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Chronic Megacolon


Description

Chronic megacolon is a type of abnormal colon dilation and it’s a long-term condition. If left untreated, it can lead to major consequences (colonic perforation, peritonitis, and/or sepsis) in addition to symptoms like stomach pain. Males and females are equally having the same frequency of developing chronic megacolon.

Symptoms

The most common symptoms of chronic megacolon include :

  •        Constipation
  •        Bloating
  •        Abdominal pain
  •        Abdominal gas

Visit a General Practice doctor (general practitioner) if you have any of these symptoms.


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Causes

There are many different congenital problems, diseases, medications, and infections that can result in megacolon. It may sometimes happen after a major operation; however, the syndrome is frequently idiopathic, meaning the precise reason is unknown. Some of the chronic megacolon causes are :

  •       Bacterial or parasitic infection
  •       Other diseases like diabetic neuropathy and hypothyroidism
  •       Congenital disorders

Diagnostics

  •       Lab tests to exclude other causes
  •      Thyroid function tests
  •      Abdominal X-ray
  •      CT scan

Treatment

Treatment of chronic megacolon begins by knowing the underlying cause.

Increased intestinal motility in chronic megacolon should be achieved by dietary and pharmaceutical means. Fecal impaction can also be avoided by using laxatives and enemas.

It could be required to have surgery to remove all or a portion of the colon if the patient doesn't improve after one to three days of receiving these therapies.