Treatment of irritable bowel syndrome


Irritable bowel syndrome: treatment with drugs

Irritable bowel syndrome refers to diseases that directly depend on the patient's neuropsychic state. Often, you can determine the timing of the combination of psycho-emotional trauma and irritable bowel symptoms. Therefore, treatment of the syndrome with drugs is only symptomatic. Etiotropic (causal) treatment has psychotherapy and normalization of the patient's psycho-emotional background.

What is irritable bowel syndrome?

Irritable bowel syndrome is a combination of symptoms of an intestinal disorder of a functional nature. The causes may be disorders of the nervous system, dysbiosis, stress and unbalanced nutrition.

The main directions in the treatment of irritable bowel syndrome

  1. Power correction. The patient should receive a balanced diet with a predominance of plant fiber. From the diet, caffeine-containing foods, alcohol, lactose, fructose, vinegar, smoked and spicy foods and foods that increase gas formation in the intestine are completely excluded.
  2. Moderate physical activity. For the normal tone of the intestine, the body needs to be given a minimum amount of physical exertion daily.
  3. Medicamentous treatment, which includes the treatment of dysbiosis, the achievement of normal contractile activity of the intestine.
  4. Physiotherapeutic treatment (massage, acupuncture, reflexotherapy).
  5. Psychotherapeutic treatment.

Treatment of irritable bowel syndrome includes a primary course of therapy, which must confirm the correctness of the diagnosis, and basic therapy. The choice of treatment regimen depends on what symptoms prevail in the clinic of the disease.

Treatment of irritable bowel syndrome with predominance of pain syndrome

Pain in the abdomen with irritable bowel syndrome is caused by muscle spasm in the intestine. Increased muscular contraction leads to accelerated movement of digested food through the lumen of the gut and to frequent stools (diarrhea). Muscle spasm leads to stagnation of stool and constipation.

In any case, the drugs used in this form of the disease are aimed at normalizing the contractions of the smooth muscles of the intestine. Drugs of choice - myotropic antispasmodics. Papaverine or No-sppa (drotaverina hydrochloride) have a common antispasmodic effect, that is, Relax not only the smooth muscles of the intestine, but also other organs (ureters, vessels, ducts glands). Given this fact, gastroenterologists give preference to selective (selective) antispasmodics, which act only on the intestinal wall. These include preparations mebeverina (Duspatalin) and pinaverium bromide (Dicetel).

How to treat irritable bowel syndrome with constipation?

A good therapeutic effect is possessed by laxatives with osmotic properties (Dufalac, Lactulose, Norma, Fortrans). Irritant laxative apply is not recommended, as they, irritating the walls of the intestine, can cause her spasm and increase pain in the abdomen.

Treatment of irritable bowel syndrome with predominance of diarrhea

Depending on the frequency of the stool, either adsorbing agents (acylated coal, Smect, Enterosgel or Fosfalugel) or Loperamide are prescribed. It should be remembered that adsorbents have a curative effect on the 3rd - 4th day of admission, so if the patient is strongly concerned about diarrhea, then Loperamide is prescribed as an ambulance.

Drugs that relieve irritable bowel syndrome with a predominance of flatulence (bloating)

The abdomen swells from the gases as a result of an increase in its production by a conditionally pathogenic microflora. Also, a significant role is played by the slowing of his movement in the gut as a result of muscular spasm and decrease in the absorption of gases into the blood due to rapid movement of stools, for example, during diarrhea.

Given this fact, correction of the biocenosis of the gut is the main direction in the treatment of this form of the disease. Symptomatic treatment of increased gas production will be the use of simethicone drugs (Espumizan). Combined preparation Imodium contains simethicone and loperamide hydrochloride, simultaneously reduces diarrhea and reduces the symptoms of flatulence.

Correction of the biocenosis of the gut

During the rapid movement of the food mass through the intestine (for example, with diarrhea), insufficient food contact with enzymes occurs. Not completely digested food gives good soil for the growth of pathogenic microflora in the intestine. Conversely, with constipation stasis stool and gas in the intestines, which also creates conditions for imbalance between representatives of the microflora of the intestine. Therefore, irrespective of the clinical manifestations of the irritated bowel, a weekly course of Furazolidone or Nyfuroxazide is recommended, followed by the administration of probiotics (Linex, Biogaya, Entererozermina).



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