Doctor insights on:
Medicine For Short Bowel Syndrome
Too Little Intestine: Certain medical conditions require emergency removal of a significant amount of the small intestine. We see this in infancy associated with necrotizing enterocolitis and in adults when the blood supply to the small intestine is cut-off. The small bowel is responsible for digesting nutrients within our diet; if a lot of the small intestine is missing, nutritional deficiencies occur. ...Read more
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
See website: Shortbowelfoundation.Org.Get a more detailed answer ›
Insufficient bowel: Short bowel is the condition where too much intestine is removed resulting in insufficient ability to maintain nutrition. Conditions such as ischemia or crohn's disease can require large resections of bowel resulting in this condition. Often, patients require special medications to rehab their remaining bowel, peripheral nutrition, or even small bowel transplants. ...Read more
Avitaminosis ADEK.: The lipid-soluble vitamins a, d, e, k and several other micronutrients that are not adequately absorbed in short bowel syndrome can cause pregnancy complications for both mother and fetus. Consult with an experienced gastroenterologist and a maternal-fetal medicine specialist to prevent/minimize these risks. Supplements by mouth or parenterally may be required to sustain a normal pregnancy. ...Read more
What is the likelihood of having complications with pregnancy if you hsave short bowel syndrome and what are some of the common complications?
Former preemie?: The great majority of women born as preemies can have normal pregnancies. Short-gut syndrome after necrotizing enterocolitis makes it hard for a pregnant woman to get enough nutrition (she has trouble absorbing the necessary vitamins, nutrients, calories) for herself, but she also has nourish her unborn baby - sounds like a problem in the making. The nutritional deficiencies can be bad for a baby. ...Read moreSee 1 more doctor answer
Does having short bowel syndrome effect my ability to get pregnant? I have all my collen removed and part of my small intestines when I was 2 days old
Maybe: Women with active crohns disease my have difficulty conceiving, and may have low birth weight infants. The data on fertility after colectomy for inflammatory bowel disease are mixed- two studies demonstrated a decrease in fertility of 25-80% in such patients, however a third study suggested that the risk of infertility is much lower. ...Read moreSee 1 more doctor answer
If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?
It depends : This is a difficult question to answer without more data. Assuming they had some sort of small bowel resection and truly has "short gut," then reconnecting to a rectal stump will likely not improve the condition, as the rectum does not provide adequate nutritional absorption (mainly just water resorption). This needs to be discussed with a general surgeon along with radiographic evaluation. ...Read more
Please clarify: Short bowel syndrome results from removal of a significant portion of the small intestine, which is responsible for nutrient absorption. Symptoms include diarrhea, fatigue, and weight loss. The colon is responsible for water absorption, therefore, removal of a large portion of the colon may increase the frequency of bowel movements, but will not cause profound nutritional deficiencies. ...Read moreSee 1 more doctor answer
My 3 yr old daughter was diagnosed with short bowel syndrome when she was born. She has been pooping on her self lately so what's going on?
See your doc!: This sort of thing is unusual. An increase in the number of bowel movements should be investigated further. It can mean that the bowel is not absorbing the food nutrients effectively, and that it is just passing through. Has your child's diet changed? Another cause could be an infection. Ignoring this situation could cause dehydration or irreversible damage, so you really need to see her doctor. ...Read more
What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?
Maybe long: The colectomy and ileostomy will not typically shorten life expectancy. Short bowel syndrome may shorten life span, but it depends on severity. There are a few centers in the US that perform bowel lengthening procedures and small bowel transplant. Ask you surgeon about the severity of the short bowel, and think about support groups for ileostomy help. Hope this helps! ...Read more
SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?
Difficult question: to answer without knowing much more details. Why was that surgery done? What is the remaining anatomy? Remaining colon or rectum in place? Reconnecting an ileostomy after 13 years might not be well tolerated with resulting frequent diarrhea, poor anal muscle control, anal irritation & the surgery would not correct a short bowel condition. Need many more details to try to answer this question. ...Read more
I've severe Crohn's & short bowel syndrome. Im on TPN but still have Bloating & vomiting daily.. What do you think of taking genEssential digestion?
Ask your doctor.: When you're on TPN due to short bowel syndrome, even small changes in dietary intake can be important. It is not clear whether trying this supplement would be useful, but I would not do it until you have first discussed it with the doctor who prescribes your TPN. Good luck. ...Read more
I was recently diagnosed with Short Gut/Bowel Syndrome. Are there any doctors in the orlando area that can treat me.
Online resources: There are multiple online resources to find doctors with all specialities in geographic locations, such as webMD's physician directory, doctorfinder of AMA or doctorDirectory.comding, locateAdoctor.com. Healthtap also facilitates referrals if needed. ...Read more
Irritable bowel syndrome, with pain, cramping and gases, with what medicines , drugs, can be treated?
Diet and fluids: I rarely prescribe meds for ibs. In my experience teaching people to eat and drink properly resolves most if not all symptoms when the patient is compliant and follows through. Hi fiber, 80-100 ounces non caffeine, non alcoholic beverages each day, regular meal times, excercise. Consistency is the key to being symptom free. ...Read more
I was diagnosed with an irritable bowel syndrome, had taken medicines.Is dat life threatening?What wud be the best food for me to eat for ibs.Thanks!
Rome 3 criteria: Irritable bowel syndrome (ibs) is a non-critical condition w/ abdominal discomfort, altered/ alternating stool pattern, accompanying nausea, bloating, gassiness. Often improved by stooling, ibs is defined by changes in perception of gut distension, motility, sensation. Diet (keep a food diary) & emotional stress may be a factor but first rule out inflammation, ischemia, infection, malabsorption. ...Read more
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