Page 36 - NAMAH-Jul-2019

Namah Vol. 27, Issue 2, 15th July 2019

under voluntary control. Young children was asked to consume only boiled water.
learn voluntary control through the process They pumped antiprotozoal medicines
of toilet training. The anal and urethral into her with no relief. Symptoms like low-
sphincter muscles are closely linked. This grade fever, loss of weight and palpitations
explains why defecation is frequently prompted me to check her thyroid profile.
accompanied by urination. There are It clearly indicated thyrotoxicosis. Once her
possibilities of developing incontinence. It thyroid functioning was moderated with anti-
may develop with age. It may also come as hyperthyroidism agents (neomercazole) her
aresult of surgical, obstetric, spinal or other so-called amoebic colitis got cured. It was her
bodily injuries. It may also be an effect thyrotoxicosis which was causing frequent
of neurological impairment secondary bowel motions and not amoebiasis.
to diabetes, cerebral-vascular accidents
or multiple sclerosis. Incontinence may also Another lady had prolapse per rectum. She
be influenced by pain, fear, temperature was having inactive rectum with no urge for
elevation and psychological or neurological defecation. It was a great task for her to clear
complications. the bowels. She was almost dependent upon
laxatives for clearing her bowels. The presence
Haemorrhoids of complaints like rectal sluggishness,
Haemorrhoids are very common. It is intolerance to cold and weight gain prompted
estimated that 75% of the adult population us to study her thyroid profile, which showed
will have haemorrhoids at some point of she was in a hypothyroid state. Mere thyroid
their lives. Sometimes they don’t cause any supplements and pelvicfloor exercises helped
symptoms but at other times they can cause her to get rid of her complaints.
itching, discomfort and bleeding as a result
of engorgement of the rectal veins. The habit In many instances, haemorrhoids can be
of straining for defaecation might aggravate indicators of cirrhosis of the liver as rectal
bleeding from haemorrhoids.Haemorrhoids veins are a site for shunting of systemic and
are more likely with aging because the tissues portal circulation.
that support the veins in your rectum and anus
can weaken and stretch. The haemorrhoids I once treated one boy aged 12 years for faecal
may bleed while defecating, some may just incontinence. He used to get sensations of
protrude. Occasionally they get thrombosed, passing flatus during which faeces used to
making it avery painful condition. escape. His parents and teachers used to
reprimand him for his incontinence. He was
There are innumerable disease conditions reluctant to attend school for this reason.
which have their indication in bowel dysfunctions. It took three months to treat him with due
I remember a middle-aged lady who was being counselling and homoeopathic medicines.
treated for amoebic colitis for more than six
months. She used to get frequent dysenteric A girl with hepatitis A had white faeces
stools, scanty with mucus and tenesmus. while icterus (yellow discoloration of skin
Coincidently her faecal examination revealed and sclera) was apparent all over. When
presence of Entamoebahistolyticacysts. She treatment was started for the liver infection

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