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In particular, stimulant laxatives should not be used frequently because they can cause dependence in which an individual loses normal colon function and is unable to defecate without taking a laxative. [7] Frequent use of osmotic laxatives should be avoided as well as they can cause electrolyte imbalances. [citation needed]
Diverticulitis, also called colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—that can develop in the wall of the large intestine. [1] Symptoms typically include lower abdominal pain of sudden onset, but the onset may also occur over a few days. [1]
Treatment may consist of antibiotics, aminosalicylates (mesalamine), or prednisone. In rare cases, surgery with segmental resection may be considered. The long term prognosis is likely benign, although data is lacking. The prevalence of SCAD ranges from 0.3 - 1.3 percent.
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Gay bowel syndrome" is an obsolete classification of various sexually transmitted rectal infections observed in men who have sex with men. It was first used by Dr. Henry L. Kazal in 1976 to describe conditions he observed in his proctology practice, which had many gay patients. [ 1 ]
Frequent use of enemas can cause laxative dependency. [67] The enema tube and solution may stimulate the vagus nerve, which may trigger an arrhythmia such as bradycardia. Enemas should not be used if there is an undiagnosed abdominal pain since the peristalsis of the bowel can cause an inflamed appendix to rupture.
A colonoscopy should be performed 4–6 weeks after an acute episode. Contrast CT is the investigation of choice in acute episodes of diverticulitis and where complications exist. MRI provides a clear picture of the soft tissue of the abdomen, however, its expense often outweighs the benefits when compared to contrast CT or colonoscopy.
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