Fecal occult blood test
Fecal occult blood test (FOBT) aids in detecting any occult blood in the stool. This test is part of any colorectal cancer screening process. New flushable reagent pads allow you to conduct this test either at home or a laboratory. About 2 -3 stool samples are taken on different days to check for fecal occult blood. While FOBT can detect presence of blood in the stool, it can pinpoint the cause. Fecal occult blood can occur due to colon cancer, gastritis, hemorrhoids, fissures, inflammatory bowel disease, peptic ulcer or esophagitis. Fecal occult blood test must not be conducted if the person is suffering from colitis, diarrhea, constipation or diverticulitis. Women who are menstruating or persons with active anal bleeding due to fissures or hemorrhoids must not take the FOBT. Avoid eating beets, grapefruit, poulty, red meat cooked rare, turnips or horseradish about 48 hours prior to FOBT. If any blood is detected during fecal occult blood test, further diagnostic tests are conducted to check the causes.
Gastrointestinal Bleeding
Gastrointestinal Bleeding or GI bleeding refers to bleeding from any part of the gastrointestinal tract, from the mouth and esophagus to the stomach or intestines.
Gastrointestinal bleeding can occur due to infection or medications that damage tissues leading to bleeding. GI bleeding needs to be monitored carefully and attended to. Upper Gastrointestinal bleeding can result from gastritis or peptic ulcers. Lower GI bleeding is often due to diverticulitis, polyps, anal fissures or hemorrhoids.
Acute GI bleeding manifests in bloody bowel movements and vomiting of blood. There is fatigue and weakness. The patient suffering GI bleeding may suffer pain in the abdomen. A person suffering from gastrointestinal bleeding experience thirst, low blood pressure and dizziness. The patient may notice black tarry stools.
Laboratory tests, endoscopy and rectal examinations may be needed to determine the source of the gastrointestinal bleeding. Excessive bleeding can lead to anemia. In severe cases, it can lead to shock and may need hospitalization for further treatment. There might be need for blood transfusion. Upper GI bleeding can be treated with injection of chemicals. Medicines are then prescribed to prevent the bleeding from recurring. If polyps or hemorrhoids are the cause for gastrointestinal bleeding, they are surgically removed.
Uterine Prolapse
The uterus lies in the pelvic cavity supporeted by connective tissue and pubococcygeus muscle. Uterine Prolapse is a condition where the uterus slides from its normal position into the vaginal cavity. This can be attributed to loss of muscle tone or weakening of the muscles holding the uterus against the pelvic wall. Uterine prolapse can occur due to ageing or childbirth trauma on account of large babies or difficult labor. Other causes for uterine prolapse include pelvic tumor, obesity and chronic constipation. Lack of exercise and tight corsets can lead to uterine prolapse. Lack of adequate rest in the post pregnancy stage or heavy manual work can lead to uterine prolapse.
A woman suffering from uterine prolapse suffers lower back pain. There is a feeling of bearing down or heaviness in the pelvis. There may be increased frequency in urination and pain during sexual intercourse. A woman might suffer discomfort in the lower abdomen and heavy menstrual periods. Difficulty in passing stools, hemorrhoids and urinary tract infection might be noticed due to complications owing to uterine prolapse. A pelvic examination reveals any uterine prolopse or protusion of the cervix ino the lower part of the vagina.
Treatment for uterine prolapse depends on the degree of prolapse and the woman's age and general health condition. Vaginal pessaries may be able to hold the uterus in place for mild uterine prolapse. But there may be side-effects such as irritating and foul smelling discharge and ulcerations. Kegels exercises can go a long way in strengthening the pelvic floor muscles. Hormone therapy such as estrogen replacement can prevent further weakening of the pelvic muscles. Hysterectomy is the surgical option to treat uterine prolapse. Uterine prolapse can be prevented with good antenatal care and proper rest and folowing correct lifting techniques.
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