Irritable Bowel Syndrome


Irritable Bowel Syndrome

Many, upstairs noticed how after a lot of excitement or stress on the stomach a wave of pain is rolling. Well, if the usual no-shpa at hand - will remove the painful spasm. However, even without medicine, when the nervous system returns to normal, unpleasant sensations will also disappear by themselves. It is worse if the pain in the abdomen becomes the norm over time.

For years, scientists and physicians did not know how to classify a person's condition, in which he periodically experiences in the intestines a certain discomfort, unpleasant sensations, incomprehensible, rapidly passing pain. The malaise aroused many questions, for it was sometimes difficult to call him a disease. However, as patients with such symptoms became more and more, about five years ago in the international classification there was a new chapter - irritable bowel syndrome, or irritable bowel syndrome in abbreviated form - SRK.

Irritable bowel syndrome is a functional condition that occurs most often after s

tress, malnutrition or as a result of infection, when in the intestine appears conditionally activated pathogenic microflora. The main symptoms of IBS are constipation, diarrhea, mucosal discharge, usually without blood, swelling, spasmodic pains (colic), usually in the lower abdomen. Irritable bowel syndrome usually affects the entire intestine, starting with the stomach. The disease can be acute and chronic.

People with IBC are more often ill than men, aged 25-40, men and women. Since similar symptoms are characteristic of many other diseases, in particular, polyps, ulcerative colitis, cancer, Crohn's disease, differentiation of the disease is necessary. Suppose, when a person complains of a swelling, one must look for the cause, the triggering mechanism of the symptom. Occasionally, endoscopic, x-ray studies of the gastrointestinal tract are required. And if only functional changes are revealed, you can talk about IBS.

First of all, this is an increased or decreased secretion of digestive juices, against which go fermentation, putrefactive processes in the digestive tract, and as a result there are eructations, nausea, bloating, gas formation. Changes can also be in the structure of the mucous membrane: thickened folds appear, or, on the contrary, its smoothness. Chronic irritable bowel syndrome is accompanied by constipation, stronger spastic pain. Although the cause of all unpleasant manifestations is usually one - household stress.

Often against the background of irritable bowel syndrome, dyskinesia, dysbacteriosis, caused, in particular, by the use of antibiotics in large doses can occur. That's why the symptomatology of IBS should be treated in a comprehensive manner.

Having removed the next, long-term syndrome, do not wait until it appears again, and make a colonoscopy. Such a survey will be painless, if for 3 days take 1 tablet of dicetel 3 times a day during meals. After taking the dicetel, the examination goes like clockwork.

Dicetel, as well as pancroflate, espumizan, disflotil, meteospazmin well relieve spasms of the intestine in IBS. However, it is still recommended to use less chemistry, and more to use natural preparations, herbal infusions, follow a diet, take physiotherapy, do the simplest exercises to train the abdominal muscles and pelvic bottom. For example, the same "bicycle" is shown with hypokinesia of the intestine, and well-known exercises for relaxation - with hyperkinetic type of motility of the colon.

If the intestine is weak, the infusions of verbena grass, a mountaineer pochechuynogo, linseed are useful. A glass of boiling water - 1 hour. spoon, take a quarter cup three times daily before meals. And for an hour and a half before meals 2-4 times a day you can drink a glass of cold mineral water without gas such as Slavyanovskaya, Smirnovskaya, Batalinskaya. More to eat raw vegetables and fruits, as well as cold dishes.

If the intestines, on the contrary, are extremely active, it will be soothed by infusions of lime flowers, chamomile, calendula, yarrow, oregano, melissa, mint, horsetail, fennel, carrot. Brew and take - the same way. With abundant gas formation, fennel is especially effective, with spasms - balm. Camomile will remove both. Therefore, you can simultaneously use 2-3 types of herbs. From mineral waters Borjomi, Narzan - on 1 glasses in the heated kind, without gas for an hour before meal 2-3 times a day will approach, Narzan. To eat food should also be mostly warm.

No less than drugs will remove intestinal spasms warm (37-38 degrees) general (or sedentary) baths. Especially useful with sea salt: pour 2 kg of salt with hot water, then fill the bath to the top, lie down for 20 minutes - and the pain will pass, and at the same time the nervous system will calm down. A sea bath can be replaced or alternated with a coniferous tree by purchasing a suitable concentrate in the pharmacy. It is not bad to make a wet wrap for the night, soaking a towel with warm water and putting it on a sick area.

Do not forget that the manifestations of irritable bowel syndrome are always affected by any strong emotional situation, whether it be the death of a loved one, the joy of the birth of a long-awaited child, or "work "burning" on work. Recently, there has been an increase in functional diseases, and almost every third patient has symptoms of IBS associated with social, domestic problems. That's why - work, rest, emotions - everything should be in moderation.

The explanation to the patient of the possible causes and mechanisms of the development of intestinal disorders

Patient management of an individual diary

Recommendations for nutrition, taking into account the dominant variant of IBS:

With the prevalence of diarrhea:

  • Restriction of coarse dietary fiber; Exclusion of sorbitol, fructose, coffee, alcohol, carbonated beverages; products that enhance gas generation (milk, cabbage, beans)

With the prevalence of constipation:

  • A diet high in plant fiber, bran
  • Medication:

With the prevalence of abdominal pain:

  • Hyoscine butyl bromide - 10-20 mg 3-4 times a day
  • Dospatalin - 200 mg twice a day for 20 minutes. before meals
  • No-shpa forte - 80 mg 2-3 times a day

With the prevalence of diarrhea:

  • Loperamide - the dose is selected individually
  • Smecta 1 packet 2 3 times a day
  • Espumizan - for 2 3 kapes. 3 4 times a day
  • Dinol
  • Probiotics (hilak forte, lactiv, entero-regina, Activia)

With the prevalence of constipation:

  • Mucofalk 5 g 2-4 times a day
  • Dufalac 20-60 ml (the dose is selected individually)
  • Macrogol 10-20 g / day for one dose (morning)
  • Domperidone - 10 mg 3-4 times a day for 20 minutes before meals
  • Itopride - 10 mg 3 times daily before meals

Therapy of the second line

Tricyclic antidepressants (low doses) or serotonin reuptake inhibitors

Different kinds of psychotherapy

Differential treatment of irritable bowel syndrome (IBS) depending on the prevailing symptom

Irritable bowel syndrome (IBS) with predominance of diarrhea

Diet (rice, pasta)

Antidiarrheal agents (loperamide, diosmectite)

Probiotics (hilak forte, lactiv, entero-regina, Activia)

Antidepressants (low doses)

5- HT3-antagonists (alosetron, ondansetron, silansetron, tisetrorone)

Irritable Bowel Syndrome (IBS) with predominance of constipation

Diet (fruits and vegetables)

Dietary fiber (bran, fiber)

Prokinetics (domperidone, itopride)

Irritable Bowel Syndrome (IBS) with predominance of pain

Spasmolytic agents (duspatalin, fore-pin forte)

Antidepressants (low doses)

Psychotherapy and hypnosis

The international nonproprietary name is: Drotaverine
VIRORIC: "CHINOIN" Pharmaceutical and Chemical Works Co. Ltd. Ugric
Likarska form: Tablets
Form vipusku: Tablets of 40 mg No. 20, No. 100
Діючі речовини: 1 tablet містить drotaverinu - 40.0 mg
Pharmacotherapeutic group: Spasmolytic zasobi, yakis rozlablyuyut smooth m'yazi krovonoshnyh sudin, and takozh bronhіv ta інших внутрирішніх оргаів
Show: Spasm of smooth muscles, povyazjanі із захворюваннями жовчовидільної системи, сечового the tract, the organ of the schlanko-intestinal tract, the head of the chest of the judo, the gynecological zahshovorvannya
Термін придатності: 5р

міжнародна та хімічна назви: drotaverinе-1 - [# 4;, 4-diethoxyphenyl # 41; methylene] -diethoxy, -tetrahydrocyclohexyl chloride hydrochloride;

basic fiziko-hіmіchnі authorities: opulki tablets zhovotogo koloru, іz zelenkuvatim abor orange vidtinkom; on one side, the "spa

warehouse: drotaverin hydrochloride;

1 tablet mistit 4, mgrotrotheverinu hydrochloride;

dopomizhny rechovini: magnesium stearate, talc, polividon, starch kukurudzyaniy, lactose.

The form is a vipusku. Pills.

Pharmacological group. Synthetic spasmolytic diseases. ATS code: A 03 AD02.

Pharmacodynamics. Drotaverin - pokhodnizokhinolinu, dіе безпосередньо on smooth musculature with shingomіngіvannannіfosfodіsterazі ta accumulated cAMP ukseredinі klіtin, scho to bring up to soslablennja smooth m'ja zavdyaki інактивації easy lancyuzhka кінази міозину # 4; LCK # 41 ;.
Efektivny at the spasm of smooth muscle muscles yak nerve, and і m'yazovogo pokhozhennia. Spazmolitichna дія дротаверинуне to lay down in the nature of vegetative іннервації, however, on the smooth musculature of gastrointestinal, біліарної, урогенітальної та судинної systems.

Pharmacokinetics. Drotaverin shvidko vsokmotuetsya yak nislja parenteralnogo, and і pislja oral entering. Pislya peroral zastosuvannya maximum concentration in sirovatsi reach for 45 - 60 hvilin.
Metabolizuetsya in pechyntsi. The end of the biologic napiv vivennya become 16 - 22 godin. For 72 years, drotaverinpriktichno tsilk vivoditsya z organizmu, close to 50% - iz secheyu, that approximately 30% - with feces. In the main drotaverin vivoditsya in the form metabolitiv, in uninhibited viglyadі in sechi not sposteragayatsya.
Drotaverin and / or yoga metabolism do not permeate through the placental bar'er.

Shows for shampooing. Spasm of smooth muscles, povyazjanі із захворюваннями жовчовиідної системи: холелітіаз, холангіолітіаз, холецистит, пери холецистит, холангіт, папіліт. Spasmodic smooth muscle of the secular tract: nephrolithiasis, urethrolithiasis, pielitis, cystitis, tenesmi sechovogo mihura.
The drug is effec- tive that is baked in the vicarious yogic yak of the dopominous leaf when:
- spasms of smooth muscles of the organ in the schlanko-intestinal tract: virazkovyj kotorobi shlunka ta dvadnatsyati paloi guts, gastritis, ентериті, коліті, спазмах кардії таворіт шлунка, синдромі подсоненої товстоїї кишки, спасачних закрепах або метеоризмі, pancreatitis;
- ginekologichnyh zahshyuvannah: dysmenorrhea, adnexitis, a strong pogolevuyu pain, pravastsevyh izochennyami uterus, zabrozlivomu abortion. It is advisable to include No-shpu® in the strategy of active vetrichanya on the placental classes for the treatment of the prioma Kreda, that the alternation of strangulation;
- headache of the saint's march.

Sposib zastosuvannya that dosage.

Дорослі: звичайна середня schodenna dose to become 120 - 240 mg # 4; - 6 tablets # 41; But-spi® in 2 - 3 priory.
- Vіkom vіd 1to 6 rockіvrekomendovana dobova dose to become 40 - 120 mg # 4; - 3 tablets # 41; But-spy in two to three priory.
- Віком після 6 років -80 - 200 мг # 4; - 5 tablets # 41; But-spi® in 2 - 5 priyomiv.

Побічна дія. Pobichnyi dії spostterіgilsya tіlki u 3% hvorih. You can sposterigatisya soi pobichnі efekti: head beil, zapamorochennya, serbitsebitya, nudota. Do action, alone vipadkah, can spositerogatisya arterialnaya gipotenziya.

Contraindications. Pidvitchena chutlivist instinct to do-y component of the drug. Heavy work of pechnikov, nirkov abo sertseva lack, AV block of II - III stages.

Vzaimodіya z inіshimi lіkarskimi zasoby. Neophidno dotrimuvati oberezhnosti with a one-hour zastosuvannnyi No-shpi® z levodopoyu, oskilki mozhe zmenshuvatisya antiparkinonsichny efekt ostann'o ta posiljuvatisya rigidity and that tremor.

Overdosing. Do not give any information about overdosing abo suicidal namagannya z zastosuvannam No-shpi®.

Extremely zastosuvannya. The drug may viklikati pogoshennya in the side of the slurry-intestinal tract in the sick, I suffer from nonsense of lactose, through vmist lactose in tablets.

Vplyv on the building keruwati car and ikonuwati roboti, but demand the attention. In recommended doses, No-shpa® does not fit into the building of keruwati car or motorcycle robotics, but demand the attention.

Vagitnost and lactation. Yak showed the results of experiments on the creatures of No-shpa®, not teratogenic, aboembryotoxic, and priyom the drug does not vplyivє on hіd vagіtnostі.

Through vіsutnіst sufficient експериментальних даних, in період лактації preparation слідує признатьти тільки після ретельного зважування співвідношення ризику та користі.

Умови та термін зберігання.

- TabletsNo-shpa® in blisteri zaluminiiu zberigati in original packing at temperatures up to 30 ° С.
- TabletsNo-shpa® in a half-bottle flask with a half-silicone plug of zberigati at room temperature # 4; 5 - 25 ° C # 41; у захищеному від світла місці.

Термін зберігання 5 років.

Name: No-shpa # 4; o-spa # 41;

Indications for use:
Spasm of the stomach and intestines, spastic constipation, attacks of cholelithiasis and urolithiasis, angina pectoris, spasm # 4; Extreme narrowing of lumen # 41; peripheral vessels.

Mode of application:
Inside, 4, 8 g 2-3 times a day; intramuscularly 2-4 ml of a 2% solution; intravenously # 4; Slowly # 41; 2-4 ml of 2% solution, with the need for intra-arterial # 4; blistering endarteritis / inflammation of the inner shell of the arteries of the limbs with a decrease in their lumen / # 41 ;.

Side effects:
Dizziness, palpitation, sweating, a feeling of heat, allergic dermatitis # 4; inflammation of the skin # 41 ;.

Hypertrophy # 4; magnification of volume # 41; prostate and glaucoma # 4; Ovyshennoe intraocular pressure # 41 is especially a closed-angle form.

Form of issue:
Tablets on, 4 g in a package of 100 pieces; ampoules with a capacity of 2 ml, containing 4 g each, in a package of 50 pieces.

Storage conditions:
List B. In a dry place protected from light.

Drotaverine hydrochloride, Drotaverine, Deprorolene, Dihydroetaverine, Nospan, Nospazine, Tetraspazmin.

Kostya wrote (a): They as a first aid means

Always carry with you, it's imperative

It is not always effective for me, but when there is nothing, it is not difficult to find it in any pharmacy or home medicine cabinet from neighbors

I read about all the reviews about spasmolytics here, I look at everything differently, I have not tried everything yet, but I drink Noshp from time to time, I am glad that I do not have to change it

Posts: 3 Joined: Oct 29, 1: 3

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