Ibs is a common intestinal disorder causing pain in the stomach, gas, diarrhea and constipation. The condition affects millions of people around the world, mostly women. It may not fully be cured, but the condition can be kept under control diet and lifestyle changes and in severe cases with medication and treatment. The most common affected age groups are between 6 to 18 and 41 to 60. 

Causes: there are several triggers to ibs although doctors are yet to determine a specific cause. Because ibs happens more in women than men, some people believe that hormones are responsible for it. Other studies suggest that ibs is triggered when
A. The colon becomes hypersensitive reacting to an external stimulation
B. The bowel muscles spasm causing diarrhea or constipation
C. The muscles in the bowel don't squeeze normally, causing diarrhea or constipation
D. There is an imbalance in chemicals like serotonin and gastrin which are responsible for the communication between the brain and the digestive system
E. Certain bacteria in the bowel can cause this condition
So far, there are no extensive studies to back any of these theories. 

Signs and symptoms: people with ibs have symptoms that can include diarrhea and /or constipation, sometimes alternating with each other, stomach cramps, gas and bloating and a belly that sticks out. Stress may, in some cases, aggravate the problem.

Diagnosis: unfortunately there are no specific tests to identify ibs as the causes itself can vary in a big spectrum. Using your symptoms as a guide, the doctor may run tests to check for food allergies, lactose intolerance, reactions to any medications you may be taking like blood pressure drugs, infection in the stomach, enzyme deficiencies where the pancreas isn't releasing enough enzymes to digest the food properly and inflammatory bowel diseases like ulcerative colitis or crohn's disease. You may have to undergo a colonoscopy or endoscopy, blood tests, stool tests and allergy tests for your doctor to devise a treatment that can best treat your specific symptoms.

Treatment: because the symptoms and causes are so varied, there is no one specific treatment of ibs. You will need to identify and understand your specific triggers to isolate it and then make changes accordingly in conjunction with lifestyle change and medication.

Lifestyle changes: look at ibs as a trigger to make you move into a healthier lifestyle and improved diet. Here are some basic changes that your doctor may prescribe
- avoid coffee tea and sugary sodas
- drink 8 glasses of water per day and time your water intake as per your food
- limit fatty foods, milk and cheese
- add wholesome fiber to your food. 
- relax and get some me time
- add a good quantity of regular exercise

There is nothing here that you already didn't know can lead to a healthier life. It's just that you'll have to take it seriously now that the doctor has prescribed it for you. If you suspect that you are suffering from ibs, consult your expert medical practitioner today!

Irritable Bowel Syndrome (IBS): Who Is at Risk?

Homeopathy has proven to be very successful in treating many digestive problems. However, certain warning signs should not be ignored. A timely medical diagnosis and opinion is important if the following occurs:
1. Vomiting
2. Sudden and severe abdominal pain
3. Abnormal loss of weight
4. Abnormality in normal bowel habits including constipation or persistent looseness

Some digestive problems and their remedies are discussed below:

Heartburn: This is a burning sensation that results from acid from the stomach, being squirted into the food pipe. An elevating sensation is felt from the chest to the end of the throat. Consumption of some common food and drinks like caffeine, acidic juices, alcohol, chocolate or carbonated beverages can increase the secretion of acid in the stomach. Over dosage of medicines like aspirin and ibuprofen can also cause heartburn. Remedy: Calcarea carbonica is widely used for relieving chronic cases of heartburn that occur mostly in people who experience cramps in the stomach and intense heartburns. Lycopodium brings relief in cases where regurgitation and heartburn occurs after small snacks.
Bloating: This is caused due to the presence of excess gas in the colon, small intestines or the stomach. It results from high stress levels, poor diets and daily need for medications. Remedy: Carbo vegetabilis (made from vegetable charcoal) is renowned for its capability to absorb toxins and along with Lycopodium, is recommended for digestive problems resulting from excess gas.
Dyspepsia: This is an uncomfortable feeling or pain, which occurs in the upper abdominal regions which is caused due to improper consumption of food and is commonly referred to as indigestion. If the condition is prolonged, a doctor must be visited. Remedy: Anacardium is a remedy that is useful for people who experience frequent and periodic bouts of upper abdominal pain.The remedy Argentum nitricum is suggested for people who experience Dyspepsia along with nausea. This is a pain in the upper abdominal region along with retching of mucus. Another remedy for this condition is Nux Vomica. This is suggested for people who are usually restless.
Treating flatulence and dyspepsia that is experienced by people after consumption of starchy and fatty foods requires Natrum carbonicum. These people cannot consume milk and often have a number of food allergies. Phosphorus is recommended for people who vomit along with their dyspepsia even though they usually crave short term solutions, like cold drinks.

Digestion - How Homeopathy Can Aid it?

Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.
Conditions which might cause acute abdomen pain are:

Meckel's diverticulitis or Acute appendicitis
Acute cholecystitis
Ectopic pregnancy
Acute pancreatitis.
Peptic ulcer disease
Diverticulitis.
Intestinal obstruction, including paralytic ileus (adynamic obstruction)
Pelvic inflammatory disease.
Gastrointestinal (GI) haemorrhage
Gastroenteritis.
Acute intestinal ischaemia/infarction or vasculitis.
Acute urinary retention
Renal colic or renal tract pain
Testicular torsion
Abdominal aortic aneurysm
Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
Rare causes might include thromboemboli, phytobezoar, and phytobezoar
Diagnosis of abdominal pains:

Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
Following tests can be done to rule out the condition causing the abdominal pain:
Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
Crossmatch or group and save
Pregnancy test in women of childbearing age
Blood cultures
Peritoneal lavage in case of an abdominal trauma
Urine analysis
X ray of the abdomen, ultrasound, CT scan
ECG and cardiac enzymes
Laparoscopy should be a routine procedure

Don't Ignore the Acute Abdominal Pain

Colorectal surgery: How to be sure you need it?

Colorectal surgery is performed to repair damages that occur in the organs of the anus, rectum, and colon. The damage that takes place in these organs can be the result of problems with lower GI like diverticulitis (a condition wherein pouches known as diverticula in the colon wall become inflamed), cancer and inflammatory bowel disease (a group of intestinal disorders that bring about inflammation of the GI).

Who needs this surgery?

In general, colorectal surgery is an essential treatment option for ulcerative colitis, colorectal cancer, Crohn's disease (an inflammatory bowel disease that gives rise to inflammation of the gastrointestinal tract) as well as certain diverticulitis cases. In such cases, the intestinal tract undergoes major reconstruction.

There are also other bowel problems that may require surgery but not of a serious nature and these are anal fissures, hemorrhoids, bowel incontinence and rectal prolapse. Most of the surgical procedures will aid in repairing tears, get rid of blockages, or make tighter sphincter muscles (muscles that surround openings in the body).

Colorectal surgery is also performed in cases of pelvic floor disorders like rectocele (a condition in which the rectum bulges towards the vagina) and perineal hernia (a hernia that involves the pelvic floor).

At the same time, injury, ischemia or compromised blood supply and obstruction may require the performance of bowel surgery as well. Scar tissue and masses can form within the rectum, clogging the organ and preventing the normal discharge of feces from the body.

Problems like ulcerative colitis (an inflammatory bowel disease that leads to the development of ulcers in the colon as well as inflammation of the area) and diverticulitis can give rise to perforations in the rectum. Surgery is suggested in instances when drugs fail to treat the problem of ulcerative colitis.

Likewise, in the case of recurrent instances of perforations or complications in diverticulitis, surgery may be required to remove the portion of the colon affected.



Colorectal Surgery: How To Be Sure You Really Need it

If you are finding certain symptoms like stomach pain, cramping, frequent diarrhoea, weight loss of your child or fever, then there are chances that he is suffering from crohn's disease. Crohn's disease is a bowel disease that causes swelling and inflammation along the digestive tract of your child. Mostly, it affects the end of the small intestine, but it can occur anywhere from the mouth to the anus.

Causes behind the disease
It is not common in children, but if your child is showing symptoms, then one of the following may be the reason:
1. Immunity system of the child,
2. Genetics, and
3. Environment.
The main cause behind such a disease can be any of the above. However, it has been found that if you have someone suffering from this disease in the family, then your child has more chances of getting affected by it.

Diagnosing crohn's disease
If you find the above-mentioned symptoms in your child, then it is better to take him or her to a doctor. Mostly, this disease is chronic in nature, meaning that it will continue even if it is treated. However, with proper treatment the symptoms can be reduced.
For diagnosing this disease the following tests may be done
1. Different lab tests that include a blood test for blood count and white blood cell count, and stool test to look for the bacteria that cause the inflammation and urine.
2. X-ray for detecting whether your child is suffering from crohn's disease and what is the exact position of it in the digestive tract.
3. If further required, they may do an endoscopy to find out the exact location and get more details.

Complications arising out of crohn's disease
If your child is suffering from this disease and is left without treatment for long, he or she may suffer from the following complications.
1. When the disease thickens, it may obstruct the intestinal walls by swelling of the intestine. Thus, the space from where the digestive matter passes becomes less and may lead to bowel obstruction.
2. Fissures may develop at the mucus membrane of the anus.
3. Fistulas or ulcers can occur as they tunnel through the affected area to the nearby tissues. All these are painful for your child to bear.
4. Your child cannot absorb the nutrients of the food like any other child and hence there are chances that they suffer from nutritional deficiencies.

With such problems that may not seem very huge in the beginning, your child may lose his appetite and forget about normal living. Thus, the moment you find any such symptoms, discuss them with your doctor.

What You Must Know About It if Your Child Suffers From Crohn's Disease

Anal fistula presents itself as a nodular swelling in perianal region. Off and on pus discharge is also seen from this swelling. When pus gets accumulated it gives rise to pain which subsides once the pus discharges out. Usually surgery (Fistulectomy/ VAAFT/ MAFT/ Laser etc.) is advised to manage Anal Fistula. But it is not a good choice as the chances of recurrence of Fistula are very high after these procedures. Whereas Anal Fistula can be completely treated by Graded KsharsutraTM Treatment. 

Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS - New Delhi and PGI - Chandigarh; have confirmed that Ksharsutra treatment is more convenient and more effective than surgery in patients suffering from Anal Fistula. 

What is Graded KsharsutraTM Therapy? How does it Works?

The Ksharsutra therapy is a specialized procedure of Ayurvedic surgery. Ayurvedic surgeon has to first evaluate the anal fistula by clinical examination and if required MRI Fistulogram may be done. Graded KsharsutraTM treatment involves the use of a specialized medicated thread which is placed in Fistula tract. Before placing the Graded KsharsutraTM; it is mandatory to define the fistulous tract properly by careful probing and MRI Fistulogram. 

Medicine released from Graded KsharsutraTM debrides the fistula tract and induces healing. This medicine works for 5-7 days. So, old Ksharsutra needs to be replaced by a new one at a week or 10 days interval till fistula heals completely.

Why Graded KsharsutraTM Therapy Better Than Surgery/VAAFT?

  In appox. 20% cases fistula recurs after surgery however chances of recurrence of Fistula after Graded KsharsutraTM Therapy are predictably NIL.

  Fistula surgery is done under spinal or general anesthesia. So, anesthesia related complications like headache, backache, effect on brain, urinary retention etc. are usually seen while Graded KsharsutraTM is done under local anesthesia which is comparatively safe and there is no complication in it.

  Complications like stool incontinence (inability to hold stool) etc. are seen in surgery. Such complications are not seen in Graded KsharsutraTM Therapy.

  Other complications like pain, bleeding, infection etc. are also seen after surgery. There is no fresh tissue injury in Graded KsharsutraTM so such complications are not seen.

  Hospitalization is necessary in surgery for Anal Fistula. However, Graded KsharsutraTM Therapy is an OPD procedure and hospitalization is not necessary.

  Surgery is followed by bed rest. Bed rest is not required in Graded KsharsutraTM Therapy and patient can continue his normal daily routine activities as usual during this treatment.

  Graded KsharsutraTM Treatment is also more economical and convenient than Surgery. 

Therefore, patients suffering from Anal Fistula are advised to SAY NO TO SURGERY and opt for a better treatment i.e. Graded KsharsutraTM.

Anal Fistula - Why Is Graded Ksharsutra Therapy Better Than Surgery/VAAFT?

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