healthy digestive system the people who have a lot of places that you can get firey clue fruits and vegetables you do get some fiber from the jar and then everyone eats and so there's a good source of it i don't think that has any effects on where other side so we very man that everybody at a minimum exercise for twenty to forty minutes for three days of the week really that's for heart protection if you want to help with weight loss and making sure that you're saying good fit you really want to increase that forty to sixty minutes five days a week if you want to make sure that you're exercising hard enough that you can only say two or three words before you have to take another breath so my name is linda you know about working exercising that heart to your heart rate is getting pretty fast and then you're feeling tired at the end of that time period so that could be walking it can be running it can be an agenda so that was both part protective and good for your in appropriately causing damage to the large intestine that's the last part of the balance and will show pictures of this in a second if we don't understand exactly why some people get it and others don't but it is caused  by it's an auto immune disease meaning that the body is not behaving the way that it should and so that helps us to give patients medications that help to stop the inappropriate response of the body and the problems that it causes for the c occasionally run in families and so there is a genetic component to crohn's disease as well so there's really not much you can do as far as trying to change your diet or your behavior to prevent crones disease and the good news is that it's very uncommon it's not something that a lot of people have as doctors we ask questions about it to make sure that your problems your belly pain is not because of crohn's disease otherwise you're going to be something that we check for but it's not  so there was a couple of people that brought up questions about age pylori and we have a little power point presentation that will prevent present that talks about what age pylori is it is a bacteria that you know is transmitted through water through contact with other people it's not a contagious bacteria in the sense that it causes you to have an illness but if you are to have problems with heartburn having that bacteria in there can make the hard work very hard to treat and so as doctors if we find that your heart burn is not getting better with the normal stuff that we recommend we may find that we test you arrange a highlight so we'll talk a little bit more about that one one quick announcement there is a silver prius blocking one of the other cars you having any diary not just vomiting associated symptoms like that i'm going to kind of give the doctor a better idea so we can exactly pinpoint what's causing your stomach aches but it's a very good question lots of things the book about this it's not out yet maybe it will be someday but it's not really a widely accepted theory right now in the medical establishment but the concept is that we have different types so a b o or a b and that depending on your blood type that there may be a special diet or i type of exercise regimen that is best for your body this theory  aside has to do with the amount of inflammation in your body and your overall health so if you're interested in that and you can read his book i have no stock and his book i'm not endorsing as something as a personal recommendation but it's an interesting series so if you know your blood type and you're interested in that then you can you can read more about that so let's show you some of the science and you guys asked a lot of questions that we prepared slides on  need to know when it happened what seems to make it worse what makes it better are there certain things that seem to always happened at the same time and you get your belly and how quickly it came on and that can help us figure out where flu you may have pain just down here around your bladder all are good maybe sort of spread throughout your entire belling area that's and that's why we asked this very specific questions are you going to the doctor you can also have a kidney stone the cause everything can't come out the way they usually does i can cause a pretty intense pain and also because of the starches throw up as the pet food can come through and have to come back out another way and so yeah fluids and then you have a lot of the pill is probably the most uncomfortable part and they do give you some anesthesia so most people don't remember the colonoscopy really really help on most colon cancers i would say probably ninety nine percent started like little tiny tiny polyps and the only way to know them or to know that you have them is by a point on skippy you don't feel and you don't know that you have a cancer growing and then colon cancer kind of spreads out so it grows big and spread out and the whole time  have any symptoms so not give you starting at age fifty every ten years awesome cervical cancer does anyone know how frequently you should have your pa and then other ways of red cancer are smoking leads to increased risk of colon gastric cancer lung cancer same with drinking a lot of cancer gastric cancer liver cancer so again like lindsay talk about exercise get your heart racing a little bit really helpful and you know leading a long healthy life thirty minutes five times a week or twenty to forty three times a totally safe you're welcome to try and which ones to come and talk to your doctor about birds so the first one is something that a lot of people seem to be you know this medicine is designed to help with a lot of going to fix that but this is a perfectly safe thing to try to see if you can help us out with your heartburn and we also have a slide in a moment that we'll talk about that talks about things you can do to change your diet to prevent further begin with another big food in our stomachs but too much of it or if your stomach can't keep everything inside and that starts to work up into your software so that that taste that everybody has had if you start to have that and perhaps you have too much acid in your stomach and that could be because of the blue that you're eating it could be because of the timing of when you need them because it could be because you're a little bit overweight or could be because of a trial or is talk about a little bit and so these can be pretty safe medications to try over the counter  to see if they could and how you really feel like your doctor know if you're going to use this medication though some insurance companies do still however even though it's over the counter some people have problems where once they start this medication then their bod bench but really this is a medicine that if you're going to use it or you feel like maybe the first medicine didn't work then it's a good idea to talk to your doctor and we can help you with a good plan to start whether or not things are on it for a really extended period of time it can cause you to have very brittle bones especially if you're over the age of sixty five so it's another medication that you want to make sure you weigh the risks and benefits of being on with your doctor