Chronic irritable bowel syndrome


Irritated Colon Syndrome (Chronic Spastic Colitis)

Irritated Colon Syndrome (irritable bowel syndrome. dyskinesia of the large intestine. colic mucosa. chronic spastic colitis) disorders of motor and secretory bowel function in the absence of organic organ changes. The disease is more common in women aged 20-40 years.

Etiology, pathogenesis. In the development of the disease, neuro-psychic factors play a role (type of personality, mental status - anxiety, depression, etc.), eating habits (refusal of a full breakfast, hasty eating, lack of fiber in the diet), gynecological diseases (dysmenorrhea) and etc. A concomitant dysbacteriosis plays a certain role in maintaining intestinal function disorders.

Symptoms, course. Characterized by cramping or blunt, bursting pain in the abdomen (usually intensified after eating, before the act of defecation and decrease after defecation), constipation (stool less than 3 times a week), diarrhea (loose stool more than 3 times a day, light, often with an admixture of mucus),

it is possible to alternate constipation and diarrhea. Often there are "sheep feces flatulence, a sensation of bloating, overflow, rumbling and other dyspeptic disorders.

Distinguishing sign of irritable bowel syndromeis the absence of any complaints during the night. Often there are signs of vegetative dystonia: headache, paresthesia, palpitations, a sensation of a lump in the throat, a feeling of incomplete inspiration, frequent urination, On examination, a spasmodically reduced, painful descending (sometimes ascending and colonic) colon can be identified.

With endoscopychanges in the colon are not detected, but insufflation of the air is painful. Radiologic examination may reveal a diffuse or segmental narrowing of the lumen of the gut, an uneven passage of the suspension of barium sulphate in the gut.

Additional studies are needed to eliminate organic diseases of the digestive system (intestinal tumors, ulcerative colitis. Crohn's disease. helminthiases, polyposis, diverticulum, tuberculosis). The admixture of blood in the feces, pronounced weight loss, anemia, increased ESR make the diagnosis of irritable bowel syndrome unlikely.

Flowthe disease is undulating, with periods of remission and relapses, but not progressing.

Treatment. dietotherapy, psychotherapy. Symptomatic therapy of constipation (increased fiber in the diet, a sufficient amount of liquid, lactulose 30-60 ml per day, or gutalax 10-12 drops at bedtime, or forlax 2 bags per day in combination with bisacodil 1-3 tablets a day before bedtime), diarrhea (smecta 1 package 3 times a day after meals, loperamide 2 mg 2 times a day or more), spasmodic pains - antispasmodics, holinoblokatory (no-spa, gastrotsepin, buscopan).

With a decrease in the tone of the intestine, use domperidone (motilium 10 mg 3 times a day), cisapride (20 mg coordinate twice a day), debidate (1 tablet 3 times a day).

Treatment of concomitant dysbacteriosis (antimicrobial agents - erysefuril, intetriks, metronidazole, bacterial agents - bifidobacteria, lactobacterin, etc. are shown. as well as hilak forte).

According to the indications used psychotropic drugs (tricyclic antidepressants - amitriptyline, etc. selective inhibitors of serotonin reuptake - fluoxetine, etc.).

Related posts:

Nonspecific ulcerative colitis and irritable bowel syndrome. Learning to find differences

When suspected of irritable bowel syndrome, it is extremely important for the doctor to make a differential Diagnosis, excluding such pathologies as ulcerative colitis and other organic lesions of the intestine.

Nonspecific ulcerative colitis and irritable bowel syndrome are diseases of the digestive system, which often give very similar symptoms. Distinguishing irritable bowel syndrome from ulcerative colitis is difficult not only for the sick, but for the doctors themselves.

To make an accurate diagnosis, it is necessary to undergo a series of instrumental and laboratory studies, during which an accurate picture of the disease will be established. This is critical for choosing the right treatment tactics. If nonspecific ulcerative colitis is confused with irritable bowel syndrome, and treated appropriately, then the risk of developing severe complications is high.

Good afternoon! The problem is: diarrhea (or rather, mucus), frequent desires for defecation (at night, in the afternoon) 18 October, 1: 5 Good day! The problem is: diarrhea (or rather, porridge), frequent urge to defecate (night, day). Cal with mucus and blood. Frightens. The abdomen does not hurt, but there are spasms and abruptly runs to the toilet. Such a condition for about a year. Prompt possible or probable reasons of this problem, tk The person very much hesitates to go to the doctor and he needs to explain all is accessible to convince.

Common features and differences

Forirritable bowel syndromeand nonspecific ulcerative colitis is characterized by a disorder of stool. And if in the first case the consistency of the stool can change up to the development of constipation, alternating with diarrhea, then ulcerative colitis, stool, usually liquid or mushy, sometimes with an admixture of pus, mucus and blood.

With nonspecific ulcerative colitis, it is possible to raise body temperature to 37-39 degrees, as well as weight loss (with a long course of the disease). For irritable bowel syndrome, such symptoms are not characteristic. Pain in the joints on the background of intestinal disorders can also indicate a nonspecific ulcerative colitis.

If intestinal disorders increase under the influence of stress, then such a picture, as a rule, indicates an irritable bowel syndrome.

At the doctor's

When referring to a doctor, it is important for the patient to talk in detail about his symptoms so that the doctor can adequately analyze the situation. If a patient has neurological disorders (vegetative disorders, frequent stresses, neuroses), then they should definitely be told.

When diagnosing irritable bowel syndrome, it is important to conduct a competent differential diagnosis, at which it is necessary to exclude not only ulcerative colitis, but also other organic damage Thick and small intestine .

Drug treatment for ulcerative colitis

the role of the large intestine in digestion

Diet for chronic colitis

Irritable Bowel Syndrome: Foods to Avoid

Irritable bowel syndrome, also known as colitis # 8212; it is a disease affecting the large intestine, causing inflammation, acute pain and even bleeding. If this disease is not treated properly, it can lead to cancerous ulcers in the large intestine. In addition, when the human body suffers from this disease, it does not perceive certain foods and drinks, and the previously mentioned symptoms are significantly intensified.

Despite the fact that there is no definite treatment for this disease, there is a diet for chronic colitis of the intestine, which can improve the quality of your life. You probably already read many recommendations about safe eating in irritable bowel syndrome. However, there are also contraindications. This is why we have compiled a list of foods that you should avoid if you have irritable bowel syndrome. Excluding them from the diet will help the patient's intestines to function better and help him avoid discomfort.


Chocolate stimulates the nervous system, as well as the digestive system, causing it to provoke gastric spasms and causes diarrhea in people suffering from colitis.

Cereals and legumes

This group includes beans, peas, white pasta, lentils and chickpeas. Because of their high iron content and insoluble fiber, these products provoke constipation and spasms in patients, which makes these products a bad choice for those who suffer from this disease.


Chronic colitis of the intestine: a diet with it prohibits dairy products. They are one of the main enemies of the digestive system for people suffering from colitis or irritable bowel syndrome. Since milk contains a high lactose content, various dairy products are too heavy for digestion in patients with irritable bowel syndrome.

Citrus fruit

More specifically, we are talking here about lemons, oranges and tangerines. Although the effect of these fruits is not as intense as that of other foods, it has been shown that they are a cause of discomfort in patients with irritable bowel syndrome. We recommend avoiding these fruits and juices from them.



When we talk about fats, we talk about any fried foods, including. And, although we have already mentioned milk when talking about dairy products, you still need to keep in mind that this product is also quite fatty, which makes it quite difficult to suck on the walls intestines.


Green bananas, rich in potassium and carbohydrates, are on the list of foods that are most in the way of the correct functions of a thick guts, since they can cause constipation leading to more severe defecation in the patient, and in most cases also cause bleeding.

Products with preservatives

If we talk about preservatives, we should carefully look at the products # 8212; semi-finished products, canned juices and drinks in bottles that contain a large amount of preservatives in order to stay fresh on shelves longer shops. These supplements exacerbate unpleasant symptoms in patients with irritable bowel syndrome.


It goes without saying that alcoholic beverages are one of the worst enemies of patients with irritable bowel syndrome. This is because alcohol is a gastrointestinal irritant. Thus, we advise people suffering from this syndrome to avoid the use of all alcoholic beverages: wine, beer, whiskey and rum, and many others, since these drinks can greatly enhance the symptoms of the disease that is being reported speech.

Soft drinks

Non-alcoholic drinks, especially fizzy drinks, are also on the list of non-recommended foods, because carbon dioxide in them can cause inflammation of the stomach.


In this section, we are not just talking about coffee, we are also talking about energy drinks. All of them have a high content of caffeine, but do not provide our body with any nutrients. These drinks, as a rule, cause constipation and rapid loss of water.

Although this list may seem a little long and may make you think that life is very bad for patients who have been diagnosed with irritable bowel syndrome. However, you should really look at this problem from another, more optimistic side. Bear in mind that thanks to this list, you can develop an appropriate diet to improve the quality of life.

In addition, there is more information on new ways of preparing food products, the purpose of which is to counteract the effects certain products (or a decrease in the degree of their harmful effects on the body) for people suffering from colitis or irritable syndrome intestines.

A vivid example of this is milk without lactose, which you can find in any supermarket, and which is much more easily absorbed by the walls of the intestines due to the lack of lactose. So, we advise you to consult a dietitian and you will learn more about these and other innovative methods of cooking for patients with irritable bowel syndrome.

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