Hypermotility=IBS? But....

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momto3
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   Posted 4/19/2011 9:42 AM (GMT -7)   
I called my GI's office back to make an appointment for my follow up to the colonoscopy that I had last Thursday.  The nurse on the phone said my lab work was normal, but that I had *hypermotility* of the stomach and colon..IBS? But....I have horrible constipation and gastroparesis, so virtually nothing moves anywhere on either end, so it should be *hypOmotility*.  Did anyone else receive this diagnosis and have *C*?  Originally, my GI told me he saw lots of inflammation, so I guess I have IBS and that is fine, I just don't understand the hyper part of the diagnosis.  I can't get in for my follow up until May 3rd.  Anyone else have this diagnosis? Am I just nuts?

shawn12
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   Posted 4/19/2011 11:14 AM (GMT -7)   
momto3

There shouldn't be "lots of inflammation" in IBS, do you know where the lots of inflammation was located in your digestive system?

It does seem like it would be hypOmotility as you suggest, but not totally sure.

I would ask them about all this when you see them next.

Make a list of questions.
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I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

momto3
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   Posted 4/19/2011 12:07 PM (GMT -7)   
Hi Shawn,

It was in recovery that my GI said lots of inflammation. He asked me if I had ever been diagnosed with colitis, mixed connective tissue disease or scleraderma? I have not. When I called to make my appt today I was told hypermotility of the stomach/colon. I looked it up and it said IBS, but also rapid emptying of the stomach. I have gastroparesis which is quite the opposite! but I will go ahead and wait for May 3rd. Thanks Shawn!

shawn12
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   Posted 4/19/2011 7:47 PM (GMT -7)   
momto3

In IBS there should be NO inflammation that they can see with tests.

IBS is also basically a problem with the large colon.

There is motility problems in IBS, the d c or d/c and viceral hypersensivity-Pain and brain gut axis dysfunction.

Have you ever had a sitz marker test.

At the moment I don't think were talking about IBS here, because of the inflammation, but that also depends on where the inflammation is to begin with here. As you know you can have more then one thing going on at a time as well.

Hopefully the gi can sort through this for you and take a look at the IBS 101 thread on diagnoses for IBS.


Hope this all helps some for you.
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

momto3
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Date Joined Nov 2006
Total Posts : 1331
   Posted 4/19/2011 8:36 PM (GMT -7)   
Hi Shawn...I do know that some of it was in the rectum and that biopses were taken in that area, so not really sure what to think.  I did more looking into the whole hypermotility thing and some of it is the noisy stomach that some people have and gosh yes I have that, but the only thing that quiets it down truly is prednisone of all things! I don't have any pain anywhere.  Yes, I will take a look at the IBS 101, that you have posted. You have been such a help:)

kazbern
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   Posted 4/20/2011 7:58 AM (GMT -7)   
momto3, if your GI saw inflammation and you feel better when you take prednisone, the simplest conclusion is that you have an inflammatory bowel disease. Many with inflammatory bowel issues also have Irritable Bowel Syndrome, so the dietary changes you might select for IBS will be helpful in feeling better. But you will probably need to take a medical approach to deal with the inflammatory problem.
*******************
48 yrs old, IBD diagnosis in spring '01. Proctitis, gastritis, ileitis.
Currently taking Pentasa (3g/day), Sulfazine (1.5 g/day), Prevacid, folic acid, vit. D (2K iu), flax seed oil (2 tsp/day), mesalamine enema as needed.

Serenitee
Regular Member


Date Joined Apr 2011
Total Posts : 447
   Posted 4/22/2011 9:22 PM (GMT -7)   
Shawn...

I have severe constipation and cannot have a bowel movement without a lot of laxatives. I cannot feel the muscles to go. I just completed a cystodefacography test at the Hospital. My colon has prolapsed severely for the 3rd time. Then I just started another test called a colon transit study. This is for people with a lot of constipation problems.

Are you familiar with eaither one of these tests?

Serenitee

BigLucy
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Date Joined Mar 2007
Total Posts : 413
   Posted 4/22/2011 10:34 PM (GMT -7)   
Just happen on this thread b/c I am scheduled to due a "hyper-mobility" test which my GI states is done by drinking a contrast and then take a succession of x-rays to see how things are processed through the digestive system--that's how a mobility diagnosis is done. I have Ulcerative Colitis which was diagnosed by colonoscopy with biopsies and I was given pictures that showed the inflammation and actual ulcers on the surface of my colon, kinda looked like little volcano's. I'm having the mobility test b/c I have IBS also and right now all solid food I eat causes pain and diarrhea or at times vomiting. Hope this helps.

momto3
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Date Joined Nov 2006
Total Posts : 1331
   Posted 4/28/2011 6:28 PM (GMT -7)   
Hi Lucy,
 
When you say Motility test, do you mean testing for Gastroparesis? To see how long it takes food to empty out of the stomach? I have had this test and have had Gastroparesis for about three years. I had the colonoscopy and hyermotility of the stomach and colon  my diagnosis based on the colonoscopy. It showed inflammation, but the GI took a biopsy, but it came back negative for Colitis. So I am not sure what kind of inflammation I have.  I did drink the barium and had the upper GI endoscope done and it showed inflammation up there, just before I had my GP study done as well.  I also have RA, so maybe I just have inflammation.  But my horrid constipation is what brought me to the GI, I would think it would hypO, not hyper, but when I go on the third maybe he can explain it better.  If I eat regular food such as bread, pasta etc, it will be painful because it just takes too long to digest, but that is the GP doing its evil work.  Thank you for the info, I will ask how the diagnosis was made since all I had done was the colonoscopy.  At this point, I don't know what I have so I am assuming it is just good old fashioned IBS.

momto3
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Date Joined Nov 2006
Total Posts : 1331
   Posted 4/28/2011 6:29 PM (GMT -7)   
Serenity,
This is me as well! However, the only test my GI has done is the colonoscopy, but I am not sure why, it sounds like you have a great doctor.  I hope you find out what is going on.

shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 4/28/2011 7:38 PM (GMT -7)   
Serenitee,

The first test I am not familar with

This test "colon transit study" I believe is the sitz marker test, did they have you swallow rings? This is a common test for C.
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 4/28/2011 7:43 PM (GMT -7)   
Just fyi for this thread. People have other issues here besides IBS.


This is more about IBS

But Motility refers to


There are three primary features of FGIDs - motility, sensation, and brain-gut dysfunction:

•Motility is the muscular activity of the GI tract. Normal motility (e.g., peristalsis) is an orderly sequence of muscular contractions from the top to the bottom. In FGIDs, the motility is abnormal - there can be muscular spasms that can cause pain, and the contractions can be very rapid (fast motility is diarrhea) or very slow (slow motility is constipation).


•Sensation is how the nerves of the GI tract respond to stimuli (for example, digesting a meal). In FGIDs, the nerves are sometimes so sensitive that even normal contractions can bring on pain or discomfort.


•Brain-gut dysfunction relates to the disharmony in the way the brain and GI system communicate. With FGIDs, the regulatory conduit between the brain and gut function may be impaired and this can lead to increased pain and bowel difficulties which can be worsened by stress.


http://www.med.unc.edu/ibs/patient-education/what-are-fgimds




Normal Gastrointestinal Motility and Function


"Motility" is an unfamiliar word to many people; it is used primarily to describe the contraction of the muscles in the gastrointestinal tract. Because the gastrointestinal tract is a circular tube, when these muscles contract, they close off the tube or make the opening inside smaller - they squeeze. These muscles can contract in a synchronized way to move the food in one direction (usually downstream, but occasionally upstream for short distances); this is called peristalsis. If you looked at the intestine, you would see a ring of contraction that moves along pushing contents ahead of it. At other times, the muscles in adjacent parts of the gastrointestinal tract squeeze more or less independently of each other: this has the effect of mixing the contents but not moving them up or down.

Both kinds of contraction patterns are called motility."

The gastrointestinal tract is divided into four distinct parts: the esophagus, stomach, small intestine, and large intestine (colon). They are separated from each other by special muscles called sphincters which normally stay tightly closed and which regulate the movement of food and food residues from one part to another. Each part of the gastrointestinal tract has a unique function to perform in digestion, and as a result each part has a distinct type of motility and sensation. When motility or sensations are not appropriate for performing this function, they cause symptoms such as bloating, vomiting, constipation, or diarrhea which are associated with subjective sensations such as pain, bloating, fullness, and urgency to have a bowel movement. You can learn about the normal patterns of motility and sensation in each part of the gastrointestinal tract using the following links. Also there is information about the symptoms that can result from abnormal motility or sensations."


http://www.med.unc.edu/ibs/files/educational-gi-handouts/GI%20Motility%20Functions.pdf
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.
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