Pouch Outlet Obstruction

In the early postoperative period, before takedown of the diverting ileostomy, a thin web-like stricture often forms at the ileal pouch-anal anastomotic line. After the fecal stream into the pouch is restored, persistence of this stricture obstructs the pouch outlet, leading to incomplete evacuation, somewhat analogous to bladder outlet obstruction in prostatism. The patient will complain of diarrhea due to incomplete emptying of the pouch, resulting in overflow leakage and fecal frequency. Digital examination of the anus demonstrates a narrowing of the upper anal canal. These strictures can usually be dilated easily with the finger or a rubber dilator. In some patients, anastomotic strictures can progress to become chronic, recurrent and fibrotic, and to require regular dilatation.

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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