Those who suffer from endometriosis may sometimes wait for proper diagnosis because it is rather common for medical conditions related to the bowel not to be connected to endometriosis that easily. Most patients who suffer from endometriosis usually suffer at least some bowel symptoms. Among the most common symptoms which can be associated with endometriosis are certain bowel symptoms such as rectal bleeding, rectal pain, abdominal pain, nausea, vomiting, intestinal cramping, diarrhea, constipation, alternating constipation and diarrhea, and painful bowel movements.
In some cases, a person experiences only one symptom, but there are also cases where multiple symptoms may be experienced.
What Causes Bowel Symptoms in Endo Patients?
In most cases, endometriosis does not occur on the bowel, but there are still certain rare cases in which endometriosis can be found directly on the bowel of the patient. In these cases, the patient usually suffers from some localized or superficial disease, but it gets removed by utilizing laparoscopic excision.
The outer layer of the bowel can be easily removed without damaging the muscular portion of the bowel. In some cases, certain portions of the muscular part of the bowel need to be removed as well. Some cases may require even more significant surgery such as multi focal implants or segmental bowel resection. The cases in which the endometriosis does not affect the bowel directly, it still may trigger certain symptoms which may affect the bowel.
The tissue may release certain inflammatory mediators as a simple response to an injury or inflammation. Among them there may be included cytokines, interleukins, tumor necrosis factor and prostaglandins. These may trigger scarring, production of new blood vessels and several other different complications and reactions. Prostaglandin is also known for being able to induce smooth muscle contractility and increased contractions of the bowels, which all may lead to the onset of intestinal cramping and diarrhea.
There are also certain other types of factors which may cause bowel symptoms in those who suffer from endometriosis. The most common of those include medical conditions such as ulcerative colitis, Crohn’s disease and irritable bowel disease. Those who suffer from irritable bowel disease usually experience symptoms such as intestinal cramping, diarrhea, constipation, alternating diarrhea and constipation, and abdominal pain.
Those who suffer from Crohn’s disease commonly experience hemorrhoids, anemia, fatigue, mouth ulcers, bowel obstruction and abscesses. Appendix is a very important gastrointestinal organ which may also contribute to bowel symptoms in some cases, usually manifested as pelvic or abdominal pain.