When a part of the small or large intestine (the bowels) becomes blocked, either totally or partially so that stools cannot get through, this is known as a bowel obstruction; and it can happen to anybody.

Blockages can occur for a number of reasons. Some of these include hernia, gallstones, tumors, abnormal growth of tissue, a twisted intestine or foreign body (by swallowing a non-food item).

Bowel Obstruction

A blocked bowel is usually a serious condition that requires medical attention. Sometimes, the intestine may have to be decompressed which is achieved by the insertion of a (nasogastric) tube into the stomach. If this doesn’t manage to resolve the blockage then surgery may be required.

There are some complications associated with bowel obstructions. If not treated, for example, a part of the bowel tissue could die resulting in infection and even in some cases, gangrene. There is also the possibility of the intestine becoming perforated, and this is a medical emergency should it happen.

The symptoms of a blocked bowel can include the total lack of stools as none can get through, or diarrhea as only liquid stools can get through. Pain, bloating and cramps also point to a blocked bowel, as do bad breath and vomiting. Diagnosis of a bowel obstruction is carried out be a physical examination in combination with diagnostic tests.

Indigestion, or dyspepsia, describes the discomfort or pain felt in the chest or upper abdomen area normally soon after eating a meal. It sometimes describes the burning sensation felt in the chest, otherwise known as heartburn.

Indigestion normally occurs when the acid found in the stomach starts to flow back up the oesophagus (this is the pipe that attaches the mouth with the stomach). Although normally occurring after eating a meal, it can happen at any time. Symptoms of indigestion include discomfort, pain or a feeling of fullness in the upper abdomen or chest area; loss of appetite; heartburn; nausea; and burping or flatulence.

Occurrences of indigestion can be triggered by smoking; excessive alcohol use; anxiety or stress; some medicines; some foods; or not eating regularly which leads to a buildup of excess acid in the stomach.

Individuals can reduce the symptoms of indigestion by doing some of the following: stopping smoking; cutting down on coffee, tea, alcohol and fatty foods; eating three hours or more before going to bed; stop overeating or eating too fast; and reducing stress.

Antacid medication is an over-the-counter treatment that is effective at relieving symptoms of indigestion. These help neutralize excess acid in the stomach and usually contain aluminum or magnesium. Others contain an ingredient known as alginate which acts by forming a barrier of sorts that floats at the top of the stomach, therefore preventing reflux.

The testicles are found within the scrotum which is a loose sac of skin hanging down behind the penis.  The function of the testicles is to produce sperm and the male sex hormone testosterone.  Most of the time any lumps or swelling within the testicles are benign but it is natural for people to worry when they have found a lump.

Testicular torsion results in swelling of the testicles if the testicle has become twisted.  This interrupts blood flow and causes a large tender distension.  It often happens in developing boys who are experiencing puberty but has also been know to happen in men in their 20’s although it is quite rare.  Testicular torsion is a medical emergency due to the fact that it needs to be rectified by surgery within 6 hours or there is a risk that the testicle will be lost.

Symptoms of testicular torsion include nausea; vomiting; swelling of the scrotum; fever; abdominal pain; the need to urinate often; and, excruciating pain in one testicle.  The cause of testicular torsion results from a spermatic cord that is too long.  The spermatic cord is where the testicles hang from and in some boys this cord is too long leading to increased movement of the testicle which means the cord becoming twisted.  If it twists too much it will cut off the blood supply and the testicle will die.  Testicular torsion can sometimes just happen for no reason at all or it can be the result of strenuous exercise or other physical activity.

An ultrasound scan can be done to confirm suspicion of testicular torsion. Surgery needs to take place almost immediately to save the testicle.  The surgeon will have to cut the scrotum and untwist the cord.  He will then sew the cord to the scrotum to prevent this happening again.

Testicular Torsion