Did we get it wrong? Did we stop listening to our patients and let scientific literature become more powerful than the individual patients we treat?  The book explains why the maladies associated with diseases like Gastroparesis, Dyspepsia, Constipation, irritable bowel syndrome(IBS), low back pain, pelvic pain and Functional Abdominal Pain syndrome do not have good explanation to date. Constipation and bowel disorders are researched heavily however they continue to be labeled as idiopathic or functional in nature. 

The author, Vikas Khurana, MD, MBA is board certified Gastroenterologist and studied at university of Delhi, India; SUNY Brooklyn, New York; University of Miami, Florida and University of Pennsylvania. He has rich clinical experience in treating gastrointestinal ailments. He is a well published researcher and has taught and trained doctors in the field of gastroenterology.

The book is for symptomatic patients who are trying to answer following questions: 

Is it Constipation? 

Is it IBS? 

Is it Diarrhea? 

Am I addicted to pain medicines? 

Am I missing a Cancer? 

Is it all in my head? 

This book shows why not all constipation is same and why different patients will have symptoms like worsening reflux, nausea, vomiting, abdominal pain, loss of appetite, weight loss, low back pain, pelvic pain and diarrhea. Many of these concepts have been clarified with the help of patients. The book also discussed about how to relieve their symptoms in collaboration with their doctors. It talks about why we get pain, why the laxatives, home remedies and colon cleanse for constipation may or may not work and how to get relief of stomach pain in collaboration with your health care provider. Why hydrotherapy with colonics or colonic irrigation if rightly done may benefit patients with congestive colon failure.

This book fills a critical void, distilling available experience of patients by analyzing their symptoms and analyzing them through the scientific lens. This book will help patients understand the disease process better and provides them with information to effectively manage their disease.  This book provides an unconventional explanation of difficult to understand digestive tract symptoms and is based on research from work over the last 100 years. In this book you will find explanations about why we get various digestive symptoms like abdominal pain, nausea, anorexia, constipation and other symptoms.  This book fills the gap what doctors are not able to discuss with their patients and once the underlying mechanism of the disease is understood, most patients will be able to better manage their disease.

The book is written in simple English with patients in mind and will be of benefit to clinicians and health care providers from the scientific analysis of patient symptoms presented in this book. It provides logical explanations based on scientific reasoning for the following commonly asked clinical questions.

 I was told that bowel movement once a week is alright.  Is this really true?

I get diarrhea every time I eat. Before, the antidiarrheal medications were working, but now they do not. Why does this happen?

I get pain relief on the left side after I poop but the pain on the right side worsens after I poop. How come?

 It is so confusing that constipation is presenting as diarrhea. How is it even possible?

My doctor gave me laxatives but it worsened my pain. Why does this happen to me?

I was diagnosed with Irritable Bowel  Syndrome and the pain is there all the time.  However, I experience constipation sometimes. How can you explain that?

I was asked to take fiber to help with constipation but it ended up making my symptoms worse.    Why did this happen?

Why does fiber help constipation in some patients and not in others?

 Are all fiber supplements the same?

Do I need to drink eight glasses of water every day?

Will I get addicted to the laxatives?

Does the retention of stool in the colon lead to toxin generation that in turn, leads to feeling ill?