Doctor insights on:
Alternative Treatments For Colonic Inertia
Yes: While chemo like FOLFOX is transiently effective, more immunotherapeutic agents are showing good responses. Avastin a vascular endothelial growth factor inhibitor and Erbitux effecting epidermal growth factor 1 are working well as is the newer Neo-102 against the immunogenic protein. Chemo in conjuction with the biologics (immunochemo) is the best combo. ...Read more
I have had RLQ pain for 4 wks I had a x-ray today it showed stool in RLQ. Colonic Inertia? Should i worry. Why would stool there cause me pain? :(
Common things...: I often recommend a daily regimen of a fiber laxative such as Benefiber (R) taken twice daily with a cathartic such as Miralax (R) taken at bedtime on the days that the person hasn't had a bowel movement. This has to be started AFTER doing a bowel cleanse such as might be done prior to a colonoscopy. If constipation is a chronic issue, despite the above, then a colonoscopy might be appropriate. ...Read more
RLQ pain for 4wks.I had xray in ER it showed stool in RLQ. Colonic Inertia? Why would stool build there. dr. was not worried. She said just go to GI.
Normal: Its completely normal to see stool in the RLQ. It doesn't mean it is built up in that location, more likely passing through. Constipation may or may not be contributing to pain, but the role of the ER is to rule out potential emergent causes. Now you need to follow up with your regular doctor (or GI) to assess for less emergent causes. ...Read moreSee 1 more doctor answer
Had colectomy 10/12. Severe colonic inertia. Dad had 9" removed of colon same issue. Muscles & nerves bad. Any connection? Ibs in family both sides. Can there be a genetic connection?
Have Ehlers Danlos, Gastroparesis and colonic Inertia. Ulcers in mouth and throat, bloody stool,post refeeding Synd. Is this part of gut dysmotility??
Surgical resection: Colonic carcinomas cause problems because they arise in lumen of the bowel and as they grow tend to obstruct, and in distal colon, where fecal material is solidified, bleeding will occur. This all in advance of metastasis which is also why early resection important. In older patients with large mass radiation and chemotherapy can be given. Obstructed distal lesions can betreated with stent. ...Read more
It depends: On the stage of colon cancer. Early stage is usually treated with surgery alone or followed by adjuvant chemotherapy if justified based on certain tumor features. Metastatic disease is usually treated with chemotherapy with or without surgery based on clinical presentation and extent of metastasis. An oncologist can help you in determining the next treatment modality. ...Read moreSee 1 more doctor answer
Colonoscopy: During colonoscopy the doctor will snip and remove these polyps. Often there are just a few and easily managed and the patient brought back each 5 years to look for newly formed ones that are removed. The risk is polyps can eventually turn into colon cancers. In some people there are too many and they can not all be removed but they can be kept an eye on to catch those that may turn cancerous. ...Read moreSee 1 more doctor answer
Stage dependent: Postoperative therapy is stage dependent. For stage 1 cancer usually just follow-up is enough; for high-risk stage 2 cases chemotherapy or clinical trials are considered; for all stage 3 and 4 cases chemotherapy is recommended; radiation is usually not required unless tumor was attached to other structures or couldn't be entirely removed for example. ...Read moreSee 1 more doctor answer
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