What are the signs and symptoms?
It is not uncommon for people to experience a range of signs and symptoms of gastrointestinal disorders and suffer for years without a proper diagnosis. Gastrointestinal disorders affect the digestive tract starting from the mouth to the anus and can be mildly inconvenient, chronic, or even life-threatening.
Structural gastrointestinal diseases are those where your bowel looks abnormal upon examination and also doesn't work properly. Sometimes, the structural abnormality needs to be removed surgically.
Common examples of structural GI diseases include: Acid Reflux, Bloating, Upset Stomach, Constipation, Irritable bowel syndrome, Hemorrhoids, Anal fissures, Perianal abscesses, Anal fistula, Diverticulosis, Colorectal cancer, and Colitis.
Constipation makes it hard for you to have a bowel movement, the stools are infrequent, or incomplete. Constipation is usually caused by inadequate "roughage" or fiber in your diet, or a disruption of your regular routine or diet.
You can treat your constipation by: 1) Increasing the amount of fiber and water to your diet. 2) Exercising regularly and increasing the intensity of your exercises as tolerated. 3) Moving your bowels when you have the urge (resisting the urge causes constipation).
If these treatment methods don't work, the most common treatment is laxatives.
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Irritable bowel syndrome
Irritable bowel syndrome, also called spastic colon, irritable colon, IBS, or nervous stomach, is a functional condition where your colon muscle contracts more or less often than “normal.” Certain foods, medicines and emotional stress are some factors that can trigger IBS.
Symptoms of IBS include:
Abdominal pain and cramps.
Change in bowel habits such as harder, looser, or more urgent stools than normal.
Alternating constipation and diarrhea.
Avoiding excessive caffeine.
Increasing fiber in your diet.
Monitoring which foods trigger your IBS (and avoiding these foods).
Minimizing stress or learning different ways to cope with stress.
Taking medicines as prescribed by your healthcare provider.
Avoiding dehydration, and hydrating well throughout the day.
Getting high quality rest/sleep.
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Hemorrhoids are dilated veins in the anal canal, structural disease. They’re swollen blood vessels that line your anal opening. They are caused by chronic excess pressure from straining during a bowel movement, persistent diarrhea, or pregnancy. There are two types of hemorrhoids: internal and external. Internal hemorrhoids develop inside the rectum, while external hemorrhoids develop around the anus.
Treatment for internal hemorrhoids includes:
Improving bowel habits (such as avoiding constipation, not straining during bowel movements and moving your bowels when you have the urge).
Your healthcare provider using ligating bands to eliminate the vessels.
Your healthcare provider removing them surgically. Surgery is needed only for a small number of people with very large, painful and persistent hemorrhoids.
Treatment for external hemorrhoids includes removing the clot and vein under local anesthesia and/or removing the hemorrhoid itself.
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Anal fissures are also a structural disease. They are splits or cracks in the lining of your anal opening. The most common cause of an anal fissure is the passage of very hard or watery stools. The crack in the anal lining exposes the underlying muscles that control the passage of stool through the anus and out of the body. An anal fissure is one of the most painful problems because the exposed muscles become irritated from exposure to stool or air, and leads to intense burning pain, bleeding, or spasm after bowel movements.
Initial treatment for anal fissures includes pain medicine, dietary fiber to reduce the occurrence of large, bulky stools and sitz baths (sitting in a few inches of warm water). If these treatments don't relieve your pain, surgery might be needed to repair the sphincter muscle.
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Perianal abscesses, also a structural disease, can occur when the tiny anal glands that open on the inside of your anus become blocked, and the bacteria always present in these glands causes an infection. When pus develops, an abscess forms.
Treatment includes draining the abscess, usually under local anesthesia in the healthcare provider’s office.
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An anal fistula, a structural disease, often follows drainage of an abscess and is an abnormal tube-like passageway from the anal canal to a hole in the skin near the opening of your anus. Body wastes traveling through your anal canal are diverted through this tiny channel and out through the skin, causing itching and irritation. Fistulas also cause drainage, pain and bleeding. They rarely heal by themselves and usually need surgery to drain the abscess and "close off" the fistula.
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The structural disease diverticulosis is the presence of small outpouchings (diverticula) in the muscular wall of your large intestine that form in weakened areas of the bowel. They usually occur in the sigmoid colon, the high-pressure area of the lower large intestine.
Complications of diverticular disease happen in about 10% of people with outpouchings. They include infection or inflammation (diverticulitis), bleeding and obstruction.
Treatment of diverticulitis includes treating the constipation and sometimes antibiotics if really severe. Surgery is needed as last resort in those who have significant complications to remove the involved diseased segment of the colon.
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Colon polyps and cancer
Colorectal cancer is the second most common form of cancer in the United States. Fortunately, with advances in early detection and treatment, colorectal cancer is one of the most curable forms of the disease. By using a variety of screening tests, it is possible to prevent, detect and treat the disease long before symptoms appear.
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There are several types of colitis, which are conditions that cause an inflammation of the bowel. These include: Infectious colitis, Ulcerative colitis, Crohn's disease, Ischemic colitis, and Radiation colitis.
Colitis causes diarrhea, rectal bleeding, abdominal cramps and urgency (frequent and immediate need to empty the bowels). Treatment depends on the diagnosis, which is made by colonoscopy and biopsy.
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Disclaimer: This statement has not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. Please follow CDC prevention guidelines and recommendations.