Irritable bowel syndrome and menstruation


Irritable Bowel Syndrome in Women: Cause, Clinic and Treatment

Irritable Bowel Syndrome(IBS) is a frequently occurring functional disorder of the intestinal tract, clinically manifested by a characteristic triad: chronic or intermittent abdominal pain, impaired intestinal function and lack of organic or biochemical violations. Up to a third of women who do not have any complaints during the rest of the month note an increase in gastrointestinal symptoms before or during menstruation.

Often there are phenomenaconstipationduring the luteal phase (when the concentration of progesterone increases) and unformed stools or diarrhea at the very beginning of menstruation. Almost 50% of women with irritable bowel syndrome (IBS) experience a similar increase in intestinal symptoms, in particular abdominal pain, diarrhea and constipation. The effect of progesterone on the gastrointestinal tract is well known, including a decrease in the tone of the lower sphincter of the esophagus and a delay in the emptying of the st

omach. There is also a decrease in the rate of progress of the food lump in the gastrointestinal tract, especially in the luteal phase.
Sharp decline in contentprogesteronecan be a trigger mechanism for increasing intestinal activity. Progesterone can also act as an endogenous antagonist of the functions of the intestinal nerves.

Recentresearchshowed that the exacerbation of the symptoms of irritable bowel syndrome (IBS) during menstruation is associated with increased sensitivity of the rectum in patients with irritable bowel syndrome (IBS). The control group of healthy female volunteers did not confirm any changes in the sensitivity of the rectum associated with the menstrual cycle.

Gastrointestinal Symptoms. abdominal pain, diarrhea and constipation - often worried about women with irritable bowel syndrome (IBS). The most vivid manifestations of intestinal symptoms occur at the beginning of menstruation, when the amount of progesterone and the content of potent stimulants of the contractile capacity of the intestine - prostaglandia E2 and F2a. In patients with irritable bowel syndrome (IBS), the intestines of which are excessively sensitive to various stimuli, the reaction of the intestine to the release of prostaglandias during menstruation may be sharply strengthened.

Treatment of irritable bowel syndrome

Treatment of irritable bowel syndrome(IBS) is usually symptomatic and includes antispasmodics, drugs that improve gastrointestinal motility, laxatives and agents that increase the amount of intestinal contents.

Theory of the roleprostaglandiain the emergence of exacerbations of irritable bowel syndrome (IBS) associated with the menstrual cycle, gave rise to the assumption of the possibility of treatment with prostaglandin inhibitors. Although there are other effective drugs for the treatment of irritable bowel syndrome (IBS), including antispasmodics and the newest antagonists of serotonin receptors, no studies have yet been conducted on the efficacy of these drugs in women with menstrual exacerbations of irritable bowel syndrome (IBS).

A number of studies have shown the successful treatment of severe, menstruating exacerbationsirritable bowel syndrome(IBS) with the help of luliberin agonists. With the complete cessation of menstrual cycles, these women felt a significant and progressive improvement in the state of the intestine. At the same time, many of them reported a transitory return of symptoms during the progesterone phase at additional progesterone and estrogen therapy to minimize long-term adverse effects agonists of lyuliberin. Probably, in addition to the mediated influence of lyutuberin agonists on the intestines through the suppression of ovarian hormones, these drugs can act directly on the nervous system of the small intestine.

This assumption is supported by a few evidence of a decreasesymptoms of irritable bowel syndrome(IBS) under the influence of agonists of lyuliberin in men and women in postmenopausal women. In most cases, the high cost and possible negative effects hinder the prolonged use of these funds. Rarely, in cases where drug suppression of the ovaries does not produce a therapeutic effect, oophorectomy is used as a method of treatment.

Irritable Bowel Syndrome

Irritable Bowel Syndrome- a complex of irregularities in the work of the large intestine, accompanied by pain and discomfort in the abdomen, flatulence, stool disorders.

What is irritable bowel syndrome?

Irritable bowel syndrome (synonyms - IBS, irritable bowel syndrome, irritable thick guts) - the whole symptom complex, primarily including such symptoms as pain and discomfort in stomach. Disorders in the work of the lower part of the digestive system are also associated with a change in the frequency of defecation and consistency of the stool, a feeling of incomplete evacuation of the intestine after defecation. Unpleasant sensations in the abdomen can become less pronounced after defecation. This syndrome may differ in the details of the course - in different patients the symptoms vary, but all of them are associated with digestion.

Symptoms of irritable bowel syndrome

Symptoms complained of by patients with RSK. can be conditionally divided into three groups - depending on the zone of manifestations:

I.Intestinal: pain of a different nature and duration - can be described as dull, aching, searing, twisting or indeterminate. Pain concentrating more often in the iliac region to the left, can be tested continuously. Relieve the pain of antispasmodics, the escape of gases, defecation; on the contrary, pains are aggravated or food is provoked by their attack (in women - also monthly).The most important distinguishing feature of irritable bowel syndrome is the complete absence of pain in the abdomen at night.Intestinal symptoms in IBS have a number of characteristics. Flatulence, abdominal distention is almost absent in the morning, but increases during the day, usually significantly worse after eating. Syndrome of splenic curvature - in the standing position, there is pain in the left upper abdomen, which decreases in a prone position with an elevated seat.

II.Relative to other parts of the gastrointestinal tract: 56% of patients with IBS have symptoms of functional disorders of the esophagus, 41% - symptoms of functional anorectal disorders, and 37% - symptoms of non-ulcerative dyspepsia.

III.Not related to the digestive organs in general (negrostroenterologicheskie) - such symptoms sometimes even in intensity can eclipse the intestinal and make it difficult to diagnose. Among such manifestations of IBS, first of all, one should distinguish headache, back pain, feeling of incomplete (insufficient) inhalation, sensation of internal tremor.

Each group of symptoms, considered separately, can not reliably testify to the irritable bowel syndrome. But if, against the background of the absence of an organic pathology of the digestive tract, the combination of the above symptoms is noted, the diagnosis of IBS becomes quite probable.

Pain and discomfort are often associated with violations of the passage of intestinal contents through the large intestine. There is a direct correlation between the time of passage of the contents along the thick intestine with the consistency of the stool: the longer the stool masses move, the denser the stool. Based on this, four types of IBS are distinguished:

Against the background of discomfort in the abdomen, the character and shape of the stool are not sufficiently changed.

Liquid stool (diarrhea) with IBS is usually observed in the morning - after breakfast, but at night absent. In a short period of time, 2-4 or more acts of defecation can take place. Diarrhea is often associated with strong urge, as well as a feeling of incomplete emptying of the intestine. It is quite common for the mucus to be released together with the feces.

Constipation is accompanied by the allocation of a tight, tight stool at the beginning of defecation. Then, more liquid or even watery stool may appear. The stool should not contain impurities of blood and pus.

However, these symptoms can not be considered strictly intrinsic to IBS, that is, such manifestations of ill health can accompany other diseases. Therefore, the doctor classifies the disease in more detail based on the patient's questioning. To establish the diagnosis of IBS, it is required that the above symptoms are observed at least 3 days a month and for three months. Also for the statement of the exact diagnosis laboratory diagnostics is required.

How is irritable bowel syndrome diagnosed?

Laboratory diagnostics: a general blood test, a biochemical blood test, a coprogram.

Instrumental diagnostics: ultrasound of the abdominal cavity organs; sometimes - esophagogastroduodenoscopy, colonoscopy.

Treatment of irritable bowel syndrome does not require hospitalization, but it can be done only by the attending physician after thorough diagnosis and after exclusion of other probable diseases.


Did my stomach get sick? If this happens for the first time and you do not know the reason, you need to see a doctor. Another thing, if the feeling # 17; nachima to the pain of # 187;. In this case, do not rush to swallow painkillers: first try medicines from a natural pharmacy.

In most cases, natural remedies help at least as well as tablets, with little or no side effects.

A few days before the onset of menstruation may cause unpleasant sensations in the lower abdomen. And in the appendage to them # 8212; increased sweating, nausea. Reason # 8212; imbalance of sex hormones. Normalize the hormonal background and remove unpleasant symptoms will help licorice, oregano, sage, lemon balm. Infusion of any of these herbs start taking a week before the start of menstruation, a course of 2 weeks. Infusion is prepared as follows: 1 tbsp. l. dry stuff pour a glass of boiling water, let it brew, strain. Take 3 times a day for 1/3 cup for 15 minutes. before meals. Also, these herbs can be brewed and drunk as tea.

Sometimes critical days are accompanied by severe contractions of the uterus, which is quite painful. Your condition will be facilitated by a special herbal infusion. Mix for 5 hours. l. chamomile pharmacy And melissa, pour 1 liter of boiling water, let it brew for 30 minutes. strain. Take 1 glass 3 times a day for 30 minutes. before meals. To drink infusion it is necessary 4 days before monthly and during them.

If you like fresh bread, often and heartily eat cabbage, radish or legumes, you are likely to suffer from increased gas production. His symptoms: rumbling, swelling, heaviness in the abdomen, especially immediately after eating. Hot tea will help with 1 hour. l. grated ginger root. You need to drink it as the symptoms develop.

Food poisoning # 8212; usually it is accompanied by painful sensations, spasms in the intestine. Strong black tea with blueberries will help to solve the problem. Well helps green tea with a snack with honey, taken little by little every half hour. And, finally. heavy artillery? # 8212; peel of pomegranate. It should be boiled for 15-20 minutes. in, l of water and drink in small sips a little during the day. At the same time, drink plenty of salted water to prevent dehydration.

Irritable Bowel Syndrome

Cramping pains, spasms in the intestines, constipation, bloating, arising after each transferred stress? You have the so-called irritable bowel syndrome. To cure it, you will have to turn not only to the gastroenterologist, but also to a neurologist and even, perhaps, a psychotherapist. And while you are going to see a doctor, you can calm the irritated bowel with the help of real oregano. 4 tbsp. l. dry flowers of oregano, pour 1 liter of boiling water and leave for 10 minutes. Drink filtered after each meal, 1 glass per reception.



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