Gastrointestinal Issues: Adhesions and Twists Explained

Gastrointestinal issues

Hello Doctor, I am a patient from https://adoctor.tw/article/182755 [email protected]#182755.
Thank you for answering my questions.
I do not have emotional issues, but a doctor prescribed me anti-anxiety medication to try, which did not help.
I often feel a twisting sensation in my intestines; is it possible that there is a mild twisting? Since I started intermittent fasting for weight loss, I have experienced bloating after eating, which varies in intensity.
The previous article mentioned adhesions, and I would like to know if it is possible to have intestinal adhesions without having undergone surgery.
Additionally, could there be a possibility of intestinal twisting without surgery? Each time I experience bloating, it is accompanied by gas, and I feel somewhat better after passing gas.
Currently, the internal medicine specialists have not been able to provide a solution, so I am considering whether laparoscopic surgery might help me, but I am also concerned about the potential for additional adhesions.
I would appreciate your insights on this matter.
Thank you.

Zhang Ke 0, 30~39 year old female. Ask Date: 2022/06/15

Dr. Chen Ronghong reply Surgery

Hello Mr.
Zhang, intestinal volvulus typically leads to bowel obstruction and abdominal pain.
If there is indeed a volvulus, the CT scan report would indicate it.
There have been cases where patients have not undergone abdominal surgery but still experienced adhesions, possibly due to past intra-abdominal inflammation.
Therefore, while it is rare, it is not impossible.
If you are considering laparoscopic surgery, you should discuss with your physician beforehand.
If adhesions are found during the surgery, they can use anti-adhesion materials to prevent recurrence after resolving the issue.

Reply Date: 2022/06/15

More Info

Understanding gastrointestinal issues, particularly those related to adhesions and twists, can be quite complex. Your concerns about experiencing a sensation of twisting in your intestines, along with symptoms of bloating and discomfort, warrant a thorough exploration of potential underlying causes.

Adhesions are bands of scar tissue that can form between abdominal tissues and organs, often as a result of previous surgeries, infections, or inflammation. While adhesions are commonly associated with surgical history, they can also develop without any surgical intervention, particularly after episodes of severe inflammation or infection in the abdomen. These adhesions can lead to complications such as bowel obstruction, which may manifest as abdominal pain, bloating, and changes in bowel habits.

Twists, or volvulus, occur when a portion of the intestine twists around itself, potentially leading to obstruction and compromised blood flow. This condition is more common in individuals with certain anatomical predispositions or in cases of significant gastrointestinal motility issues. While volvulus typically requires surgical intervention, mild cases may resolve spontaneously.

Your experience of bloating and the sensation of twisting could be indicative of several conditions, including functional gastrointestinal disorders like irritable bowel syndrome (IBS), which can cause symptoms such as bloating, gas, and altered bowel habits without any structural abnormalities. Stress and anxiety can exacerbate these symptoms, leading to a cycle of discomfort.

Regarding your question about the possibility of having adhesions or twists without prior surgery, it is indeed possible. Adhesions can form due to inflammatory processes, and conditions such as chronic pancreatitis or diverticulitis can lead to localized inflammation and subsequent adhesion formation. Similarly, while volvulus is often associated with anatomical abnormalities or prior surgeries, it can occur in individuals without a surgical history, particularly in cases of severe constipation or other motility disorders.

If you are experiencing significant discomfort and your symptoms are affecting your quality of life, it may be beneficial to consult with a gastroenterologist who can evaluate your condition more thoroughly. Diagnostic imaging, such as an abdominal ultrasound or CT scan, can help identify any structural issues, including the presence of adhesions or signs of volvulus.
In terms of treatment, if adhesions are confirmed and are causing significant symptoms, surgical intervention may be necessary to relieve the obstruction. However, surgery carries its own risks, including the potential for new adhesions to form. Therefore, a careful assessment of the risks and benefits is essential.

For managing symptoms, dietary modifications, such as increasing fiber intake and staying well-hydrated, can help alleviate bloating and promote regular bowel movements. Additionally, medications to manage symptoms of IBS or other functional disorders may be beneficial.
In conclusion, while adhesions and twists can occur without prior surgery, it is crucial to have a comprehensive evaluation to determine the exact cause of your symptoms. Working closely with your healthcare provider will help you navigate these gastrointestinal issues effectively and develop a tailored treatment plan that addresses your specific needs.

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