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 which is referred to as IBS, in short, is a set of health symptoms that occur at the same time. These symptoms include abdominal pain, changes in bowel movements such as diarrhoea and constipation. You may experience these symptoms in the digestive tract without noticing any visible signs. An irritable bowel syndrome is a disorder that occurs as a result of interactions with the brain and the gut; this is related to functional gastrointestinal disorders. Therefore, irritable bowel syndrome is a type of functional gastrointestinal disorder. The problems can result in the gut-turning extremely sensitive. This alters how the muscles contract in the bowel movements. There are certain home remedies that you can adopt in order to gain some relief from irritable bowel syndrome which is as follows:

A Fiber-Rich Diet: Fiber-rich food items can provide relief from a case of constipation. But at the same time it can cause gas, and in case you are a person already suffering from gas, it will increase it. It can lead to cramping as well. Once you start having fiber-rich food items such as beans, vegetables and fruits, try to gradually increase the amount in your daily diet. If you want to avoid the discomforting feeling of bloating and gas you can take fiber supplements instead. Also, make sure that stay miles away from food items that show even the slightest chance of triggering your symptoms.
Time Matters: Skipping meals is never a good idea when it comes to your health. Also, make sure that you eat your meals at a fixed time every day. This practice will keep your bowel in proper functioning order. For patients suffering from frequent episodes of diarrhoea, eating small portions of food every few hours is a good option and for people suffering from constipation eating bigger portions of high-fiber foods will be extremely beneficial to facilitate smooth movement of the food through the intestines.
Exercise Every Day: Exercising every day is a very healthy practice that ensures a healthy mind and body. Exercising not only stimulates body functions such as contractions of the intestines but also de-stresses you and relieves you from depressive thoughts.
Include Probiotics: According to recent studies, it has been found that Probiotics can aid in providing relief from symptoms of irritable bowel syndrome (IBS). Probiotics are termed as  good bacteria  that normally reside in the intestines and can also be found in yoghurt. There are also dietary supplements available that contain a considerable amount of Probiotics.

Irritable Bowel Syndrome (IBS) - What To Expect

Irritable bowel syndrome is a disorder that is diagnosed on the basis of its symptoms. It is characterised by intense abdominal pain, discomfort, bloating and change in bowel habits. One of the primary symptoms of IBS is abdominal pain. It may also be accompanied with frequent diarrhoea or constipation. There might also be a feeling of partial or incomplete evacuation. The symptoms are sometimes relieved by the proper bowel movement. Other symptoms, in this case, include depression and anxiety. In rare cases, there is also a possibility of sexual dysfunction and a reduced libido.

Causes of Irritable Bowel Syndrome 

The exact reason behind the occurrence of IBS is not known. It is a disruption of the brain-gut axis that is known to cause the problem. It is also caused due to small intestinal bacterial overgrowth.

Triggering factors 

IBS is intensified or triggered by the following factors:

Foods: Edibles like chocolate, milk and alcohol might lead to constipation or diarrhoea. One must also avoid carbonated beverages and some fruits and vegetables. These might lead to bloating and discomfort.

Stress: The condition gets worse with any type of stress.

Hormones: In women, the symptoms occur as a result of the hormones during menstrual periods.

Complications: It is not associated with any fatal condition. But it can lead to diarrhoea and constipation and aggravate hemorrhoids.

Adverse Impacts of the Disease-

IBS has an adverse impact on your lifestyle. It will limit your ability to get social or carry out your daily professional activities. You will find it difficult to cope up with the symptoms while living away from your comfort zone or home. You will not have a good sex life. You will get depressed and may even feel suicidal in extreme cases.

Treatment of Irritable Bowel Syndrome-

IBS is treated broadly by bringing in certain changes in the lifestyle. To begin with, you are advised to check your diet. Include fibre in your diet, if you are suffering from constipation. Also, avoid oily, spicy and hot food items. Besides, you are prescribed medicines such as stool softeners and laxatives and antispasmodic drugs and proton pump inhibitors.

Homeopathic medicines-IBS requires prolonged treatment. Homoeopathy works best to get you relief from the symptoms and cures it, from the roots. Here are certain homeopathic remedies that are helpful in treating the disorder.

Argentum nitricum

Asafoetida

Colocynthis

Lilium tigrinum

Lycopodium

Natrum carbonicum

Nux vomica

Podophyllum

Sulphur

Aloe

It has to be kept in mind that these are just basic remedies. There are over 150 Homeopathic medicines that can be used for treating IBS. Thus, consult your doctor for the best remedy for you as per the symptoms.  

Treating Irritable Bowel Syndrome With Homeopathy

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 or irritable bowel syndrome, also called irritable bowel, is a disorder that is striking many more people today than ever. It is basically a gastrointestinal motility disorder with no known cause. Not sure, if it has struck you too? Here are the common symptoms of this scourge. You have abdominal pain followed by severe bloating with abdominal cramps after eating. You also feel that your bowels are always full and you suffer from chronic diarrhea, constipation or a combination of both.

What is the treatment for IBS? 

None or close to none, in allopathy. Doctors will give you medicines to manage symptoms and once the medicines are stopped, IBS strikes again. IBS is called  Grahani  in Ayurveda which is the name given to the small intestine because of its property to store and metabolize food. In the small intestine, which sees a lot of agni or enzymatic activity, food is held for a long time till it is digested. But when agni is weak due to malfunctioning digestive enzymes, the small intestine releases food in an undigested form.

There are 4 different types of Grahani based on the type of dosha which is disturbed.

Ayurveda uses the principle of involvement of doshas to understand symptoms in different types of IBS and also provide a system of treatment specific to that particular dosha imbalance. Ayurvedic treatments encompass herbs, food and lifestyle changes.

The concept of weak digestion or  Mand-agni  is also the key, as it leads to the accumulation of Ama , which causes IBS.
When levels of ama are high, the doctor will treat it with fasting and by giving you digestives and carminatives. He will ask you to drink warm water.
In constipation predominant IBS, the doctor will use digestives like chitrakadi vati and shankha vati to get rid of ama. He will also prescribe medicinal ghee preparations such as dashmuladi ghrita and thryushanadi ghrita.
Emesis (vamana) is used to treat diarrhea-predominant IBS.
The Ayurvedic treatment for dysentery predominant IBS is use of laxatives or virechana and use of herbs with spicy and sour tastes.
Complex IBS is treated with the panchakarma, supported by digestives.
Ayurveda relies a lot on buttermilk to treat IBS as it is digestive, astringent, and light to digest. It is usually given with herbs like asafetida, cumin, and rock-salt powder to control bowel movements. Buttermilk also contains a good amount of lactobacillus bacteria, which help to restore the normal flora of the GI tract.
Doctors will ask you to abstain from vata increasing foods like cabbage and beans, if you suffer from flatulence. Restriction of dairy and fruits like bananas may also be required. You will be asked to take a light diet and do away with cheese, non-veg and hard, cold foods. You will also be eating a lot of ginger, fennel and cumin that stimulate secretion of digestive enzymes for treating IBS.

Irritable Bowel Syndrome - Ways Ayurveda Can Help!

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

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