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What is Bowel Endometriosis?
Endometriosis is a pathological condition in which the endometrial tissue paper that describe the uterus start growing in other areas of the body . unremarkably , it uprise within the pelvic organs and the fallopian tubes but at multiplication it may also start to develop in the gut region . This is what is termed as bowel endometriosis . The function of the endometrial tissue is to make the uterus prepared for ovulation and potential pregnancy . These tissues are made up of pedigree cell and connective tissues . These tissues become thick over the course of the month and then lose their heaviness once menstruation occurs if there is no fertilization.[1 ]
When there is growth of the endometrial tissues outside the uterus such as in the intestine , the thickening of the tissue still persist in due to action mechanism of the endocrine but since these tissues are not capable to exit from the dead body they start have a diversity of symptoms . Endometriosis is either trivial or recondite . Superficial adenomyosis appears when there is growth of the endometrial tissue on the open of the bowel . If the tissue paper emergence occurs within the bowel wall then it is term as deep.[1 ]
Experts opine that after the genital organs it is the gut that is the most coarse orbit for the adenomyosis to occur.[1]The crusade , symptom , and treatment have been explained in detail below in the clause .
What Causes Bowel Endometriosis?
The root cause of Bowel Endometriosis is not all understood . There are various theories stated by various researcher . According to one possibility , Bowel Endometriosis happens when during period there is backflow of the origin into the fallopian tubes and the pelvic area . Due to this , some serving of the tissues sticks to the lining of the bowels . This is what do Bowel Endometriosis.[2 ]
According to another possibility , if there is a history of a surgical subprogram in the womb the endometrial cells impound to the incision and get into the bowel causing Bowel Endometriosis . Some experts consider that hormonal dissymmetry in the variety of estrogen is one of the causes of Bowel Endometriosis.[2 ]
Genes also play a part in the development of Bowel Endometriosis . It has been observe that people with a direct family phallus with Bowel Endometriosis also are at risk for flummox this circumstance . All these theories only suggest a possible cause but there is no surety as to why endometrial tissues start maturate outside the womb such as in the intestine wall.[2 ]
What are the Symptoms of Bowel Endometriosis?
The elemental symptom of Bowel Endometriosis admit :
Even though endometriosis can pass off in any area of the gut ; however , it is mostly seen in the rectum and the sigmoid colon . In fact , 90 % of the cases of Bowel Endometriosis occur in these two mentioned areas according to a study . The severity of the symptom of Bowel Endometriosis is variable and differs from someone to individual depending on the menstrual cycle.[2 ]
Normally , the symptoms tend to get bad a few days before the menstrual menstruation jump . However , the hardness of the symptom decreases once the female attainsmenopause . This is due to the step-down in the levels of oestrogen in the body.[2 ]
How to Diagnose Bowel Endometriosis?
Diagnosing Bowel Endometriosis is quite a toughened ask . In many cases , it is misdiagnosed as irritable bowel syndrome . Experts believe that on an average it takes about 7 to 8 yr for a validating diagnosing of Bowel Endometriosis to be made . This is because the symptoms of Bowel Endometriosis are quite like to many other medical conditions.[1 ]
The diagnosing is made after rule out like shape like colitis , peevish bowel syndrome , and even rectal tumors , with all of them having similar symptoms to that of Bowel Endometriosis . For diagnosis , a thorough history of the patient role is taken followed by a detailed physical examination.[1 ]
extra test may then be ordered in the manikin of anultrasound , CT scanof the abdomen and pelvis , sigmoidoscopy , and a laparoscopy . The results of all of these exam confirmatively diagnose Bowel Endometriosis.[1 ]
How is Bowel Endometriosis Treated?
As of now , there is no cure for Bowel Endometriosis but treatments are usable to manage the symptoms of this condition . The treatment strategy is formulate based on the severity of the symptom , the overall health position of the patient , and the desire of the patient to conceive . Treatments include.[2 ]
Pain Medication : This is given for cases where the affected role has soft to moderate pain . The medication may be bought over the counter or the physician may dictate them . Anacin III and ibuprofen are the primary medications used for this purpose . The medications can not stop the development of the tissue but are very helpful in calming the symptoms of bother and discomfort as a result of Bowel Endometriosis.[2 ]
Hormone Therapy : Estrogen has a essential function to play in the evolution of Bowel Endometriosis . Thus hormone therapy can be used to wangle the symptoms of this condition . nativity control lozenge ordinarily contain estrogen and progesterone which prevent the buildup of endometrial tissues and also decrease the emergence of the bowels.[2 ]
In some instance , the physician may order gonadotropin releasing internal secretion which is quite effective in in keep ovulation and development of endometrial tissues . However , once the patient halt ask the medication there is a high likelihood of the symptom returning.[2 ]
Surgery : This is reserved as the last recourse when all other materialistic modes of treatment for bowel adenomyosis are deemed ineffective of if the affected role is desirous of becoming fraught . The surgery to be perform will be decide based on whether the endometriosis is trivial or deep.[2 ]
In one procedure , the endometrial tissue are remove in their entirety but the bowel are leave entire . In knockout cases , the surgeon may remove portion of the intestines with the endometrial tissues and then reattach the stay parts of the bowel . In case where the Bowel Endometriosis is thick then the operating surgeon will absent the lesions and plug any hole that are present in the bowel.[2 ]
With regard to the prospect of people with Bowel Endometriosis , the rigorousness of the stipulation plays a crucial role . Additionally , how well the patients respond to intervention is also one of the element that determine the overall prognosis.[2 ]
In most cases , the prognosis is quite good , especially if the condition is treated with hormone therapy or with surgery . In other guinea pig , the symptoms of Bowel Endometriosis calm down when the female attains menopause and the oestrogen level in the body decline.[2 ]
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