Diagnosis

Chagasic colopathy should be considered in any patient with either megaesophagus (Figure 25.5) or Chagasic heart disease who resides in a zone where Chagas' disease is endemic and who has a history of constipation.

After physical examination involving abdominal and proctologic examination, the patient should undergo a plain radiograph and a barium enema (Figs. 25.6). In cases of incipient megacolon without radiologic enlargement of the sigmoid, manometric studies of the colon and pharmaco-logic tests for denervation are indicated. A water-soluble contrast enema (rather than barium) may also be of some value (Fig. 25.7).

Figure 25.5. Enormous megaesophagus at necropsy.

Figure 25.6. Contrast barium view of advanced chagasic megaesophagus.

Figure 25.5. Enormous megaesophagus at necropsy.

Figure 25.6. Contrast barium view of advanced chagasic megaesophagus.

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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