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The Symptoms of Bowel Problems This article will help you
understand the symptoms of bowel problems. I had Crohn's disease or
ulcerative colitis (diagnosis was uncertain) for years, so it's been an
area of interest for me as a practitioner.
Broadly, they
are either local
(eg a pain in a particular place in the body) or general (eg weight
loss or weakness). The whole body is affected because bowel problems
may prevent the body being adequately nourished or because it is reacting to
the presence of large areas of inflammation, or other changes in th e bowel.
I'll then go on to talk in more detail about the symptoms of irritable
bowel syndrome (ibs), inflammatory bowel disease (ibd), and other
bowel conditions.
Briefly
for now: IBD is the general name given to a group of three
conditions (Crohn's disease, ulcerative colitis and non-specific
proctocolitis). All have inflammation of the bowel lining as part of
their picture - but they differ in other ways.
I'll then describe some of what we know about alternative treatments for bowel conditions - through links to other pages.
As ever, this information does not substitute for the advice and
support of a qualified health practitioner ... if it helps a few
people to scuttle off and get an early diagnosis; or to understand
their bowel symptoms and their situation better ... I'll be happy.
Background to the symptoms of bowel problems: the human bowel ...

... is picked out in red in this illustration.
It is made up of the small bowel or small intestine and the large
bowel or large intestine.
Food enters the small bowel from the stomach to continue the process of
digestion.
So - problems in the small bowel can cause food to remain undigested (because
nutrients aren't available to the body).
Pains that come from the small bowel usually occur because the bowel
wall is stretched by gas. They can feel indistinct and it can be difficult
to identify a location.
Large bowel - bigger structure. Contents enter bottom left, then it
loops up, across and down to the rectum and anus.
Background to the symptoms of bowel problems: the small bowel
Partly digested food enters from the stomach in
an acid state - see top left of diagram (as you view it)
Bile from the liver neutralizes the acid and digestion continues in an
alkaline environment.
The surface area of the inner lining is vast, so nutrients can be
easily absorbed into the blood stream.
Notice where the red color ends abruptly, bottom left. This is where
the bowel contents pass from small to large bowel. One of the typical
symptoms of bowel problems is felt here: the pain of Crohn's disease
when it is located in the 'terminal ileum' (called terminal ileitis),
ie the lower end of the small intestine.
The word ending '-itis' in medicine means 'inflammation' - as in
conjunctiv-itis and gastr-itis.
B vitamins are absorbed here - Crohn's disease can cause problems with
vitamin absorption.
Background to the symptoms of bowel problems: the large bowel
The large bowel absorbs water from the feces, dries and compacts them
and passes them into the rectum.
Bowel contents pass from the cecum - bottom left of the
picture. You'd feel any pain here in your lower right abdomen.

See the small, fine finger-like structure, pointing down? That's the
appendix.
Large bowel contents pass up the right side of the abdomen in the
ascending colon; pass across the body in the transverse colon and down
the descending colon.
The lowest part of the colon is called the sigmoid - from its S-shape.
The large bowel ends in the rectum, that stores and compacts
the stools, which pass form there to the anus and then out of the body.
OK - whistle-stop tour over ... but it's going to be helpful to know a
bit about the 'geography' of your bowel - and what the different parts
do - to understand the symptoms of bowel problems.
I'm just going to list the possible symptoms of bowel problems here
under two headings: local and general.
Other pages are available on the symptoms of different bowel problems and bowel illnesses
- the links follow down the page.
Local symptoms of bowel problemsHere 'left' and 'right' refer to the person's own body - and NOT as viewed by an observer.- Bleeding
- Blood in the stool
- If
black, dark, sticky - comes from bleeding in gullet (esophagus) or
stomach; blood is digested in bowel, causing this change in appearance.
- Common causes: stomach ulcer, duodenal ulcer,
oesophagi tis; erosion of stomach from increased acidity due
to aspirin, alcohol or prescribed non-steroidal anti-inflammatory
drugs.
- Bright red blood: usually bleeding in large bowel.
- Common causes: hemorrhoids (piles); polyps in rectum or colon; tumors, diverticular disease (diverticulosis).
- More rare: from ulcerative colitis
- Pain
- Cramping or colicky abdominal pain accompanies many conditions.
- Under right lower ribs: from liver or gall bladder. Pain may also be felt on top of shoulder or in shoulder blade.
- Severe immediately below the breast bone - consider pancreatitis (could signify alcoholism or gall stones).
- Same pain can come and go in long-standing alcohol misuse - severe following a binge.
- Pain
onset gradual, steady in the lower right abdomen, abdominal wall
stiffens, pain when the abdominal wall is released after pressing -
possibly appendicitis
- Lower right abdomen - possibly from inflammation at join of small and large bowel - a typical site of Crohn's disease.
- Vomiting
- More usual in stomach and esophageal problems.
- Of bright red blood in sudden large stomach bleeds.
- Of "coffee grounds" appearance from slow bleed in the stomach. Blood changes to this appearance when digested in the stomach.
- Constipation
- Diarrhea
- Swelling (distension) of abdomen
General symptoms of bowel problems- Sudden collapse - from
severe blood loss is accompanied by: faintness, nausea, loss of color
(pallor), sweating, fast heart-beat, low blood pressure
- Jaundice: yellowing of skin and whites of the eyes. From liver failure, gall stones, pancreatic disease
- Being 'off food' (anorexia) - unable or unwilling to eat.
- Lethargy, weakness, tiredness.
- Weight loss.
Ii
will discuss these symptoms in greater detail in articles (currently
being prepared) on ibd ... and herbal remedies and alternative
treatments.
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If you have a more specific question, like "What is ibs?" you can find out here about ibs symptoms.

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