tenesmus and anal contractions

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robivecchi
New Member


Date Joined Mar 2007
Total Posts : 8
   Posted 3/7/2007 2:06 AM (GMT -7)   

Hello, my name is Roberto, I’m writing from Italy (and please sorry for my English).

I am asking your help about my mother. She is suffering since a few years an anomalous ache.

She has vey strong anal contractions (particularly in the  muscle situated  between ano and inguine).

They are very strong and continous contractions and they have become an obstacle to a normal day by day life.

In the beginning she suffered of stipsi. Doctors believed it being the cause of contractions and decided for a  surgical operation. They removed a piece of intestine without resolving the problem.

In a second time they removed another piece of intestine, but the result was negative too.

The third time they removed  the colon and the situation got worst.

Presently she has to remain closed at home because she needs the toilette about 15 times  in a day.

She losted  confidence and hope.

If someone lived something similar please tell me. It could be important for her to know that there is something in the world living a similar contraction, because doctors we went to are not able to find neither the cause nor the solution to this strange disease.

Thanks ROberto


Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 3/7/2007 9:55 AM (GMT -7)   
Strange that they would have removed parts of the colon for a muscle spasm. Have they tried her on muscle relaxants to see if that gets it to stop? The only problem with them is that they can relax the anus so much that you leak stool. Have they tried her on all the anti-spasmodics to see if that helps stop her colon from being hyper-active? Have they tried her on anti-depressants? Sometimes these make the colon behave better. Can she take calcium supplements? If so, get her a calcium supplement with the lowest % of magnesium in it that you can find, and she should be able to take up to 1800mg a day (if she consumes a lot of dairy, she should take less supplements; there is such a thing as too much calcium). Calcium is naturally constipating and helps a lot of people firm up their stools and go less often. It probably won't help with any cramps or spams any, though.

Has she been checked for parasites or other bacterial infection? It's not very easy to get parasites in a first world country, but if she traveled out of Western Europe before getting this problem, it's something to look into. Also, in the US, we've been having a series of contamined food problems, inclusing salmonella and e. coli. I don't know if your mother has come into contact with any food grown in the US, but we export a lot, so it is possible. All those nasty bugs can cause terrible D and cramping and are hard to get over, especially in an older person. The other thing to check for is c. difficile. It is a bad bacteria that gets into the intestines/colon and can cause D, cramping and fairly severe conditions. It's easy to catch from toilet seats, especially in places where you have a lot of sick people, such as hospitals or nursing homes (elderly care facilities). It's found by examining stool samples. You have to do several samples because it doesn't always show up in every stool, although it stays present in the colon. It spreads by way of spores, so you can't get rid of it with normal cleaning products--not even the anti-bacterial ones. Only bleach will kill the spores, which is why it gets overlooked in a lot of bathrooms; most people don't clean toilets with bleach.

The only other thing I can think of is they are having some luck with people with bladder control problems using botox on their weak muscles to get them to tighten up. Since botox paralyzes the muscles, I wonder if it might paralyze those spasming muscles in your mother's anus? If they've tried everything else, it might be worth having a doctor look into it as a treatment.

dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 3/7/2007 10:00 AM (GMT -7)   
I have tenesmus occasionally and I take an antispasmodic for it (Symax SR). It does seem to help some. Those spasms hurt really bad, sometimes feels like a stabbing pain so I feel for your mother. Do you know if antispasmodics are available in Italy? You may want to check with a doctor
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spasman
Regular Member


Date Joined Jul 2006
Total Posts : 361
   Posted 3/8/2007 7:50 PM (GMT -7)   
Hi Roberto.The diarrhea is definitly caused by not having a colon.I don't know if you could but charcoal capsules cause firm black stools.I don't know the effect on a person without colon tho.

I'm not familiar with tenesmus.Perhaps you mean pelvic floor "spasms".You may want to do a search on non-relaxing puborectalis syndrom.However,this syndrom is only related to obstructed defecation not diarrhea.
-IBS-A AND C with meteorism and pubic burning-


Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 3/9/2007 8:37 AM (GMT -7)   
If this is the same thing as pelvic floor spasms, I think someone on here once said they were getting physical therapy to help treat it. Some sort of exercises you can do to help the muscles out and keep them from spasming so much.

7Lil
Veteran Member


Date Joined Apr 2005
Total Posts : 3269
   Posted 3/9/2007 10:17 AM (GMT -7)   
Kegels are supposed to help: Pelvic Floor Musce Rehabilitation
 
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Scrappyjrt
Regular Member


Date Joined Jul 2006
Total Posts : 212
   Posted 3/10/2007 9:40 AM (GMT -7)   
Tenesmus means the urgency to defecate whether you have to go or not.
  1.  


robivecchi
New Member


Date Joined Mar 2007
Total Posts : 8
   Posted 3/27/2007 6:09 AM (GMT -7)   

Thank you very much to you all. It would be useful anyway.

I just want to add that we visited yet a lot of doctors, even in Germany, and all said that she has to be patient....... that's the only medicine they were able to suggest.

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