Intestinal Motility Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

Intestinal motility disorders are a group of medical intestinal disorders caused by the poorly understood neuromuscular dysfunction of the intestine, which may induce in any region of the gastrointestial tract chronic motor and sensory disturbances typically featured by weakened, spastic or failed movement (motility) of food through the digestive system.
These disorders are real neurological disorders involving the gastrointestinal tract resulting in waxing and waning of digestive symptoms or chronic disabling digestive symptoms for which there is little identification.
The symptoms show a clear pattern:
1. Often escalating 1-2 hours after a meal,
2. Then flaring again at bedtime,
3. Often disrupting sleep.
Symptom severity is also worse upon awaking in the mornings.
Upper-gut motility disturbances:
1. Gastroparesis (“gastro” meaning “stomach” and “paresis’ meaning “weakness”); a serious, chronic, debilitating digestive disease typical featured by serious nausea, vomiting spells, abdominal discomfort or pain, and other upper-gut symptoms.
2. Heartburn involves 10% of Americans on a daily basis and, in 50% of this group, is caused by a motor disorder of the stomach that leads to delayed gastric emptying.
The resulting symptoms of bloating, a feeling of fullness with abdominal discomfort, and nausea cannot be treated by acid-suppressing drugs alone.
3. Swallowing difficulties and food getting stuck up in the throat may indicate the beginning of a more rare and debilitating nerve motor disorder within the esophagus known as achalasia.
Mid-gut motility disturbances:
1. Milder forms of uncoordinated and sluggish movement of food through the mid-gut, with the typical feature of overwhelming abdominal pain, are known by doctors as functional abdominal pain.
2. Bloating, belching, nausea and vomiting may come in episodes, often activated by the simple act of eating.
3. Children may start to form food jags, anorexia, or food avoidance in order to moderate digestive symptoms.
4. Chronic intestinal pseudo-obstruction, a more serious form of mid-gut motility disorder causing severe abdominal pain linked with severe constipation, episodic, nausea, vomiting and profound malnourishment primarily involves young females.
Lower-gut motility disturbances:
1. Chronic constipation induced by motility disturbances of the lower digestive tract, for many start in childhood and continuss into adulthood.
Constipation of this nature may be so disabling to the sufferer as to greatly limit social functions and activities.
2. Irritable bowel syndrome (IBS) is the best identified motility disorder involving 20% of the North American population.
Treatment
Distention and stretching
A couple of glasses of warm water often assist to produce contractions in the rectum due to stretching or bloating of the stomach wall. (gastrocolic reflex)
Abdominal Massage
A few minutes of gentle circular massage of the abdomen activates colonic movement and helps reflexive actions in the colon.
Exercise
The smooth muscle is exercised to maintain tone
A ten minute walk will activate the muscles of the colon and trigger intestinal motility.
Fiber
Insoluble fiber assists retention of water in the colon and bulking of stool

TABLE OF CONTENT
Introduction
Chapter 1 Intestinal Motility Disorder
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Gastroparesis
Chapter 8 Irritable Bowel Syndrome
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: Feb 10, 2017
• ISBN: 9781370468072

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Intestinal Motility

Disorder,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2017 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes the Intestinal Motility Disorder, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Intestinal Motility Disorder)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical conditions.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Intestinal Motility Disorder

What is Intestinal Motility Disorder?

Intestinal motility disorders are a group of medical intestinal disorders caused by the poorly understood neuromuscular dysfunction of the intestine, which may induce in any region of the gastrointestial tract chronic motor and sensory disturbances typically featured by weakened, spastic or failed movement (motility) of food through the digestive system.

These disorders are real neurological disorders involving the gastrointestinal tract resulting in waxing and waning of digestive symptoms or chronic disabling digestive symptoms for which there is little identification.

Intestinal motility is the term used for the movements of the digestive system, and the motion of the contents within it.

When nerves or muscles in any portion of the digestive tract do not work with their normal strength and coordination, a person forms symptoms related to motility problems.

What are the symptoms of Intestinal Motility Disorder?

Symptoms:

The symptoms show a clear pattern:

1. Often escalating 1-2 hours after a meal,

2. Then flaring again at bedtime,

3. Often disrupting sleep.

Symptom severity is also worse upon awaking in the mornings.

Digestive symptoms tend to be less severe in the late afternoon and early evening.

These intestinal motility disorders induce the highest rate of school absenteeism.

15% of middle school-aged children are involved on a weekly basis by abdominal pain caused by mid-intestinal motility (after eating) disturbances, which, for many, may continue into adulthood.

Often this family of digestive motility disorders is wrongly diagnosed for an eating disorder; mothers may be blamed for the Munchausen’s syndrome by proxy, or the child’s psychological state of mind is blamed for the reason of their chronic digestive symptoms.

Children and the families must tolerate the unpredictable nature of digestive symptom flare-ups and rapidly exhausted treatment methods.

Lack of knowledge surrounding digestive motility disorders is the largest problem facing families who require support and compassionate medical direction.

Many pediatric gastroenterologists have not been trained in the GI motility disorders.

Also, they lack the specialized diagnostic tools, which are essential to define and properly diagnose the nerve-gut motor problem.

Because standard diagnostic work-ups often come back as normal, the doctor is stumped.

The gastroenterologist who does not have adequate time is quick to put a psychological label to explain the child’s chronic digestive symptoms.

Children, who may appear well but suffering, must fight back against a lack of support from the medical community, their teachers, friends, and in some cases, family, who do not know the incapacitating nature of their neurological digestive symptoms

Frequent school absenteeism produces misunderstanding by school principals who may wrongly result in involvement of a truancy officer.

Families feel abandoned by teachers and become defensive as they perceive no one is listening.

Truancy has the child becoming worse in class work adding to the child’s stress and depression.

Positive intervention can be obtained through the initiation of an individual education plan (IEP),.

What are the causes of Intestinal Motility Disorder?

Causes:

Upper-gut motility disturbances:

Upper-gut motility disturbances loosely referred to as dyspepsia when affecting the upper digestive tract may be found in association with delayed gastric emptying.

Standard diagnostic tests may all be normal, including