The peritoneum produces an inflammatory response as a means of controlling infection. It tends, for example, to exude a thick, sticky, and fibrinous substance that adheres to other structures, such as the mesentery and omentum, as a means of sealing off the perforation and localizing the process. Localization is enhanced by sympathetic stimulation that limits/decreases intestinal motility. The peritoneum is connective tissue without the ability to constrict. The vasoconstriction can decrease dissemination of the bacteria in the blood but also causes ischemic bowel damage that may be irreversible.
Secretes fibrous exudate
Constricts bowel contents
Causes abdominal vasoconstriction
Increases intestinal motility
General symptoms of malabsorption syndrome include diarrhea, flatulence, bloating, cramping, and weight loss. A hallmark of malabsorption is steatorrhea, characterized by fatty, yellow-gray, and foul-smelling stools. Feeling there is incomplete emptying of the bowel is one of the signs/symptoms of colon cancer. Abdominal distention occurs with many GI diseases and is not specific to malabsorption syndrome. Esophageal reflux with heartburn is usually associated with GERD.
Esophageal reflux with heartburn
Feeling there is incomplete emptying of the bowel
Fatty, yellow-gray, foul-smelling stools
Celiac disease is treated by the removal of wheat, barley, and rye from the diet, all of which contain gluten. Both spaghetti and garlic bread are wheat based and would exacerbate celiac disease. The other noted meals do not contain these grains.
Spaghetti with meatballs and garlic bread
Oatmeal with milk, brown sugar, and walnuts
Barbecued steak and a baked potato with sour cream
Stir-fried chicken and vegetables with rice
Clinical manifestations of colorectal cancer are often not apparent until later stages. Almost all cancers of the colon and rectum bleed intermittently, although the amount of blood is small and usually does not apparent in the stools. It therefore is feasible to screen for colorectal cancers using commercially prepared tests for occult blood in the stool. Aspirin and NSAIDs may protect against colorectal cancer; it does not have an infectious etiology. Five-year survival rates are close to 90% to 100% if the cancer is found in the early (stage I) stages. It is recommended that persons at average risk for colonic adenomatous polyps or cancer should undergo colonoscopy every 10 years or alternative screening tests at periodically prescribed intervals beginning at age 50.
Yearly colonoscopy is recommended for early detection after age 40.
Most cases are quite advanced before symptoms become apparent.
Seek out medication attention for any blood in the stool.
Survival rates for colorectal cancer are less than 20% but are increasing.
Aspirin and NSAIDs are implicated in the etiology of colorectal cancer.
The only recognized treatment for cancer of the colon and rectum is surgical removal. Postoperative radiation therapy may be used and has in some cases demonstrated increased 5-year survival rates. Postoperative adjuvant chemotherapy may be used. Radiation therapy and chemotherapy are used as palliative treatment methods as well.
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