Archive for January, 2010

Diarrhoea, Why It Occurs And Its Variants

Posted by admin On January - 15 - 2010Comments Off

Diarrhoea is a disorder of defecation characterized by an increase of the release of the daily amount of feces (usually > 200 g) with a decrease in their abundance and an increased frequency of discharge of the hive. It is mostly triggered by infectious agents (in 70% of cases) but can also reflect the use of drugs (e.g. chemotherapy) in the presence of fecal impaction, reintroduction of solid foods after a period of fasting, and to radiation other pathological conditions (diverticulitis, poisoning by heavy metals, ischemic bowel, allergies or intolerances).

There are plenty of micro-organisms that can cause acute diarrhoea, it includes: Staphylococcus aureus, Escherichia coli, Vibrio cholera, Clostridium, Campylobacter jejuni, Salmonella spp., Shigella., Giardia lamblia (or intestinalis), Entamoeba histolytica, Rotaviruses, Adenovirus, some species of helminths. The list, however, is extremely long.

The cause of acute infectious diarrhoea is a serious problem in developing countries as it is believed to cause, annually, killing at least 4 million children under the age of 5 years. These diseases are an easy ground propagation conditions in areas with poor sanitation: lack of drinking water, crowding, presence of waste not disposed of, inadequate preparation of certain foods.

Causes infectious diarrhoea can accompany other symptoms, depending on the type of organism responsible for the pathological condition. You may have nausea, vomiting, fever and diarrhoea can be watery or bloody. In case of ingestion of foods that are bacterial toxins, generally, there is vomiting, nausea and pain Cramping widespread but not very strong. The fever, however, is uncommon.

Micro-organisms can invade the intestinal epithelium (Salmonella, Shigella, etc.). Cytotoxic or to produce toxins (Clostridium) cause abdominal pain and high fever and bloody diarrhoea The micro-organisms that invade the intestinal mucosa (e.g., Giardia), or those that invade it produces little inflammation (virus) to determine the most watery diarrhoea. There are also hemorrhoid condition that can only be cured with hemorrhoid treatment.

Chronic diarrhoea

Most often it is caused by irritable bowel syndrome but can be caused even by celiac disease or inflammatory bowel disease (Crohn’s disease, ulcerative colitis). They can be linked with other causes including: eosinophilic gastroenteritis, radiation, pancreatic insufficiency, lactase deficiency, short bowel syndrome, Whipple disease, carcinoid syndrome, Zollinger-Ellison syndrome, tumors or endocrine disruption, fecal impaction , abuse of laxatives.

Secretory diarrhoea

They are characterized by a high stool volume because it has a considerable loss of fluids. Are triggered by the presence of endogenous or exogenous substances able to bind to specific receptors located on the membrane of intestinal epithelial cells. This leads to the activation of molecular cascades of various types (depending on the receptor involved) that culminate in phosphorylation of transport proteins that increase the permeability of the cell to chlorine (apical section) and potash (Section basolateral). The strong outside secretion of chlorine is the driving force for the recall of sodium, potassium and water. It also occurs in bicarbonate secretion, but not the mechanism by which this happens.

Osmotic diarrhoea

The osmotic diarrhoea occur when the osmolarity of the intestinal lumen exceeds 50-100 mOsm / kg, while plasma. This means that water is drawn from the cells, a process opposite to that which occurs physiologically and that is due to the absorption of sodium. The causes of this are due to carbohydrate malabsorption, lactase deficiency, use of laxatives or antacids containing magnesium.

The Best Medication For Constipation Is Docusate Sodium

Posted by admin On January - 12 - 2010Comments Off

Docusate Sodium with the brand name of Colace is more than likely the best medication on the market today for constipation.

“Being regular” in medical terminology means you will use the bathroom anywhere from 3x a day to 3x a week. To actually feel good this is not good enough. It should be at the minimum 5x a week. The act of being constipated also can involve the how large and what consistency your stool actually is. It also concerns if you strain when you or have stomach pains or always feel the need to utilize the toilet.

The most frequent reason for constipation is most likely due to not eating enough fiber. Your age also is a factor and the elderly have constipation more often.

What is the plan if you have constipation? First you need to increase your fruits and vegetables. Think of taking a fiber supplement. Also get more exercise in the form of walking after meals.

Docusate sodium is good because it can soften the stool so it is not so painful to actually go to the bathroom. You could also try mineral oil or something like Ex-Lax. If you are going to use Ex-Lax do not use it for more than 48 hours as it completely clears your bowels.

Worst case scenario for most people would be enemas. Castor oil if you can stand it can also be used for constipation. If the constipation involves a baby or young child make sure and check with your doctor.

Is there any natural solutions? Flatulence is often the cause of not having gut flora. This is good bacteria in your digestive system. Think about taking a digestive enzyme when you eat. There is always flaxseed that you could consider taking.

Rather rare but good is the yellow powdered aloe vera. This has a natural laxative that is in it. Start off by trying the Docusate Sodium.

Volvulus Is The Medical Term For A Twisted Colon

Posted by admin On January - 10 - 2010Comments Off

The pain of volvulus can be excruciating. Volvulus is the medical term for a twisted colon. This occurs when a portion of the colon is twisted normally around a bowel creating a type of barrier. What pain this causes.

One main factor in a cecal volvulus is a possible lack of fiber in nutritional intake. Some other possibilities include pathogenic organisms, constant constipation, some type of nutritional deficiency or toxins in your colon. When a cecal volvulus or twisted colon occurs it can also present problems such as constrictions, ballooning and prolapses that should not be happening in the colon.

The two types of twisted colons are: Sigmoid volvulus and cecal volvulus respectively.

Sigmoid Volvulus

Background: This is the most common type of volvulus and is responsible for eight percent of all intestinal impediments. Sigmoid volvulus is very common in the elderly. What pain these patients have include distension, more abdominal pain and total constipation. Some factors that may predispose one to getSigmoid Volvulus include a propensation to have constipation a lot, a large colon or a very active colon. The problem is usually found through radiographs. For treatment a stiff tube may be inserted into the rectum and an endoscopy or fluoroscopy may be performed. Sigmoid Volvulus can lead to death if not treated.

Cecal Volvulus

In Cecal Volvulus the twisted bowel is usually located in the higher colon near the ileocecal valve. The pain level is very high. A partial rotation of this valve is required for Cecal Volvulus to occur. There is a high death rate with this type of colon issue so early diagnosis and treatment is extremely important. If left untreated this could lead to perforation of the colon and possible gangrene.

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