Doctor insights on:
Multifactorial: Post op constipation is attributed to decreased activity, dehydration, and the use of narcotic analgesics. So, prepare for upcoming surgery by eating right, drink plenty of water, and staying active. In our practice, for inpatients undergoing major procedures we use a medication (entereg) which prohibits the narcotics from interfering with bowel function. Ask your surgeon. Good luck. ...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
Probably: Bowel movement regularity can vary from daily to every two or three days. Most people average at least daily but we are all different. I would encourage healthy diet and exercise with making sure you get appropriate fiber in your diet for colon health. If you experience any slowing down in your bowel movemente then start with gentle osmotic laxatives like MiraLAX (polyethylene glycol) or stool softener colace. ...Read more
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
Bowel Problems: Bowel problems run a whole spectrum...From mild to very severe. Some bowel problems, such as crohn's disease, can be quite incapacitating. Some bowel problems, such as mesenteric ischemia, can cause gangrene of the bowels, which can be life threatening. I suggest you discuss whatever bowel problems you are having with your primary care physician or with your specialist. ...Read more
Depend what cause the ischemia and for how long the ischemia lasted
if caught early we might be able to restore the circulation to the bowels by embolectomy. Or by lysing the clot.
if not surgery will allow the removal of all dead guts, but if the problem is the entire small bowel most likely that will not be compatible with life unless the patient lives on TPN total venous nutrition, which is hard. ...Read more
You cannot: Bowel obstruction is a medical emergency and you should go to an er right away. It can be caused by foreign objects, tumors, serious vascular problems, bowel twisting, or an infolding termed intussecption. These may need surgical intervention and the er is the point of entry for the next steps. ...Read more
Depends: Did you have surgery to treat the obstruction? Were you hospitalized and treated medically only? Are you describing bowel constipation? Takes 4-6 weeks to recover from surgery. Takes a few days to recover after medical treatment. Would need much more detailed medical information to answer further. ...Read more
Pain and distension: First comes abdominal pain followed by abdominal swelling + tenderness. Then vomiting of stomach contents followed by greenish (bile)vomiting. May feel like passing flatus, but cannot + bowel movements will cease. Abdominal sounds will be absent due to ileus. Plain abdominal xray will demonstrate distended bowel loops with "air fluid levels. See dr. For severe pain, abdo distension + green vomitus. ...Read more
What symptoms?: Your question is too nonspecific & offers no information about your symptoms, signs, risks. "bowel problems" run the spectrum from cancer to infection, inflammation, ischemia, metabolic disorders, motility issues. Symptoms may include: altered stooling, bleeding, pain, weight loss, obstruction, rectal dysfunction, malabsorption/maldigestion, more. See our problem--please help with more info. ...Read more
Combination: Bowel obstruction is diagnosed using a combination of patient history, physical exam, and scans (x-rays, ct, etc.). Sometimes the physical exam findings are so obvious that scans are not required. Some partial bowel obstructions can be very difficult to diagnose and may elude doctors and patients for months. ...Read more
Yes: Our bowel has its own nervous system, richly interconnected with our brain and its responses to the environment. Many people register "stress" through gastrointestinal symptoms like belly cramping, loose stools or diarrhea, indigestion, etc. The terms "bellyaching" and "gut feeling" hint at this. Listening to your gut's messages may reveal issues you need to address consciously. ...Read more
Autoimmunity.: Genetic predisposition and interaction with pathogens from the environment conspire to cause ibd, which in essence is an autoimmune disorder. Maternal-fetal cell trafficking across the placenta fuels the theory that most if not all autimmune disorders have their origin in fetal (or maternal) stem cells persisting in various organs and stimulating inflammatory response. Stress does not help! ...Read more
No home remedies: Bowel obstructions are potentially life-threatening emergencies that require urgent hospital evaluation and management: first, to diagnose the exact cause, and then to come up with a treatment plan. Some may simply require bowel rest, IV fluids, tube decompression of the stomach, and "time"; others will require emergency surgery. ...Read more
Some of them: There are several kinds of medicines for lowering bad cholesterols. The meds that prevent the intestines from absorbing fat from the food will leave some fat in the intestines. Undigested fats go out in the stool, so can cause some gassiness, loose stools, and / or worse smelling stools. The doctor can adjust the med doses or change the combination of meds, to keep side effects at a minimal. ...Read more
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