Mezim for irritable bowel syndrome


IBS (irritable bowel syndrome)

Syndrome of irritated bowel is called a failure of its motor function, which is accompanied by a violation of defecation and abdominal pain. With this disease there are no organic lesions of the intestine.

Dr. Lerner offers a personal course of phytotherapy for the treatment of irritable bowel syndrome. In St. Petersburg, you can call a doctor at home. In other cities we send phytopreparations by post.

Prevalence of the disease

The disease occurs in a quarter of the able-bodied population. Women are sick 3 times more often than men. Of these, only 75% seek medical help. The rest do not consider themselves sick. IBS can occur in both children and the elderly, but less frequently. The high risk of irritable bowel syndrome in people prone to neuroses, depression, and also in patients with mental illnesses such as schizophrenia, manic-depressive psychosis.

Symptoms of IBS

All manifestations of the disease occur during the waking of the patient. He may be concerned about pain in the r

ight side of the abdomen, which appear after eating, diarrhea or, conversely, constipation. When diarrhea stools are liquid or mushy up to 5 times a day, with impurities of mucus and undigested food. With constipation, the stool is hard, like sheep. The patient becomes intolerant of certain foods.

There are extraintestinal manifestations in the form of vegetative disorders, frequent urge to urinate, headaches and others. Patients become anxious, irritable, afraid that they have cancer.

Forms of the disease

In the irritable bowel syndrome, depending on the leading clinical manifestations, a painful form, a form flowing with diarrhea, and a form flowing with constipation are isolated.

Causes of the disease

The main reason for the development of IBS is considered to be the stress factor. Causing irritation of the intestines can and food intake. Among the causes may be chronic intestinal infection (in 30% of patients), irregular eating, frequent overeating, alcohol abuse, consumption of large amounts of coffee or fatty foods, lack of a vegetable diet fibers. At the heart of the bowel irritation syndrome is a violation of nervous and autonomic regulation of the motor function of the lower part of the digestive tract.

X-ray of the large intestine with spastic constipation - bowels narrowing

Diagnosis of the disease

Syndrome of irritation of the intestine refers to a group of diseases that determine after the elimination of organic pathology. To do this, perform a finger examination of the rectum and colonoscopy (examination of the large intestine with a flexible endoscope). The diagnosis is made if in the course of the survey it was not possible to detect other diseases and within a year for 3 months the patient had abdominal pains and constipation or diarrhea.

Treatment of IBS

The main treatment includes dietary nutrition, which is made up individually, taking into account food intolerance, group or private sessions with a psychotherapist. From drugs to a patient prescribed for constipation laxatives: forlax, lactulose, peristal. With diarrhea, fixing agents are given: smect, imodium, loperamide. For the removal of pain appoint enteros-gel, espumizan, buscopan. To restore normal flora in the intestines give antibacterial agents (intetriks, furazolidon) and probiotics (colibacterin, bifiform, hilak-forte). To improve the digestion of food give enzymes - festal, creon, mezim-forte. For the purpose of eliminating mental disorders, use framex, amitriptyline.

Prognosis of treatment

The disease proceeds chronically with periods of exacerbation and imaginary well-being. At an exacerbation of any life-threatening conditions does not arise. If the patient is very hypochondriac and takes his illness too seriously, then psychologically he can negatively adjust himself. But in most cases, irritable bowel syndrome occurs favorably. Systematic treatment with drug and non-pharmacological methods ultimately leads to recovery.

Dr. Lerner offers a personal course of phytotherapy for the treatment of irritable bowel syndrome. In St. Petersburg, you can call a doctor at home. In other cities we send phytopreparations by post.

Ask your doctor questions.

SRK # 8212; irritable bowel syndrome

Who does not know the state when there is a malfunction in the intestine. Such a violation is more than unpleasant. And not only unpleasant, but also able to make the most unforeseen adjustments in all our plans for the next few days.

This happened for sure with everyone, because not always we manage to eat by the clock, and occasional occasional feasts can overload the gastrointestinal tract.

Usually, if this happens only occasionally, as an exception, then nothing terrible happens: several tablets of Mezima or Pancreatin are able to solve a momentary problem.

However, recently, cases of prolonged intestinal disorders, which can last for several weeks or even months, have become more frequent. In this case, one can already talk about a special, specific state of the human intestine, which balances somewhere on the verge of norm and pathology. And this condition is calledirritable bowel syndrome .

Irritable bowel syndrome (or abbreviated IBS)refers to one of the most mysterious states of the intestine.

Why states, not diseases? The fact is that not all doctors-specialists in the treatment of intestinal disorders refer to irritable bowel syndrome to pathological conditions.

Nevertheless, IBS has certain signs, according to which it is possible to judge whether a person has this particular disorder.

Characteristic features of irritable bowel syndrome

The clinical picture of IBS can vary and is not accompanied by the manifestation of any one symptom, it is always a complex of disorders.

1) A feeling of heaviness in the abdomen.

2) Flatulence and nausea.

3) Oscillations of the consistency of fecal masses (from liquid stool to constipation).

4) Feeling that the act of defecation emptying the intestine completely fails.

5) The presence of mucous discharge in feces.

6) Defecation more often 3 times a day and less than 3 times a week.

7) False urge to empty the intestines, as well as urges that arise spontaneously and require immediate access to the toilet.

8) Application of additional efforts in the process of defecation.

This, of course, is not a complete list of possible manifestations, but all of them with irritable bowel syndrome are somehow connected with the digestive cycle. For the diagnosis of IBS requires a combination of 2 or more of the symptoms listed.

The nature of pain also matters in the diagnosis of irritable bowel syndrome.

The diagnosis of "irritable bowel syndrome" is given to the patient in the following cases:

A) The diagnosis of "irritable bowel syndrome" is made to the patient if the duration of intestinal disorders exceeds a three-month period during the year.

B) Tenderness of the abdomen goes away for a while after the bowel has been emptied.

C) The nature of pain can vary depending on the frequency of stool and the consistency of fecal masses.

In addition, irritable bowel syndrome can exhibit a variety of non-specific symptoms that complement the clinical picture of the disorder.

Other symptoms of IBS (not directly related to the intestine)

1) A patient may from time to time experience an unusual taste in the mouth, not associated with the reception of a particular food.

2) The psychosomatic state changes. In connection with IBS, feelings of depression or even depressive conditions may develop.

3) IBS can be supplemented by the presence of pain syndrome not only in the abdomen, but also with headaches and pain in the lower back.

4) The patient can observe functional changes in the rhythm of the pulse (more than eighty beats per minute - tachycardia, the heart misses strokes - arrhythmia). If a person does not suffer from cardiovascular diseases, all this can be, among other things, a manifestation of IBS.

5) There may also be problems with the separation of urine (too frequent urination, inability to completely empty the bladder, difficulty in starting urination, etc.).

6) IBS is often characterized by sleep disorders. And this can concern both increased sleepiness in the daytime, and insomnia in the night.

Causes of irritable bowel syndrome

Specific reasons that could cause this is not the most pleasant state, has not yet been identified, and physicians and scientists conducted multiple studies on the nature of IBS, examined patients suffering from this ailment.

However, the irritable bowel syndrome is so characteristic that during the study of the medical history in patients, as a rule, no associated pathologies (for example, inflammatory or tumor process), which could lead to such a pronounced and prolonged intestinal disorders.

Some scientists argue that IBS is associated with a violation of neuroendocrine connections between the intestine and the brain, as a result of which the intestine from the brain structures receives an incorrect signal and, as a consequence, a functional disorder. Nevertheless, this assumption has equally supporters and opponents.

In a number of cases, IBS can arise for arbitrary reasons, namely:

1) Due to regular eating disorders.

2) The systematic use of poor-quality food.

3) Violations of the general hormonal background of the body.

4) Prolonged treatment with drugs (mainly antibiotics), negatively affecting the intestinal microflora.

Irritable Bowel Syndrome Causes Treatment

Irritable Bowel Syndrome (IBS), a chronic functional disorder, is a sensitive intestines, which reacts very vividly to any life situations: a job, a date, a call to the authorities, a quarrel and etc.

No one knows the exact number of people on earth suffering from abdominal pain, increased gas production, unstable stools, which arise at any time of the day, not choosing places and time, this brings to the existence of people's self-doubt in themselves ages. But the complaints are too delicate and not always certain, there are not so many patients and they turn to the doctor. In this regard, irritable bowel syndrome causes treatment to present certain difficulties.

The main difference with irritable bowel syndrome is that there are no organic changes on the part of the gastrointestinal tract, there are complaints, but there are no changes.

Irritable Bowel Syndrome Causes:

-psychoemotional stresses, chronic stressful situations: sexual or physical harassment, divorce, death of parents, severe illness of loved ones;

-presence of bad habits: smoking, alcoholism;

-irregular and irregular meals;

-poor environmental conditions;

-mental disorders: anxiety, depression, phobia.

-transferred infectious diseases, mainly intestinal.

-in recent years an important role is given to dysbacteriosis;

Like the causes of irritable bowel syndrome, not fully understood and not known, there is only assumptions that this is the result of the erroneous operation of the nervous system, which is responsible for the normal function of the intestine. It is not for nothing that the satellite of IBS is vegetovascular dystonia. Most often, the trigger mechanism is the suppression of negative emotions, and the body looks for an outlet. As a result, the excitability of the nervous system increases, the symptoms manifest themselves as bodily ailments. Therefore, this disease is referred to as neuroses. Under the influence of stress, less often intestinal infection, the gut in individuals, becomes excessively sensitive. The pain threshold is lowered, and as a result, the intensified pain impulses from the intestine are sent to the brain, in response to the signal, it returns the same strong, increases the motor activity of the intestine and it is felt by the patient, like intense pain in the abdomen and bloating, leading to diarrhea or constipations.

The diagnosis can be set if you take into account some criteria: the presence of repeated pain or discomfort in the abdomen, continuing no less than three days, within three months, not necessarily following one another, plus, two of the following should be present:

1.The presence of abdominal pain, it can vary from strong to a sense of mild discomfort, has no clear localization. Pain has a different character: aching, cutting, bursting, dull, burning, etc. Occurs at different times of the day, associated with food intake, however it is important that at night the patients do not wake up from the pain, but if the cause of the awakening is different, for example, a bad dream, anxiety, pain immediately occurs.

2.Bloating, a very unpleasant sensation, increases after eating, during the day increases, reaching a maximum by the evening.

3.Violation of the stool, in the form of constipation or diarrhea, remarkable is the fact that the intensity of pain after the departure of the stool decreases or passes completely.

In IBS, in addition to the main symptoms, patients complain of a sensation of a coma in the throat, worse when swallowing, nausea, pain in the region of the heart, inability to sleep on the left side, palpitations and interruptions. Pain in muscles and joints in the back, tinnitus, fast hunger, and as a result weight loss. Noise in the ears, a sensation of hot flashes, dryness in the mouth, fatigue.

Treatment of irritable bowel syndrome

It begins with a visit to the gastroenterologist that the correct diagnosis has been made.

The most important condition is the observance of the security regime. Clearly to understand that this disease will progress, in the event that the patient will be negatively tuned. You need to realize for yourself that the symptoms can persist for a long time, or even progress, the disease does not go into cancer, not brings to the table to the surgeon, and is related only to the hypersensitivity of the intestine to external stimuli, and the cure completely depends on the patient.

Compliance with diet is of great importance. The quantity of fatty, fried, soda foods, foods with excessive fiber content (cabbage, beans) is limited. Reduce the use of pepper, smoked products, vinegar, marinades, chocolate. Patients are encouraged to eat foods of vegetable origin: beets, pumpkin, carrots, apples, melons, pears, etc. Cereals, the most useful are buckwheat and oatmeal, they cleanse and stimulate the function intestines. Constipation and diarrhea can be caused not only by a change in the consistency of food, but also by a violation of the conductivity of nerve impulses.

When constipation is recommended to use dried fruits: prunes, dried apricots, black bread, vegetables and fruits in boiled or stewed, and As the pain subsides, the use of them in raw form should be changed, the amount should be at least 2/3 of the total daily diet.

With diarrhea, milk is excluded, it is recommended to eat boiled vegetables and fruits, baked apples. Rabbit meat, beef, chicken. Eggs, yogurt, cottage cheese, low-fat sour cream, white bread, porridge. As the condition improves, the diet is expanded.

Drug treatment, prescribed only by a doctor and consists in the appointment of antispasmodics: nose-pa, papaverine; with swelling of the intestine: valerian, espumizan; enzymes: mezim forte, pancreatin, panzinorm, and others; antidepressants: amitriptyline, feravin, reksetin, etc.; dysbacteriosis: linex, symbiator, etc.; If necessary, psychotherapist.

Treatment of IBS, should be comprehensive, and timely, as not meeting all conditions over time leads to organic changes, which significantly reduces the quality of life.



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