I hope you are enjoying the arrival of spring in New York… finally!

I wanted to share this summary regarding Megacolon Condition. It includes important information about the causes and symptoms of Megacolon, and how we can alleviate and treat it at Fluid NYC. If you have any loved ones who suffer from this condition, please let them know that I am here to help them.


Megacolon, also known as megarectum, is an abnormal enlargement of the colon that is not caused by obstructions. It is often accompanied by peristaltic paralysis, where bowel movements (“peristalsis”) cease altogether and fecal matter begins to accumulate. If left untreated, fecal matter may turn into hard objects inside the colon, called fecalomas, that may require surgery to be removed. In severe cases, a dangerous and potentially a life-threatening intestinal complication called “toxic megacolon” may develop.

Megacolon may be caused by congenital causes, including:

  • Hirschsprung’s Disease or “Aganglionic Megacolon. This intestinal disorder is notable because the patient lacks “ganglion cells” in the colonic wall. Ganglion cells are the nerve cells in intestinal wall. This imperfection leads to a loss of intestinal muscle tone and the subsequent gradual enlargement of the colon’s wall.
  • Ulcerative colitis
  • Hypothyroidism
  • Metachromatic leukodystrophy
  • Familial visceral myopathy
  • Adrenomyodystrophy
  • Creatine deficiency

Megacolon may also be caused by certain substances including the following medications and substances which have been identified as potential causes of megacolon:

  • Risperidone
  • Codeine
  • Morphine
  • Laxatives
  • Lead

Megacolon has also been linked to other diseases and ailments, including:

  • Chagas disease. This disease is observed in approximately 1 out of 5 megacolon patients in Central and South America. Chagas is caused by “Trypanosoma Cruzi,” a flagellate protozoan transmitted by the feces of the Reduviidae bug. The disease is transmitted by direct insect bites, blood transfusions, organ transplants, and through contaminated food.
  • Chronic constipation
  • Neurological ailments that cause avoidance of defecation including depression, schizophrenia, sclerosis, and anorectal pain

A megacolon sufferer may experience the following symptoms due to the rapid widening of the colon:

  • Abdominal pain or tenderness
  • Abdominal distention
  • Fever
  • Rapid heart rate
  • Shock

The pain caused by megacolon can be excruciating and unbearable due to the intense pressure caused by fecal matter and gas build-up.  Traditional recommended treatments for chronic megacolon include the following:

  • Emptying the bowel through colonics, enemas, suppositories, and the like
  • Practicing a bowel habit retraining program, where the patient establishes a fixed schedule for defecating
  • Adding bulking agents to the diet (i.e. fiber)
  • Alkalinizing the diet — consuming high pH water and foods

Individuals with chronic constipation, severe constipation, and a megacolon condition may benefit from several colon hydrotherapies initially in order to cleanse the intestines from years of built up and dehydrated waste. They can then graduate to periodic therapies as needed, as well as in times of crisis.


As always, please contact me at (212) 888-9116 if you have any questions.

Stay well and healthy,

Dr. Francis


(212) 888-9116


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