Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Melanosis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Pigmentation Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2295 Questions
Doctor :   Hi
User :   hi doctor
Doctor :   Please tell me
User :   i had a couple of questions
Doctor :   how can I help you?
Doctor :   Please continue
User :   my mother has melanosis in her intestings
Doctor :   Can I know her name?

Doctor :   Age/ Location/Occupation also?
Doctor :   May I know when she was diagnosed with Melanosis?
User :   53 los angeles and she stays at home
User :   she has melanosis thoughout the colon
Doctor :   When was she diagnosed,...I mean since when does she know that she has melanosis?
User :   a week ago
User :   she just got the results
Doctor :   ok
User :   and i wanted to know what can she do and if its curable
Doctor :   so you have a few questions regarding melanosis?
User :   yes
User :   like how to treat it and symptoms and if it can turn into cancer
Doctor :   does she have alternate diarrhea
Doctor :   or constipation
User :   no she always contipated
Doctor :   does she has blood in the stools
User :   not that we know
Doctor :   does she has abdominal pain or spasms
Doctor :   has she lost weight
User :   yes she has alot of pain
User :   she havent lost much
User :   weight
Doctor :ok
Doctor :does she has any discoloration or any red spots around the mouth
User :   no not at the moment
Doctor :   ok
Doctor :   does she under went any investigations
Doctor :   like clonoscopy
User :   they just did it and thats how we found out she had melnosis
Doctor :   ok
Doctor :   Melanosis coli is a condition usually associated with chronic laxative use
Doctor :   was she on more laxatives
User :   i think she was
Doctor :dark pigment is deposited in the one of the lining layers of the large intestine (colon).
User :   and how can it be treat it?
Doctor :   usually melanosis does not cause any symptoms
Doctor :   If a person stops using anthranoid laxatives, the changes associated with melanosis coli lessen over time and may disappear.
Doctor :   and there is no risk for large intestine cancer also
Doctor :   so its good over come the laxative abuse
Doctor :   and concentrate more on dietary changes
Doctor :   diet tips for chornic constipation
User :   seem like her body its not used to been with out laxative
Doctor :1. take plenty of fluids
Doctor :4-5 lts of water per day
Doctor :2. avoid spicy, oily and junk foods
Doctor :3. avoid red meat
Doctor :4. reduce the consumption of fatty foods like
Doctor :cheese, butter, ghee, thick milk and curd
User :   ok
Doctor :   5. avoid baked foods
Doctor :foods to be consume in constipation
Doctor :   1. green leafty veg- spinach, cabbage, cauliflower
User :   what would be a natural laxantive
Doctor :   2. more water containing fruits
Doctor :watermelon, cucumber, oranges
Doctor :and other fresh fruits
Doctor :robust banana is a very good laxatives
User :   she drinks prune juice but seems to not work
Doctor :   pune is good
Doctor :   she can have it
User :   but seems to hardly work
Doctor :   avoid pastries, baked foods, pizza and others
User :   how about metamucil?
Doctor :   need to stop it
Doctor :   not to use metamucil on regularly
User :   ok perfect
Doctor :   ideal for her is Ispaghula husk granules
Doctor :   its very good for her
Doctor :   it does not cause melanosis
User :   if she continues to be constipated what would be best to do
Doctor :   take 150- 200ml of plain normal water mix 1- 1-5 scoop of ispaghula husk and consume
Doctor :2 times a day for 1 month atleast
Doctor :she also needs some bowel exercises
Doctor :so improve the bowel movements
Doctor :like
Doctor :are yu there
User :   yes doctor'
Doctor :ok
Doctor :leg raising exercises from supine position is very good
Doctor :lie on the floor relaxed
Doctor :slowly raise the leg to angle yu can
Doctor :and then slowly bring the leg down
Doctor :do it 4-5 times in a days
User :   she had a hernia in her intesting
Doctor :   because sedentary life style causes more constipation
Doctor :   ok
User :   intestine and it was fix but she has alot of pain
User :   and she feel like its burning inside
Doctor :ok
Doctor :was mesh inserted
User :   no
Doctor :ok
User :   thats how she started using laxatives
Doctor :   wat surgery was done
Doctor :   did she repeat a ultrasound again
Doctor :   after surgery
User :   yes but they all look normal but she still in mayor pain
Doctor :   ok
Doctor :   this can be due to sutures
Doctor :   the sutures done at the time of surgery
Doctor :   its ok
Doctor :   not to worry on that
Doctor :   its common for most of them
User :   but the surgery was done two years ago
Doctor :   use of laxatives is ok
User :   and she still has alot of pain
Doctor :but not abuse right
User :   so can the surgery pain last for over two years
Doctor :   it does not last for 2 yrs
Doctor :after 2 yrs
User :   she always feel this burning sensation in her intestine
Doctor :does constipation relives her the pain
Doctor :ok
Doctor :   other than melanosis did the colonoscopy reveal anything
User :   she said her left side always hurts
Doctor :ok
Doctor :   other than melanosis did the colonoscopy reveal anything
User :   no
Doctor :   ok
Doctor :so she may need CT abdomen
Doctor :to detect any abnormality
User :   they did that already and they seem to be ok
Doctor :   ok
Doctor :its then a idiopathic cause
User :   everytime she walks she feel pain in her colon
Doctor :ok
Doctor :   as the CT was not able to detect any thing
Doctor :no abnormality is there
Doctor :is she on any medications at presenet
User :   the doctors said it was ok
User :   she starting to think its a physcological pain cause all the exams seem to be ok
User :   but she still has alot of pain in her colon
Doctor :is her sugar, and BP status normal
User :   she pre diabietes
Doctor :   is her cholestrol levels normal
User :   has
Doctor :ok
User :   high cholestrol
Doctor :ok
Doctor :is she obese
User :   she weights 150
Doctor :ok
User :   and her height its 5 feet 3 inches
Doctor :let me say the risk factors for her colon pain
User :   ok
Doctor :1. post surgery - some injury to instestine at time of surgery
User :   ok
Doctor :2. high cholestrol levels
Doctor :3. obesity
Doctor :4. prediabetes status
User :   ok
Doctor :and psychological issue
Doctor :with anxiety, stress and tension
Doctor :and old age itself is a risk factor
Doctor :so the management is
User :   ok
Doctor :1. be relaxed and calm
Doctor :   not get stressed and tensed
Doctor :not to concentrate on colon pain more
User :   ok
Doctor :2. bowel exercises will help her
Doctor :3. need to reduce the weight
User :   ok
Doctor :and the cholesterol levels
User :   ok
Doctor :   4. to revert back the pre diabetes status to normal status
User :   how about fruits will it worsen diabietes
Doctor :and use of ISPAGHULA husk granules
Doctor :will help her
Doctor :fruits rich in high glucose to be avoided
Doctor :like apple, pine apple, mangoes
Doctor :cherry, grapes need to be avoided
User :   what fruit can she eat
Doctor :fruits like guava, papaya, watermelon, orange and citrous fruits will help her
Doctor :need to reduce milk and yogurt
User :   ok
User :   and to control the pain?
Doctor :is she on any medications for pain\
User :   so far tyenol
Doctor :ok
User :   but it doesnt work at all for the pain
Doctor :   yes i know
Doctor :can go for DICYLOMINE tablet
User :   she says the pain goes all the way down to her knees
Doctor :2 times a day after food
Doctor :one in morning and one in nite
Doctor :not to make a habit of these medications
Doctor :only when pain need to take
User :   shes taking lactulose solution
Doctor :can take tylenol once daily along with Dicylcomine tablets
Doctor :   ok
User :   is it bad
Doctor :no issues she can take that
Doctor :not to over use it
Doctor :   not to exeed more than 12- 15 ml per day
Doctor :is that ok
Doctor :follow the advises
User :   ok perfect
Doctor :her constipation will come down
Doctor :so the laxative abuse will reduce
Doctor :so the melanosis will disappear
Doctor :   and the colon pain
User :   so melanosis doesnt cause cancer right
Doctor :earlier they use to say it has riks
Doctor :But now its clearly proved that it has no risk for colon cancer
Doctor :absolutely NO
Doctor :   she should be mentally relaxed
User :   ok thank you very much
User :your been great and really patience
Doctor :Is there any thing else i can help u with
Doctor :   please fill the feed back form and the comment box
Doctor :   deviate her self to hobbies that she is intrested
User :   thank you doc tor i will tell her everything
Doctor :Thanks for consulting health care magic, take care bye for now
User :   bye
Doctor :   bye take care
Question is related to
Diseases and Conditions
Other doctor chats you may be interested in
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor