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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 : 2572 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
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