Doctor insights on:
Alternative Treatments For Small Bowel Obstruction
Bowel obstruction: Bowel obstruction can be partial or complete, due to problems outside the gut or problems within the gut, functional or space-occupying, acute or resolving, small bowel or large bowel. When obstruction is complete, surgery is needed. If due to infection, ibd, or disease external to the GI tract, treatment may be medical &/or even just observational with supportive care until the gut "wakes up.". ...Read moreSee 1 more doctor answer
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
For Adult Small bowel transient intussusception , is Surgical exploration is more effective or Capsule Endoscopy?no obvious obstruction in CT
See a doctor: If the doctor and find the true cause, usually can be treated with medication. You need to see a doctor to find the true cause. ...Read more
None: If the polyp is 1 cm or larger, the gall bladder should be removed. If it is smaller than 1 cm and you do not have symptoms suggestive of gb disease, then it can be followed with us studies. If you have typical symptoms of biliary colic, then removal of the gb is the only effective treatment. ...Read moreSee 1 more doctor answer
None: Surgery is the only method of achieving cure for gallbladder cancer. When not discovered incidentally during routine gallbladder surgery, gallbladder cancer usually presents in advanced stages. Therefore even with surgery, chances of total cure are low. Chemotherapy and radiation therapy, though used, have not proven to be very successful in treating this disease. ...Read moreSee 1 more doctor answer
Is surgery needed for spastic diverticulosis + severe narrowing of luminal + severe diverticulosis in a patiient with IBS. Colonostopy +Barium failed?
Surgery not for IBS: This may only be a partial answer to your question. Surgery is not indicated for IBS or "spastic colon". IBS is a functional disorder and cannot be cured by the knife. It must be managed in more conservative ways. Now if there is luminal narrowing of your colon, you must get seen to find out why and it is possible that surgical intervention may help depending on the etiology. ...Read more
See below: The first step in managing this disease is to stop nsaids (e.g. Ibuprofen) and all other offending agents (e.g. Omeprazole, sertraline). The drug of choice for treatment is Budesonide and an anti-diarrheal agent (loperamide). Other than that, gluten-free diet may be of some benefit. ...Read moreSee 1 more doctor answer
Is there any effective natural treatments and / or diets for bladder retention caused by enlarged prostate and a "lazy"bladder.?
Are there alternative treatment options for biliary dyskinesia & chronic cholecystitis? (Symptomatic for 3 mos w/diet changes & pain is progressing.)
Best treatment: All primary colon tumors must be resected. If localized, cure is very high. If mets already present it is still essential to remove primary since latter is polyclonal while mets to liver or lung are monoclonal and wont spread. If primary left to treat mets then new clones develop in primary and will continue spreading to new sites. Always resect the primary colon tumor with margins. ...Read more
Redundant colon,candidate for elective colon resection. Linzess, miralax no help. Milk of mag or Sennokot 2-3x week helps.Use instead of surgery?
Chronic constipation: Most often, surgery is only considered as a last resort. For some people, having a bowel movement 2 to 3 times per week is normal. If you are able to achieve this using milk of magnesia, then I would not consider surgery at this time. It is always possible to have complications of surgery, and in your situation, it doesn't sound absolutely necessary. Fiber and hydration are key. Good luck. ...Read moreSee 1 more doctor answer
No: No... unfortunately the only way is dilation or surgical repair ...Read more
What is more suitable for chronic constipation, colonoscopy or colonic irrigation/colon cleansing? Which is more useful for eliminating constipation?
None of the above!: If you want to eliminate constipation, you should leave your colon alone and stop sticking tubes and other foreign liquids into it. You need to do 3 things which will help: eat well and drink plenty of liquids like water to stay well hyderated;. Make sure your food has enough fiber which comes from fruits, salads vegetables and grains; each meal should have these items that will give bulk to stool. ...Read more
What is the treatment for severe slow colon transit constipation? No laxatives work for me other than enema and stimulant. Doc mentioned Surgery??
AvoidSurgery, likely: end up with more problems: http://goo.gl/Blh6rW. Physical activity & avoiding delays in evacuation (when slightest urge) typically most effective strategies. Agents which bind water, best above ground veggies (trial & error for which & how much daily required) next best. Mental issues (infancy on) always relevant though hidden except via symptoms. Trial of linaclotide might help for symptoms. ...Read more
Depends: What is the cause of the strictures? If it is from adhesions, the scar tissue is removed. If it is from something unusual like carcinoid tumor, then bowel resection. If from crohn's disease, then sometimes bowel resection or stricturoplasty. Stricture of colon from diverticulitis would need colon resection. Etc. ...Read more
Fiber: Most young people without any colon disease, such as inflammatory bowel disease, have irritable bowel disease or lactose intolerance. The treatment for ibd is increasing dietary fiber with whole wheat bran or psyllium seed products. Lactose intolerance is treated by avoiding dairy products. Try taking metamucil or an equivalent product. If there is no improvement, see your physician. ...Read moreSee 1 more doctor answer
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more
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