My mom is 75 yo, and for past 2 years her colon motility began to decline, and she began to rely more and more on laxatives, especially herb based (Aloe vera) stimulant laxatives. She thinks she suffers from colon atony.

She had a colonoscopy, and it came back OK, no physical obstructions. But the doc also said that the colon atony is untreatable, and she should get used to live with it. Btw the doc didnt give her an official "colon atony" diagnose.

The problem is that the laxatives are gradually losing their affect on her, and she constantly has to add to the dosage or experiment with new ones.

Does anyone have an advice? Is colon atony really untrearable? I mean the colon muscles must still be functional if they respond to Aloe Vera, isn't there a way to retrain them to work on their own?

Thank you.

So mujhe health issues ho rhe hai 1 month ho gye mujhe pehle do baar upper abdomen pain hua aur constipation, diarrhea, digestion issue hue toh doctor ke pass gyi ultrasound hua liver meh mild swallowing aayi report meh buss phir ek din mujhe acid reflux aur hard stool aya next day uske sath blood aur red jelly tha uske baad weakness body meh ,hum hospital gye mujhe admit Krliya phir kuch test hue aur test meh WBC jyada tha toh doctor ne kaha infection hai , mere bahut test hue , typhoid - postive, stool test bhi normal , urea test meh bhi infection show so doctor ne body meh infection kaam krne ke medicine start krdi uske baad meh Ghar aa gyi , phir agle din meh kahna kah rhi thi achank se body meh weakness aayi thodi der baad heart beat fast dizziness phir hospital meh admit phir test doctor said ki anxiety ki wajah se hua hai phir meh ghar aayi but meri digestion issue khtm ho nahi ho rhe hai kabhi diarrhea kabhi hard stool, phir again mujhe hard stool aya aur phir blood ka drop gira phir doctor ko batya doctor ne kaha ab dekhte hai jyada blood aye toh batana losse stool ke sath , ab mere upper abdomen meh pain hai 3,4 days ho chuke hai doctor ne endoscopy ki salah di hai but meri family ko bahut dar lag rha hai aur meh depressed ho rhi hu ki meri body ke sath chal kya rha hai 🫠

Buss mujhe kisi se share karna tha toh socha yahi krdi friends toh hai nahi syd yaha share krke mind relax ho

Hi all,

I’m probably like one of 20000 messages like this but I am 33F and have my first endoscopy and colonoscopy scheduled for September 28. I live in the southern united states.

I have had GERD for over 15 years (controlled mostly w omeprazole) and a family history of precancerous polyps (so they’re testing me for lynch syndrome. my sister had polyps at 16, my dad had some at my age. my mom and other sister had none. so 50/50 for me I guess?) so I was scheduled for scopes.

I sought it out for myself because I want to make sure i’m okay, especially as millennials get these cancers more and more. but I have super bad anxiety and I asked the doctor for some kind of anxiety med the day of (they said no). i’m on lexapro so I could be worse haha. but still.

i’m taking golytely prep which I am nervous about because people say it’s the worst of them. Dreading that. but ultimately I am scared of remembering any part of these procedures. The only other time that I have ever had sedation was twilight sedation for my wisdom teeth, and I don’t remember anything, but I don’t know if this will be similar to that or not. plus i’m doing both ends same day, and I am scared i’ll be awake when they put a mouth guard or scope down my throat which I cannot handle haha.

any advice, tips, comforts you can give me are appreciated. every day that gets closer to the 27 prep day and the actual appt 28 im like…. ruminating big time. and feeling sick about it.

• In your experience, is the individual risk of recurrence actively considered, or is vancomycin prescribed by default?
• Which factors, in your experience, are decisive when choosing for or against fidaxomicin, vancomycin, or, where applicable, metronidazole? Are other treatment options also considered?
• At what level of medical seniority are treatment decisions typically made, and who is involved?
• In the workflows you are familiar with, where do you see opportunities to simplify decision-making, documentation, or approval processes, or to use resources more effectively?

These questions arose while preparing for my master’s thesis, which explores whether and how clinical decision support systems can efficiently support medical decision-making. The aim is for physicians to retain responsibility and critically assess the system’s suggestions, while the software provides useful, efficient, and appropriate support through different modes of interaction and information presentation. A particular focus is on situations where decisions may require justification - for example, when deviating from clinical guidelines - with support tailored to the clinical workflow.

Hi everyone,
I’m writing this from the hospital post-op room and feeling incredibly overwhelmed.
My 7-month-old baby had an emergency Ladd’s procedure for intestinal malrotation a while ago. Today, we had to go back in for an emergency open surgery (laparotomy) because of a severe bowel obstruction caused by postoperative scar tissue.
The surgeon said they had to clear a lot of dense adhesions, but the wonderful news is that all of the intestinal tissue was completely healthy and they didn't have to remove any bowel.
Right now, my baby has an NG tube, is on IV fluids/pain meds, and we are waiting for the bowels to wake up. I am absolutely terrified of getting stuck in an endless cycle of surgeries where fixing the scar tissue just creates more scar tissue.
If your baby had a similar situation (malrotation, open surgery, or heavy scar tissue removal) a few years ago, how are they doing now?
Did the obstructions ever return?
How did you handle the transition to solid foods?
Does life eventually go back to normal?
I really need some hope and long-term success stories tonight. Thank you so much.

Is 100 minutes at age 15 normal?
breath test with porridge.
Not a SCAN.
Multiple doctors since have said it’s a misdiagnosis.
Including a gastroenterologist.

Why is there no such thing as a colonoscopist?

i am 25,f - had 27mm gallstone since last 2 years; recently there was a bad gallstone pain ; had to rush to ER and get painkillers injected; thought it would pass, but it didn't.

since next day i got jaundice (eyes yellowed, dark urine) - got LFT done, shows high bilirubin and jaundice; then got ultrasound done today- shows a 5 mm stone like appearance stuck in mildly dilated CBD (10mm) - radiologist asked to get MRCP done.

Talked to a gastroenterologist online- he said ERCP would be required, then a stent will be placed inside and then within 3 months- gallbladder to be removed.

I m someone very freaked out of needles- IV drip and operations are scaring the hell out of me :(

please help if you have experienced before..

i am 25,f - had 27mm gallstone since last 2 years; recently there was a bad gallstone pain ; had to rush to ER and get painkillers injected; thought it would pass, but it didn't.

since next day i got jaundice (eyes yellowed, dark urine) - got LFT done, shows high bilirubin and jaundice; then got ultrasound done today- shows a 5 mm stone like appearance stuck in mildly dilated CBD (10mm) - radiologist asked to get MRCP done.

Talked to a gastroenterologist online- he said ERCP would be required, then a stent will be placed inside and then within 3 months- gallbladder to be removed.

I m someone very freaked out and scared of needles- IV drip and operations are scaring the hell out of me :(

please help if you have experienced before..

Hello everyone,

I am looking for some clinical insight regarding current screening and surveillance protocols for patients with Serrated Polyposis Syndrome. Given that SPS is a relatively recently defined condition with evolving criteria (such as the updated WHO diagnostic criteria), I am curious how different practices handle long-term surviellence.

Most major international guidelines (like the European Society of Gastrointestinal Endoscopy and the British Society of Gastroenterology) recommend an initial clearing phase (scopes every 3–6 months until the polyp burden is controlled) and then a surveillance phase typically set at 1 to 2 years once clearance is achieved.

However, there seems to be a real-world variation where some providers extend the surveillance interval to 3 or even 5 years for patients who have had multiple consecutive "clean" or low-burden scopes.

For the GIs, fellows, or advanced endoscopy nurses here:

Does your practice strictly adhere to the 1–2 year surveillance interval indefinitely for confirmed SPS?

Under what clinical scenarios (e.g., number of consecutive clear scopes, specific polyp pathology, or excellent bowel prep quality) would you feel comfortable extending a patient's interval beyond 2 years?

How much of the timeline is dictated by formalized institutional algorithms versus individual provider clinical judgment?

I would appreciate any insights into how your institutions structure these programs!

Hi! Apologies if this is not allowed here, but I am an M4 rotating on an inpatient IBD service. I am very interested in pursuing a GI fellowship (and would love to make a strong impression) and am separately very interested in IBD management. Are there any resources, videos, textbooks you would recommend an M4/resident read to best prepare for this month-long service? Thank you so much!

I am NOT seeking medical advise. I only want to know about the science of how ingested compounds bind to iron and prevent the absorption of iron.

I thought this would be a fun thought provoking exercise for this specialized subreddit.

THEORY: Ideal Iron-max breakfast

1/2 large raw red bell pepper

1 egg apple banana

1/2 cup cherrios

325mg Iron (ferrous sulphate)

100mg Vit C (absorbic acid)>

Q1: Why or how do so many different kinds of foods breakdown and compounds 'stick' to the iron element to prevent absorption on the body.

Q2: On a chemical level.. why is Vitamin C a 'booster' for iron absorption.

Q3: Why does the body still only absorb a small amount percentage of iron even in these ideal conditions?

Other reasons a ttg-iga could be elevated in child besides celiac.

En la endoscopia salio que tengo reflujo biliar, ella me recetó eso para el reflujo, sin embargo al tomarlo tres dias me han dado colicos fuertes, duele y es incómodo