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Gastroenterology (Expert Forum)
Re: Why lack of parastolic(sp?)movemnt??
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Re: Why lack of parastolic(sp?)movemnt??
by HFHSM.D.-rf, Jan 01, 1995 12:00AM
Posted By HFHSM.D.-rf on December 27, 1998 at 10:27:09:
In Reply to: Why lack of parastolic(sp?)movemnt?? posted by Cindy on December 15, 1998 at 17:04:53:
What can cause the lack of the parastolis movement in the large intestine if biopsies have found nerve ending and healthy tissue? The small intestine does function it just come to a near halt when it become the large intestine. What disorder(s) or birth defects can cause this to occur? General gastro. books on the subject tend not to have information in this area. Any suggestions for reading material or other sources? Could really use the help. Laxatives don't help movment unless in large dose, motility drugs had almost no effect, and good old fibre(those of the grain family) actually bring things to a dead stop. Yes, it is ##** painful and it isn't going away. The usual conditions have been ruled out: chrons, colitis, IBS. Any one interested in detective work who may be able to shed some light would be greatly appreciated. I truely thank you for taking the time to read this and I couldn't put into words the gratitude for answers.
_
Dear Cindy,
There is much that we do not know abut colonic motiltiy. In order to demonstrate that the nerves are intact, one needs a full-thickness biopsy of the bowel wall. The superficial bipsies taken durng endoscopy are inadequate to make the diagnosis.
It would be helpful to know whether there is a diffuse slowing of colonic motility or whether the problem is confined to a specific region. Colonicmatker studies and anal/rectal motility studies would be helpful.
Regading therapy, it is often necessary to use industrial dosages of osmotic laxatives. In our practice, we may give Fleets enemas or even glasses of Golytely if several days of treatment fail to produce a bowle movement and the patient is uncomfortable. In some cases, surgery(colonic resection) has been performed.
This information has been presented for educational purposes. Always ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: colonic dysmotility
0.2
In Reply to: Why lack of parastolic(sp?)movemnt?? posted by Cindy on December 15, 1998 at 17:04:53:
What can cause the lack of the parastolis movement in the large intestine if biopsies have found nerve ending and healthy tissue? The small intestine does function it just come to a near halt when it become the large intestine. What disorder(s) or birth defects can cause this to occur? General gastro. books on the subject tend not to have information in this area. Any suggestions for reading material or other sources? Could really use the help. Laxatives don't help movment unless in large dose, motility drugs had almost no effect, and good old fibre(those of the grain family) actually bring things to a dead stop. Yes, it is ##** painful and it isn't going away. The usual conditions have been ruled out: chrons, colitis, IBS. Any one interested in detective work who may be able to shed some light would be greatly appreciated. I truely thank you for taking the time to read this and I couldn't put into words the gratitude for answers.
_
Dear Cindy,
There is much that we do not know abut colonic motiltiy. In order to demonstrate that the nerves are intact, one needs a full-thickness biopsy of the bowel wall. The superficial bipsies taken durng endoscopy are inadequate to make the diagnosis.
It would be helpful to know whether there is a diffuse slowing of colonic motility or whether the problem is confined to a specific region. Colonicmatker studies and anal/rectal motility studies would be helpful.
Regading therapy, it is often necessary to use industrial dosages of osmotic laxatives. In our practice, we may give Fleets enemas or even glasses of Golytely if several days of treatment fail to produce a bowle movement and the patient is uncomfortable. In some cases, surgery(colonic resection) has been performed.
This information has been presented for educational purposes. Always ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: colonic dysmotility
0.2
