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Doctors Lounge - Gastroenterology Answers
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| fallen1964
- Fri Apr 10, 2009 9:44 am |
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I have gastrointestinal problems for a couple years now. I have had episodes of near syncope while trying to have a bowl movement. Excruciating pain, profuse sweating, nausea and vomiting all while attempting to pass gas as well. I have had blood in my stools for over six months now.
My last colonoscopy revealed thickening of the transverse colon. What is that exactly? What causes this. Is it progressive?
I have a new GI appointment on April 22. Because of my insurance medicaide/medicare he has to justify a second colonoscopy.
I also have no "push". I sometimes cannot feel I have to defecate until it's right there in my rectum. I have to rock back and forth, twist from side to side while pushing to get it out. Lately my movements have been lighter in color.
I was treated for Hep C with pegelated interferon in 2001. My gastro problems began then, I shrugged them off as a nasty side effect of the treatment. However they have not gone away. I have been virus undetectible since then.
Any suggestions?
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| John Kenyon, CNA
- Thu Apr 30, 2009 7:51 pm |
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 Hi there --
Thickening of colonic wall is a common finding which frequently has no clear underlying cause and is poorly understood. It's probable that some sort of autoimmune process underlies some cases, but there's no solid evidence for this. In short, it generally means very little.
Given your description of other problems leading to this colonoscopy, I suspect the lower portion of the vagus nerve may be somehow affected by this thickening and is likely involved in the lack of "push" and other problems you've experienced. Why this would be so is unclear, although I would guess the thickening may make the vagus nerve less sensitive and so requiring a good deal more straining, leading to Valsalva maneuver (straining) and consequent passing out.
How this would be handled medically is something of a mystery to me, but you definitely should be followed by a GI specialist. At this point increasing fiber in the diet is about the only thing I can think of that might be helpful in getting things to move with less effort.
I wish I had a better answer for you, but so little has been researched in this area that very little is available. Good luck to you and please follow up with us as needed.
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