Bloating

Bloating is a sensation of ‘fullness’ and tightness within the abdomen. It may be accompanied by swelling of the abdomen (distension). Bloating due to the build up of gas within the gastrointestinal tract will often be relieved by belching or flatulence.

Bloating should be differentiated from angina pectoris and myocardial infarction which are two cardiac conditions that may not always result in pain but can be fatal.

continue reading Causes of Bloating and Gas (Flatulence)

Diagnosis of Chronic Constipation

Symptoms of Constipation

Physical Examination

Palpation of the left side of abdomen, especially the lower part (in children in lower-mid part) may reveal lumps of stool. In children inspection of anal area may reveal skin tears – anal fissure or fistulae, hemorrhoids, rectal prolapse. Causes of constipation in children. Digital rectal examination gives an impression of the anal sphincter tone, anal stenosis and presence of feces in the rectum. In women posterior vaginal wall palpation may give evidence of internal rectal prolapse or rectocele.

Laboratory Findings

CBC – Complete blood count (low red cells may indicate occult bleeding, raised leukocytes may show inflammation). Blood glucose is increased in diabetes, electrolyte levels may be deranged in renal disease. Fecal occult blood test may be done in chronically obstipated patients after age of 50 (eventual colon cancer).

continue reading Chronic Constipation – Diagnosis and Treatment

Complications of Severe Constipation

Severe constipation, acute or chronic, has to be treated promptly, otherwise below mentioned complications may develop.

Bloating

Bloating is common in constipated persons; prolonged stool passage enables colonic bacteria to break down more fibres and hence produce more gas. Finding appropriate food and avoiding carbonated drinks may help. Tiredness may be related to constant annoying abdominal discomfort.

Lazy Colon

Lazy colon is a term which denotes slow colonic transit time or in extreme cases colon inactivity. It is a result of long term laxatives abuse, postponing bowel movements or prolonged bed rest. Colonic peristalsis react only weakly on presence of stool and even on laxatives. Affected person often doesn’t feel the urge for defecation. Lazy colon is a kind of synonym for a severe chronic constipation. Eliminating the cause is the only solution.

continue reading Severe Constipation – Complications