Expanded Colon Essay

During the small bowel series, the radiologist was not able to determine the exact area of obstruction. The study was terminated after two hours and the patient was returned to her room. Following the small bowel series, the patient complained of abdominal pain and cramping. The patient’s tube was leaking bowel from the side of the tube and onto her abdomen. It was also noted that her parenteral nutrition was not adequate (LWR radiology, 2015).

Abdomen: abdomen round, soft and symmetrical. No visible bowel loops or masses. Active bowel sound, umbilical cord and periumbilical site intact and dry. No swelling, redness, drainage or foul odor present.

Hirsch sprung disease is a disease that shows several Signs and symptoms. Approximately more than 75% of children with Hirsch sprung disease show symptoms in the beginning of six weeks of their lives. Newborns frequently begin showing symptoms with in the earliest 24 to 48 hours of life. the most common signs and symptoms infants may experience during Hirsch sprung disease are as the following: Not having a bowel movement in the first 48 hours of life, gradual swelling of the belly, gradual onset of vomiting, fever, sepsis (overwhelming infection), growth failure, refusal to feed, easily palpable fecal mass, foul smelling stool, constipation or a condition in which there is difficulty in emptying the bowels that usually associated with hardened feces that worsens over time, and Small watery stool( Cincinnati children's hospital,2017)

The client was on a regular diet and was tolerating it well. Upon auscultation, bowel sounds were positive in all four quadrants. The bowel sounds were slightly hyperactive. Inspection and palpation of the abdomen by the student nurse revealed no rigidity, tenderness, masses or distention. The client’s last bowel movement was the night prior and reported her stools had been loose. Frequent loose stools are an expected finding due to the antibiotic treatment for the pneumonia (Deglin & Vallerand, 2014).

Exomphalos can be linked to genetic abnormalities and it may occur with any age of the mother (“Contact a Family,” 2012). Gastroschisis is characterised by a defect in the abdominal wall and it is positioned to one side of the umbilical cord, typically the right side. In most cases the bowel will develop out of the abdomen. The bowel will remain out of the abdomen for the remaining time of the pregnancy. In some cases, the amniotic “ fluid irritates the bowel and makes it inflamed and thick, so that it does not work properly. Sometimes the bowel becomes twisted as it floats in the fluid and the blood supply is restricted.” (“Contact a Family,” 2012). At birth, the bowel can become further irritated when it is exposed to the air. Gastroschisis is associated with younger mothers; if the mother is under 20 years old, the risk of her child having gastroschisis is twelve times more likely (“Contact a Family,” 2012). Gastroschisis is typically not linked with any other abnormality, which means that is almost always an isolated abnormality (“Contact a Family,” 2012).

Many people take the efficiency of their digestive system for granted. Imagine having a bowel disorder that impacts your everyday life, by affecting your weight and hygiene, impacting the foods you are able to eat, decreasing your energy levels, causing severe colicky pain, at times making you feel awkward around others, and suddenly sending you to the bathroom in the middle of important events. Not only does it uncomfortably affect those aspects of a person’s life, but frequently becomes a serious health issue that if uncontrolled may land you in the hospital. Imagine having to take expensive medications everyday that are supposed to keep you from having your disorder flare up, but then those medications cause uncomfortable

Fecal incontinence problems dominate the significant morbidity following surgical correction of anorectal malformations. As the three main factors involved in achieving continence; sphincter function, sensory function and motility, are all affected to a varying degree in those patients. (Arnoldi et al., 2014). Defective internal anal sphincters have re¬cently been demonstrated in a histological study of specimens taken during PSARP procedures in girls with vestibular fistula. (Lombardi et al., 2013)

For very severe cases where people are having organ failure or inflammation of the abdominal wall surgery may be necessary.

Diarrhea Everybody once in a while has diarrhea — free, watery and potentially more-visit solid discharges (Diarrhea). Much of the time, loose bowels endure two or three days. Yet, when looseness of the bowels goes on for quite a long time, it can show a genuine issue, for example, a persevering contamination, fiery inside ailment, or a less genuine condition, for example, peevish entrails

retinopathy from over oxygenation. In 1950 and the mid 60’s many babies were blinded due

Straining frequently while passing stool can bring about piece of the rectum — the end of the large intestine — to project outside the anus (rectal prolapse). At the point where this happens in children, it might be an indication of cystic fibrosis.

Dumping syndrome is a condition where largely undigested foods rapidly bypass the stomach and proceed or get “dumped” into the small intestines. This is a common phenomenon seen in those who have undergone gastric, esophageal or bariatric surgery. The rapid emptying of the gastric contents in the small intestine results in a fluid shift from the intravascular compartment to the intestinal lumen. This leads to a plethora of complications including cardiovascular, gastrointestinal (GI) and postprandial hypoglycemia. Dumping syndrome can be classified as early or late, depending on when the symptoms occur in relation to the time that elapsed after eating.

By the time your baby is 5 days old, she or he should produce at least 3 stools in a 24–hour period. The stools should be soft and

Twisting of bowel commonly occurs along the mesenteric axis , resulting in venous obstruction and eventually arterial compromise. Redundancy and non-fixation of bowel are essential to form any type of volvulus. The ascending and descending segments of the colon are not mobile , but the sigmoid colon, caecum, and transverse colon are not fixed within the peritoneum, tethered by their mesentery. This mobility contributes volvulus to occur at these locations. Thirty three to thirty five percent of patients with volvulus of the transverse colon appear to have had a history of chronic constipation which is either idiopathic or secondary to autonomic dysfunction (5) . In our patient chronic constipations , laxative abuse and high fibre diet may be contributing for the transverse colon volvulus . These conditions may predispose the elongation and chronic redundancy of the colon and its mesentry, which favoure it to rotation. In our part of world , most of people are farmer and they eat high fibre content diet, that may be reason for high incidence of volvulus. Honestely , it is difficult to conclude the broad conclusions regarding the incidence of transverse colon volvulus in the adult population due to the relatively small number of reported cases. Therefore, surgeon should be aware of these unusal causes of large bowel obstruction to allow for early diagnosis and to facilitate better patient

After feeling so helpless and gross from hosting microscopic worms inside of me, I realized that I need to step it up and just become a gastroenterologist. I found that they help people with problems just like mine and worse. It sounds like the dream job for me oddly enough. Finding a problem in a biohazard labeled stool sample would just make me feel like a real Pooper-Hero every day of my life. The same thing goes for other fun activities like colonoscopies, looking at people’s large intestine or colon, and perhaps even performing a cecostomy which is the removal of fecal matter through a surgical procedure, normally, used for children with severe disorders that block them from having correct bowel movements. As a gastroenterologist, I could help plenty of people with digestive problems just like