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MOTILITY DISORDERS

Motility disorders occur in the Gastrointestinal Tract. The food we eat gets into the gastro intestinal tract through the food pipe or esophagus. The contents are then moved sideways or inside-out by the contraction of our abdominal muscles. This activity is termed as motility when the muscles fail to perform this assigned activity it is termed as a motility disorder. The gastrointestinal tract is divided into four parts demarcated by the sphincter muscles. These muscles contract uniquely and differently from each other and have assigned duties to perform. The food pipe or esophagus carries food to the stomach. The stomach breaks down the food further, with the aid of digestive enzymes. The Small intestine absorbs the nutrients and the colon reabsorbs the water and eliminates the substances the body does not want. Any sensitivity or motility that is abnormal causes some characteristic differences which affect the patient.

Gastroesophageal Reflux disease : The most common symptoms of this disease are heart burn, nausea, and acid regurgitation. To find out why this is happening, you must visit a doctor and avoid taking medicines without a prescription from the physician.

Intestinal Dysmotility or intestinal pseudo-obstruction : Patters of contraction of muscles that are abnormal in the small intestine lead to obstruction. This causes stomach pain, nausea, and vomiting.

Small bowel bacterial overgrowth : High density bacteria in the upper region or tract of the small bowel may lead to a bloated feeling, nausea and vomiting and above all diarrhea. As soon as we eat food we can start feeling the symptoms, as the bacteria in the small bowel start feasting on the food we eat, which leads to malabsorption of the nutrients.

Constipation : Infrequent or less frequent movement of the bowels is termed as constipation. Passing stools every day as soon as one wakes up stabilizes the digestion process. Sitzmark test is used to detect chronic constipation. We must eat fiber-rich food and avoid junk food to avoid constipation.

 
Pelvic floor dyssynergia or outlet obstruction type constipation :

The exterior portion of the anal sphincter is usually tightly closed to prevent leakage. When we put pressure on our bowels while passing stools to flush the fecal waste out we put more pressure on the sphincter muscle thereby, increasing the rate of constipation, as the sphincter muscle fails to relax.

Diarrhea : loose or watery stools that are very frequent, it might happen due to any infection in the stomach or resistance to what we eat. Usually gets cured after taking medications.

ecal Incontinence : Involuntary or not knowingly passage of stools by anybody over and above the age of 5 years is given the term fecal incontinence. The individual has no control over the bowel movements. The major causes of this problem are :

  • No sensation in the rectum of fullness
  • Weak sphincter muscles
  • The rectum fills itself and overflows as the muscles cannot contract.
  • Stiffness in the rectum

Hirschprung’s disease : The anus has two sphincter muscles. The internal one is part of the small intestine and the exterior one forms a part of the pelvic muscles. The internal sphincter is closed to prevent leakages, a reflex opens it and the bowel movement passes through. The nerves that this reflex banks on are missing at birth for some individuals. This is a congenital disorder; as a result, the internal anal sphincter further closes in tightly which prevents bowel movements.

Gastroparesis : This is a stomach disorder. The stomach takes the more than requisite time to empty the contents of the small intestine; this makes us feel abdominal discomfort, pain, pain so severe that we may not be able to bear. Eating little makes us bloated, there are medicines to treat such conditions.

Achalasia : This disorder is connected to your food-pipe. In this disorder the lower sphincter muscle of the food-pipe does not allow the food to enter the stomach. We may experience discomfort in the chest or some kind of a typical pain in the chest. We may experience difficulty in taking or eating solids or sometimes liquids also.

Any such symptoms must be reported, to allow your doctor to do motility testing. At KIMS, we have the best gastroenterologists in south India. Our infrastructure facilities and fully equipped diagnostic labs ensure quick and accurate results, ensuring timely treatment and speedy recovery. Each patient is unique and important to us. KIMS follows the best and latest procedures in gastrointestinal sciences. It is considered as the best hospital in treating patients with gastro related ailments.

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