Examination in irritable bowel syndrome

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The vast majority of people throughout their life complain about certain problems associated with digestion. It can be pain, it can be diarrhea and vice versa constipation. it can be unexpected uncomfortable phenomena.

In any case, a complete examination is necessary and this can be any diagnosis, but recently it is very often said about such a disease asirritable bowel syndrome. A person undergoes a survey, does a gastroscopy, gives tests and everything is all right, but the discomfort persists.

How to deal with irritable bowel syndrome, what are its causes.

Any person, at any age, has some problems with digestion. This symptom complex includes, above all, abdominal pain and yet various stool disorders. But the most important thing is that under the guise of this syndrome, serious diseases can hide, so it always requires a good Diagnosis, in order to distinguish a safe functional pathology, from sufficiently dangerous and serious diseases requiring serious treatment.

Many doctors today agree thatirritable bowel syndromeThis is a psychosomatic disease, i.e. Functional disorder of intestinal motility, caused by certain individual features of a violation of central vegetative regulation nervous system.

When a person experiences stress, the corresponding hormones of stress are thrown into the blood, they can very strongly activate and disrupt the motility of the colon, a person has severe pain and all the rest are not pleasant Feel.

If abdominal pain occurs immediately after eating, you should sharply limit fat and increase protein intake.

Overeating in people with irritable bowel syndrome, promotes the development of diarrhea and intestinal spasms. Symptoms will decrease if there is less or divide the amount of food into several doses.

The food passes through the thick intestine, and as a result of the disturbance of the nerve impulses that go to it, spastic contractions of the intestine are violated; in fact, saying the food does not go further along the intestines, constipation occurs. In older people because of this, diverticulosis of the intestine may occur. Such a syndrome can go with pain, both with the phenomenon of constipation, and with the phenomenon of reverse - diarrhea. It depends on the degree of disruption, sometimes the motor skills slow down and accordingly the contents in the intestine hangs back and forth, there are pains, but there is no stool. Or there is a reverse situation when the motor and evacuation function of the colon is greatly accelerated, then there are pains, and acceleration of the movement of chyme, the result of diarrhea.

In patients with irritable bowel syndrome, sensitivity of the receptor of the intestinal wall to stretching, in connection with which pain occurs in them at a lower threshold of excitability than in healthy of people.

The main symptoms of irritable bowel syndrome.

# 8212; Stool, constipation or diarrhea. They can be accompanied by severe pain syndromes, which disappear after the act of defecation.

# 8212; Increased gas formation, which can also be accompanied by pain symptoms. Hymus (a lump of food), falling into the large intestine, has its own characteristics, it is absorbed by the microflora, resulting in the release of exchange products # 8212; organic gases and acids. Organic acids promote the secretion of water in the lumen, which then forms a loose stool (diarrhea). And organic gases strongly stretch the loops of the intestines, causing spasms, from here and pains arise.

Here you need to pay attention that with the syndrome, problems arise only in the daytime, at night it is not, the person normally sleeps, this is a very important differential sign.

Because with serious diseases of the intestine or other organs (pancreas), pain and diarrhea syndrome is always present, regardless of the day or night.

Diagnosis and examination with bowel disease.

  • The blood test, which is judged, whether there are any significant changes in the body.
  • Stool analysis.
  • Ultrasound examination (ultrasound) of the abdominal organs to exclude organic diseases of the gastrointestinal tract.

Irritable bowel syndrome develops as a result of psychological, visceral and other effects on the excessively responsive intestine.

Do not forget that functional constipation belongs to the category of risk of developing colon cancer.

Women are sick about twice as often as men.

Treatment with folk remedies.

Folk remedies for pain relief in the irritated intestine of the abdomen from available remedies can be removed with extracts of herbs that have spasmolytic effects. These include peppermint (peppermint), which alleviates spasm in the gastrointestinal tract. But first of all, you need to go to the doctor, and pass the appropriate diagnosis of treatment.

Irritable Bowel Syndrome

Irritable bowel syndrome is a functional bowel disease that manifests itself as a complex of certain symptoms, but there are no morphological changes. Abdominal pain and other complaints are present in the patient for at least 12 weeks per year (weeks can be in different orders, but not follow one another). The disease occurs among the young able-bodied population aged 20-40 years. Women are more often ill, but it is difficult to establish exact figures, since some patients with IBS are not observed in specialists.

The main complaint in patients is pain or discomfort in the intestinal area, which pass after the act of defecation. In addition, there is necessarily a violation of the frequency of the stool (constipation or diarrhea), a violation of the stool consistency, flatulence, a feeling of incomplete bowel emptying, tenesmus, imperative urges.

Occurrence of the listed complaints should be an occasion for the prompt reference to the doctor. The treatment of the disease is the gastroenterologist. But it is best if the patient undergoes comprehensive treatment and receives counseling from a therapist. It is proved that the effectiveness of treatment of irritable bowel syndrome is higher when the psychoemotional factor is eliminated.

Examination conducted with irritable bowel syndrome:

General and biochemical analysis of blood, coprogram. Ultrasound of the abdominal cavity organs, FGDs to exclude stomach diseases. Assign an examination of the intestine (radiography with contrast material, sigmoidoscopy, colonoscopy).

Treatment of irritable bowel syndrome is long. Takes at least 2 months. It is aimed at eliminating the main factors (stress, eating disorders, chronic fatigue).

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Irritable Bowel Syndrome, Chronic Colitis
(IBS, irritable bowel syndrome, spastic colitis, irritable bowel syndrome, irritation of the intestinal mucosa)

  • Duspatalin (myotropic, antispasmodic). Dosage regimen: inside, on, g 2 times a day in the morning and in the evening for 20 minutes before eating.
  • Loperamide (antidiarrheal agent). Dosing regimen: by mouth, 2-4 mg after each act of defecation in the case of a loose stool. After normalization of the stool or in the absence of stool for more than 12 hours, treatment with Loperamide should be discontinued.
  • Smecta (antidiarrheal agent). Dosing regimen: inside, 1 packet 3 times a day. We recommend a course of treatment 3-7 days.
  • Motilium (antiemetic). Dosage regimen: inside, for 15-30 minutes. before meals 10 mg 3 times a day.
  • Dufalac (laxative). Dosing regimen: inside, in the morning during a meal 30-50 ml.
  • Espumizane (carminative agent). Dosing regimen: inside, during or after a meal of 40 mg 3 times.

Recommendations

  • Consultation of the gastroenterologist.
  • Fibrocolonoscopy.


Chronic colitis is a chronic disease in which chronic inflammation of the mucous membrane of the colon takes place.

Chronic colitis is a diagnosis-an exception, it can be exhibited only when all other causes are excluded by instrumental, laboratory and morphological methods of investigation.

Clinical picture

The clinical picture of chronic colitis is very diverse. One of the main complaints of patients are abdominal pain and constipation. Pain in the abdomen is not acute, associated with eating. Pain in the abdomen with chronic colitis often have a connection with the emotional background of the patient, worsen when agitated. Constipation prolonged for 4-6 days, as a rule, patients take a large amount of laxatives, the effect of which is small.

There are no pathological impurities in the feces. Rarely with chronic colitis there may be mucus in the feces.

Diagnosis of chronic colitis

Diagnosis is complicated. For the competence of such a diagnosis, it is necessary to thoroughly and thoroughly examine the large intestine exclusion of other causes (diverticular disease, colonic neoplasms, Crohn's disease and etc.). The complex of studies includes not only such instrumental studies as irrigoscopy, colonoscopy, sigmoidoscopy, but also laboratory studies, stool analysis.

Treatment of chronic colitis

Treatment of chronic colitis is conservative. Spasmolytics are prescribed, drugs that normalize the tone of the smooth muscles of the colon, with violations of the microbiocenosis of the colon, and bacterial preparations are prescribed. Of great importance is the change in the nature of nutrition and the normalization of the emotional background of the patient.

Recommendations

  • Consultation of the gastroenterologist.
  • Fibrocolonoscopy.

Leading specialists and institutions for the treatment of this disease in Russia:

doctors of the State Scientific Center of Coloproctology (Director - Doctor of Medical Sciences, Professor Shelygin Yu.A.), doctors of the Russian Scientific Center for Surgery named after Academician Petrovsky B.V.

Leading specialists and institutions for the treatment of this disease in the world:

St. Mark's Hospital, Great Britain.

Biochemical examination of urine

In colitis, an increase in the activity of urine diastase is possible.

Stool analysis total (coprogram)

In colitis with diarrhea, the amount of feces increases. The amount of feces decreases with prolonged constipation caused by chronic colitis. Slime covering the decorated feces from the outside in the form of thin lumps, occurs in colitis. Alkaline reaction (pH, -1,) occurs in colitis with constipation. A large number of leukocytes (usually neutrophils) is observed in colitis of various etiologies.

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Symptoms

Hello. I am am disturbed already half a year by a liquid chair, a swelling, weight loss. All analyzes are completed, examinations of narrow specialists on hands. Results without pathology, diagnosis of IBS is in question, but it does not make me feel any better. Who and what can really help. Talking empty with the mountain doctors and a health system where everything has to be paid for, even for the indifference of the doctors, drove me into a dead end.

Valentina, in order to give you advice on further tactics, you need to know whether you did colonoscopy, and if so, what result.

Julia -11-18 0 6

Hello! In the year, diagnosed with the SCR and gastroduodenit.sdelali colonoscopy, pathology is not revealed. Disturbing cramping, pain, sometimes leading to a pre-stuporous state (stool up to 3-4 times a day). With what can such a state be connected, actually interferes with normal life.

Julia, you need to exclude the pathology of the pancreas and small bowel disease, consult a qualified gastroenterologist.

Tatiana -11-11 1 3

Hello, a year ago I was diagnosed with IBS. Passed all the tests, except for the colonoscopy, nothing was found - neither bacterially, nor parasitologically, nor by leukocytes, nor by ultrasound of the GBZ. The pain is constant, tedious (like a tooth) - but subsides (if to starve), or stronger, including at night - in the right side under the ribs, at the waist level. With food intake and toilet is not connected, intensified after dairy products, raw carrots, cabbage, apples. I do not stick to diets. The gastroenterologist said: you will now live like this, the disease is not treated, and refused to give the third course treatment (two courses of propyl without improvement). Should I insist on a colonoscopy? I am 38 years old.

Tatiana, the diagnosis of irritable bowel syndrome necessarily requires the elimination of organic pathology in the large intestine - that is, a colonoscopy.

anna -10-24 1 7

In the sixth year, pains are felt from the left side of the abdomen. I suspect that this is the intestine. More often pains happen in the mornings, in half an hour after awakening. There are days when there is no pain. Another pain arises if I walk or stand for a long time. It happens that after the stool the pain decreases, but not always. I used to smoke and there were no problems with the chair, but now I do not smoke and I can not go to the toilet for several days. But no swelling. there are no other symptoms. Assigned Duspatalin. I drank two packs - the pain subsided a little, and then everything again as before. To what doctor to address and what analyzes, researches to make? (in our small town there are no good specialists)

Anna, the first study to be performed to exclude intestinal pathology, is a colonoscopy. With results of a colonoscopy address to the gastroenterologist.

Rogov Eugene A. 79650419839 -09-21 1: 6

I do not want to get a stomach. This is my first time in my life. And it all went from the way I tried the beans and all went already as 2 months suffer. I accept capsules

Sources: http://budizdorov.com/kishechnik/sindrom-razdrazhennogo-kishechnika, http://www.zdravitsa.com.ua/ru/articles/16.html, http://online-diagnos.ru/illness/d/sindrom-razdrazhennogo-kishechnika-hronicheskiy-kolit



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