Discover and read the best of Twitter Threads about #Constipation
Most recents (16)
Constipation, oh constipation,
Why do you cause such frustration?
We try to drink water and eat our greens,
But nothing seems to break this routine.
So you sit and wait and hope and dream,
I now teach your bowels to flow like a stream.
My Story...
🧵⤵️
Why do you cause such frustration?
We try to drink water and eat our greens,
But nothing seems to break this routine.
So you sit and wait and hope and dream,
I now teach your bowels to flow like a stream.
My Story...
🧵⤵️
2/
*Note: Not Professional Medical Advice!
One of the First Things You Should Do is Focus on Cleaning Out Your Small and Large Intestines.
Did You Know that After You Eat, Food Goes into a Very Long Pipe?
Your Small & Large Intestines can get as long as 20 Feet (6 meters)!
*Note: Not Professional Medical Advice!
One of the First Things You Should Do is Focus on Cleaning Out Your Small and Large Intestines.
Did You Know that After You Eat, Food Goes into a Very Long Pipe?
Your Small & Large Intestines can get as long as 20 Feet (6 meters)!
3/
If You EVER Experienced Constipation to Any Degree, Understand THIS:
You May Have 5-20 Lbs. of Solidified, Rotten Fecal Matter that was Caked onto the Intestinal Walls like a Stubborn Layer of Cement.
Over time, this Shxt Adds Up.
You May Have MORE than 20+ Lbs of Shxt💩
If You EVER Experienced Constipation to Any Degree, Understand THIS:
You May Have 5-20 Lbs. of Solidified, Rotten Fecal Matter that was Caked onto the Intestinal Walls like a Stubborn Layer of Cement.
Over time, this Shxt Adds Up.
You May Have MORE than 20+ Lbs of Shxt💩
In 3 minutes, I'll Teach You How to go from Dad Bod to Summer Bod:
2/
*Note: Not Professional Medical Advice!
One of the First Things You Should Do is Focus on Cleaning Out Your Small and Large Intestines.
Did You Know that After You Eat, Food Goes into a Very Long Pipe?
Your Small & Large Intestines can get as long as 20 Feet (6 meters)!
*Note: Not Professional Medical Advice!
One of the First Things You Should Do is Focus on Cleaning Out Your Small and Large Intestines.
Did You Know that After You Eat, Food Goes into a Very Long Pipe?
Your Small & Large Intestines can get as long as 20 Feet (6 meters)!
3/
If You EVER Experienced Constipation to Any Degree, Understand THIS:
You May Have 5-20 Lbs. of Solidified, Rotten Fecal Matter that was Caked onto the Intestinal Walls like a Stubborn Layer of Cement.
Over time, this Shxt Adds Up.
You May Have MORE than 20+ Lbs of Shxt💩
If You EVER Experienced Constipation to Any Degree, Understand THIS:
You May Have 5-20 Lbs. of Solidified, Rotten Fecal Matter that was Caked onto the Intestinal Walls like a Stubborn Layer of Cement.
Over time, this Shxt Adds Up.
You May Have MORE than 20+ Lbs of Shxt💩
Regular laxative use is associated with a higher risk of dementia
1. A recently reported study looked at association between #laxative use and new-onset #dementia in >5,00,000 UK Biobank participants.
#MedTwitter
n.neurology.org/content/early/…
1. A recently reported study looked at association between #laxative use and new-onset #dementia in >5,00,000 UK Biobank participants.
#MedTwitter
n.neurology.org/content/early/…
2. Regular use of laxative was associated with 51% higher risk of all-cause dementia and 65% higher risk of vascular dementia. There was no significant association with risk of #Alzheimers disease.
3. The risk of dementia increased by 28% in people using one type of laxative, as compared to 90% in people using two or more types of laxatives.
Only osmotic type of laxative use was associated with higher risk of dementia.
Only osmotic type of laxative use was associated with higher risk of dementia.
1/ How to poo 💩! Was listening to the new @hubermanlab with @DrGottfried this AM (at 3:37) on hormones and #constipation & was inspired to do a little thread on my top #6 tips for dealing with constipation ... hopefully this thread helps at least 1 silent sufferer
2/ This is a topic I'm interested in is bc as someone with a hx of proctitis + cecal patch (form of ulcerative colitis strongly linked to constipation), it's something I've struggled w/ at times. It's not fun & a far more prevalent problem than people realize 4 obvious reasons
3/ Let's start the list.
#1 tip has nothing to do with diet, but technique!
In normal seated position with knees at 90o, your puborectalis muscle strangles your rectum. If you squat with the assistance of a squatty potty (or 'toilet yoga') you receive this strangle-hold
#1 tip has nothing to do with diet, but technique!
In normal seated position with knees at 90o, your puborectalis muscle strangles your rectum. If you squat with the assistance of a squatty potty (or 'toilet yoga') you receive this strangle-hold
#Kiwifruit found effective in #constipation
1. Constipation is a common problem and drug treatments do not work in many.
In a recent trial, efficacy of kiwifruit was tested in patients with functional constipation (FC) & constipation-predominant irritable bowel syndrome (IBS-C)
1. Constipation is a common problem and drug treatments do not work in many.
In a recent trial, efficacy of kiwifruit was tested in patients with functional constipation (FC) & constipation-predominant irritable bowel syndrome (IBS-C)
2. Participants were randomly assigned to consume either two ripe green kiwifruit without the skins, or 7.5 g of #psyllium per day for 4 weeks.
Psyllium (OTC) is considered a first-line treatment for both the constipation conditions with which participants were diagnosed.
Psyllium (OTC) is considered a first-line treatment for both the constipation conditions with which participants were diagnosed.
3. At the end of the 4-week treatment periods, the people with functional constipation who ate kiwifruit demonstrated an average increase of 1.53 bowel movements per week, a statistically significant increase.
Those with IBS-C demonstrated an increase of 1.73 bowel movements.
Those with IBS-C demonstrated an increase of 1.73 bowel movements.
I gave a talk on inpatient bowel regimens today for the @YaleMed @YaleIMed residents and students, with additional 💎s on outpatient #constipation. Here are the slides!
💩 💩 💩
#MedTwitter #GITwitter #motility #MedEd @YaleIM_Chiefs @MayoClinicGIHep
💩 💩 💩
#MedTwitter #GITwitter #motility #MedEd @YaleIM_Chiefs @MayoClinicGIHep
Most inpatients require a bowel regimen. Our patients typically have most of the risk factors for #constipation!
#Constipation is more about symptoms than frequency! 🚽
It’s also a *symptom* (like chest pain), so need to figure out what’s causing it and treat accordingly.
It’s also a *symptom* (like chest pain), so need to figure out what’s causing it and treat accordingly.
Diet, gas, and the #microbiome 💨
#MedTwitter #GITwitter #diet #nutrition #IBS #SIBO
sciencedirect.com/science/articl…
#MedTwitter #GITwitter #diet #nutrition #IBS #SIBO
sciencedirect.com/science/articl…
💨The gut microbiota generates ~0.2L–1.5L of gas per day
💨>99%: hydrogen (H2), carbon dioxide (CO2), & methane (CH4)– *odorless*
💨foul smell of gas from <1%: sulfur–containing gases hydrogen sulfide (H2S), methanethiol (CH3SH), dimethyl sulfide [(CH3)2S] + volatile compounds
💨>99%: hydrogen (H2), carbon dioxide (CO2), & methane (CH4)– *odorless*
💨foul smell of gas from <1%: sulfur–containing gases hydrogen sulfide (H2S), methanethiol (CH3SH), dimethyl sulfide [(CH3)2S] + volatile compounds
🦠bacteria in the colon ferment substrates that are not digested or absorbed in the upper GI tract (e.g. carbohydrates, proteins, fats)
🦠produce short-chain fatty acids, branched-chain fatty acids, ammonia, N-nitro compounds, phenolic and indolic compounds, and various gases
🦠produce short-chain fatty acids, branched-chain fatty acids, ammonia, N-nitro compounds, phenolic and indolic compounds, and various gases
Chronic constipation is common and has tremendous impact on quality of life
#Constipation is NOT all about frequency. Ask about 👇
🌬️ Breath testing for #SIBO: everything you need to know! 🎈 😮💨 💩 🦠 🐄 📈
#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition
cghjournal.org/article/S1542-…
#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition
cghjournal.org/article/S1542-…
To kick things off: how do you diagnose #SIBO?
#SIBO is a disorder characterized by excessive colonization of the small intestine by organisms usually found in the colon, especially Gram-negative bacteria.
(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*)
(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*)
@rebelliousgut @MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita 1/ I'm Tina from 🇺🇸 co-founder of Team @ibdesis. We are proud to lead #PatientExperience on @MondayNightIBD to discuss specific aspects of #SouthAsianIBD experience. We hope to improve care & reduce disparities in our community around the 🌍 thru @southasianIBD. #MondayNightIBD
@rebelliousgut @MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita 2/ Even though my dad suffered from #Crohns, when I presented with #IBS #constipation, #GERD, joint pains & eye issues as a child, no one made the connection or escalated it to a gastroenterologist. #MondayNightIBD #SouthAsianIBD
@rebelliousgut @MondayNightIBD @southasianIBD @ibdesis @Empoweringpts9 @DCharabaty @crohnsbabble @LivingWithUmeed @vkckiranpullela @TheMaveilousGut @dunung_ruchita 3/ When my dad passed from #CRC, my family went into poverty & couldn't afford health insurance. Though I was symptomatic as a child, I didn't have a #colonoscopy until 22 when I got my 1st job. That's when I received my very delayed #IBD diagnosis. #MondayNightIBD #SouthAsianIBD
FGIDs ▶️ DGBIs 🧠
#IBS diagnosis
Need to ask our #constipation patients about
Buckle up! This 🧵 is a deep dive into the #physiology of defecation, the mechanics of pooping! 🧰 🚽 💩
nature.com/articles/s4157…
#medicine #MedEd #science #GITwitter #GI #gut #motility #constipation #IBS
nature.com/articles/s4157…
#medicine #MedEd #science #GITwitter #GI #gut #motility #constipation #IBS
Defecation requires
1. intact #GI tract
2. coordination of many systems: neural (enteric nervous system, modulated by the peripheral somatic, autonomic and the CNS); muscular (smooth and striated); hormonal (endocrine and paracrine); and cognitive (behavioural and psychosocial)
1. intact #GI tract
2. coordination of many systems: neural (enteric nervous system, modulated by the peripheral somatic, autonomic and the CNS); muscular (smooth and striated); hormonal (endocrine and paracrine); and cognitive (behavioural and psychosocial)
#Constipation is the3⃣rd most common #GI symptom
💰 Annual cost of fecal incontinence and constipation: $1,594 - $7,522
💰 Annual cost of fecal incontinence and constipation: $1,594 - $7,522
What is #PelvicFloor #dysfunction? When these muscles become too tight, then they may become a source of #pain 💢 Additionally #tight muscles are problematic because they may not be able to generate enough force to function properly, support the organs & act as part of our core🧵
As we age and in response to #surgery, #childbirth, or #constipation the muscles can also become over lengthened which also makes them weak & unable to function properly 😮🧵
In addition to the length & strength of the muscles being altered, our ability to control the #muscles💪can also become impaired, this is called a loss of motor control. There are many causes to #PFD, but the good news is that #pelvicfloor #physical #therapy can help🙏🏽
Here are the new @BritSocGastro guidelines for #IBS in @Gut_BMJ! I'll summarize in 🧵 ⬇️⬇️⬇️!
😖💩🦠🧠🥦🍞💊
#GITwitter #GI #gut #braingut #motility #DGBI #FGID #microbiome #probiotics #MedTwitter #MedEd
gut.bmj.com/content/early/…
😖💩🦠🧠🥦🍞💊
#GITwitter #GI #gut #braingut #motility #DGBI #FGID #microbiome #probiotics #MedTwitter #MedEd
gut.bmj.com/content/early/…
🧑⚕️-😷
Doctor-patient communication
🧑⚕️A strong 🧑⚕️-😷 relationship is fundamental to the management of #IBS
😷Patients want their 🧑⚕️ to ⬆️empathy, support and information about the nature of IBS, diagnosis, and treatment options
Doctor-patient communication
🧑⚕️A strong 🧑⚕️-😷 relationship is fundamental to the management of #IBS
😷Patients want their 🧑⚕️ to ⬆️empathy, support and information about the nature of IBS, diagnosis, and treatment options
DIAGNOSIS
🩸New pt: CBC, CRP or ESR, celiac serology and, if <45 w diarrhea, fecal calprotectin
➕Make POSITIVE diagnosis based on @RomeFoundation criteria
➡️Refer to #GI when: diagnostic doubt, pt w symptoms that are severe or refractory to 1stline tx,or when pt wants specialist
🩸New pt: CBC, CRP or ESR, celiac serology and, if <45 w diarrhea, fecal calprotectin
➕Make POSITIVE diagnosis based on @RomeFoundation criteria
➡️Refer to #GI when: diagnostic doubt, pt w symptoms that are severe or refractory to 1stline tx,or when pt wants specialist
thread
Remarkable @bmj_latest @BMJCaseReports report documenting the extreme lengths a bedbound patient went through to get a diagnosis of #POTS, #MCAS, #SIBO and #tachycardia
read her story here
#MedEd #MedTwitter @MayoClinic
casereports.bmj.com/content/2018/b…
Remarkable @bmj_latest @BMJCaseReports report documenting the extreme lengths a bedbound patient went through to get a diagnosis of #POTS, #MCAS, #SIBO and #tachycardia
read her story here
#MedEd #MedTwitter @MayoClinic
casereports.bmj.com/content/2018/b…
2. After suffering for 16 years, seeing 19 docs with repeated misdiagnosis:
Her cardiologist couldnt diagnose #POTS
Her gastroenterologist couldnt diagnose #SIBO
Her immunologist couldnt diagnose #MCAS
Her neurologist referred her to a #psychiatrist!
casereports.bmj.com/content/2018/b…
Her cardiologist couldnt diagnose #POTS
Her gastroenterologist couldnt diagnose #SIBO
Her immunologist couldnt diagnose #MCAS
Her neurologist referred her to a #psychiatrist!
casereports.bmj.com/content/2018/b…
3. Patient: the "neurologist was out of ideas and suggested I get a psych evaluation, which I declined"
the patient <referred herself> to @MayoClinic
#SickNotWeak #chronicillness #chronicpain #MedEd #medtwitter
casereports.bmj.com/content/2018/b…
the patient <referred herself> to @MayoClinic
#SickNotWeak #chronicillness #chronicpain #MedEd #medtwitter
casereports.bmj.com/content/2018/b…
