Topic: Constipation, difficult to pass stools
Studies show that surgical rates in IBS patients are increased, even though there is no evidence the procedures are beneficial. Surgery is not a treatment for IBS. Yet IBS patients are exposed to more surgical procedures than the general population: the risk is 2–3 times higher for an IBS patient to have gallbladder surgery, appendectomy or hysterectomy; and 10 times higher for colon surgery. The lack of globally effective treatments and clear explanation of the symptoms in IBS contributes to increased utilization of diagnostic testing and predisposes the IBS patients to unnecessary surgical procedures. This fact sheet provides an overview of surgeries and risks in IBS patients.Topics: Constipation, difficult to pass stools, Diarrhea, loose stools, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain
Fact Sheet: How to Prepare for Tests219In many cases, doctors can make a diagnosis of a functional gastrointestinal disorder after a careful history and examination. Often, however, there is a structural disease that must be excluded by tests that probe the gastrointestinal tract. This fact sheet reviews preparation for common tests, including sigmoidoscopy, colonoscopy, and upper gastrointestinal endoscopy.Topics: Constipation, difficult to pass stools, Irritable Bowel Syndrome (IBS), Motility, Pelvic floor disorders, Stomach Disorders, Tests, lower GI tract, Tests, upper GI tract
The most important interaction between patient and doctor is the medical history. Through listening to the story of the patient’s illness and asking relevant questions, a physician may often make a diagnosis, or at least begin to understand the nature and location of the complaint. A few easy steps can help make this process more efficient leading to prompt, more precise diagnosis and treatment. Revised January 2012.Topics: Constipation, difficult to pass stools, Diarrhea, loose stools, Incontinence, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain, Motility, Stomach Disorders, Working with your healthcare provider
Fact Sheet: Is There a Health Benefit From High Colonics?228
By: Thomas Puetz, MD
Is there a health benefit from high colonics? Are there risks? This article will help you understand how the bowels function and whether or not there is a role for high colonics.Topics: Bacteria, gut flora, bowel, CAM, Complementary & Alternative Treatments, Clinical Corner, Constipation, difficult to pass stools, Digestive System, Irritable Bowel Syndrome (IBS), Treatment
By: Thomas Puetz, MD
Colonoscopy is currently our most effective means of reducing the incidence of colon cancer, but only slightly over one-third of eligible persons elect to have a colonoscopy. With the inconvenience and expense of colonoscopy incurred, one should expect and receive a thorough examination. This article outlines some way to ensure that your colonoscopy is performed correctly and thoroughly.Topics: Clinical Corner, colonoscopy, Constipation, difficult to pass stools, diagnosis, Diarrhea, loose stools, Irritable Bowel Syndrome (IBS), Motility, Other Disorders/Symptoms, Tests, lower GI tract, Working with your healthcare provider
Fact Sheet: Dyssynergic Defecation: Questions and Answers About a Common Cause of Chronic Constipation237
Constipation affects nearly everyone at some point in their lives. Constipation that occurs now and then may result from many factors such as dietary changes, some medicines, or inactivity or travel and will generally respond to simple lifestyle measures. But constipation that is long-lasting or keeps coming back (chronic) may require more effort to diagnose and treat. When that happens, a trip to the doctor is in order to find out the cause and develop a treatment plan.
This Clinical Corner article discusses how constipation and bloating are affected by menstruation, especially in women with IBS, and offers some tips for controlling the bowel symptoms and the pain.Topics: Clinical Corner, Constipation, difficult to pass stools, Gas, Bloating, Belching, Gender, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain, Pain Management
Fact Sheet: Incontinencia Fecal y la Edad313-S
Con la edad ocurren muchos cambios y la pérdida de la continencia fecal se vuelve más probable. Las enfermedades orgánicas, los cambios del hábito intestinal y otros factores, afectan la habilidad de mantener el control. La pérdida de la continencia fecal es muy común. Le ocurre a mucha gente. Existen muchas formas de encontrar ayuda para este problema. Este folleto le ayudará a comprender que es lo que ocurre y qué puede hacer para mejorarlo.Topics: Bowel urgency, Constipation, difficult to pass stools, Diarrhea, loose stools, Incontinence, Irritable Bowel Syndrome (IBS), Other Disorders/Symptoms, Pelvic floor disorders
Over 1,000 new cases of Hirschsprung's disease are diagnosed in the USA every year. More than half the children treated appropriately with surgery for Hirschsprung's disease suffer from chronic problems with constipation, incontinence, and/or abdominal pain. Even as adults, over half will experience occasional episodes of incontinence, and 10% will endure constipation unresponsive to medical management. Nonetheless, adjustment for teenagers and young adults with Hirschsprung's disease is not different than for healthy children; successful adjustment depends largely on family support. Revised and updated 2009.Topics: Anal, Rectal Disorders, Constipation, difficult to pass stools, Constipation, difficult to pass stools, Fecal soiling, incontinence, Hirschsprung's Disease, Incontinence, Motility
Hirschsprung’s disease is a rare illness that people are born with (congenital). It occurs annually in about 1 in 5,000 live births. In Hirschsprung’s disease there is a lack of nerve cells (ganglion cells) in segments of the intestinal tract located in the colon and/or rectum.
The treatment is surgery to remove the abnormal bowel segment and restore bowel continuity. Following surgical treatment, most children have a good outcome, but some have persistent bowel problems such as constipation, soiling, fecal incontinence, and inflammation in the colon (enterocolitis). These symptoms can impact the quality of life, which also needs to be addressed.
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