and lifestyle changes alone. 

The procedure not only aids in significant weight loss but also reduces or even eliminates GERD by targeting the root causes related to obesity.

By addressing underlying issues like abdominal pressure, LES function, and inflammation, bariatric surgery offers long-term relief from acid reflux symptoms.

Dr Shashan Shah is one of the best and most experienced Bariatric Surgeon, with a proven track record in treating patients suffering from obesity-related GERD. 

He has helped many individuals reduce or completely resolve their GERD symptoms through advanced bariatric procedures.

With Dr. Shashank Shah’s expert care, you can regain control over your health and enjoy a GERD-free life.

If want to know how bariatric surgery can help you overcome GERD and achieve sustainable weight loss, reach out to us for a consultation. 

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Bariatric Surgery Weight Loss and Nutrition

Medical Tourism

19/09/2024 13 Comments

13 Reasons Why Thousands of International Patients Choose Dr. Shashank Shah’s Laparo-Obeso Center for Bariatric Surgery in India

  1. Dr. Shashank Shah’s Expertise

With over 32 years of experience and 50,000+ surgeries performed, Dr. Shah is a pioneer in laparoscopic bariatric surgery. He has completed more than 10,000 bariatric procedures and was the first surgeon globally to be awarded the “super surgeon” title. 

His research on surgical treatment for Type 2 diabetes earned him the prestigious Vivian Fonseca Scholar Award from the American Diabetes Association.

  1. Accredited Center of Excellence

Laparo-Obeso Center is the first in the world to be certified as a Centre of Excellence by the Surgical Review Committee of the American Society of Metabolic and Bariatric Surgery. 

The center is also ranked as Pune’s No. 1 single-specialty hospital for bariatric surgery and is NABH accredited, ensuring top-quality and safety standards in all procedures.

  1. Positive Patient Outcomes

Many patients report significant weight loss and improvements in conditions like diabetes and high blood pressure after surgery. Success stories from former patients highlight the center’s ability to deliver lasting, life-changing results.

 

 

 

 

  1. Expertise in High-Risk Cases 

Dr. Shah has successfully handled complex cases, including patients with severe obesity. His expertise in treating high-risk cases has earned him international trust and respect from patients worldwide.

“Padma Shri Dr. D.Y. Patil was operated at the age of 74 with history with history of 5 angioplasties, uncontrolled diabetes (200 unites of insulin everyday)and severe breathlessness. And all the comorbidities were resolves post surgery.”  

  1. Personalized Care

Every patient receives a custom treatment plan based on their health profile. The center focuses on personalized care from pre-operative assessments to post-operative nutrition and recovery, ensuring better weight loss and health outcomes.

  1. Advanced Surgical Techniques

Dr. Shah uses the latest laparoscopic methods, which mean smaller cuts, less pain, faster recovery, and shorter hospital stays. 

These modern techniques reduce the risk of complications, making the experience smoother and more comfortable for patients.

  1. Comprehensive Support

The center offers full support before and after surgery, including nutrition counseling, psychological help, and access to support groups. This holistic care helps patients adjust to lifestyle changes, improving long-term results.

  1. Affordable Costs

Bariatric surgery in India is much more affordable than in many Western countries, typically costing between $3,500 and $6,500. This makes it easier for patients to receive top-quality care without the financial burden.

  1. No Waiting Times

Unlike healthcare systems where patients wait months for elective surgeries, the Laparo-Obeso Center allows patients to schedule their surgery quickly, providing timely care for obesity-related health issues.

  1. Multilingual Team

The center’s staff speaks multiple languages, including English, ensuring international patients can communicate clearly about their treatment and concerns without language barriers.

  1. Supportive Environment

The center is known for its caring and attentive staff. They create a warm, welcoming atmosphere, making patients feel comfortable and supported throughout their treatment.

 

  1. Tourism and Recovery

Patients can combine treatment with exploring India’s rich culture and beautiful scenery. The center often helps patients plan recovery time to enjoy local attractions, making their stay more fulfilling.

  1. Global Recognition

Dr. Shah and the Laparo-Obeso Center are internationally recognized, drawing patients from across the globe. Their excellence in bariatric surgery has been featured by media outlets such as the BBC and National Geographic, highlighting Dr. Shah’s groundbreaking work.

Patients choose the Laparo-Obeso Center not only for its advanced medical care but for the personalized, supportive environment that makes each patient’s journey smoother and more successful

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Bariatric Surgery

Benefits of Bariatric Surgery for Hypertension

16/09/2024 10 Comments

Benefits of Bariatric Surgery for Hypertension 

You have hypertension, or high blood pressure when the pressure in your arteries is too high for a long time. Your heart is like a pump pushing blood through hoses (your arteries). Imagine your heart has to consistently push too hard. It can cause problems. 

The blood pressure is measured with two numbers: systolic (when your heart beats) and diastolic (when your heart rests). 

If your blood pressure is 130/80 mm Hg or higher, you might have hypertension.

How Obesity Affects Blood Pressure

Research shows that being very overweight, or obese, is a major cause of high blood pressure, or hypertension. 

In fact, up to 75% of people with high blood pressure are also obese. 

Obesity and blood pressure affect each other: being obese can lead to high blood pressure, and having high blood pressure can make people gain weight. This creates a cycle that makes it harder to treat and manage both conditions.

Let’s understand how obesity, or being very overweight, can lead to hypertension

Here are 5 factors that affect the blood pressure.

  1. Renin-Angiotensin-Aldosterone System (RAAS): This system helps control blood pressure and fluid balance. Extra fat can make this system work too much. When it’s overactive, it raises blood pressure by holding onto sodium and making blood vessels tighter.
  2. Sympathetic Nervous System: Extra belly fat can make this part of your body work harder, speeding up your heart and raising blood pressure.
  3. Hormones: Obesity messes with hormones, causing insulin problems and inflammation, which can damage blood vessels and increase blood pressure.
  4. Kidney Pressure: Extra weight puts pressure on your kidneys, making them less effective at controlling blood pressure.
  5. Endothelial Dysfunction: Obesity can inflame your blood vessels, making them less flexible, which raises blood pressure.

 

Blood pressure is one of the most common issues in India and people live with it and accept it as part of their normal life.

However, when someone is obese and has a BMI of 35 kg/m² or more, the situation may get worse.

Complications of High Blood Pressure

Let’s understand why it is critical to manage hypertension if you are also obese.

Heart Disease: Over time, high blood pressure can damage your arteries, leading to reduced blood flow. This can lead to serious heart problems, like heart attacks and heart failure. 

Stroke: There is a risk of stroke because of blocking or bursting blood vessels in the brain, which can cause brain damage.

Kidney Damage: High blood pressure can harm the small blood vessels in your kidneys, leading to kidney disease or failure.

Vision Problems: It can damage the blood vessels in your eyes, which might lead to vision problems or even loss of sight.

Cognitive Decline: When the brain receives less blood flow than needed, it can cause memory problems and increase the risk of dementia.

Peripheral Artery Disease (PAD): Arteries in your legs may become narrow, making walking painful.

Hypertensive Crisis: Extremely high blood pressure (180/120 mm Hg or more) can cause an emergency that needs immediate treatment.

 

At the Laparo-Obeso Centre in Pune, India, Dr Shahsank Shah has operated on thousands of patients who were obese and had hypertension.

 

When Bariatric Surgery Might Help

Dr Shashank Shah recommends bariatric surgery as a great option for people with severe obesity and high blood pressure. 

Here are the situations in which you may consider bariatric surgery:

Uncontrolled Hypertension: You are taking several medications, but your blood pressure is still high 

Resistant Hypertension: If you consistently need three or more medicines to control your blood pressure.

Obesity Levels: If you have a BMI between 30 and 39.9 kg/m² and high blood pressure, and exercise and diet aren’t working for you.

This means if you are obese and fighting with high blood pressure and even multiple medications are not getting things in control, you should consider bariatric surgery.

What Are the Benefits of Bariatric Surgery for Hypertension 

Possible Remission: Many people see their high blood pressure go away after surgery. About 60-70% of patients have their blood pressure controlled within the first year.

Less Medication: About 83.7% of patients who had gastric bypass surgery reduced their blood pressure medications, compared to only 12.8% who used just medicine.

Long-Term Results: The rates of getting rid of high blood pressure can be as high as 50% within a year, and 31.9% after around 6.5 years.

 

How Surgery Helps Lower Blood Pressure

Weight Loss: Losing a lot of weight can lower blood pressure.

Better Insulin Sensitivity: Improved insulin use can help manage blood pressure.

Less Inflammation: Surgery can reduce inflammation in the body, which is linked to high blood pressure.

Hormonal Changes: Surgery increases hormones that help get rid of sodium, which can lower blood pressure.

Kidney Function: Less fat around the kidneys means less pressure on them, improving blood pressure control.

What Are The Changes You Feel After Treating Hypertension

Here’s what we have observed about our patients once they manage or cure high blood pressure.

Physical Changes:

More Energy: Your organs and tissues get better oxygen and nutrition with better blood flow.  You feel more energetic and less tired.

Better Sleep: Your sleep may improve, as high blood pressure often disrupts sleep.

Fewer Symptoms: Headaches, dizziness, or nosebleeds might go away, making you feel better overall.

Weight Loss: Imagine 60 to 80% of extra weight is shredded from your body – you feel lighter, more energetic and 

Easier Physical Activity: With better blood pressure, physical activities may become easier and more enjoyable.

And it doesn’t stop at the physical changes.

Emotional and Psychological Changes Of Managing or Curing Hypertension:

Increased Confidence: You feel more in control of your health.

Less Anxiety: You feel more relaxed rather than being anxious most of the time.

Improved Mood: Since you feel better physically it often leads to a better mood and outlook on life.

Sense of Accomplishment: Successfully managing or curing hypertension can make you feel proud and motivated to keep up with healthy habits.

Understanding how hypertension works, and how obesity affects it, can help in managing and preventing serious health issues. 

Whether through lifestyle changes or medical interventions, taking steps to control blood pressure can lead to a healthier and happier life.

If you are struggling with obesity and hypertension, consulting with Dr. Shashank Shah could be the first step towards better health.

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About me

Dr Shashank Shah is an expert laparoscopic bariatric i.e. obesity surgeon in India. He is a director of Laparo Obeso Centre which is a centre for treatment for weight loss and weight-related metabolic diseases.

Recent Posts

  • Weight loss medications and injections… a new era of medical weight loss or weight management
  • How Obesity and Acid Reflux Are Connected—and What You Can Do About It
  • How Obesity Leads To Urinary Incontinence
  • The Real Impact of Weight Judgments—and How to Break Free From It
  • Stop Blaming Your Kids for Gaining Weight: Learn About Childhood Obesity Beyond Diet and Exercise

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