Treat Anal Fissures

It is normal for a patient to have absent or diminished bowel sounds after a postoperative ileus. Then nurse should ask the patient if they fell nauseous or feel like vomiting because if they do it should be addressed with antiemetic or prokinetic drugs. The nurse should assess for pain and avoid the use of opioid analgesics this will help by not prolonging but minimizing the duration of a postoperative ileus. The nurse should provide the patient with IV fluids until they can tolerate oral fluids to prevent dehydration and for the purpose of maintain fluid and electrolyte balance. The nurse should encourage early ambulation to promote peristalsis. Also, the nurse needs to assess the patient regularly to make sure they pass gas or have a bowel movement because this indicates the return of peristalsis which is a short term goal set for the patient. Once bowel sounds have returned the nurse should encourage the patient to resume to a normal diet to allow the return of normal peristalsis. Now, if the patient is not able to pass gas or have a bowel movement Bisacodyl (Dulcolax) suppositories may be given to stimulate peristalsis and promote the passage of gas or bowel

Clean skin every morning and night with a gentle oil-free and alcohol-free cleanser. Using alcohol and harsh cleansers can irritate and dry the skin. First, hands should be washed to remove any bacteria. Next, wet the affected areas with warm water to open the pores. Apply cleanser and wash the entire area two to three times with gentle, circular motions. Rinse the area with cool water to minimize pores and pat dry.

The inflammation in diverticulitis is believed to be the result of fecal material that gets trapped in a diverticulum. The resulting fecal stone, or fecalith, causes pressure and necrosis of the diverticulum. The inflammation progresses and perforates into the mucosa of the colon. A small perforation is easily treated with antibiotics. A large perforation may wall off and create an abscess which can erode into nearby structures such as the small bowel or bladder, anterior abdominal wall, and fecal peritonitis can occur. (textbook)

Pathophysiology: Diverticulitis, is characterized by inflamed diverticuli and increased luminal pressures that cause erosion of the bowel wall and thus microscopic or macroscopic perforation into the peritoneum. A localized abscess develops when the

For best results with this remedy, mix one tablespoon of ACV into a 4-ounce spray bottle, shake well, and spray directly onto the affected area.

Pain can be categorized as acute or chronic pain. Chronic pain is described as pain that is both long-term and continuous, or is pain that persists after the expected healing time following an injury (British Pain Society, n.d.) Acute pain can provide a warning signal that an illness or injury has occurred. It is defined as pain that lasts less than three months and lessens with healing (Briggs, 2010). Acute pain can then be described in more detail by the following categories; somatic, visceral and neuropathic pain. Somatic pain is a localized pain described as sharp, burning, dull, aching or cramping. It is seen with incisional pain and orthopedic injuries or procedures. Visceral pain refers to an injury to the organs and linings of the body cavities. It produces diffuse pain and can be described as splitting, sharp or stabbing. This is pain that be described from patients with appendicitis, pancreatitis or intestinal injuries and illnesses. Injuries to the nerve fibers, spinal cord and central nervous system cause neuropathic pain. This pain can be described as shooting, burning, fiery, sharp, and as a painful numbness. This can be seen after an

Simplest piles can be handled with nutritional and bowel routine customization. You will find limitless people treatments for hemorrhoids in most tradition. Nevertheless, once they get large and unpleasant, surgery is usually required. Small hemorrhoids could include an easy rubber-band ligation, which may be completed within the physician's workplace. Bigger hemorrhoids require surgical resection. It takes to

Surgery remains a cornerstone of peritonitis treatment. The operative approach is directed by the underlying disease process and the type and severity of the intra-abdominal infection. In severe abdominal sepsis, however, delays in operative management may lead to a significantly higher need for reoperation and to worse outcomes overall; early exploration (i.e., before completion of diagnostic studies) may be indicated. Surgical intervention may include resection of a perforated viscus with reanastomosis or the creation of a fistula. To reduce the bacterial load, lavage of the abdominal cavity is performed, with particular attention to areas prone to abscess formation (eg, paracolic gutters and the subphrenic area). Laparoscopy

Diverticula many times happen when outpouchings becomes blocked with waste, this allows for bacteria to build up and cause an infection. Diverticula can cause bleeding which can be painless; meanwhile, also effect weakness of the Vasa Recta. Diverticula can be a chronic condition which varies among geography region. More than half the population in the United Kingdom will be diagnosed with Diverticula by the age 50. The United States has a 20% increase of acute diverticula disease between the years of 1998-2005. On the other hand, the United States age range for this condition is 18-44 years. That’s 82% of the population men under 50 years of age are more likely than female to have this condition. Female’s age range for this condition is 50-70

Hemorrhoids are symptomatic enlargement and distal displacement of the normal anal cushions with dysregulation of the vascular tone and vascular hyperplasia.1 Symptoms from hemorrhoids include bleeding, pain, prolapse and perianal itch with prevalence rates of up to 4.4% within the general population.2

Measures should be taken to correct and reduce the IAP arising due to ileus by both gastric and rectal decompression. Endoscopic decompression may be required in advance cases of ileus. Simultaneous correction of electrolyte imbalance should also be done especially potassium and magnesium. Prokinetic agents like use of metoclopromide and erythromycin may also be tried. Use of neostigmine, although not a prokinetic, may be particularly helpful in managing a case of pseudo colonic obstruction (Ogilive

Anal fissures exhibit several symptoms, namely, anal pains during bowel movement; severe pain causing hesitation to bowel—which leads to

Prolapses of the rectum befall either with bowel movements or independently. In the ageing people, rectal prolapse originally only happens with defecation and then retracts suddenly.

Rectal prolapse, also called rectocele, befalls when the rectum becomes overextended, drops down and bulges from the anus. This might be a partial rectal prolapse, encompassing just the mucosa (the moist tissue that lines portions of the body, including the digestive tract), or a complete prolapse, encompassing the entire rectal wall. Rectal prolapse is related with weakness in the anal sphincter muscle and can lead to the leakage or stool or mucus. This ailment can occur in both genders, though it is much more common in ladies. In fact, females age 50 and older are six times more likely to develop rectal prolapse than males and females are most likely to develop this condition in their 70s. This ailment most often occurs in kids under the

Constipation is a common, yet complex symptom that may be idiopathic or manifest secondary to an underlying disorder. While it is generally not life threatening on its own, constipation has a significant adverse impact on the comfort and quality of life clinically affecting about 10-19% of the American population at any one time (Smeltzer, Bare, Hinkle & Cheever, 2013, p.1286). A symptom rather than a disease, causation is defined as either primary or secondary. Primary causes relate to the dysfunction of colonic motility, defecation, or both. Secondary causes of constipation are related to medications, lifestyle, neuropathological problems, endocrine disturbances, metabolic or may be related to neuropathological issues (Andrews & Storr, 2011, p.16B; Marples, 2011, p.41). There are two criteria that are used in the canon of literature related to chronic constipation. The American College of Gastroenterology defines constipation as “a symptom-based disorder characterized by unsatisfactory defecation due to infrequent stools, difficult stool passage, or both” (Gallegos-Orozco, Foxx-Orenstein, Sterler & Stoa, 2012, p.18). Used for symptoms that are