Mucus in the feces with irritable bowel syndrome


Cal at IBS (irritable bowel syndrome)

Posted on: 17 Dec at 1: 5

The most common ailment that affects the gastrointestinal tract, recently became irritable bowel syndrome. It is always accompanied by various changes associated with the consistency and composition of the stool. Thus feces with IBS has several variants of manifestations, depending on the nature of the disease. Many patients are interested in what is the most frequent symptomatology of the disease? Speaking about the signs accompanying IBS, it should be noted one very characteristic nuance - a person does not feels any discomfort in a dream, all the painful sensations appear exclusively after awakening. In addition, their character and feces change. A total of bowel movements during this illness in a patient can be of two kinds: constipation or diarrhea.

Changes in stool with IBS

Among the main symptoms characterizing acts of defecation in the irritable bowel syndrome, the following are distinguished:

  • Most often during this pathology, the patient
    appears diarrhea, while the stool can contain mucus, as well as any inclusions in its composition in the form of undigested food. With irritable bowel syndrome such manifestations can be considered normal. However, if the feces in the IBS contain blood, then it is quite possible that there is another disease. In this case, diarrhea does not continue throughout the day, but occurs only in the morning, with a frequency of up to 5-6 times per hour. Possible in this case, a thin stool can also normally contain undigested pieces of food. The most dangerous in this pathology is the situation where when changes in the stool during IBS in their composition appears blood;
  • The nature of pain in this disease is aching, giving to the abdomen and hypochondrium. The greatest peak of pain activity is in the morning, at the same time, when the thin stool is most often observed. Normally, mucus-containing stools can be up to five times a day, but usually only in the morning;
  • The constant desire to defecate with the need to exert myself at the same time, as if there was no complete emptying, although the chair was already, almost, five times a day;
  • In addition to the presence of mucus in the stool, with IBS, the patient develops bloating and flatulence;
  • The urge to act defecation can be too sudden and irresistible, however, a thin stool in IBS is manifested mostly in the morning.

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Often, irritable bowel syndrome is accompanied by a phenomenon such as constipation. In this case, feces can be allocated daily, but the process of defecation is considerably more difficult. Hard fecal masses with IBS can also contain mucus, but in no case is it blood. Most patients describe pain as twisting and cutting, reminiscent of indigestion. In the event that constipation is observed in this pathology, the feces will have a very dense consistency, and the process of defecation occurs with greater difficulties and not more than once a week. Slime, undigested food pieces and other inclusions occur with this form of pathology development quite often.

Regardless of the form in which irritable bowel syndrome is manifested, it is mandatory to consult a doctor in the following situations:

  • Feces are black or contain clear blood;
  • The process of defecation occurs more than five times a day and delivers very painful sensations;
  • In addition to diarrhea and discomfort in the intestines, the body temperature is increased.

Watery stools appeared suddenly, and the duration of this symptomatology is more than 6 weeks. This is especially dangerous for people over sixty years old or small children.

Also, given these signs, one can not do without consulting a specialist if any of the relatives of the patient suffers from any chronic or oncological diseases of the digestive tract. It is also necessary to ensure that the stool does not contain pathogenic impurities and IBS attacks do not appear at night.

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When IBS can be: pain in the flank of the abdomen and hypochondria, especially in the morning, subsiding after bowel movement, constipation (stool less than 3 times a week), diarrhea (stool more often than 3 once a day), as well as sudden irresistible urge to release the intestines, a feeling of incomplete emptying, the need for straining, flatulence, a feeling of raspiraniya in the stomach, mucus in feces. When IBS does not happen: blood in the stool of weight loss in the abdomen at night, fever, increased liver and spleen, anemia, increased levels of leukocytes and ESR, anxiety symptoms - the onset of the disease after 50 years and cancer of the rectum from relatives patient.

Irritable Bowel Syndrome # 8212; this is a violation of the intestinal function, manifested by abdominal pain and / or defecation. Irritable bowel syndrome develops as a result of psychological and other effects on the excessively responsive intestine.

Irritable Bowel Syndrome # 8212; the most common disease of internal organs. It can occur at any age, including in children. In women, the disease occurs 2-3 times more often.

Despite the extreme prevalence of irritable bowel syndrome, about 75% of the adult population does not consider themselves sick and does not seek medical help.

In the emergence and development of the disease, psychoemotional disorders are important.

Manifestations of irritable bowel syndrome

The leading manifestations of irritable bowel syndrome are pain, discomfort in the abdominal cavity and stool disorders. Often a large amount of mucus can be seen in the stool. Spasm of different parts of the intestine is not constant and can change localization on different days.

Patients with irritable bowel syndrome have many extraintestinal symptoms, some of which are associated with impaired functions of other digestive organs, and the other # 8212; with disorders of the nervous system and psychological status. The latter become the cause of rapid fatigue, weakness, headaches, decreased appetite, sleep disorders, heart palpitations, sweating, attacks of "lack of air frequent urination, a slight increase in temperature and and so forth.

In irritable bowel syndrome, there is often a deficit of body weight, but it is not associated with violation of the assimilation of nutrients, but with features of a neuro-mental status or with poor appetite.

Qualitative nutrition disorders are manifested by dryness and flaking of the skin, a change in its color (a peculiar dirty gray shade), the appearance of pigment spots on the face, hands and legs.

There are three main types of irritable bowel syndrome: with a predominance of constipation, with a predominance of diarrhea and a predominance of pain.

The diagnosis of irritable bowel syndrome can be made on the basis of typical manifestations in the absence of other bowel diseases, which are excluded in the course of additional studies.

Currently, for the diagnosis of irritable bowel syndrome in adults, apply the "Roman criteria-II (2000) for at least 12 weeks (not necessarily the following one after the other) over the past 12 months, abdominal discomfort or pain, which have at least two of the following three characteristics:

  • decrease after bowel movement;
  • the beginning is associated with a change in stool frequency;
  • the beginning is associated with a change in the shape of the stool.

Irritable bowel syndrome is diagnosed only if there is a connection of pain and discomfort in the abdomen with a stool. The pains appear before the stool and abate after the bowel has been emptied, with dependence on changes in the regularity or consistency of the stool.

A number of signs that are not characteristic of irritable bowel syndrome, which may indicate the presence of other diseases.

  • Gastrointestinal bleeding
  • Decreased body weight
  • Chronic diarrhea
  • Anemia
  • Fever
  • The onset of the disease in persons over 50 years of age
  • Weighed heredity (cancer and inflammatory bowel disease in parents)
  • The appearance of pain and diarrhea at night

Rectal bleeding may be a consequence of hemorrhoids; weight loss and low-grade fever
# 8212; manifestations of depression or hypochondriacal syndrome.

Treatment of a syndrome with constipation and diarrhea predominance

Treatment of irritable bowel syndrome should be complex.

Diet in case of a syndrome

With the prevalence of constipation shows a diet with the addition of wheat bran.

In case of prevalence of diarrhea, restriction of foods rich in fiber (vegetables, fruits, bran) is recommended.

All, without exception, patients with irritable bowel syndrome are advised to follow an elimination diet that does not contain caffeine, lactose, fructose, sorbitol, vinegar, alcohol, pepper, smoked products, as well as products that cause excessive gassing - milk, dairy products.

Correction of psychoemotional disorders

A set of measures aimed at improving the functions of the central nervous system and correcting vegetative disorders includes psychotropic drugs, rational psychotherapy. In the optimal version of the diagnosis of psychoemotional disorders and their removal should be done by a psychoneurologist or psychotherapist.

Antibacterial and bacterial preparations

Indications for the use of antibacterial drugs for irritable bowel syndrome are diarrhea, flatulence and abdominal pain.

Apply antibacterial drugs courses for 7-10-14 days. Recommended

  • furazolidone,
  • eresfuryl,
  • metronidazole (trichopolum),
  • and also intetriks, nitroxoline and nevi-gramon.

After antibacterial therapy, a long (up to -2 months) intake of bacterial preparations (probiotics) is recommended: bifidum- and lactobacterin, bifiform, hilaka-forte, etc.

With diarrhea, the effect is provided by imodium (loperamide) and alosetron.

With the prevalence of constipation is shown cerucal and motilium.

With persistent pain, a good effect is provided by dicetel and duspatalin (mebeverine).

All patients with irritable bowel syndrome with exacerbation of diarrhea are prescribed astringent drugs: smect, dermatol, tanalbine, white clay, as well as decoctions of herbs of a similar action (chamomile, peppermint, St. John's wort, alder cones, blueberries and bird cherry tree). For the same purpose, it is possible to use some antacid preparations (almagel, phosphalugel, maalox) and preparations containing bismuth (venter).

In irritable bowel syndrome with a predominance of constipation, the development of the lost morning reflex to defecation and increase in the diet of the amount of dietary fiber due to the introduction of wheat bran. To stimulate defecation at the first stage of the development of the lost reflex, one should prescribe a dufalac (lactulose) on 1-2 evening dessert spoons. Teach yourself to empty your bowels every morning.

The state of patients with irritable bowel syndrome, treatment effectiveness and prognosis largely depend on the severity of the accompanying disorders from the nervous system. In achieving recovery, the overcoming of conflicts, which are the reason for the formation of a neurosis in a patient, is often of decisive importance.

The incapacity of patients with irritable bowel syndrome and the prognosis for this disease largely depend on the degree of concomitant psychoemotional disorders.

Mucus in the feces, and in what cases it appears.

Calories of a healthy person do not contain visible mucus. Nevertheless, the glands of the intestine produce mucus in small amounts. This facilitates the movement of feces and their evacuation from the intestine. In addition, mucus envelops the walls of the intestine, which protects it from irritating substances and helps in their induction. With the complete absence of mucus in the intestine, constipation and difficulty may arise during defecation. However, reaching the colon, mucus is mixed with feces and becomes invisible without special studies.

Mucus in fecesThese are light transparent jelly-like discharges, which consist mainly of leukocytes and epithelial cells.

However, in the following cases, visible mucus in the stool can appear and is normal:

  • With colds and colds, when mucus from the upper respiratory tract flows down the esophagus and enters the intestine.
  • With excess consumption of some food products: cottage cheese, oatmeal, watermelon and bananas. But in these cases, the appearance of mucus can always be associated with the characteristics of nutrition.
  • In children breastfed, a small amount of mucus in the feces may appear due to the immaturity of the enzymatic systems and the functioning of the intestine.

The causes of the appearance of mucus in the stool with pathology.

Most often an admixture of mucus to feces testifies to organic or functional lesions of the intestine, mainly its distal sections, i.e. the colon.
The appearance of visible mucus in the feces indicates the excessive production of mucus by the glands of the intestine to neutralize any negative effects. This is a kind of protective reaction when irritating the walls of the intestine with foreign substances or pathogenic microorganisms. Slime in this case serves as a lubricant for their elimination and may indicate inflammation of the intestine.
Depending on the location of the pathological process in the intestine, mucus may have a different appearance.

  • Slime in the form of large white-gray flakes and films enveloping feces or lying on its surface indicates the lesion of the predominantly distal parts of the intestine (the descending bowel, sigma, rectum) that are accompanied by constipations.
  • Slime in the form of small flakes mixed with feces speaks of the lesion of the overlying parts of the large intestine, and sometimes of the small intestine. In the latter case, the mucus is usually a little and it can be yellowish.

In order to distinguish the defeat of the small intestine (enteritis) from the thick (colitis), the following signs must be taken into account. With enteritis, the stools are watery, liquid, with a small amount of mucus, closely mixed with feces, and in colitis stool contains a large amount of mucus, located mainly on the surface of feces Mass.

The most common diseases, in which there is mucus in the stool.

  1. Hemorrhoids and polyps. Through the release of mucus, the body prevents mucosal damage. However, the secretion of mucus in hemorrhoids has one peculiarity. Jelly veins of mucus do not mix with feces, and after the end of defecation they leave the anus and often remain on toilet paper.
  2. Membranous (slimy) colitis# 8212; functional bowel disease. Slime looks like dense films and tape-like strands, which are sometimes mistaken for tapeworms.
  3. Disturbance of absorptionsome foods due to food intolerance, which is also often called food allergy. It can be:
    # 8212; Celiac disease # 8212; Congenital disease, which is characterized by a violation of absorption due to damage to the mucous membrane of the small intestine (with gluten intolerance).
    # 8212; Malabsorption syndrome, in which the absorption of fats in the intestine is impaired.
    # 8212; Intolerance to lactose (milk sugar), caused by a decrease in the level of the enzyme necessary for the correct digestion of lactose.
  4. Dysbacteriosis of the intestine. Due to the disturbance of the normal balance of microflora in the intestine, the processes of assimilation of nutrients are violated. A large amount of mucus in this case contributes to the removal of toxins and toxins from the body. In addition, in the case of dysbacteriosis begins to activate pathogenic flora, which causes inflammation of the intestine.
  5. Irritable Bowel Syndrome (IBS) .
  6. Intestinal infections .
  7. Diverticulitis of the large intestine(hernial protrusion of the site of the intestinal wall with its inflammation). In addition to the appearance of mucus for this disease, pain in the lower left part of the abdomen, a loose stool with an admixture of blood5 and increased gas formation are characteristic.
  8. Cystic Fibrosis- Systemic congenital hereditary disease, in which all organs that excrete mucus are affected. The disease often manifests itself in the first months of life. For him, in addition to the increased amount of mucus in the feces, are also characteristic:
    # 8212; the prevalence of putrefactive processes in the intestine with the formation of a large number of gases, which causes cramping abdominal pain;
    # 8212; very frequent stool, the daily volume of which is many times higher than the age norm:
    # 8212; large amount of saliva;
    # 8212; permanent wet cough with a large amount of sputum;
    # 8212; increased sweating;
    # 8212; frequent acute respiratory infections.
  9. Tumors of the large intestine. when there is irritation of the inflammation. However, in such cases, in addition to mucus in the stool, blood veins are usually present.

The causes of the appearance of mucus without feces.

  • Worms.
  • Prolonged constipation.
  • Intestinal obstruction.



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