الفهرس 
Physiology of the colonOnly 14 pages are availabe for public view
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Abstract
It is well known that many patients with abdominal symptoms have
no organic disease, but their symptoms nevertheless arise from a disorder
of gut function. Several qwte different syndromes among patients without
demonstrable organic disease could be distinguished:
1. Irritable bowel syndrome (IBS)
There are abdominal pain and altered bowel habit. In all of them a
relation between abdominal pain and abnormal colonic function could be
established from the history (pain relieved by bowel action or passing
flatus, distension with wind, looser motions at onset of pain, mucus in
stools. Manning, et al, 1978). 2. Painless (Functional) diarrhea
Some patients have functional, painless diarrhea with fecal urgency
but with no associated anatomical or histological abnormality. (James,
1992).
3. Painless (Functional) constipation
There are infrequent bowel movements less than every other day
result in hard fecal pellets which require straining to eliminate. (James,
1992). 4. Acute intestinal pseudo-obstruction (Ogilvie’s syndrome).
It is characterized by acute intestinal dilatation, involving primarily
the colon but occasionally also the small intestine (James, 1992).
5. Depression with abdominal pain
There is depression in association with abdominal symptoms
particularly pain. In this group the pain differed from that in the first
category. It tends to be constant, to be present on waking in the morning,
to last all day and it seldom was affected by anything. (Harvey, 1983). 6. Habit disorders
Friends and relatives complained of these habits more often than the
patients themselves. Most patients have their symptoms for years before
attending in clinic. Air swalling, habit vomiting
cmmnonest disorders. (Harvey, 1983) 7. Mad and incurable
are the
A group of people have bizarre complaints, e.g. ”acid in the testicles”
or ”I have got a rat grawing inside my bowel” (Harvey, 1983).
Biliary tract diseases are exceedingly common and often coexist with
the (lBS). They possess characteristic features e.g, In acute cholecystitis
examination shows right hypochondria! tenderness, rigidity worse on
inspiration (Murphy’s sign), and the gall bladder mass may be palpable, these features cause little confitsion when one or the other accompanies a
fimctional bowel disorder (Williams, 1985).
Several reports have firmly established a nonrandom association
between inflammatory bowel disease and certain hepatobiliary disorders
e.g. fatty change, pericholangitis, cirrhosis. (Rankin, 1990).