Problems of the large intestine are very common and patients should usually consult gastroenterologists for the proper diagnosis and treatment

1. Bleeding per rectum: Bleeding through the anal canal or rectum is usually the most common problem of the patients. It can be due to following reasons: 

A. Piles also known as Hemorrhoids: Hemorrhoids are dilated venous channels of the anal canal. They occur due to long term constipation or chronic cough or due to less fibre intake in the diet. Sigmoidoscopy or proctoscopy is required for diagnosis. Treatment options include medicines and high fibre intake, Injection therapy(Sclerotherapy) for stopping bleeding from piles and Stapler hemorrhoidectomy if the piles are large.

B.  Polyps: Polyps are soft tissue growths seen in the large intestine. They are usually silent but can present with bleeding or anaemia. Polyps usually grow slowly in size and large polyps can turn into cancer of large intestine also known as colorectal carcinoma. Colonoscopy is required for the diagnosis. The gastroenterologists can diagnose the presence of polyps by colonoscopy. Smaller polyps can be removed by polypectomy by gastroenterologists without the need for open surgery. However large polyps or those polyps with suspicion of cancer require surgery.

C. Large intestine Ulcer: They can occur due to early cancer, SRUS, Infections or drugs. They require colonoscopy for the diagnosis. The gastroenterologists usually take Biopsy from the ulcer to know the cause of the ulcer. The mere taking of biopsy does not mean cancer and biopsy samples are seen in the microscope for better diagnosis.

D. Ulcerative Colitis and Crohn s disease: Ulcerative colitis is one form of Inflammatory bowel disease (IBD). The other IBD is known as Crohn s disease. Whereas ulcerative colitis involves only large intestine, Crohn s disease can involve any part of the gastrointestinal tract including small intestine. Ulcerative colitis and Crohn s disease present with Loose stools(diarrhea), bleeding , abdominal pain, weight loss, Anemia and Perianal fissures and  fistula. The diagnosis of IBD is challenging and involves blood tests, CT Scan abdomen, Colonoscopy with biopsy and clinical history. Management includes Medicines which control the inflammation such as Pentasa, Rowasa, Mesacol etc. Severe disease requires additional drugs such as Azathioprine and Anti TNF sich as Infliximab and Adalimumab. Occasional cases require surgery such as those with tight stricture of the intestine, severe dilatation of Large intestine (also known as Toxic megacolon), excessive bleeding, the disease not responding to medical management, or presence of cancer with IBD.

E. Anal fissures: Cut in the anal skin (fissure) causes severe pain in the anal area during passing motions. It is usually due to constipation or straining. It is usually treated by Gastroenterologists initially by medicines and ointments. If the pain continues Surgery is required named as Lateral internal sphincterotomy (LIS).

2. Loose motions or Diarrhea: Excessive passing of liquid motions is known as diarrhea or commonly lose motions. It is usually due to Infections caused by contaminated food and water. It is usually self-limiting. Severe cases with dehydration require admission for IV fluids and antibiotics for the infection. Loose motions for more than 6 to 8 weeks is known as chronic diarrhea. It is evaluated by blood tests and colonoscopy. Usual causes include tuberculosis, celiac disease, ulcerative colitis, microscopic colitis, Malabsorption such as chronic pancreatitis and small bowel bacterial overgrowth.

3. Irritable bowel syndrome (IBS): IBS is very common and at least 20 to 30 percent of Indian patients suffer from it. Symptoms include altered bowel habits such as diarrhoea or constipation, abdominal pain which is usually relieved or increased by defecation. Weight loss or bleeding is not the feature of IBS. Few simple blood tests are required and good medicines are now available for IBS. Few cases may require colonoscopy to rule out alternative causes of the symptoms.

Understanding colonoscopy: Colonoscope is a flexible tube with a camera at its tip to see the inside of the large and small intestine. Bowel preparation is required at least 8 hours before the procedure so that the inside of the large intestine can be seen clearly without the interference of stools.colonoscopy is an OPD based procedure where the patients are discharged the same day. A colonoscopy helps in evaluation symptoms of the large intestine such as loose stools, bleeding and abdominal pain.

In Detail About Colorectal Disorders!

The word colic directly refers to the colon. Colic pain is a sharp abdominal pain followed by bouts of crying usually occurring in infants below the age of one year. The pain only last for a short period of time ranging from a few weeks to a couple of months. Very few number of babies will cry endlessly indicating towards an underlying condition.

It is mainly characterized by sharp crying for supposedly no apparent reason, irregular sleep patterns, and restlessness or owing to deviation from normal postures. The apparent causes of colic pain include indigestion and negative reaction of the sensitive gut to the breast or formula milk, although no concrete cause of the state has been discovered.

Doctors often suggest home remedies such as swaddling, pacifiers, holding and comforting the baby and more frequent feedings to reduce the condition. Since it is so common among infants and relatively less harmful, no proper medication is usually given. Physicians suggest mothers to reduce the content of caffeine, alcohol or spice in their diet. Sometimes a warm bath, burping the baby or going on more frequent walks is useful. Background music draws the attention of the baby and hence drives their focus, away from the abdominal pains.

Colic pains are mainly treated by care rather than medicine. The baby is made to feel comfortable and the distress is reduced just by being around the infant. The primary care giver plays an important role in consoling the child and helping them get through the sudden pain which further plays a significant role in personality development. Colic pains are extremely short lived and probably one of the first few challenges of parenthood. They are primarily dealt with care and feeding except in extreme cases where medicinal cures such as lactase drops and simethicone drops are used to treat the abdominal pain.

Colic Pain - How To Treat It

Rectal problems in women are quite common. It is experienced by many women in some form or the other such as rectal itching, pain or bleeding. Rectal problems are more common in women than in men. These conditions need to be attended to immediately as severe rectal problems may cause several health problems. There are many ways to deal with rectal problems in women.

Treating rectal itching: Rectal itching is a common rectal problem. These can be treated by

    Improve hygiene: You should clean the rectum area gently using cotton balls moistened with water. You should apply mild ointments to prevent irritation and soothe the skin.
    Unscented toilet paper or unscented lotions and creams: You should use white toilet paper that does not have any scent. Scented soaps, creams or lotions should be avoided as it may cause further irritation. You can also apply ointments containing 1% hydrocortisone.
    Control excessive sweating: Rectal problems may occur due to excess sweating. You should avoid sweating too much by wearing light clothes and using talcum powder for the absorption of moisture.

In case of excessive itching, you should follow the following tips:

    Do not scratch the area as scratching may lead to further itching. You can take an oral antihistamine during the night to get better sleep.
    You can take a warm sitz bath after every bowel movement, for at least three days, every day. The anus should be dried properly after the bath.
    Abstain from foods that stimulate rectal itching like tea, coffee, aerated drinks, alcohol, chocolate, spicy food, tomatoes and excess vitamin C, for a period of two weeks.
    You must maintain short fingernails to avoid injuries during scratching. To prevent unconscious scratching during sleep, wear cotton gloves.
    Stress should be managed as increased stress may lead to enhanced rectal itching. When you are anxious, do not scratch the rectal area.

Treating rectal bleeding: Rectal bleeding is another problem, which may be accompanied by other rectal problems. In case of rectal bleeding, avoid taking aspirin or any other non-steroidal, anti-inflammatory drug. These drugs may cause bleeding in the digestive tract. This will increase the blood amount in your stool. Bleeding hemorrhoids can worsen by the intake of these medicines. For soothing pain, opt for an acetaminophen. Constipation and diarrhoea may also lead to rectal bleeding. However, it is advised to consult a doctor before consuming any medicine.

Prevention
For prevention of rectal problems, you must have a good sense of hygiene. Keep the rectum region clean and avoid sitting in the toilet for a long time. You should have a fiber-rich diet including fresh fruits and vegetables. Avoid food items, which may cause rectal problems. General rectal problems are not very serious and can be treated using simple measures. Maintaining proper rectal hygiene is very important to avoid rectal problems. It is highly recommended to visit a doctor if the problem persists.

Rectal Problems in Women - Doctor Recommended Tips

Many women experience a temporary encounter with hemorrhoids when they are pregnant. Quite surprisingly, most people tend to experience this in their daily lives. By the age 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and may be prolapse where the hemorrhoids protrude out of the anal canal. Though this ailment can be rarely detrimental, it can be a painful intrusion. But thankfully, there are a lot of things we can do about them.

How may this be diagnosed?
Hemorrhoids are usually diagnosed from a plain medical history and health exam. External hemorrhoids, more commonly known as piles, are normally apparent, particularly if a blood clot is formed. Your physician shall perform a digital rectal test to detect blood in the stool. Then the physician may also inspect the anal tube with the aid of an anoscope, which is a short plastic channel interjected into the rectum with illumination. If he finds any evidence of microscopic blood or rectal bleeding in the stool, then there may be a need to perform colonoscopy or flexible sigmoidoscopy to determine the probable causes of bleeding like cancer or colorectal polyps, specifically in women aged over 50.

Is it possible to treat hemorrhoids at home?
Most of the common symptoms of piles can improve drastically with simple in-home measures. If you are suffering from occasional flare-ups, you may try the following:

    Eat a lot of fibre: It is recommended to add fibre in the diet; may be a fibre supplement like Citrucel, Fibre con, etc. When you drink a lot of water along with loads of fibre, stools get softened making them effortless to pass, which will reduce the pressure on the swollen veins. Eating broccoli, wheat, oats, beans, fresh fruits every day will help in decreasing bleeding caused due to piles. It also reduces swelling and inflammation. If you feel digestive issues with a sudden splurge of fibre in your diet, you may start slowly and gradually increase the amounts.
    Take a sitz bath: A sitz bath is a lukewarm water bath for the lower back portion of the body, which can help in relieving irritation, itching as well as spasms occurring in the sphincter muscle. You can either get small plastic tubs for a sitz bath or sit in a normal bath tub. Most physicians suggest a half an hour sitz bath after every bowel movement. Then tenderly dry the area and avoid wiping it hard.

There are several invasive treatments that can be opted if these conservative treatments are not able to help your condition. In such an instance, it is always wise to seek advice of a medical practitioner. 

How to Deal with Hemorrhoids?

Piles or haemorrhoids might cause severe bleeding in the anal region due to an abnormal enlargement of the rectal veins. The bleeding occurs as a result of a sudden increase of pressure in the rectal area.

The haemorrhoids, which tend to grow on the exterior part of the anus, are usually severely painful as compared to the internal haemorrhoids (which are invisible and grow on the insides of the rectal area).

What are the possible causes?
The major causes of haemorrhoids are genetic factors, pelvic tumours, excessive alcohol consumption, obesity, lack of regular physical exercise, undiagnosed and chronic gastric disorders such as dysentery, diarrhoea or constipation and a significant increase in weight of the uterus during pregnancy.

Major Signs:
The signs and symptoms of this disease might include intense pain and irritation in the rectal area along with the presence of blood in the faeces and abnormal swelling of the affected area.

Homeopathy For Piles:

When it comes to alternative or complementary treatments for piles or hemorrhoids, Homeopathy offers the best treatment for piles. It is the best not only because the cure rate is exceptionally good but also because Homeopathic treatment for piles offers several more advantages. It is very economical when compared to any other alternative or complementary treatment for piles. At the same time, the homeopathic medicines do not have any side effects. This is one of the biggest advantages of Homeopathy over any other system of medicine. While you are under treatment of any other system of medicine, you run the risk of getting one or the other side effect while Homeopathic treatment for piles is absolutely safe. That is why I say that Homeopathy is the best when it comes to alternative or complementary treatment for piles or Hemorrhoids.

If taken in a prescribed dosage, homeopathy can be very effective to cure piles. The most beneficial homeopathic preparations for piles are:

Nux vomica: This homeopathic preparation is useful to cure piles that exhibit the symptoms of extreme irritability and intolerance towards cold weather. If the reasons behind piles include the consumption of spicy foods, excessive intake of alcohol and smoking, this particular remedy can work wonders. 
Hamamelis: This preparation is used to address such a condition if the symptoms exhibited include blood in the feces along with continuous discomfort and contusion (an area of injured tissues).
Ratanhia: This preparation provides an effective remedy for severely painful hemorrhoids (which cause complications during excretion) along with the symptoms of severe pain that persists even after several hours of excretion and a burning sensation in the concerned area.
Graphites:  This medicine works especially well for the fairer sex if the symptoms happen to include chronic constipation, skin eruptions in the rectal area and menstrual abnormal menstrual cycles. 
Aesculus HIppocastanum:  This homeopathic preparation provides an effective remedy for non-bleeding hemorrhoids that exhibit symptoms of severe back pain and pain in the anal regions.
Arsenic Album: This homeopathic offering eases the symptoms that worsen with any sort of movement. Severe bleeding of the hemorrhoids can also be treated with this medication. 

Role of Homeopathy in Hemorrhoids

A great alternative to refined sugar, honey is packed with essential nutrients and is really delicious to eat. There are many health benefits of honey. It can be easily added to any diet as a topping, say for fruit salads, ice-creams or as a spread. But are you aware that the jars of this tasty golden liquid can sometimes not be honey at all but syrup that tastes exactly like honey? So, How do you evaluate if you are buying real honey?

In order to boost profits, honey manufacturers dilute their product with adulterants such as flour, syrup or molasses and even sand and chalk. If you want to get the most out of this tick liquid, you should buy only pure honey.

What Is Pure Honey?
Real honey is not produced in factories but from bees. Usually, organic and natural honey are referred to as pure honey. However, it is not always feasible to tell if the honey is pure by just looking at it. Natural honey is made only by honey bees and when these bees are fed only at organically grown flowers, the honey they produced is classified as organic.

What Is Fake Honey?
Also known as artificial, adulterated or impure, fake honey contains additives including corn syrup, glucose, molasses, sugar syrup, dextrose, invert sugar, flour or starch apart from the floral nectar.

How To Find Fake Honey?
Listed below are a few simple tips that you can carry out at the comfort of your home to determine whether the honey you are buying is genuine or fake.



Read The Label: In addition to buying well-known and reputed brands of honey, ensure that you check the label for the logo and brand name. This will guarantee that the jar you pickup is not only good quality but also genuine. The label on the jar should list only one ingredient, honey, no additives, or flavourings.
The Warm Water Test: Add a teaspoon of honey to a glass of warm water. If the honey is pure, then it will sink to the bottom of the glass as a lump or stick to the spoon when the mixture is stirred. If the honey is adulterated with any kind of syrup, it will dissolve in the water.
The Thumb Test: Put a drop of honey on your thumb. If it spreads or spills, then it is not pure. Pure honey is thick in texture and would remain intact on your thumb.
The Flame Test: Honey is inflammable and easily catches fire. Dip a dry matchstick in honey, then strike the matchbox. If the matchstick lights with ease and continues to burn, then the honey is pure. Due to the moisture present as an adulterant in fake honey, a matchstick dipped in fake honey will not light easily.
The Foam Test: Add 2-3 drops of vinegar essence to the honey and mix well. If it becomes foamy within 2-3 minutes, then the product you have purchased is not pure and contains additives.
The Tissue Paper Test: Put a drop of honey on a piece of tissue paper. If it gets absorbed and leaves the paper wet or a watermark on the paper, then it is adulterated and not pure honey.
The Heat Test: If the honey is pure, then on heating, it will caramelize. However, fake honey tends to form bubbles on heating and does not caramelize.
The Bread Test: Pure honey when spread on the bread, makes the bread hardened within a few minutes. On the other hand, the slice of bread remains soft and moisturized if there are any additives present in the honey.
The Crystallization Test: Pure honey has a natural tendency to crystallize over time because of the presence of glucose oxidase, an enzyme that removes water/moisture from honey. Fake honey does not become thick, when stored.
The Egg Yolk Test: When honey is mixed will egg yolk in a bowl and both are blended together, the yolk looks like it is cooked. However, fake honey does not produce this effect on the egg yolk.
You might sometimes be able to spot fake honey by its taste and smell, though not always. Honey being a natural product and produced from the nectar of different flowers, it does not always taste or smell the same. It is also not possible to taste honey before buying it if as the product comes in a sealed bottle or jar. Therefore, it is recommended to only pick branded or organic honey to ensure that the honey you are buying is pure and genuine.

Honey - How To Spot If It Is Fake Or Not?

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