Rectal issue problems

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Jan 30, 2012 07:50PM - edited Mar 3, 2013 09:05PM by sas-schatzi

59 minutes ago, edited 21 minutes ago by sas-schatzi sas-schatzi wrote:

This was a post to someone else re: hemorrhoids, But all the concepts appy to the prevention of diverticulosis which leads to diverticulitis. For us the great offenders for causing both are PAIN MEDS, poor fiber diets, poor hydration, and alcohol. AND all the chemicals they give us that cause constipation.

Post hemorrhoidectomy:

it's truly a pain in the butt. I'm sure they gave him a ring to sit on.. Docs are different as to when they tell them to increase the fiber in their diet. The point of which is to allow for bulkier stools. When bulkier stools pass, they naturally dilate the anus. This helps to keep scar tissue from tightening the anal opening. At first he will not be happy. But there are several things that can help. The body has a natural time that it wants to evacuate in the morning. The key here is to never deny that urge. So, always allow time in the morning for this to happen. So, you need to factor in always getting up early enough to allow sufficient time to respond to the urge. Drinking a warm glass of water at least 8 oz's can help. For some it may have to be 2-3 glasses. Lemon added to the water helps some. Some swear by coffee. But hydration along with the fiber is a must. Too much fiber without proper hydration will lead to a dry constipated stool.

Backing up for a moment-----the large colon has several functions. One is related to the absorption of some nutrients, but that is not cogent to this conversation-------so I will bypass it.

The colon stores stool and reabsorbs water. Stool exits the small intestine on the right side lower quadrant. at that point it is the consistency of sand. It then travels up the right side across the top part of the abdomen , then goes down the left side, The last portion of the large colon is called the sigmoid colon. It generally has a shape that could be described as a "s". In truth, it's shaped differently to a degree in each of us. As the stool moves along this path more water is absorbed from it. By the time it reaches the sigmoid colon it becomes formed.

If the core body lacks enough water, it draws more fluid out of the stool. In this case then the stool that reaches the last part of the colon will be very dry-------constipated------hard. The muscles of the colon wall have a very hard time pushing it forward. If this occurs the stool in the rectal vault-the portion just above the anus becomes very hard and difficult to pass. and painful. They look like little hard rocks. In pushing this hard stool out, the pressure causes the blood vessels to dilate. These dilated blood vessels are called hemorrhoids.

They are analogous to varicose veins of the legs or esophageal varices of the esophagus, or aneurysms.The point being when blood vessels in the body are put under too much pressure in the body , they will dilate. Eventually they will burst and bleeding will occur. The larger the blood vessel when it bursts the greater the bleeding.

The needs of the body for fluids are dependent on climate to a great degree. Each individual has a different need. Your doc and reading will describe range. 8-12 oz glasses a day. But again each body is different. Plus there may be other conditions that can influence how much you can drink i.e heart and kidney disease.

Using two supplements can work to your advantage and also promote health of the rest of the body. Omega 3 OIL either Flaxseed or fish. Buy a good brand from a healthfood store. Some brands should never be exposed to heat and need refrigeration. I would never buy off the super market shelf. The second is superdohilous -it has acidopilous and multiple other strains of normal colon bacteria. The quality again is based on where you buy it. Of course discuss this with your doc.

SO, the plan to train the colon:

1.In the morning allow enough time to take a proper poop. That may mean adding ten to 15 minutes to your morning routine.

2 Immediately upon awakening drink the warm water 8 -16 oz's. That will begin the process that gets the trained colon to be prepared to function within a short time. Continue with usual routine shower / shave etc. As soon as the colon signals it's ready to go. Don't delay go. If you delay the body starts to reabsorb that water from the stool at the end colon. Too much of a delay can lead to constipation.

3. Keep the colon healthy by eating between 25-35 grams of fiber a day-average 30gms.The amount needed is being changed by science in these last few years, so, don't be surprised when you read different numbers. General Mills Fiber One has the highest cereal fiber content in the smallest amont of food . I swear they stole my phrase taste like cardboard. "No longer tastes like cardboard". Definitely has improved over last few years. If you started off each day with a 1/3 bowl you can meet a 1/3 if the days requirements. The average American only gets 12-13 gms of fiber a day.

4 Drink enough fluids otherwise you will become constipated. 8-12 glasses a day.

5 Consider adding omega 3 (flax or fish) and acidophilous to diet(more that what yogurt offers) which colonizes the last portion of the small intestine, and bifidius and many more colonizes the large intestine. Superdophilous is a probiotic that includes many of the good bacteria. Should be purchased through a reputable nutritional store. There is still much debate about Probiotics. If you wish to google it, please, use the following search term "Evidence based researech probiotics".

6 Be aware of the things that alter bowel function------PAIN meds, alcohol, antibiotics, other prescription meds. Dehydration. Illness. Overuse of antibiotics. Some medications can affect the motility of the gastrointestinal tract. This means it slows down or speeds up the way the muscular layer of the GI tract works. Other drugs kill off the good bacteria of the GI tract.

This covers the basics, great topic eh?

Edit as a transfer: Effectively in 2016 somethings have changed. The Gi docs follow their guidelines through their association equivalent to ASCO. They recommend Miralax. Polyethyleneglycol.(peg). My feeling are mixed. It was the recommended chemical for pre-clean out before a colonoscopy for years. I thought so much of it, I asked the doc for it for a yearly clean out, for years. Made the family do it.

BUT then one day, I read a statement on the package that says "Not to be used by someone with kidney problems" I was stunned. That meant that it could be absorbed through the intestinal wall and circulated through the cardiovascular system. That circulation goes through the kidney. What the implication was is it could plug up kidney function................OH Vey............Chit. .............. So you make your own judgement. This to me is actually a huge revelation when I first read it. I'm at a loss why, it has become a daily recommendation as in Miralax.

If it didn't cross the intestinal mucosa, I would have no problem, but the cautionary on the label tells me it does. Make your judgement.

Reserved-dermatology

Reserved for the left over

Bump