What Causes Loss Of Superficial Mucosa Of The Rectum?
Chronic infection is commonest cause for reduction in glands
Detailed Answer:
Hi
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Dear Ms
The mucosa of Rectum is lined with columnar cells and few glands. The main purpose of Rectum is acts as Storage for stools and helps in timely evacuation of stools. It also helps to certain extent in absorption of water from stools.
Normally the glands of rectum are not enlarged. They enlarge during inflammation causing secretion of excessive mucous. When the infection runs for very long time also known as chronic inflammation there could destruction and reductio in number of glands. Chronic infection both non specific and specific infection are the commonest cause for reduction in number of glands.
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Dr Deepak Kaltari
Consultant Surgeon
Today I was once again at our local hospital, small town, and they contacted the city specialist. I don't see them until mid March. I've lost 40 pounds in 2 months, it's painful to eat, and constant pain that is severe in my lower left abdomen. I've also started having bladder spasms, which my urologist believes is the diverticula rubbing my bladder.
In the colonoscopy I had they did see diverticula, as well as on the cat scan. But I wasn't given a treatment plan, and as I've said I don't see a specialist until mid March.
They prescribed delaudid for pain today, buscopan as well. I feel lost, as my condition has worsened, and with the weight loss I'm getting worried.
Inflammation likely to be due to infection
Detailed Answer:
Dear Ms
Thanks for providing the reports. Going by description possibility of infective etiology like Amoebiasis needs to be considered. Diagnosis can be confirmed with stool examination. I would suggest you the following
1. Empirical therapy with antibiotic : As it will be long before you see specialist in big town, trial of Metronidazole thrice a day for 10 days will be helpful
2. Ensure good intake of water : 2 to 3 liter a day
3. High fiber diet : 2 servings of vegetable salad and 2 servings of fruits especially citrus fruit will ensure adequate intake of fiber in diet.
4. Avoid carbonated / alcohol / caffeinated beverage
5. Ensure intake of meals on time
6. Continue medication as advised
Take care
Best Regards
Dr Deepak