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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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A Boy Has Chronic Constipation, What Could Be Wrong ?

8 year old boy has chronic constipation. has had enemas in past that relieve problem for a short time, healthy diet, very energetic child usually, weighs 26kg. what could be wrong ?
Thu, 17 Mar 2011
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General Surgeon 's  Response

APPROXIMATELY 70% OF THE HUMAN POPULATION SUFFER FROM ACID PEPTIC DISEASE WITH SYMPTOMS LIKE
--BLOATING OR FULLNESS OF ABDOMEN,
--BELCHING
--BURNING OF CHEST,
--FOREIGN BODY SENSATION IN THROAT,
--IRREGULAR BOWEL MOVEMENT, MOSTLY CONSTIPATION SOMETIME LOSE WITH MUCUS
--NON SPECIFIC ABDOMINAL PAIN,
--PRICKING SENSATION IN ABDOMEN,
--WEAKNESS,
--LETHARGY,
-- AND EVEN A MAJOR CAUSATIVE FACTOR FOR HEADACHE.
CAUSE:
OUT OF THE 100 PEOPLE SUFFERING FROM THESE SYMPTOMS, I BELIEVE THAT THE CAUSATIVE FACTOR FOR 98% OF THESE PEOPLE IS ADHESIONS OF THE ASCENDING COLON TO THE INTERIOR ABDOMINAL WALL AS A PROTECTIVE MECHANISM TOWARDS SUB ACUTE APPENDICITIS.
THE APPENDIX HAS A SMALL LUMEN IN CONTINUATION WITH THE LUMEN OF THE LARGE INTESTINE (CAECUM).IT HAS NO VALVE AND HAS A BLIND END.
SUB ACUTE APPENDICITIS IS A CONDITION WHERE THERE IS IMPACTION OF STOOL IN ITS LUMEN WHICH STAYS THERE FOREVER BECAUSE OF ITS BLIND END. A PATIENT SUFFERING FROM THIS CONDITION, THAT IS, INITIAL IMPACTION OF STOOL IN THE APPENDICULAR LUMEN, NEVER COMPLAINS OR HAS ANY SYMPTOMS OF PAIN OVER THE APPENDICULAR REGION BECAUSE THE LUMEN COULD ACCOMMODATE THE SMALL IMPACTION. PROTECTIVE MECHANISM OF OUR BODY NOW COMES INTO PLAY AND TRIES TO PREVENT FURTHER IMPACTION WHICH COULD OTHERWISE LEAD TO ACUTE PAIN OVER THE APPENDICULAR REGION OR EVEN PERFORATION WHICH COULD BE FATAL .
OUR BODY HERE FOLLOWS THE SIMPLE PRINCIPLES OF PHYSICS. LET US IMAGINE OUR INTESTINE TO BE A PIPE AND THE APPENDICULAR LUMEN A SMALL HOLE ON THE PIPE.TO PREVENT LEAKAGE OF WATER THROUGH THE HOLE, THE PRINCIPLE IS TO REDUCE THE FLOW RATE. SIMILARLY TO PREVENT FURTHER LEAKAGE OR IMPACTION OF STOOL INTO THE APPENDICULAR LUMEN, THE MOTILITY OF THE ADJACENT GUT NEEDS TO BE REDUCED WHICH IS ACHIEVED BY ADHESION OF THE ASCENDING COLON TO THE INTERIOR ABDOMINAL WALL , RESTRICTING
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Ayurveda Specialist Dr. Rajesh Lakhanpaul's  Response
His less fiber in take or more fast food may be the cause. For Constipation ayurveda recommends more vegetables specially leafy vegetables, Add fruits and not fruit juices to his diet. Papaya is good. Develop reflex by visiting toilet at same time and in no hurry. For children Gul kand works good if not satisfied harar can be added or sat isabgol can be given till normacy is ensured.
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A Boy Has Chronic Constipation, What Could Be Wrong ?

APPROXIMATELY 70% OF THE HUMAN POPULATION SUFFER FROM ACID PEPTIC DISEASE WITH SYMPTOMS LIKE --BLOATING OR FULLNESS OF ABDOMEN, --BELCHING --BURNING OF CHEST, --FOREIGN BODY SENSATION IN THROAT, --IRREGULAR BOWEL MOVEMENT, MOSTLY CONSTIPATION SOMETIME LOSE WITH MUCUS --NON SPECIFIC ABDOMINAL PAIN, --PRICKING SENSATION IN ABDOMEN, --WEAKNESS, --LETHARGY, -- AND EVEN A MAJOR CAUSATIVE FACTOR FOR HEADACHE. CAUSE: OUT OF THE 100 PEOPLE SUFFERING FROM THESE SYMPTOMS, I BELIEVE THAT THE CAUSATIVE FACTOR FOR 98% OF THESE PEOPLE IS ADHESIONS OF THE ASCENDING COLON TO THE INTERIOR ABDOMINAL WALL AS A PROTECTIVE MECHANISM TOWARDS SUB ACUTE APPENDICITIS. THE APPENDIX HAS A SMALL LUMEN IN CONTINUATION WITH THE LUMEN OF THE LARGE INTESTINE (CAECUM).IT HAS NO VALVE AND HAS A BLIND END. SUB ACUTE APPENDICITIS IS A CONDITION WHERE THERE IS IMPACTION OF STOOL IN ITS LUMEN WHICH STAYS THERE FOREVER BECAUSE OF ITS BLIND END. A PATIENT SUFFERING FROM THIS CONDITION, THAT IS, INITIAL IMPACTION OF STOOL IN THE APPENDICULAR LUMEN, NEVER COMPLAINS OR HAS ANY SYMPTOMS OF PAIN OVER THE APPENDICULAR REGION BECAUSE THE LUMEN COULD ACCOMMODATE THE SMALL IMPACTION. PROTECTIVE MECHANISM OF OUR BODY NOW COMES INTO PLAY AND TRIES TO PREVENT FURTHER IMPACTION WHICH COULD OTHERWISE LEAD TO ACUTE PAIN OVER THE APPENDICULAR REGION OR EVEN PERFORATION WHICH COULD BE FATAL . OUR BODY HERE FOLLOWS THE SIMPLE PRINCIPLES OF PHYSICS. LET US IMAGINE OUR INTESTINE TO BE A PIPE AND THE APPENDICULAR LUMEN A SMALL HOLE ON THE PIPE.TO PREVENT LEAKAGE OF WATER THROUGH THE HOLE, THE PRINCIPLE IS TO REDUCE THE FLOW RATE. SIMILARLY TO PREVENT FURTHER LEAKAGE OR IMPACTION OF STOOL INTO THE APPENDICULAR LUMEN, THE MOTILITY OF THE ADJACENT GUT NEEDS TO BE REDUCED WHICH IS ACHIEVED BY ADHESION OF THE ASCENDING COLON TO THE INTERIOR ABDOMINAL WALL , RESTRICTING