The bowel is a very important part of your body within the digestive system as it plays a vital role in the absorption of nutrients and minerals within your body as well as excreting toxic matter. The bowel contains the small bowel or small intestine as well as the large bowel or the large intestine. However, parts of the bowel may be infected or damaged in such a manner that they may need to be removed in order to save further worsening. Thus, the removal of sections of the bowels is known as bowel resection surgery.

How is bowel resection surgery performed?

In this procedure, sections of either the large intestine or the small intestine are removed which have either become diseased, infected or have malignant growths within them. The doctors and surgeons first identify the sections that need to be removed and then perform the surgery wherein a section of the tissue is excised and then two ends of the bowel are stitched together to form a new section of continuous small intestine or large intestine.

Types of bowel resection
There are two types of bowel resection, namely small bowel resection performed on the small intestine and large bowel resection performed on the large intestine. The indications for both of them are mentioned below:
Small Bowel resection: Some of the cases wherein small bowel resection may be required are as follows:

Cancerous or benign polyps or growth
Precancerous growths and polyps
Damage to the small intestine due to injuries
Congenital defects in the small intestine
Blockages in the intestine
Growth of ulcers, bleeding, and infection within the small intestine
Infections within the intestines
Other disorders of the small intestine
Large bowel resection: Large bowel resection is also carried out due to many of the same reasons as mentioned above. However, some of the specific reasons for large bowel resection are mentioned below:

Colon cancer
Diverticulitis, disorder that specifically affects the large intestine
Bowel inflammation or ulcerative colitis
Abnormal twisting of the bowel also known as volvulus
Intestines which slide into another section of the intestine; also known as intussusception
Risks of the bowel resection
Like any other surgery, bowel resection also carries its own risks just as any other form of surgery. Some of the common risks of bowel resection are  

Adverse reaction to anesthesia
Infections
Heart attacks or strokes during the operation
Infections
Excessive bleeding among others
Specific risks for large and small bowel resections are mentioned as follows:

Small bowel resection: Certain common risks include accumulation of pus in the abdomen, internal bleeding within the intestine after surgery, diarrhea, infection of the incision area and the stitched area breaking open among others
Large bowel resection: In this case, tissues protruding through the cut causing an incisional hernia is the most common element of risk. Nearby organs may be damaged as well; scar tissue, problems with the passage of material within the colon among others are some of the other complications.
However, these issues occur rarely and resections are performed very successfully and quite regularly by surgeons.

Bowel Resection Surgery - Facts You Should be Aware of 

Irritable bowel syndrome is a disorder, which generally affects the colon (large intestine). It usually shows symptoms like abdominal pain, cramping, bloating, diarrhea, gas and constipation. IBS is a long-term condition. It can result in sudden mood swings, depression and thus holds you back from living your life to the fullest. IBS can be controlled by managing lifestyle, stress and managing your diet. Medication and counseling could also be required to manage IBS.

Symptoms of IBS:

Immense cramping and pain.
A feeling that your belly is bloated all the time
Severe gas
Alternating and sudden bouts of constipation and diarrhea.
Presence of mucus in the feces.
Whenever you experience such kind of symptoms, it is always advisable that you must consult a doctor, so that it doesn't lead to a serious condition.

When should you consult a doctor for IBS?
IBS is not a chronic disorder and can be controlled by home remedies. It may also require medical treatment if the symptoms become acute and persist for too long. If you experience certain symptoms like rectal bleeding, weight loss and heavy abdominal pain that might increase at night, you may be at a risk for colon cancer. If such symptoms persist, you should visit a doctor as soon as possible.

Causes of IBS:

Foods: Most people are susceptible to IBS if they consume foods like spices, fats, fruits, cabbage, beans, broccoli, cauliflower, carbonated beverage, milk or alcohol. These foods irritate the lining of the stomach and trigger IBS. However, the trigger may vary from person to person.
Stress: Signs and symptoms of IBS can also increase if you are very stressed out. Stress makes your muscles too worked up and this may result in IBS. However, you should know that stress aggravates or triggers the symptoms but doesn t cause IBS.
Hormones: Women are more likely to develop IBS. Fluctuations in the hormonal cycle can trigger IBS. This usually occurs around or during menstruation.
Other illnesses: Sometimes illness such as gastroenteritis (infectious diarrhea) or bacterial overgrowth in the intestines can trigger symptoms of IBS.
Age: You will be more likely to develop IBS if you are 45 years of age or above.
Hereditary: People having a family history of IBS are more susceptible to develop IBS.
Mental problems: Depression, personality disorder, anxiety and a history of sexual abuse can also trigger symptoms of IBS.

Can Severe Gas be a Sign of Irritable Bowel Syndrome?

IBS ( Irritable Bowel Syndrome) or Spastic Colon, is a disorder of the intestines that causes discomfort including stomach pain, abdominal gas, trouble with bowel movement,diarrhea, and even constipation. It isn't a life-threatening disease but having said that, it can be severe enough in some patients to interfere with daily functioning and routines.

Although difficult to cure completely, IBS can be managed with some alterations in a person's lifestyle, especially one's diet, which plays a crucial role in easing symptoms and improving the quality of life. Hence, following a dietary regime suited to the IBS system is paramount.

There is no one-size-fits-all, single best diet for IBS sufferers, but one must develop one's own diet plan by carefully observing and monitoring their food intake, whilst taking into account foods that generally provoke symptoms and those foods that are well tolerated.

Firstly, food allergies and intolerances such as lactose intolerance must be considered. Try dairy alternatives like soya milk, oat milk or even yogurt rich in calcium and vitamins.
Other culprits are fatty foods which worsen bowel symptoms as they are difficult to digest. Embark on a low-fat diet which is good for your heart and doesn't irritate the digestive tract's delicate lining. Steer clear of fried foods and instead choose low fat foods with minimal processing.
Should you go for a high fiber diet or a low fiber one? To decide, it's essential to consider which is more suited to your body. For some, a high fiber diet may be beneficial adding bulk to stools enabling a smooth trouble free bowel movement. Fibrous foods include fresh fruits, vegetables, and grains. However, if fiber ends up giving you a sense of bloating, include soluble fiber in your diet and limit grains.
Avoid hot, spicy foods, coffee, carbonated drinks, alcohol, and sugars: These are known triggers for IBS sufferers, and may stimulate colonic spasms. Eating healthy and getting the right mix of nutrients is essential as one needs to be careful about what his or her stomach can digest. And this makes avoiding unhealthy junk food a must.

Maintaining a food diary to observe and track the impact of different foods can be a good start towards planning a healthy diet.

Best Diet for IBS Patients

Irritable bowel syndrome or IBS as it is more commonly known is a problem with the gastrointestinal tract, where, as the name suggests, the bowel is irritated. It is a syndrome, which is a group of symptoms, and not a single issue. The exact cause is still not known, but most people with IBS have higher levels of stress, anxiety, and depression. It is therefore considered a psychosomatic condition, where an unhealthy state of mind is reflected in body symptoms.

Unani also refers to IBS as nervous indigestion, intestinal neurosis, and irritable colon.
Symptoms: 

These are worsened when there is an actual episode, which is usually during increased stress levels.
Altered bowel movement (violent episodes of diarrhoea) alternating with constipation
Severe stomach cramps, which is worsened with eating and better after passing stools
Bloated feeling (stomach full of gas)
Change in stool (flat ribbon stools or pencil stools)
Feeling of incomplete stool emptying
General fatigue and malaise
Diagnosis is confirmed with a combination of symptoms, clinical exam, and investigations including stool tests. The two common findings are altered intestinal motility and increased visceral perception to stimulus.
If a patient presents with constipation, the bowel motility is reduced, and in those presenting with diarrhoea, the movement of food through the colon is very rapid.

While there are no sure remedies for IBS in allopathy, natural medicine systems like Unani have effective remedies. Both single and compound drugs are tried, and in most studies, the results have been very encouraging. The commonly used products are listed below.

Bel (Aegle marmelos): The fruit and leaves of bel are known for their stomach-friendly properties. It is useful in chronic diarrhoea conditions and also during typhoid. Bel juice is available for ready use. Also, the leaves can be boiled in water, and this extract can be stored and consumed over a period of time.
Cumin seeds (Cuminum cyminum): This common ingredient in most curries does wonders for the stomach. It is very friendly on the stomach and soothes the stomach lining. It reduces irritation and eases bowel movement. In addition to regular usage, when IBS flares up, cumin seeds can be boiled in water, and this can be cooled and stored for use over a period of time.
Amla (gooseberry) (Embilica Oficinalis): This again is useful in treating diarrhoea and has a cooling and soothing effect on the stomach. This is used in multiple forms   raw gooseberry, boiled, and even juice forms.
These are used either as a single agent or as compound agents for treating IBS. Unani also believes that controlling anxiety and emotional symptoms can help in avoiding flare-ups of IBS.

Irritable Bowel - How Unani Medicine Can Help to Treat It?

Patients suffering from Irritable Bowel Syndrome experience severe abdominal pain, abdominal bloating along with cramping, gas, constipation and a constant urge to go to the toilet again and again. IBS is a health disorder where the large intestine or the colon is affected. This condition is a chronic one and requires long-term management. The symptoms are usually worse after eating and tend to occur in episodes. Although the disorder cannot be reversed, several symptoms can be managed or controlled by making lifestyle and dietary modifications. Most patients with IBS will experience flare-ups that last for a few days. For others, medical treatment is required.

Treatment and Care

Different procedures are used to treat IBS, which vary from person to person. However, one single treatment does not work with everyone.

Lifestyle and Dietary changes:

By making several basic modifications to your regular diet and activities, IBS improves with time. Here are some tips:

You should avoid caffeine in any form such as coffee, tea or soda.
You should increase the amount of fiber in your diet and include vegetables, fruits, whole grains and nuts.
You must drink three to four glasses of water regularly.
Smoking should be abstained from.
You must undertake relaxation techniques and work out in order to reduce stress.
Your amount of dairy product consumption must be reduced. 
You should eat frequent, small meals instead of fewer large meals.
The most common food triggers, which lead to IBS are green onions, red wine, milk and red peppers. You should not consume these products.
You should keep a record of the types of food you consume so that you can identify the IBS triggering food items.
You should eliminate high gas producing food items from your diet. Food items which may result in passing excess amount of gas such as carbonated vegetables and vegetables such as cabbage, broccoli and cauliflower should not be consumed. 
Medications:

Several medicines are used to treat IBS. These include the following:

Antispasmodics are used to control muscle spasms in the large intestine.
Antidiarrhoeal medicines are used to control the symptoms of diarrhoea.
Laxatives are prescribed for relief from constipation.
Bulking agents like wheat bran and corn fibers are used to slow down the food movement through the digestive system. They also relieve symptoms.
Antidepressants are also used in case of some patients with IBS for relief.
In patients, whose symptoms occur due to bacterial overgrowth in the intestines, certain antibiotics may be used for treatment.
There are several triggers of IBS, which must be identified and treatment should be undertaken after that. For the proper identification and best treatment of IBS which suits your symptoms, it is essential you consult a gastroenterologist. Alternative treatment methods such as acupuncture, using certain herbs and probiotics can also be followed.

Irritable Bowel Syndrome - Treatment and Care

A chronic condition, Irritable Bowel Syndrome (IBS) is a disorder of the large intestine that exhibits symptoms such as bloating, abdominal cramps, gas and diarrhea. The symptoms of IBS can be controlled by making lifestyle changes such as incorporating certain modifications to your diet and reducing or managing stress levels. For severe symptoms, you may require medications.

Symptoms
The symptoms of IBS can vary; some of them are:

Bloated stomach
Abdominal cramps
Flatulence
Constipation or diarrhea
Presence of mucus in the stool
Some other severe symptoms of IBS include sudden loss of weight and rectal bleeding.
Causes
The exact cause of IBS is not known, but there are certain factors that may act as triggers. There are muscles lining the walls of the intestine that relax and contract in a proper rhythm, thus allowing the passage of food through the intestine. In case of IBS, these contractions tend to be irregular, resulting in gas, bloating and diarrhea.

Some of the factors that can trigger this condition are:

Hormones: Hormonal changes can play a role in triggering IBS. For a woman, the symptoms can worsen during her menstrual cycles.
Stress: Studies show that symptoms of IBS considerably increase if you are subject to increased stress levels over a prolonged period of time.
Foods: Certain foods such as spices, chocolate, milk and broccoli can act as triggers.
Other Disorders: In some cases, other underlying conditions such as bacterial overgrowth or infectious diarrhea can cause IBS.
Treatment
The initial step to manage the symptoms of this condition is to make prompt changes in your diet, such as eliminating spicy foods and dairy products, at least till the symptoms subside. It is advised to resort to medications only if the dietary changes fail to yield results.

The various treatments are:

Anti-diarrheal Medications: Anti-diarrheal medication such as  loperamide  is used to control and manage diarrhea.
Fiber Supplements: Certain fiber supplements such as  methylcellulose  and  psyllium  can help in managing constipation.
Antibiotics: Antibiotics are prescribed only if the symptoms result from bacterial overgrowth in the intestine.

Irritable Bowel Syndrome - 6 Signs You Are Suffering from It!

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