Topic: Lower Abdominal Pain, Pelvic Pain
Disorders which have excessive pelvic floor muscle activity as their primary feature are often not recognized and diagnosed by physicians. However, millions of people suffer from such disorders and associated symptoms of disabling pain and disruptions in bowel and bladder control. Unfortunately, individuals with these disorders frequently seek help for many years before receiving any explanation for, or relief from their disturbing symptoms. The purpose of this article is to briefly explain the role of the pelvic floor muscles and some symptoms related to the presence of elevated tension in these muscles, and to describe various treatment options available.Topics: Constipation, difficult to pass stools, Lower Abdominal Pain, Pelvic Pain, Pain Management, Pelvic floor disorders
Biofeedback is a neuromuscular reeducation tool we can use to tell if certain processes in our bodies are working correctly. It is a painless process that uses a computer and a video monitor to display bodily functions that we usually are not aware of. Special sensors measure these functions, which are displayed as sounds we can hear, or as linegraphs we can see on a computer screen. A therapist helps us use this displayed information to modify or change abnormal responses to more normal patterns such as increasing a response, decreasing a response, or learning to coordinate two responses more effectively.Topics: Bowel urgency, CAM, Complementary & Alternative Treatments, Constipation, difficult to pass stools, Diarrhea, loose stools, Incontinence, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain, Pelvic floor disorders
Over a decade ago, investigators noted that approximately half of the women attending a gynecology clinic had symptoms (e.g., abdominal pain, change in bowel pattern) compatible with a diagnosis of irritable bowel syndrome (IBS). Since that study, a number of other studies have demonstrated a higher prevalence of gynecologic disorders, such as pain associated with menstruation (dysmenorrhea) and premenstrual distress syndrome in women with IBS as compared to those without IBS.
Fact Sheet: Visceral Sensations and Brain-Gut Mechanisms127
Over the past several years, different mechanisms located within the gut, or gut wall have been implicated as possible pathophysiologic mechanisms underlying the characteristic IBS symptoms of abdominal pain and discomfort. The list ranges from altered transit of intestinal gas, alterations in the colonic flora, immune cell activation in the gut mucosa, and alterations in serotonin containing enterochromaffin cells lining the gut. For those investigators with a good memory, these novel mechanisms can be added to an older list of proposed pathomechanisms, including altered gut motility ("spastic colitis") and alterations in mucus secretion.Topics: Brain-Gut, Constipation, difficult to pass stools, Diarrhea, loose stools, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain
Fact Sheet: Understanding and Managing Chronic Pain140
Most of the time pain serves as a critical part of our sensory system, and is therefore a necessary though unpleasant function of a healthy body. However, it is becoming increasingly clear that chronic pain may be more like a disease or pathology of the nervous system associated with abnormal responses in the brain and spinal cord. Chronic pain has an impact on every facet of patients' lives. If you have chronic pain it is important to develop a pain management plan that works for you.Topics: CAM, Complementary & Alternative Treatments, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain, Pain Management
Fact Sheet: Chronic Functional Abdominal Pain141
People with functional gastrointestinal (GI) disorders can have a variety of symptoms that range from painless diarrhea or constipation, to pain associated with diarrhea and/or constipation (usually called irritable bowel syndrome). There is another, less common condition of abdominal pain that is chronic or frequently recurring; it is not associated with changes in bowel pattern. This condition is called chronic functional abdominal pain (CFAP). Cause and treatment is discussed.Topics: CAM, Complementary & Alternative Treatments, Lower Abdominal Pain, Pelvic Pain, Pain Management
IBS, Chronic Functional Abdominal Pain, Bloating and Gas, Constipation, Diarrhea
The term "functional" as used in medicine, generally is taken to mean symptoms not accompanied by demonstrable abnormalities on physical examination, blood tests, x-rays, biopsies, endoscopies or other procedures. An overview of common disorders that affect the colon.Topics: Constipation, difficult to pass stools, Diarrhea, loose stools, Gas, Bloating, Belching, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain
A rectocele is a bulge from the rectum into the vagina. Most rectoceles occur in women where the front wall of the rectum is up against the back wall of the vagina. This area is called the rectovaginal septum and may be a weak area in the female anatomy. Other structures may also push into the vagina. A description of causes, symptoms, diagnosis, and treatment.Topics: Anal, Rectal Disorders, Constipation, difficult to pass stools, Lower Abdominal Pain, Pelvic Pain, Pain Management, Pelvic floor disorders
Fact Sheet: Bacteria and Foodborne Illness173
Foodborne illness results from eating food contaminated with bacteria (or their toxins) or other pathogens such as parasites or viruses. The illnesses range from upset stomach to more serious symptoms, including diarrhea, fever, vomiting, abdominal cramps, and dehydration. A discussion of causes, treatment, and prevention.
The "functional" gut disorders are syndromes (groups of symptoms) believed to arise from the gastrointestinal tract, but which lack a known cause. The purpose is to update the criteria upon which the diagnoses of functional gut disorders rest.Topics: Anal, Rectal Disorders, Bowel urgency, Dyspepsia, pain in upper abdomen or chest, Esophageal Disorders, Irritable Bowel Syndrome (IBS), Lower Abdominal Pain, Pelvic Pain
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