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Intestinal motility disorders are a group of medical intestinal disorders caused by the poorly understood neuromuscular dysfunction of the intestine, which may induce in any region of the gastrointestial tract chronic motor and sensory disturbances typically featured by weakened, spastic or failed movement (motility) of food through the digestive system.
These disorders are real neurological disorders involving the gastrointestinal tract resulting in waxing and waning of digestive symptoms or chronic disabling digestive symptoms for which there is little identification.
The symptoms show
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Produktbeschreibung
Intestinal motility disorders are a group of medical intestinal disorders caused by the poorly understood neuromuscular dysfunction of the intestine, which may induce in any region of the gastrointestial tract chronic motor and sensory disturbances typically featured by weakened, spastic or failed movement (motility) of food through the digestive system.
These disorders are real neurological disorders involving the gastrointestinal tract resulting in waxing and waning of digestive symptoms or chronic disabling digestive symptoms for which there is little identification.
The symptoms show a clear pattern:
1. Often escalating 1-2 hours after a meal,
2. Then flaring again at bedtime,
3. Often disrupting sleep.
Symptom severity is also worse upon awaking in the mornings.
Upper-gut motility disturbances:
1. Gastroparesis ("gastro" meaning "stomach" and "paresis' meaning "weakness"); a serious, chronic, debilitating digestive disease typical featured by serious nausea, vomiting spells, abdominal discomfort or pain, and other upper-gut symptoms.
2. Heartburn involves 10% of Americans on a daily basis and, in 50% of this group, is caused by a motor disorder of the stomach that leads to delayed gastric emptying.
The resulting symptoms of bloating, a feeling of fullness with abdominal discomfort, and nausea cannot be treated by acid-suppressing drugs alone.
3. Swallowing difficulties and food getting stuck up in the throat may indicate the beginning of a more rare and debilitating nerve motor disorder within the esophagus known as achalasia.
Mid-gut motility disturbances:
1. Milder forms of uncoordinated and sluggish movement of food through the mid-gut, with the typical feature of overwhelming abdominal pain, are known by doctors as functional abdominal pain.
2. Bloating, belching, nausea and vomiting may come in episodes, often activated by the simple act of eating.
3. Children may start to form food jags, anorexia, or food avoidance in order to moderate digestive symptoms.
4. Chronic intestinal pseudo-obstruction, a more serious form of mid-gut motility disorder causing severe abdominal pain linked with severe constipation, episodic, nausea, vomiting and profound malnourishment primarily involves young females.
Lower-gut motility disturbances:
1. Chronic constipation induced by motility disturbances of the lower digestive tract, for many start in childhood and continuss into adulthood.
Constipation of this nature may be so disabling to the sufferer as to greatly limit social functions and activities.
2. Irritable bowel syndrome (IBS) is the best identified motility disorder involving 20% of the North American population.
Treatment
Distention and stretching
A couple of glasses of warm water often assist to produce contractions in the rectum due to stretching or bloating of the stomach wall. (gastrocolic reflex)
Abdominal Massage
A few minutes of gentle circular massage of the abdomen activates colonic movement and helps reflexive actions in the colon.
Exercise
The smooth muscle is exercised to maintain tone
A ten minute walk will activate the muscles of the colon and trigger intestinal motility.
Fiber
Insoluble fiber assists retention of water in the colon and bulking of stool

TABLE OF CONTENT
Introduction
Chapter 1 Intestinal Motility Disorder
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Gastroparesis
Chapter 8 Irritable Bowel Syndrome
Epilogue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...