Irritable Bowel Syndrome Flatulence Treatment


Treatment of IBS with flatulence

For irritable bowel syndrome, the main symptom is cramping abdominal pain that occurs suddenly, passing after evacuation of the intestine, it has a recurrent nature, exacerbations can be associated with overwork, a violation of diet, stress.

There is no pathological substrate in the syndrome, it is not an organic disease, but a functional disorder. Pain syndrome is accompanied by diarrhea, constipation or flatulence.

In the latter case, the pain occurs due to a significant stretching of the intestinal loops. In the intestinal lumen, the volume of gases that form is increased and their passage increases, which is extremely inconvenient for the patient, disrupting his quality of life.

How to help a patient with flatulence

In the pathogenesis of IBS, an important role is played by stressful situations, chronic mental overload, which disrupt the balance of the mediators of the nervous system (serotonin, somatostatin, bradykinin and others). As a result, the main intestinal functio

ns change-motor and secretory, the sensitive perception of the receptors of the intestinal wall increases. This determines the main groups of drugs used in IBS with pain and flatulence:

  • antispasmodics - drotaverine, papaverine;
  • myotropic antispasmodics (inhibitors of calcium channels) -dicetel, with exacerbation it can well restore intestinal motility and evacuation feces, used in a dose of 100 mg three times a day during meals for a week (until the pain is over), then reduce the dose twice. Also spasmomeno is used 40 mg three times a day, duspitalinpo 200 mg twice a day. These drugs have an antispastic, prokinetic effect, selectively affect the intestines, without causing an atonic state and without affecting cardiac activity;
  • meteopysmile is the drug of choice in IBS with swelling and pain, has a combined composition (myotropic antispasmodic and simethicone), the drug not only relieves pain, but also reduces the excessive formation of gases, appoint 2 capsules per reception twice a day for one or two weeks;
  • prokinetics - this group of drugs is used for signs of intestinal hypotension, the most effective when IBS is considered trimebutin, appointed by 300 mg per day for one week, then the dose is increased twice.

The effectiveness of treatment for IBS is assessed by improving the psychoemotional state and quality of life of the patient. In addition to drug treatment, an important role is played by dietary measures.

Health food

From the menu exclude products that cause an increase in the processes of fermentation and putrefaction in the intestine, as well as increased formation of gases. On the contrary, include in food products that envelop the intestinal wall.

  • soups with groats, vegetables;
  • Breaded porridge (except for millet and pearl barley);
  • vegetables in boiled or steam form (beets, carrots, potatoes, pumpkin);
  • fish and meat of low-fat varieties;
  • white yesterday's bread;
  • dairy products;
  • omelet;
  • greenery;
  • apricots, pomegranates, prunes.
  • beans;
  • pears, grapes, raisins, bananas;
  • Rye bread;
  • beer, kvass, carbonated drinks;
  • nuts, mushrooms;
  • bran;
  • whole milk, sour cream, ice cream;
  • radish, radish, cabbage;
  • fatty meat, especially lamb;
  • canned food and smoked meat.

Rules of food intake:

  • Do not overeat, especially in the evening;
  • increase the number of meals to 4 or 5 times a day in small portions;
  • drink up to 2 liters of plain water a day;
  • there is better by the hour;
  • fruit to eat between the main meal.

Diet is not too burdensome measure, but the effect will be a real gift for those who are tired of the unpleasant symptoms of meteorism, which are very violating the normal way of life.

Irritable Bowel Syndrome

Irritable Bowel Syndrome- a complex of disorders lasting, as a rule, at least 3 months, characterized by pain and discomfort in the abdomen, the appearance of constipation or diarrhea, swelling of the intestine (flatulence). According to the International Foundation for Functional Gastrointestinal Disorders (FFGD), irritable syndrome (IBS) and indigestion - the world's most common functional disorders of the digestive system system. Functional diseases of the colon include disorders of its motor (motor), transport (suction and secretory) functions without irreversible structural changes in the intestine. IBS is currently defined as a polyethiologic disease with motor impairment without structural changes in the mucosa.

The main factors of irritable bowel syndrome: malnutrition or disturbance of the usual diet, for example, due to the onset of summer, business trips or travel, neuropsychic, psychoemotional disorders, stress, sedentary lifestyle, static tension, irrational use of antibiotics, antacids, beta-blockers, endocrine disorders, such as obesity or diabetes mellitus, in women it is often associated with the menstrual cycle, pregnancy, menopause and gynecological diseases.

According to the International Classification of Diseases (ICD-10), the concept of irritable bowel syndrome includes irritable bowel syndrome with diarrhea, without diarrhea and with constipation. The main clinical manifestations of IBS: chronic pain in the projection of the colon, constipation or frequent loose stools in small portions, spastic constipation or alternation of constipation and diarrhea, mucus and stool, meteorism and other.


Treatment of irritable bowel syndrome

Diet, antispasmodics, laxatives, antidiarrheal drugs, antiseptics, affecting the psychoemotional sphere of the patient and functional impairment of the intestine. R. 3. Latypov et al. (1998) believe that the use of synthetic drugs in most cases does not solve the problem long-term therapy, because the drugs have many contraindications, side effects, they often are toxic.

Effective is the so-called elimination diet (elimination), which does not contain caffeine, lactose, fructose. vinegar, alcohol, pepper, smoked products - all that causes excessive gas formation. Drinks and meals must be consumed in a warm form. Dishes with a temperature below room temperature are prohibited. In connection with the large losses in the diarrhea of ​​proteins, vitamins and minerals, their content in the diet should be higher than usual, mainly due to boiled meat, fish, curd, egg dishes.

With the prevalence of diarrhea in the diet, products containing astringent and tannic substances (decoctions and kissels from dry blueberries and raspberries, wild cherry berries, pears, cornelian, quince, juice and decoction of pomegranate peel, viburnum juice, strong tea).

Medicinal plants and folk remedies

A. AT. Chausova et al. (2001) calculated the frequency of use of medicinal plant material in the collections used in chronic colitis, inflammation of the intestinal mucosa and the main symptoms of irritable syndrome intestines. As it turned out, the following plants are used (listed in descending order): chamomile flowers, mint leaves, fennel fruits. the herb of St. John's wort, the rhizome of the cormorant, the fruits of bilberry, the bark of the buckthorn, the fruits of cumin, the rhizome of the serpentine, the leaves of the nettle, the aplicata of the alder, the cherry fruit, the rhizome with the roots of valerian.

For the treatment of symptoms of IBS in the traditional words are most often found (listed in descending order):

in the treatment of constipation - bark buckthorn, licorice root, fennel, caraway, anise, nettle leaves, yarrow, watch leaves, chamomile flowers,

in the treatment of diarrhea - rhizome rhinoceros, serpentine, bloodlet. fruits of blueberries, leaves of mint, plantain, walnut and sage,

in the treatment of spasms of the intestine - mint leaves. chamomile flowers, fennel fruits, rhizomes with valerian roots, cumin fruits, buckthorn bark, rhizome roots, fruits of anise,

in the treatment of meteorism - mint leaves, chamomile flowers, rhizomes with valerian roots, fennel, caraway, anise, and oregano.

Recommended (V. F. Korsun et al. 2001) the following scheme of treatment of irritable bowel syndrome.

Collection (g):

plantain, leaves 1,
sage, leaves 1,
mint, leaves,
grass, grass 1,
nettle. leaves 1,
St. John's wort, flowers 1,
yarrow, grass,

1 teaspoon plant mixture, pour 1 cup boiling water, infuse for 30 minutes, then strain and take 50 ml 3 times a day 15 minutes before meals.

50 ml of the above infusion is injected into the rectum in the evening (microblogging).

Tanacesole 1 tablet before meals 3 times a day.

Devyasil tableted - 2 tablets 3 times a day after meals.

Tjubazh weekly at 19.00 with the above infusion.

Bacteriobalance 1 capsule 2 times a day after meals.



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