<?xml version="1.0" encoding="UTF-8"?><!-- generator="wordpress/2.2.1" -->
<rss version="2.0" 
	xmlns:content="http://purl.org/rss/1.0/modules/content/">
<channel>
	<title>Comments on: Peritonitis and sigmoid colon injury</title>
	<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/</link>
	<description>What's next along this river of life?</description>
	<pubDate>Tue, 06 Jan 2009 22:08:13 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.2.1</generator>

	<item>
		<title>By: mott</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8763</link>
		<author>mott</author>
		<pubDate>Mon, 26 Feb 2007 04:27:54 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8763</guid>
		<description>As usual, very informative. Thanks for sharing!</description>
		<content:encoded><![CDATA[<p>As usual, very informative. Thanks for sharing!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: AGM</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8753</link>
		<author>AGM</author>
		<pubDate>Mon, 26 Feb 2007 00:40:48 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8753</guid>
		<description>Thank you Dr. Bernard. Wish I could see you for a consultation.</description>
		<content:encoded><![CDATA[<p>Thank you Dr. Bernard. Wish I could see you for a consultation.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bernard</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8701</link>
		<author>Bernard</author>
		<pubDate>Sun, 25 Feb 2007 03:33:28 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8701</guid>
		<description>&lt;strong&gt;AGM&lt;/strong&gt;, yes ... antibiotics is for when there is diverticul&lt;em&gt;itis&lt;/em&gt;.. when there's inflammation. 

Once a diverticulum (singular of diverticuli) has formed, it will remain permanently. Sometimes they do get stuffed with faeces (all the fibre has turned to faecal material by the time it reaches the large bowel), but that is usually harmless as well. Occasionally, however, bacterial overgrowth occurs in the diverticulum. Then that can cause bloating and diarrhoea.

Taking fibres is good as it produces bulky soft stools that are easily evacuated on a regular basis... helps to reduce incidences of bacterial overgrowth.

About the symptoms (you should consult your doctor about this): sometimes the diverticuli might not be the cause of the symptoms. Other causes, such as irritable bowel syndrome (IBS) might cause symptoms and the diverticuli are just innocent bystanders. Consult your doctor about this.</description>
		<content:encoded><![CDATA[<p><strong>AGM</strong>, yes &#8230; antibiotics is for when there is diverticul<em>itis</em>.. when there&#8217;s inflammation. </p>
<p>Once a diverticulum (singular of diverticuli) has formed, it will remain permanently. Sometimes they do get stuffed with faeces (all the fibre has turned to faecal material by the time it reaches the large bowel), but that is usually harmless as well. Occasionally, however, bacterial overgrowth occurs in the diverticulum. Then that can cause bloating and diarrhoea.</p>
<p>Taking fibres is good as it produces bulky soft stools that are easily evacuated on a regular basis&#8230; helps to reduce incidences of bacterial overgrowth.</p>
<p>About the symptoms (you should consult your doctor about this): sometimes the diverticuli might not be the cause of the symptoms. Other causes, such as irritable bowel syndrome (IBS) might cause symptoms and the diverticuli are just innocent bystanders. Consult your doctor about this.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: AGM</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8692</link>
		<author>AGM</author>
		<pubDate>Sun, 25 Feb 2007 00:17:02 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8692</guid>
		<description>Thank you so much for taking your time to explain. What puzzled me is that I go to toilet regularly and I don't suffer from constipation. I wonder why my diverticulitis pain and inflammation come with flatulence and diarrhoea, and usually occurs around the time of my menstruation period. Perhaps the diverticuli got blocked because of some roughage or fibres. The course of anti-biotic is to cure the inflammation only, right?</description>
		<content:encoded><![CDATA[<p>Thank you so much for taking your time to explain. What puzzled me is that I go to toilet regularly and I don&#8217;t suffer from constipation. I wonder why my diverticulitis pain and inflammation come with flatulence and diarrhoea, and usually occurs around the time of my menstruation period. Perhaps the diverticuli got blocked because of some roughage or fibres. The course of anti-biotic is to cure the inflammation only, right?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bernard</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8662</link>
		<author>Bernard</author>
		<pubDate>Sat, 24 Feb 2007 10:45:30 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8662</guid>
		<description>&lt;strong&gt;just me&lt;/strong&gt;, really... having a baby is probably worse, actually. 

&lt;strong&gt;Judy&lt;/strong&gt;, i'm no haematologist, but there are various types of thalassaemia, depending on how many of the haemoglobin genes are abnormal. You sure don't looks like one with MAJOR thalassaemia (they have a charateristic appearance because of the frequent transfusions). And you said that your Hb level was very low (minor thalassaemia patients usually have just mildly reduced Hb level). So i guess, it might be intermediate thalassaemia. :-)

Anyway, the reason why it's black is because the waste product of breakdown of haemoglobin is bilirubin pigment which gives bile its characteristic colour. Since thalassaemia causes more rapid turnover (breakdown and production of new red blood cells), there's more bilirubin being produced than normal and the stones tend to be dark or black in colour.

&lt;strong&gt;AGM&lt;/strong&gt;, colonic &lt;a href="http://www.bernardchan.net/2006/07/31/colonic-diverticuli/" rel="nofollow"&gt;diverticuli &lt;/a&gt; are out-pouching of the inner lining of the colon. They are usually harmless but &lt;em&gt;can&lt;/em&gt; become complicated by diverticulitis (i.e. the diverticuli become inflammed). Usually these are treated by a course of antibiotics. 

&lt;strong&gt;Peritonitis&lt;/strong&gt;, on the other hand, is a life-threatening condition as there is inflammation, usually infection, of the abdominal cavity. Patients can quickly become septic and can die if untreated.

Occasionally, the diverticuli might perforate (burst) and form localised abscesses around the colon or might spread all over the abdomen... i.e. &lt;strong&gt;peritonitis&lt;/strong&gt;.</description>
		<content:encoded><![CDATA[<p><strong>just me</strong>, really&#8230; having a baby is probably worse, actually. </p>
<p><strong>Judy</strong>, i&#8217;m no haematologist, but there are various types of thalassaemia, depending on how many of the haemoglobin genes are abnormal. You sure don&#8217;t looks like one with MAJOR thalassaemia (they have a charateristic appearance because of the frequent transfusions). And you said that your Hb level was very low (minor thalassaemia patients usually have just mildly reduced Hb level). So i guess, it might be intermediate thalassaemia. <img src='http://bernardchan.net/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>Anyway, the reason why it&#8217;s black is because the waste product of breakdown of haemoglobin is bilirubin pigment which gives bile its characteristic colour. Since thalassaemia causes more rapid turnover (breakdown and production of new red blood cells), there&#8217;s more bilirubin being produced than normal and the stones tend to be dark or black in colour.</p>
<p><strong>AGM</strong>, colonic <a href="http://www.bernardchan.net/2006/07/31/colonic-diverticuli/" rel="nofollow">diverticuli </a> are out-pouching of the inner lining of the colon. They are usually harmless but <em>can</em> become complicated by diverticulitis (i.e. the diverticuli become inflammed). Usually these are treated by a course of antibiotics. </p>
<p><strong>Peritonitis</strong>, on the other hand, is a life-threatening condition as there is inflammation, usually infection, of the abdominal cavity. Patients can quickly become septic and can die if untreated.</p>
<p>Occasionally, the diverticuli might perforate (burst) and form localised abscesses around the colon or might spread all over the abdomen&#8230; i.e. <strong>peritonitis</strong>.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: AGM</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8659</link>
		<author>AGM</author>
		<pubDate>Sat, 24 Feb 2007 09:40:50 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8659</guid>
		<description>Thank God I have taken my dinner. Hope you can enlighten me. What is the difference between peritonitis and diverticulitis? I am a diverticulitis sufferer and the pain lasts for days with diarrhoea and flatulence. I trusted my physician and he did nothing, so I had to bear with it when the pain comes. How would you treat diverticulitis? Really appreciated it you could share your knowledge on this.</description>
		<content:encoded><![CDATA[<p>Thank God I have taken my dinner. Hope you can enlighten me. What is the difference between peritonitis and diverticulitis? I am a diverticulitis sufferer and the pain lasts for days with diarrhoea and flatulence. I trusted my physician and he did nothing, so I had to bear with it when the pain comes. How would you treat diverticulitis? Really appreciated it you could share your knowledge on this.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Judy Leese</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8625</link>
		<author>Judy Leese</author>
		<pubDate>Fri, 23 Feb 2007 14:48:25 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8625</guid>
		<description>Bernard, what is intermediate thallassaemia?  Thanks for the explanation which is really helpful.  I must tell my husband who wonders why the stone is black (he thinks it's been in my gallbladder for a long, long time).</description>
		<content:encoded><![CDATA[<p>Bernard, what is intermediate thallassaemia?  Thanks for the explanation which is really helpful.  I must tell my husband who wonders why the stone is black (he thinks it&#8217;s been in my gallbladder for a long, long time).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: just me</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8613</link>
		<author>just me</author>
		<pubDate>Fri, 23 Feb 2007 06:46:17 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8613</guid>
		<description>Thank God I have not had any experience with any surgeon yet.
 
 Knowing I have to see one will scare the guts out of me first, I think. I don't mind delivering another baby to having to undergo an operation...yes, I am that scared!</description>
		<content:encoded><![CDATA[<p>Thank God I have not had any experience with any surgeon yet.</p>
<p> Knowing I have to see one will scare the guts out of me first, I think. I don&#8217;t mind delivering another baby to having to undergo an operation&#8230;yes, I am that scared!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bernard</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8605</link>
		<author>Bernard</author>
		<pubDate>Fri, 23 Feb 2007 04:17:17 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8605</guid>
		<description>&lt;strong&gt;Capt Picard&lt;/strong&gt;, nothing like a starfleet captain, sir!

&lt;strong&gt;Kat&lt;/strong&gt;, you'd better!

&lt;strong&gt;just me&lt;/strong&gt;, well.. it's not a difficult assessment.. just needs good hands and enough guts. Whoever your surgeon is, if you're seeing him or her... you have to place your trust there already. 

&lt;strong&gt;Judy&lt;/strong&gt;, well.. ohhh, you have thalassaemia. It isn't that often that surgeons see thalassaemia patients. So, it's excuseable for him to not know it. Hehe ;-)

If your Hb was very low, you must be having intermediate Thalassaemia. That might account for the dark colour of your stone (saw it on your blog before).

&lt;strong&gt;jonzz&lt;/strong&gt;, loads of it.</description>
		<content:encoded><![CDATA[<p><strong>Capt Picard</strong>, nothing like a starfleet captain, sir!</p>
<p><strong>Kat</strong>, you&#8217;d better!</p>
<p><strong>just me</strong>, well.. it&#8217;s not a difficult assessment.. just needs good hands and enough guts. Whoever your surgeon is, if you&#8217;re seeing him or her&#8230; you have to place your trust there already. </p>
<p><strong>Judy</strong>, well.. ohhh, you have thalassaemia. It isn&#8217;t that often that surgeons see thalassaemia patients. So, it&#8217;s excuseable for him to not know it. Hehe <img src='http://bernardchan.net/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' /> </p>
<p>If your Hb was very low, you must be having intermediate Thalassaemia. That might account for the dark colour of your stone (saw it on your blog before).</p>
<p><strong>jonzz</strong>, loads of it.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: jonzz</title>
		<link>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8597</link>
		<author>jonzz</author>
		<pubDate>Fri, 23 Feb 2007 00:35:24 +0000</pubDate>
		<guid>http://bernardchan.net/2007/02/23/peritonitis-and-sigmoid-colon-injury/#comment-8597</guid>
		<description>Hmm, sounds like a 'shitty' accident. Ha ha ha ha.. (Lame joke intended)</description>
		<content:encoded><![CDATA[<p>Hmm, sounds like a &#8217;shitty&#8217; accident. Ha ha ha ha.. (Lame joke intended)</p>
]]></content:encoded>
	</item>
</channel>
</rss>
