Mr Maurice Brygel
e-mail:
mbrygel@netspace.net.au
Masada Private Hospital
26 Balaclava Road
East St Kilda
VIC 3183
Ph: 03 90381300
or 1300 HERNIA
fax: 03 9527 1519
For outside Australia
ph: +61 3 90381300
fax: +61 3 9527 1519
Sir John Monash Private Hospital
212 Clayton Road
Clayton VIC 3168
Cabrini Private Hospital
181- 183 Wattletree Road
Malvern VIC 3144
Disclaimer
Welcome to this website devoted to the diagnosis and treatment of haemorrhoids and rectal bleeding. No symptom or complaint can be looked at in isolation.
The whole patient needs to be evaluated before any conclusions can be drawn or treatments instituted. This site is expanded to provide information in many related areas of patient concern.
Whilst all attempts have been made to ensure accuracy, the Clinic does not accept any liability for the use or application of this knowledge.
We are unable to provide any detailed feedback to your e-mails apart from general advice. Should you feel the need to contact us, an appointment can be made by e-mail or by telephone or fax.
To diagnose medical or surgical problems in this area, a formal consultation is required which includes a full history, thorough examination and any investigation that may be required.
Ischaemic Bowel Disease
Ischaemia means not enough blood.
Just like patients can have a heart attack because an artery becomes blocked – in the same way the bowel can die because of a blockage of one of the main arteries to the bowel. This blockage can be due to thrombosis – that is a clot in the vessel or due to embolism which is when a clot becomes dislodged from one site and then passes in the arteries to block an artery elsewhere.
The pain of bowel ischaemia is usually acute and severe ... and the patient is very sick. It is not easy to detect and surgery is required urgently.
There are other types of impaired blood supply to the bowel where symptoms are more gradual like angina in the heart. That is the patient develops pain in the bowel after meals instead of after walking. The blood supply to the bowel needs to increase after meals because of the increasing activity. There may not be enough blood flow because of the blockage of the arteries and the patient develops pain. This is also a difficult diagnosis to make and special tests, scans and dyes are required to confirm the diagnosis.
With ischaemic bowel disease of a chronic nature, diarrhoea or bleeding may also occur.
