Irritable Bowel Syndrome


The most effective treatment for irritable bowel syndrome?

I doubt that emotions can affect the state of the intestines. If you have IBS, then first of all you need to visit a doctor, he will confirm or refute your fears. If this is really IBS, then the doctor will prescribe the treatment, for his part, self-medication, too Do not: if you are going to drink jelly and eat oatmeal - this should be reported all the same the doctor. About the diet with IBS can be read here: hennogo-kishechnika.html

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The intestine is a resonatoremotionswith its own pacemaker and almost intellect.

If the circumstances are pulled by the nerves, and the intestine is the patient's vulnerable place,disturbance of regulationintestine with the autonomic nervous system and, as a consequence, excessive peristalsis.

Treatmentpsychosomaticsbegin withsedation. those. comforting. And it's not eno

ugh just to say to myself, I'm calm - pharmacological preparations should be connected. For someone it will be optimal to drink a soothing tea, and someone will need drugs (for example, from the benzodiazepine group - after consulting a neurologist).

Later you can connect meditation, breathing practices or communication with a psychologist.

The next important step in the correction of IBS will benormalization of microfloraintestines. A combination of Hilak (drops) and Bifidumbacterin (powders) can help.

It would be nice to addenzyme preparations(mezim, pancreatin) at every reception write.

You must observedietwith the exception of fatty foods, since fat is a powerful stimulant of peristalsis. Also, do not use spicy, flour, alcohol and coffee. In other words, the products should not cause gassing or pharmacologically stimulate the gut (like caffeine).

It is very important to fill the lumen of the intestine with fiber so that it does not empty the gases. For this purpose, bran is taken for food (in moderate amounts). Vegetables / fruits - with caution, NOT in raw form, so that, again, there was no stimulation of peristalsis.

Foodshould beregularin small quantities, so that the whole day is not hungry, and by the evening of dense eating.

During the day should be allocated time forphysical activity. that at least 20-30 minutes a day the pulse would exceed 100 beats per minute. Under the action of adrenal catecholamines released during exercise, the effect of the parasympathetic system on the gut decreases, which leads to a decrease in excess peristalsis. For this purpose run, an exercise bike or simply gymnastics on a carpet will approach. Now the main thing is to provide a cardioadload to increase the heart rate (heart rate).

How long to follow all of these recommendations?

So far, the symptoms persist. It is desirable to make physical activity an everyday habit.

Treatment of irritable bowel syndrome is always a difficult task because of the heterogeneity of the causes of this disorder and its manifestations in a particular person. In recent years, violations of the immune system of the intestine have been revealed. dysregulation of its motor function. change in the threshold of pain sensitivity by nerve endings of the intestine. Concurrently, treatment is minimized. It is recommended to take zofalka with IBS with diarrhea. its combination with mukofalkom with IBS with constipation, and with the pain syndrome remaining on this background, an Iberagast is added to the scheme.

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Irritable Bowel Syndrome: Main Symptoms and Treatment Options

According to WHO, irritable bowel syndrome, whose symptoms and treatment should be considered in more detail, is observed in about 20% of the adult population of the planet. Irritable bowel syndrome is a non-dangerous functional disorder of the digestive tract, creating a palpable discomfort in a person's daily life. On what grounds can you diagnose this disease, can you completely cure irritable bowel syndrome? These and many other topical issues need careful consideration.

Causes of irritable bowel syndrome

The main feature of irritable bowel syndrome (IBS) is the absence of any organic causes of it appearance: immune inflammation, parasite damage to the body, various anatomical abnormalities and tumor processes.

According to the latest ideas of medical scientists, the formation of this disease is directly influenced by social, psychological and biological factors. In this regard, the main causes of the syndrome of irritable bowel should be considered:

  • various stressful situations;
  • genetic predisposition;
  • transferred intestinal infection;
  • failure in intestinal motility;
  • psychological disorders;
  • changes in the hormonal background;
  • heavy food and harmful drinks, etc.

For the formation of the disease is usually sufficient combination of 2-3 listed reasons. In 30% of cases, stress and intestinal infection are trigger mechanisms for triggering the disease. Before starting treatment for irritable bowel syndrome, you should adhere to a healthy lifestyle, proper diet and avoidance of stressful situations.

The main manifestations of the syndrome

Physicians consider 3 varieties of irritable bowel syndrome:

  • with constipation;
  • with diarrhea;
  • mixed form: alternating constipation and diarrhea.

The main symptoms of irritable bowel syndrome should be considered depending on the indicated varieties.

The type of disease in which the main symptom is pronounced diarrhea is considered the most common. Frequent urge to excrement usually occurs in the morning, after meals. A characteristic phenomenon is the occurrence of diarrhea in cases of intense excitement, fear, or emotional arousal.

In the other case, irritable bowel syndrome is distinguished, the signs in which are manifested with the predominance of prolonged constipation. The chair becomes very dense, shapeless, with impurities of transparent mucus. The delay of defecation is more than 3 days.

Disruption of the intestine, associated with the alternation of constipation and diarrhea, is the third common type of this disease.

Common symptoms for all types of bowel disturbances are:

  • pain in the abdomen, which may decrease after emptying;
  • bloating in the abdomen;
  • flatulence;
  • excretion of mucus during defecation;
  • feeling of incomplete bowel movement;
  • heartburn;
  • nausea, etc.

Symptoms of IBS in most patients can continue for a long period: then calm down, then flare up with renewed vigor. Usually they become more pronounced immediately after ingestion.

To understand how to treat irritable bowel syndrome effectively, it is necessary for the patient to correctly diagnose.

An important role in this is given to differential diagnosis, during which other diseases of the digestive tract are identified that have similar symptoms but are not related to IBS.

By mutual international agreement of doctors, the diagnosis of irritable bowel syndrome with diarrhea or constipation is considered justified if patient for six months there were at least 3 times a month discomfort or pain in the intestines in the absence of deviations in the analysis from the norm.

Effective ways to treat IBS

Treatment of IBS should be comprehensive, including the following elements:

  • drug therapy;
  • use of probiotics;
  • proper nutrition;
  • psychoactive drugs;
  • folk remedies;
  • alternative methods of influence.

Given that almost always IBS can not be completely cured, the main goal of treatment is to achieve a long period of remission and restore social activity of the patient.

Drug therapy is symptomatic. To eliminate diarrhea, anti-diarrhea drugs are used: Imodium, Loperamide, etc. Their action affects the intestinal peristalsis: thickens and increases the volume of stools, slows their movement through the digestive tract.

In IBS with constipation laxatives are used: Citrucel, Metamucil, and others. They are based on fiber, which, reaching the intestine, increases the volume of feces and fluid content in the volume, which provides them with a free and easy natural exit outward.

Medicines spasmolytic action can remove muscle spasms of the intestines and reduce pain. These drugs include Sparex, Niaspam, Mebeverin, Duspatalin, and others.

Often in the treatment of IBS, depressants are prescribed, which reduce the level of stress, have a good sedative effect on the intestine. Well-established such psychoactive drugs as Imipramine, Amitriptyline, Citalopram.

An integral part of the treatment for irritable bowel syndrome should be proper nutrition and a healthy lifestyle. In addition to the basic nutrition recommended by the treating doctor, probiotics containing beneficial bacteria can be added.

What are probiotics?

For today, the treatment with folk remedies is widely used in irritable bowel syndrome. During constipation, medicinal plants are used: licorice, buckthorn, yarrow. Many people know how to get rid of a loose stool. It takes some time to use plantain tinctures. sour cherry, sage. Soreness of the intestine is well removed from fennel seeds, mint, chamomile, valerian and other plants.

Sometimes a good effect is provided by alternative methods of treating IBS: acupuncture, intestinal hydrotherapy, etc.

Thus, knowing the main symptoms and treatment of irritable bowel syndrome, with active help specialist can be systematized his life by all the rules so that for a long time to forget about disease.

Irritable bowel syndrome is one of the most frequently diagnosed pathologies in gastroenterology. The clinical picture of the disease is characterized by symptoms of intestinal damage: abdominal pain, flatulence, diarrhea and constipation. In some cases, the pathological process is so pronounced that the patient may be partially or completely unable to work. In this case, during the diagnosis of the disease, organic lesions of the intestine are not detected. Diagnosis and treatment of irritable bowel syndrome are quite complex, but urgent issues to date, as the disease significantly worsens the quality of life of patients.

Diagnosis and treatment of irritable bowel syndrome

Irritable bowel syndrome is an exception diagnosis. With the appearance of completely nonspecific symptoms of pathology, doctors begin to look for organic damage, conducting many studies, and Only after exclusion of all other diseases of the gastrointestinal tract is the patient diagnosed with irritable syndrome intestines. The question of the treatment of pathology is very difficult, because the main etiological factor of the disease is a violation of the central nervous system. Nevertheless, it can not be said that patients with such a diagnosis are incurable. Treatment of irritable bowel syndrome, with the correct complex approach, can return the patient to the habitual way of life.

Treatment of irritable bowel syndrome:

  • methods of diagnosis of irritable bowel syndrome;
  • diet therapy in the treatment of irritable bowel syndrome;
  • medicamental treatment of irritable bowel syndrome.

Methods for diagnosis of irritable bowel syndrome

To date, for the diagnosis of irritable bowel syndrome, there are Roman criteria, with which you can confirm the diagnosis as accurately as possible. Irritable bowel syndrome is established if, for at least 3 months, The patient had abdominal pain or discomfort in the abdomen in the last six months in combination with the following symptoms:

  • improvement of the patient after defecation;
  • the onset of the disease coincides with the change in stool frequency;
  • the onset of the disease coincides with the change in the shape of the chair.

The diagnosis of irritable bowel syndrome is also confirmed if, for at least 25% of the time of day, the patient is troubled by the following signs of pathology:

  • The act of defecation occurs less frequently 3 times a week or more often 3 times a day;
  • there is a change in the stool consistency;
  • breaks the process of defecation: the patient is too strained, feels a feeling of incomplete evacuation of the intestine or sudden urge to defecate;
  • With mucus, mucus is released during defecation;
  • observed bloating and flatulence;
  • there is a feeling of raspiraniya and rumbling in the abdomen.

Dietotherapy in the treatment of irritable bowel syndrome

The basis for the treatment of irritable bowel syndrome is, first of all, the normalization of the patient's psycho-emotional state. The realization that the problem is excessive stress and an incorrect attitude towards one's condition is the key to effective treatment of pathology. That is why it is very important to establish a trusting relationship between the patient and the doctor. Patients are encouraged to keep a diary of their symptoms for several weeks, indicating possible stress factors that preceded their onset. An important role is also played by dietotherapy:

  • with prevalence of diarrheaThe patient is recommended to restrict the intake of coarse dietary fiber and complete exclusion from the diet fructose, alcohol and coffee, carbonated drinks and all products that can enhance gas formation;
  • with predominance of constipationit is recommended a diet with a high content of otrarenovyh products and vegetable fiber, which helps improve bowel motility.

Medicamental treatment of irritable bowel syndrome

The effectiveness of medications in the treatment of irritable bowel syndrome is not proven, as in almost 70% of cases there is a high placebo effect. On this basis, drugs can be recommended to normalize the nervous system of the patient. Medication for irritable bowel syndrome is also aimed at alleviating the symptoms of the disease. If diarrhea predominates in the clinical picture of the pathology, the patient is prescribed antidiarrheal drugs. In case of the prevalence of constipation, dietary fiber and laxatives are recommended. The purpose of antispasmodics is necessary to eliminate the pain syndrome in patients with irritable bowel syndrome.

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