Irritable Bowel Syndrome Pain in the Lower Belly

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Irritable Bowel Syndrome

Introduction

Irritable bowel syndrome is a biopsychosocial disorder. This means that he has biological causes (transferred intestinal infections, after which a change in the immune, pain and motor reactivity of the gastrointestinal tract develops). The term psychosocial means that the disease is provoked by mental stress, often caused by social factors. It is characterized by increased motor (motor) activity of the intestine with a violation (increase) of its sensitivity. Irritable bowel syndrome in the population suffer from 20% to 40% of the population - such a scope is due to the fact that mostly people with this disease do not apply to doctors. The average age of the disease is 24-41, but irritable bowel syndrome occurs in children. Rural people, who are mainly engaged in manual labor and feed on plant food, are sick much less often in urban areas. First of all, the disease is spread among residents of large megacities, it is less common among the population of large cities and

even less often in the population of urban-type settlements.

General information about irritable bowel syndrome

Irritable bowel syndrome causes very unpleasant sensations

Pain in irritable bowel syndrome, as a rule, is localized in the lower abdomen in the left ileal region, but can be in any department. The pain is continuous, or there are periods of its cessation and relapses, which are provoked by a violation of diet, stress, overfatigue. Against the background of the appearance of pain, bloating and flatulence are noted. increased motility (peristalsis) of the intestine. Possible diarrhea - a liquid or mushy stool more than 2-3 times a day, or constipation up to three or more days. At night, pain and urge to defecate do not arise.

Symptoms of irritable bowel syndrome

The disease is characterized by:

  • lower abdominal pain. passing after defecation,
  • more frequent stools,
  • the appearance of a loose stool with the onset of pain,
  • visible bloating,
  • excretion of mucus with feces,
  • feeling of incomplete evacuation of the intestine after defecation.

There are criteria that exclude the diagnosis of irritable bowel syndrome:

Complaints in the anamnesis:

  • unmotivated weight loss;
  • nocturnal symptoms;
  • persistent intense abdominal pain as the only leading symptom of the lesions of the gastrointestinal tract;
  • beginning in old age;
  • cancer of the colon from relatives.

The appearance of symptoms late - after 60 years - calls into question the diagnosis of irritable bowel syndrome. Such patients should exclude the following diseases: colorectal cancer, diverticulosis, polyposis, ischemic colitis.

Identified by direct examination:

  • Fever. enlargement of the liver and spleen.

The following variants of the course of the disease are distinguished:

  • with a predominance of abdominal pain and flatulence;
  • with predominance of diarrhea;
  • with a predominance of constipation.

Causes of irritable bowel syndrome

In irritable bowel syndrome, there is an intensified motor response of the intestine in response to food intake, while the nature of motility is nonspecific.

The patient intensely perceives painful sensations from the entire surface of the gastrointestinal tract. To this predispose migrated infections (eg, disinfection), psychosocial stress, physical trauma, somehow related to abdominal pain. In addition, the insufficiency of the analgesic (antinociceptive) system is important. Patients can be identified a number of pathopsychological manifestations - the viscosity of thinking, the propensity to overvalue hypochondria. The person with IBS, as a rule, is not very resistant to stress, badly adapts to new conditions. All this complex of changes leads to the transformation of the relationship between the brain and the intestine, which is the most significant moment in the development of this syndrome.

How to treat irritable bowel syndrome

With irritable bowel syndrome, it is important to follow a diet. It is necessary to exclude pepper, vinegar, smoked meat, it is not recommended to drink carbonated drinks, citrus fruits, chocolate. In case of painful form accompanied by flatulence, it is necessary to exclude products that cause excessive gas formation - black bread, cabbage, legumes. Patients with a predominance of constipation is recommended to adhere to a plant diet. In the pain syndrome prescribe drugs that have an antispasmodic effect - pinoverium bromide (Dicetel), otilonium bromide - (Spasmomen, mebeverine hydrochloride (Duspatalin)). In the case of a combination of pain syndrome with meteorism - Metespazmil. The drug for the treatment of diarrhea is Imodium. If the increase in stool is insignificant, you can assign dioctahedral smectite (Smecta), Filtrum, activated charcoal. As a psychotropic agent, the drug Atarax or Eglonil is preferred.

It is possible to combine medical treatment with folk remedies for the treatment of irritable bowel syndrome.

A woman lived with a mysterious "pregnancy" for 3 years

A woman lived with a mysterious "pregnancy" for 3 years

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In the year, 48-year-old Margaret McMahon from Belfast (Ireland) asked for medical help in connection with bloating and unceasing pain. Doctors diagnosed her with irritable bowel syndrome. This is quite an uncomfortable, but absolutely common disease. However, the woman did not suffer from bloating, she had a sensation as during pregnancy: a large belly and frequent urination. [ ]

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In the year, 48-year-old Margaret McMahon from Belfast (Ireland) asked for medical help in connection with bloating and unceasing pain. Doctors diagnosed her with irritable bowel syndrome. This is quite an uncomfortable, but absolutely common disease. However, the woman did not suffer from bloating, she had a sensation as during pregnancy: a large belly and frequent urination. Margaret, who already had two children, said that it was like an endless pregnancy, except that the child did not appear.

After several years of suffering and chronic pain in the thigh and lower back, the woman began to suspect that irritable bowel syndrome was a false diagnosis. The pressure on the bladder was so strong that she felt sharp and stitching pains in the lower abdomen. Margaret could no longer live a normal life, and she had to quit her job. She no longer listened to the doctors and insisted that she be given a full examination and ultrasound of the stomach. As a result, analyzes showed that she has a huge formation in her abdomen, which turned out to be benign fibroids of the uterus.


As it turned out, fibroids are quite common in women over 30 years of age, but usually they are small in size. If the formation is slightly larger than the usual size, then it can provoke plentiful monthly, constipation, pain in the pelvis and pain during intercourse. But Margaret McMahon was a sad exception, and the size of her fibroids reached 18 centimeters and grew to the size of a watermelon. Three years of misdiagnosis led her to an unavoidable hysterectomy (removal of the uterus).

After many years of terrible suffering, when a woman could not even take a bath, she was happy to return to normal life and finally go on vacation with the whole family.

Ultimately, Margaret McMahon considers the absence of information on abnormal sizes of myomas and hopes that her story can have a positive impact on medical education and will contribute to the health and well-being of women in all over the world.

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  • Introduction

    Irritable bowel syndrome is a biopsychosocial disorder. This means that he has biological causes (transferred intestinal infections, after which a change in the immune, pain and motor reactivity of the gastrointestinal tract develops). The term "psychosocial" means that the disease is provoked by mental stress, often caused by social factors. It is characterized by increased motor (motor) activity of the intestine with a violation (increase) of its sensitivity. Irritable bowel syndrome in the population suffer from 20% to 40% of the population - such a scope is due to the fact that mostly people with this disease do not apply to doctors. The average age of the disease is 24-41, but irritable bowel syndrome occurs in children. Rural people, who are mainly engaged in manual labor and feed on plant food, are sick much less often in urban areas. First of all, the disease is spread among residents of large megacities, it is less common among the population of large cities and even less often in the population of urban-type settlements.

    General information about irritable bowel syndrome

    Pain in irritable bowel syndrome, as a rule, is localized in the lower abdomen in the left ileal region, but can be in any department. The pain is continuous, or there are periods of its cessation and relapses, which are provoked by a violation of diet, stress, overfatigue. Against the background of the appearance of pain, bloating, flatulence, and increased motility (peristalsis) of the intestine are noted. Possible diarrhea - a liquid or mushy stool more than 2-3 times a day, or constipation up to three or more days. At night, pain and urge to defecate do not arise.

    Symptoms of irritable bowel syndrome

    The disease is characterized by:

    #13;
    • pain in the lower abdomen, passing after defecation, # 13;
    • increased frequency of stools, # 13;
    • the appearance of a loose stool with the onset of pain, # 13;
    • visible bloating, # 13;
    • excretion of mucus with feces, # 13;
    • feeling of incomplete evacuation of the intestine after defecation. #13;

    There are criteria that exclude the diagnosis of "irritable bowel syndrome

    Complaints in the anamnesis:

    #13;
    • unmotivated weight loss; #13;
    • nocturnal symptoms; #13;
    • persistent intense abdominal pain as the only leading symptom of the lesions of the gastrointestinal tract; #13;
    • beginning in old age; #13;
    • cancer of the colon from relatives. #13;

    The appearance of symptoms late - after 60 years - calls into question the diagnosis of "irritable bowel syndrome". Such patients should exclude the following diseases: colorectal cancer, diverticulosis, polyposis, ischemic colitis.

    Identified by direct examination:

    #13;
    • Fever, enlargement of the liver and spleen. #13;
    #13;
    • blood in the feces; #13;
    • leukocytosis; #13;
    • anemia; #13;
    • increased ESR; #13;
    • changes in blood biochemistry. #13;

    The following variants of the course of the disease are distinguished:

    #13;
    • with a predominance of abdominal pain and flatulence; #13;
    • with predominance of diarrhea; #13;
    • with a predominance of constipation. #13;

    Causes of irritable bowel syndrome

    In irritable bowel syndrome, there is an intensified motor response of the intestine in response to food intake, while the nature of motility is nonspecific.

    The patient intensely perceives painful sensations from the entire surface of the gastrointestinal tract. To this predispose migrated infections (eg, disinfection), psychosocial stress, physical trauma, somehow related to abdominal pain. In addition, the insufficiency of the analgesic (antinociceptive) system is important. Patients can be identified a number of pathopsychological manifestations - the viscosity of thinking, the propensity to overvalue hypochondria. The person with IBS, as a rule, is not very resistant to stress, badly adapts to new conditions. All this complex of changes leads to the transformation of the "relationship" of the brain and intestines, which is the most significant moment in the development of this syndrome.

    How to treat irritable bowel syndrome

    With irritable bowel syndrome, it is important to follow a diet. It is necessary to exclude pepper, vinegar, smoked meat, it is not recommended to drink carbonated drinks, citrus fruits, chocolate. In case of painful form accompanied by flatulence, it is necessary to exclude products that cause excessive gas formation - black bread, cabbage, legumes. Patients with a predominance of constipation is recommended to adhere to a plant diet. In the pain syndrome prescribe drugs that have an antispasmodic effect - pinoverium bromide ("Dicetel"), otilony bromide - ("Spasmomen mebeverine hydrochloride ("Duspatalin"). In the case of a combination of pain and meteorism, Metespazmil. The drug for the treatment of diarrhea is Imodium. If the increase in stool is insignificant, you can designate dioctahedral smectite (Smecta), Filtrum, activated charcoal. As a psychotropic drug, the drug "Atarax" or "Eglonil" is preferred.

    It is possible to combine medical treatment with folk remedies for the treatment of irritable bowel syndrome.

    Medical consultation | surgeon | what does it mean to break through
    How it is possible to overstrain, which organs suffer, are amazed. Symptoms: severe convulsions in the abdominal area, nausea, diarrhea. a brother to give birth, and if he lifts the weight, he will get sick, and it will be difficult to give birth!
    http://corepace.ru/8549/chto-znachit-nadorvatsya.php

    Sources: http://leshim-sami.ru/page/sindrom-razdrazhjonnogo-kishechnika, http://samiysok.com//10/02/zhenshhina-zhila-s-zagadochnoj-beremennostyu-na-protyazhenii-3-x-let/, http://xn80aal8ar.xnp1ai/sindrom-razdrazhjonnogo-kishechnika



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