 [ Symptoms ] my brother is 23 years old and has severe cerebral palsy for the last few years he has been complaining of stomach pains but was not able to explain what sort of pains as he also has limited speech about two years ago he became anaemic and was taken into hospital while he was there he had an endoscopy and the test revealed that he had severe grade 3 erosiveulcerative oesphagitis to treat this he was given lansoprazole two years later he still has not recovered and he is still suffering from the same symptoms the doctors have said that nothing can be done about it and to carry on taking the medication given after reading an article about endoscopic fundoplication i am wondering whether my brother would benefit from this i am very concerned as my brother is in a lot of pain which is also causing sleepless nights and now he seems to have developed laughter attacks which can go on for hoursâ¦doctors have not been able to diagnose this but the attack always occur when he is pain i would be grateful if anyone could give any suggestions thankyou dyer [ Disease ] it is often recommended to not have a full meal at least two hours before exercise though three to four hours is better the reason for this is called blood shunting to put it in simple terms blood shunting is a process where your body diverts more blood to certain areas that need it we have a set amount of blood in our body but the amount that certain areas of your body receive can change at different times the theory is that not eating close to when you exercise will allow for more blood to be delivered to your muscles instead of being partially diverted towards digestion this will allow your body to work more efficiently during exercise to help you get the most out of it you can eat something small right before exercise but be sure to not eat too much if you are exercising in the morning try to have something like a glass of juice a piece of fruit or a slice of toast before exercising so that you have some energy and are not exercising on a completely empty stomach also there is the possibility that eating a heavy meal before exercise may cause you to feel uncomfortable while doing exercise or it may lead to cramps check out this article for more formation