Ulcerative Colitis

Ulcerative colitis is a chronic disease of the large intestine, also known as the colon, in which the lining of the colon becomes inflamed and develops tiny open sores, or ulcers, that produce pus and mucous. The combination of inflammation and ulceration can cause abdominal discomfort and frequent emptying of the colon, Ulcerative colitis is a global condition affecting people world over. It may affect any age group, although there are peaks at ages 15 – 30 and then again at ages 50 – 70. Male & Females are equally.

Signs and Symptoms

About half of all the patients with ulcerative colitis experience mild symptoms. Variability of symptoms reflects differences in the extent of disease (the amount of the colon and rectum that are inflamed) and the intensity of inflammation. Generally, patients with inflammation confined to the rectum and a short segment of the colon adjacent to the rectum have milder symptoms and a better prognosis than patients with more widespread inflammation of the colon.

The main symptoms are:

Abdominal Discomfort Or Cramps
Rectal Bleeding
Diarrhea

Other symptoms include:

Anemia
Fatigue
Fever
Nausea
Weight loss
Nausea
Loss of appetite
Mouth ulcers
Loss of body fluids and nutrients
Skin lesions

Acidity & Acid Reflux

At the entrance to your stomach is a valve, which is a ring of muscle, called the lower esophageal sphincter (LES). Normally, the LES closes as soon as food passes through it. If the LES doesn't close all the way or if it opens too often, acid produced by your stomach can move up into your esophagus. This can cause symptoms such as a burning chest pain called heartburn. If acid reflux symptoms happen more than twice a week, you have acid refluxdisease, also known as gastroesophageal reflux disease (GERD).

Piles & Hemorrhoids

Piles is another term for hemorrhoids. Hemorrhoids are collections of inflamed tissue in the anal canal. They contain blood vessels, support tissue, muscle, and elastic fibers

What are piles?

Piles are inflamed and swollen collections of tissue in the anal area.They can have a range of sizes, and they may be internal or external.Internal piles are normally located between 2 and 4 centimeters (cm) above the opening of the anus, and they are the more common type. External piles occur on the outside edge of the anus.

Causes

Piles are caused by increased pressure in the lower rectum. The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge, forming piles. This may be due to:

Chronic constipation
Chronic Diarrhea
Lifting Heavy Weights
Pregnancy
Straining when passing a stool

The tendency to develop piles may also be inherited and increases with age.

Symptoms

An individual with piles may experience the following symptoms:

A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles that contain blood are called thrombosed external hemorrhoids
After passing a stool, a person with piles may experience the feeling that the bowels are still full.
Bright red blood is visible after a bowel movement.
The area around the anus is itchy, red, and sore.
Pain occurs during the passing of a stool.

Piles can escalate into a more severe condition. This can include: a strangulated hemorrhoid, in which the blood supply to the hemorrhoid is cut off, causing complications including infection or a blood clot.

IBS is a mix of belly discomfort or pain and trouble with bowel habits: either going more or less often than normal (diarrhea or constipation) or having a different kind of stool (thin, hard, or soft and liquid).

What Are the Symptoms of IBS?

Diarrhea (often described as violent episodes of diarrhea)

Constipation
Constipation alternating with diarrhea
Belly pains or cramps, usually in the lower half of the belly, that get worse after meals and feel better after a bowel movement
A lot of gas or bloating
Constipation means different things to different people. For many people, it simply means infrequent passage of stool (feces). For others, however, it means hard stools, difficulty passing them (straining), or a sense of incomplete emptying after a bowel movement. The cause of each of these symptoms of constipation vary, so the approach to each should be tailored to each specific patient.
Constipation also can alternate with diarrhea. This pattern commonly occurs as part of the irritable bowel syndrome (IBS). At the extreme end of the spectrum for it is fecal impaction, which is when the stool hardens in the rectum and prevents passage (although occasionally diarrhea may occur even with obstruction due to colonic fluid leaking around the impacted stool).

Bloating (Gas)

Gas in the gastrointestinal tract has only two sources. It is either swallowed air or is produced by bacteria that normally inhabit the intestines, primarily the colon. Belching or burping is a universal ability that works by removing gas from the stomach through the mouth. The stomach can become bloated when too much air is swallowed during eating and drinking too quickly. As the stomach swells, belching removes the gas and alleviates the pain associated with it. Burping can also be used as a form of relief from abdominal discomfort other than too much gas in the stomach.Flatulence or farting works much like burping, but helps the body pass gas through the anus, not the mouth. Bacteria present in the intestinal tract cause gas to be expelled from the anus. They produce the gas as food is digested and moved from the small intestine. This gas builds up and causes swelling or bloating in the abdominal area before it is released.

Diarrhea

Diarrhea is an increase in the frequency of bowel movements or a decrease in the form of stool (greater looseness of stool). Although changes in frequency of bowel movements and looseness of stools can vary independently of each other, changes often occur in both.

Under Pain Management

Gout (Uric Acid)

The body converts purines into uric acid. Gout can occur whenever there is too much uric acid in the blood. Uric acid is normally excreted in the urine, but high levels can form sharp crystals in the joints, causing inflammation and intense pain.

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