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Doctor insights on: Symptoms Of Fistula Between Bowel And Bladder

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I have POTS syndrome & hypermobility syndrome. All of muscles are weak. I have trouble pooping, controlling my bladder and bowel. No doctor knows why.

I have POTS syndrome & hypermobility syndrome. All of muscles are weak. I have trouble pooping, controlling my bladder and bowel. No doctor knows why.

Dysautonomia: 18y fem has "Hypermobility Syndrome, weak muscles, POTS, difficulty controlling bladder/bowel". Autonomic nerves are tethered at vertebral foramina & subluxing joints, especially sacroiliac joints, impinge these nerves arousing neural stimuli of smooth muscles of arteries, intestine & bladder. Dysautonomic effects manifest as patient describes. Many of these patients go on to develop Fibromyalgia. ...Read more

Bladder (Definition)

The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more


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I have a bowel +bladder fistula, would an operation be need for this , and if surgery, is it keyhole or open surgery?

I have a bowel +bladder fistula, would an operation be need for this , and if surgery, is it keyhole or open surgery?

These fistulas : Are amongst the most difficult to treat and very rarely respond to medical therapy (that is, if you have Crohn's disease). It almost always requires surgery, and the surgical repair can be difficult and is not always successful. I'd recommend seeing an accomplished surgeon with this kind of experience. ...Read more

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What should be done if debris in bladder on ultra sound and cystoscopy. Could it be from fistula from small bowel to bladder?

What should be done if debris in bladder on ultra sound and cystoscopy. Could it be from fistula from  small bowel to bladder?

Unlikely: If you had such a fistula you would also have noticed gas coming out with your urine. The debris you describe is likely associated with your history of kidney infection. ...Read more

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I have a supra pubic catheter and have constant uti's that have bowel bacteria in them. Ileostomy as well. Could I have fistula small bowel - bladder

I have a supra pubic catheter and have constant uti's that have bowel bacteria in them.  Ileostomy as well. Could I have fistula small bowel - bladder

Possibly: Urinary tract infections commonly have bowel bacteria, but if you are concerned and you keep getting them soon after finishing antibiotics it is worth having some testing to determine if there is a fistula. May involve a ct, a cystoscopy, or a dye study. Knowing more about why you have an ostomy and a suprapubic catch would allow a better answer. ...Read more

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Got tight bladder neck, urge pee all time no pain. test neg. urge 10x worse when sat on toilet and bowel move. Is this also symptom? what else could b

Got tight bladder neck, urge pee all time no pain. test neg. urge 10x worse when sat on toilet and bowel move. Is this also symptom? what else could b

Urologist: This is a case for a urologist. Medications like flomax (tamsulosin) are helpful in bladder neck problems. Urethral abnormalities, overactive bladder problems, prostate dysfunction all are possibilities here. I'm not sure what tests have been done, but a urologist is best qualified to evaluate and advise you about diagnosis and treatment. ...Read more

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Arachnoiditis symptms say loss of bowel and bladder. What degree?Do constipation/frequent urinating fall into this category?I have most other symptom

Arachnoiditis symptms say loss of bowel and bladder. What degree?Do constipation/frequent urinating fall into this category?I have most other symptom

Overactive Bladder: Although the cause of overactive bladder is unknown, it is obvious that back issues will affect the bladder since all the nerves to the bladder have to run through the spinal cord in the back. These nerves are very sensitive to any inflammation such as arachnoiditis. Since there is not always easy answers for back issues, the patient has to use therapy for oab. Constipation makes oab worse. ...Read more

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Hello. I have a prostate infection and diverticulitis which has perforated my bladder(fistula)is it hard to tell symptoms from PI vs signs of sepsis?

Hello. I have a prostate infection and diverticulitis which has perforated my bladder(fistula)is it hard to tell symptoms from PI vs signs of sepsis?

Be evaluated now...: Sigmoid diverticulitis-related fistula to urinary bladder of course leads to persistent urinary tract infection because of its continual feeding bacteria from colon to bladder. Its clinical pictures could be acute or chronic depending on local anatomical variation and personal immunity. Regardless of whatsoever, seek evaluation now. More? Follow: http://formefirst.com/eNewsletter06.html. Best wish ...Read more

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Constant right flank/back, intermittent abdominal and epigastric pain+no fever+no urine or bowel symptoms+history of bladder cancer and hysterectomy?

Constant right flank/back, intermittent abdominal and epigastric pain+no fever+no urine or bowel symptoms+history of bladder cancer and hysterectomy?

See doctor: Your have various symptoms that need to be carefully examined and needs proper history and may be few more test including radio imaging study. You better see your physician ...Read more

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Cholecystectomy clips seen in right upper abdomen in lumber X ray taken 4 years after gall bladder removal. No symptoms. Any problem?

 Cholecystectomy clips seen in right upper abdomen in lumber X ray taken 4 years after gall bladder removal. No symptoms. Any problem?

Expected finding: Clips related to prior surgeries are frequently seen on follow up imaging done for other reasons and usually of only incidental note. ...Read more

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I am experiencing some form of bladder infection. Symptoms: Pain during urination, brown spotting, abdomen pain, occasional back pain. No acess to doc?

I am experiencing some form of bladder infection. Symptoms: Pain during urination, brown spotting, abdomen pain, occasional back pain. No acess to doc?

OTCs: Drink plenty of fluids, and may use OTC Azo, tylenol (acetaminophen) or motrin type meds as necessary, but if no better in 2 days or so, or getting worse, need to see a health care provider, even may be an urgent care clinic. ...Read more

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Man 50 low abdomen pelvic pressure psa normal ultrasound prostate bladder kidneys liver pancreas normal .have symptoms of IBS blood urine test normal?

Man 50 low abdomen pelvic pressure psa normal ultrasound prostate bladder kidneys liver pancreas normal .have symptoms of IBS blood  urine test normal?

Diverticular Disease: One other thing to consider at your age (esp with history of IBS symptoms) would be diverticular disease of your colon. Has anyone done a CT scan with oral contrast? That would be reasonable. Best of luck with this. Dr R ...Read more

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How to decide the urgency for booking hysterectomy, bladder and bowel repair?

How to decide the urgency for booking hysterectomy, bladder and bowel repair?

totally depends: On your symptoms and what condition everything is in, your doc should be giving you strong guidance for that please call the gyn , or gen surgeon or whomever suggested the surgery. ...Read more

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Is it possible to repair a bladder and bowel prolapse without using mesh - given the issues that have developed using mesh?

Is it possible to repair a bladder and bowel prolapse without using mesh - given the issues that have developed using mesh?

It is possible: It is possible to repair bladder and bowel prolapses without the mesh, however the duration of the repair will be dependent on the tensile strength of the suture that is used. So many younger surgeons were trained using the mesh that you might have to find a older more experienced surgeon to do a repair in that fashion without the mesh. Also ask the MD what is his/her failure rates with the repair ...Read more

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Over active bowel and bladder, constantly. All blood test have come back clear. Everything i eat hurts my insides. What could thisbe or what to do next?

Over active bowel and bladder, constantly. All blood test have come back clear. Everything i eat hurts my insides. What could thisbe or what to do next?

Gastroenterologist: If you have some chronic GI issues that are not getting better on their own, you should get a consult to see a gastroenterologist. They specialize in GI issues. There are conditions that are not obvious on blood tests that require a scope with biopsies and microscopic examination. Endoscopy is a common and well tolerated procedure and may confirm a diagnosis. ...Read more

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;loss of bladder control' and 'loss of bowel control'?

;loss of bladder control' and 'loss of bowel control'?

Lost bowel & bladder: "minor incontinence" is partial soiling of occasional loss of loose or watery stool, while "major incontinence" is loss of control of stool of normal consistency. In minor incontinence, consider deficient internal sphicter tone due to trauma, rectal prolapse, prolapsing hemorrhoids, drug effects, fecal impaction. Consider neurologic deficit or widespread pelvic issue when concomitant loss of urine. ...Read more

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Why would a girl have an adhesion on her bowel and bladder?

Why would a girl have an adhesion on her bowel and bladder?

Surgery/inflammation: Surgery and inflammation are the usual causes of bowel adhesions. While fewer adhesions form after minimal access (laparoscopic) surgery, some still do form. Inflammatory causes of adhesions include diverticulitis, pelvic inflammatory disease, inflammation of the gall bladder. ...Read more

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What type of doctor tests for endometriosis of the bladder or bowel?

What type of doctor tests for endometriosis of the bladder or bowel?

Skilled gynecologist: A gynecologist experienced in the surgical treatment of endometriosis - which is best performed via laparoscopic excision or "cutting out" using special electrosurgical instruments - should be able to identify and treat endometriosis wherever it may be located. ...Read more

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How possible is it that a bladder fistula is cancerous?

Large number: Most bladder fistulas represent urinary bladder perforated into the GI tract. It rarely occurs with primary bladder Ca but is most often seen with Crohns disease fistulizing into bladder or cancer of the distal colon which has fistulized. When fecal urine is noted, biopsy of the fistula is needed followed by resection. ...Read more

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Pressure on bladder from adhesions after a lot of bowel surgery?

Not sure: One could get adhesions from surgery. Bladder lives in a different space than bowel. It is possible, however, to get adhesions to bladder and this could potentially lead to symptoms. It is rare. C a urologist to discuss in person. ...Read more

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Is it true that haveing sciatica can effect bowel and bladder control?

Sciatica: Yes. It is rare but when there is a very large ruptured disc that compresses not only the nerve root (sciatica) but also the spinal sac where the nerve roots travel (cauda equina or horses tail) there can be loss of bowel function and an inability to urinate. The legs will be weak and numb too. This requires urgent neurosurgical decompression to restore function. ...Read more

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Bladder, uterine, and bowel prolapse together, how to tell the cause ?

Bladder, uterine, and bowel prolapse together, how to tell the cause ?

Ligament non support: The most common reasons for all to prolapse together is injury during childbirth, heavy lifting of objects, and a loss of the supporting ligaments and tissues of the pelvis. ...Read more

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Has it really been shown that haveing sciatica can effect your bowel and bladder control?

Has it really been shown that haveing sciatica can effect your bowel and bladder control?

Depends: If sciatica is causing incontinence (loss of bowel/bladder control) it is called cauda equina syndrome. This is considered an emergency and need to be evaluated as it could suggest a more severe compression of nerves. if this does not resolve soon, see a spine evaluation . ...Read more

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Can't feel much fullness/emptiness of bladder, bowel,stomach and ejaculation after six years of varicolectomy?

Can't feel much fullness/emptiness of bladder, bowel,stomach and ejaculation after six years of varicolectomy?

Hi James!: I believe I responded to a question from you related to this one. I encourage you to discuss these issues with your urologist. There's no direct anatomic connection between the varicooele surgery of 6 years ago and the conditions that you currently suffer from. My best wishes to you again. ...Read more

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Had surgery to remove diverticulitis and a bladder fistula a year ago it hurts in my right pelvic area when I cough?

Had surgery to remove diverticulitis and a bladder fistula a year ago it hurts in my right pelvic area when I cough?

Get eval: Not sure if the pain is related to the previous years surgical site, or if your appendix is inflamed, etc. With your symptoms and history, best to get a medical evaluation and some possible testing ordered to aid in the diagnosis and subsequent treatment if needed.. best wishes. ...Read more

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What are the causes irritable bowel and bladder- same nerve. How long do these bladder spasms go on for and what brings relief?

What are the causes irritable bowel and bladder- same nerve. How long do these bladder spasms go on for and what brings relief?

Assumption incorrect: The innervation of the bowel and bladder via sympathetic, parasympathetic and otherwise somatic nerves are distinctly different, and involve a multitude of nerves and plexuses, not a single nerve. Hence, assuming there is a 'cause' of irritable bowel and/or bladder from a nerve is incorrect. ...Read more

Intestine (Definition)

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


Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more