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Gastroenterology  (Expert Forum)
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desperate for solution and answers
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.

desperate for solution and answers

by marmar19, Jul 29, 1998 12:00AM

  I was diagnosed with diverticulosis, after air barrium xrays, however they tried giving me a colonoscope but couldnot get through they said when they tried {it could be an adhession so they didnot force it thats why I had air barium instead then also catscan of stomach and kidney pelvic area.question one-how do I know for sure it is adhessions and not something else when they dont know themselves.there findings altogether are 2 hepatic cyst on liver and fluid in kidney area with a little divertic. the x rays though and hospital report is a lot of diverticulosis. and now the gyn says through sonogram cyst on left ovary although I had a hysterectomy 10 years ago. question2-why am I so constipated and in such pain and who can I go to or what to take I got all the reports from hospital and picked them up myself i dont understand except one 2years ago said I had hyatal hernia he never saw me again to say what it was, and now another endoscopy says ulcer 2 months ago. I am 59 years old and I need answers from doctors not run around.all I know is I cant go and i have a lot of pain in stomach it feels like something strangling me in middriff and cuts off breathing especially when once in a while bowels do go  then it gets worst.stools look stringy and wormy.they also told me a few years ago through blood work pylori. question3  they said it was a tropical yeast infection and causes a lot of stomach problems.sorry to be so long winded but sure would love some answers. thank you marmar19
______________
Dear Marmar 19,
Thank you for your e-mail and series of questions.  Before providing specific responses, it would be useful to review diverticulosis of the colon.  Diverticula are outpouchings of mucosa (the inner lining of the bowel) through weak spots in the colon wall.  Diverticula result from straining at defecation, usually the result of inadequate fiber in the diet causing small hard stool.  Diverticula are very common, being found in more than half the population over the age of 65.  Diagnosis can be made by sigmoidoscopy or colonscopy, barium enema or CAT scan of the abdomen. Diverticula can cause severe abdominal pain when they are inflamed (diverticulitis).  The second major complication is hemorrhage (bleeding).
There are two possible reasons why the colonoscopy could not be completed.  It is possible that you had a sharp angulation of the bowel, so that the endoscopist could not see the opening.  Sharp angulations can be related to prior surgery, inflammation or the way that the bowel lies at that particular time.  The second possibility is that multiple openings were seen (one being the true lumen and the others the openings to diverticula).  In these situations, the physician will often stop the procedure.   The barium enema and CAT scan are considered reliable studies to exclude other causes of the angulation.
The constipation and the diverticulosis are related and reflect inadequate fiber in the diet.  In addition to eating salads and whole fiber bread, you should take commercial fiber preparations such as Metamucil.  Having bulkier stool will reduce your constipation and abdominal pain.  An additional benefit is that you should produce few new diverticula as you strain less to defecate.
I doubt that your symptoms are related to the tropical yeast infection, although I would need to know the specific infection in order to be certain.
This informationis provided for educational purposes only.  Always consult your personal physician for specific medical issues.
HFHSM.D.-rf
*keywords: diverticulosis, irritable bowel disease, constipation, fiber
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