How irritable bowel syndrome manifests symptoms


Irritable Bowel Syndrome Symptoms and Signs | How irritable bowel syndrome manifests

Irritable bowel syndrome is a stable set of functional disorders, manifested as signs of pain and / or symptoms of discomfort in the abdomen that pass after defecation. In this article, we will tell you about the symptoms of irritable bowel syndrome and the main symptoms. In addition, it will be useful for you to know how irritable bowel syndrome manifests itself.

Symptoms of irritable bowel syndrome

What are the main symptoms of irritable bowel syndrome?

The general condition of patients with irritable bowel syndrome is usually good and does not correspond to numerous complaints. The main signs of irritable bowel syndrome: abdominal pain, stool disorders and flatulence. Symptoms of abdominal pain in irritable bowel syndrome can be of a different nature: from stupid, pressing, bursting to intolerable cramping. The pains are usually localized in the lateral and / or lower abdomen, in the left and right hypochondrium (the hepa

tic and splenic angular syndrome) with irradiation into the corresponding halves of the thorax. The appearance of signs of pain in irritable bowel syndrome is associated with eating, stress, physical activity. A feature of the pain syndrome is the occurrence of pain in the morning or afternoon (when the patient is active) and stagnation during sleep and rest.

Signs of irritable bowel syndrome

What are the symptoms of irritable bowel syndrome?

Stool disorders can manifest as signs of diarrhea and constipation, as well as the alternation of these symptoms in irritable bowel syndrome. In addition to constipation, these symptoms are characterized by such a symptom: the presence of fragmented, sheep stool. The urge to defecate is preserved, the stool can even be daily, without feeling full emptying of the intestine in irritable bowel syndrome. With diarrhea, the frequency of stool is 3-5 times a day, with a small amount of feces. Diarrhea with signs of irritable bowel syndrome can be caused by eating (gastro-colitis reflex) or stress (bear illness).

Flatulence and bloating are a consequence of dysbacteriosis with the development of fermentation and putrefactive processes in the intestine with symptoms of irritable bowel syndrome. At objective research reveal a sign of soreness at a palpation of all departments of a colon, spasmodic dense sigmoid gut, the bloated rumbling blind gut.

How does irritable bowel syndrome manifest?

Irritable bowel syndrome is a sign of a change in the frequency and consistency of the stool and is combined with at least two persistent symptoms of impaired bowel function:

  • changes in stool frequency,
  • changes in the very act of defecation,
  • changes in stool consistency,
  • secretion of mucus with feces,
  • flatulence.

Symptoms of these disorders in irritable bowel syndrome should last at least 12 weeks during the last 12 months. Among the disorders of the act of defecation, special importance is given to imperative urges, tenesms, a feeling of incomplete bowel movement, additional efforts during defecation. In the pathological process, irritable bowel syndrome mainly involves the large intestine.

Methods for the study of irritable bowel syndrome

Laboratory and instrumental methods of studying the signs of irritable bowel syndrome

The general analysis of blood, biochemical indicators within the limits of norm at signs of a syndrome of the irritated intestine. In the study of stool, signs of dysbiosis can be revealed. Radiographic examination (irrigoscopy) reveals typical signs of dyskinesia: uneven filling and evacuation, alternation of spastic reduced and dilated sites and / or excessive secretion of fluid in the lumen intestines. Endoscopic examination with the symptom of the irritated bowel (colonoscopy with biopsy) is mandatory, since only the morphological a study of the biopsy specimens of the intestinal mucosa allows us to finally distinguish irritable bowel syndrome from inflammatory lesions intestines.

Differential diagnosis of signs of irritable bowel syndrome

Irritable bowel syndrome should be differentiated with symptoms of inflammation (enteritis, colitis) and signs of tumor diseases intestines and diseases of other organs, depending on the localization of pain syndrome (cholecystitis, appendicitis, urological, gynecological disease). Endoscopy with biopsy is very important in differential diagnosis.

Prevalence of irritable bowel syndrome

Irritable bowel syndrome is widespread. According to world statistics, from 15 to 20% of the total population suffers from symptoms of irritable bowel syndrome. Women are sick 2-4 times more often than men.

Causes of irritable bowel syndrome

The triggering symptom in irritable bowel syndrome, which led to a violation of the functions of the colon, is not always possible to determine. In the development of irritable bowel syndrome, the personality type is of great importance. Patients are characterized by hysterical, aggressive symptoms, depression, obsessive, carcinophobia, hypochondriacal manifestations.

An important role is played by the sign of the imbalance of the biologically active substances involved in the regulation of bowel functions (serotonin, histamine, bradykinin, cholecystokinin, neurotensin, vasoactive intestinal polypeptide, enkephalins and endorphins). A certain role in the pathogenesis of symptoms of irritable bowel syndrome is played by the regime and nature of nutrition. Irregular intake of food, the predominance of refined products lead to symptoms of changes in motor-evacuation function of the intestine, microflora, increased intestinal pressure. In the development of signs of irritable bowel syndrome may have

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Irritable Bowel Syndrome (IBS)

Irritable bowel syndrome refers to the class of functional disorders of the gastrointestinal tract. This means that modern methods of examination can not determine the pathology of the digestive system, which could cause symptoms of the disease. There are no obvious causes of the problem, and symptoms that significantly impair the quality of life are sometimes preserved for years. People suffering from IBS are afraid to attend mass events, travel, can not successfully cope with their work duties. It is described rare cases when in women irritable bowel syndrome led to unreasonable surgical interventions, in particular, to hysterectomy (removal of the uterus and ovaries).

The disease is widespread, it affects about 15-20% of the adult population of the Earth (ca. 22 million), most of them are women. Approximately two-thirds of IBS patients do not seek medical help, resorting to taking medications for symptomatic treatment of the manifestations of the disease (constipation, diarrhea, etc.).

CPK treatment is hampered by the fact that there is no clearly established reason for the development of this condition. Clinical studies suggest that the basis is a violation of the regulation of the intestine influence of several factors: stress, changes in the composition of the intestinal microflora, eating disorders behavior. The trigger can be poisoning or intestinal infections, but not in all cases.

How is IBS manifested?

An irritable bowel syndrome can be suspected by the following signs:

- suddenly starting and recurring pains and discomfort in the abdomen (around the navel or in the lower abdomen) after eating, usually disappearing after defecation or escaping of gases;

- diarrhea after eating, usually in the mornings and in the morning;

- feeling of incomplete emptying of the intestines after visiting the toilet;

- a feeling of heaviness and overflow in the stomach.

That is characteristic: often these unpleasant symptoms arise from excitement or after it, as a result of prolonged physical and nervous tension. Often, intestinal disorders are accompanied by headache, a feeling of coma in the throat, insomnia, a feeling of lack of air, frequent urination, tinnitus, a feeling of weakness, dry mouth.

How to confirm the diagnosis of IBS?

Irritable bowel syndrome is an exception diagnosis. Symptoms characteristic of him, may be a manifestation of other diseases of the gastrointestinal tract. Therefore, when you go to a doctor, tests and examinations are appointed, which help to identify or exclude these diseases (colorectal cancer, inflammatory bowel disease, colitis, polyposis, chronic pancreatitis, intestinal tuberculosis and other). If you exclude all other reasons for complaints, the doctor may stop on the diagnosis of "functional disease".

The following are the symptoms that call into question the diagnosis of IBS, and require an additional examination:

- loss of body weight;

- onset of the disease in old age;

- Preservation of symptoms at night (during sleep);

- persistent intense pain in the abdomen, as the only and leading symptom;

fever (fever);

- detection of pathology of abdominal organs during examination;

- deviations from the norm in the results of analyzes;

What will a doctor help a patient with IBS?

When there is abdominal pain and stool disorders, you can not postpone the visit to the doctor, because under the mask of IBS, other diseases can hide. It is necessary to choose an individual plan of examination and treatment, which should be a complex, consisting from drug therapy, diet and activities aimed at improving the functions of the central nervous system system.

There is no single drug that can calm the raging intestines, so each patient is selected his own therapy scheme: with pain in the abdomen can be appointed drugs that impair motor activity of the intestine, with diarrhea - fixing drugs, with constipation - laxatives, with bloating - medications that reduce gas formation.

It is recommended to avoid fatigue, stressful situations. In many cases, the assistance of a psychologist or psychotherapist is effective. Sometimes, in addition to the main treatment, the doctor can prescribe sedatives.

What to do if you are diagnosed with irritable bowel syndrome?

First, we must remember that the life forecast for this disease is favorable. Irritable bowel syndrome does not lead to the development of malignant bowel tumors or to such diseases as ulcerative colitis or Crohn's disease.

Secondly, it is advisable to be under the supervision of a doctor whom you completely trust and can tell about the most insignificant changes in your health and the reasons that, in your opinion, their have caused.

Thirdly, you need to pay attention to how you eat.

Nutrition and diet for irritable bowel syndrome.

Nutrition is very important in the treatment of this disease. In the diet should prevail foods containing dietary fiber. It is absolutely unacceptable to eat 1-2 times a day and a lot. Such a diet will undoubtedly cause both abdominal pain, swelling and stool disruption. Food intake more often 4-5 times a day and small portions, on the contrary, facilitates well-being.

It is well known that in some patients a certain set of foods leads to an increase in symptoms, so it is advisable to maintain a so-called food diary in order to identify products that can cause deterioration state. The diary records the products used during the day, and what unpleasant sensations occur. For example, coffee - twice unformed stool with mucus, onions - bloating, excessive gas formation.

Examples of food products regarding gassing in the intestine:

- Products that do not enhance gassing: meat, poultry, fish; vegetables (salad, zucchini, broccoli, peppers, cauliflower, tomatoes, olives, etc.); products containing mainly carbohydrates (rice, corn flakes, popcorn, crackers from coarse flour, etc.); different products (eggs, bitter chocolate, gelatin, fruit ice cream)

- moderately gassing products: confectionery products, potatoes, eggplants, citrus fruits, apples

- excessively gas-forming products: vegetables (onions, beans, carrots, celery, Brussels sprouts, germinated wheat germ, etc.); fruits (dried fruits, raisins, grapes, bananas, apricots, plum juice and other)

What is the prognosis for irritable bowel syndrome?

To date, when you go to the doctor and follow the recommendations, you can achieve a persistent improvement in the condition. But the problem of irritable bowel syndrome is not solved at once. Even with proper treatment and lifestyle, seizures may recur from time to time, such is the nature of this disorder.

In order to live a full life, you must try to avoid fatigue, stressful situations, eating foods, leading to the appearance of symptoms of the disease; If you feel worse, or if you have any new symptoms, visit your doctor.

Irritable Bowel Syndrome Symptoms

Irritable bowel syndrome (IBS) - a functional disruption of the work of a thick (much less often - thin) of the intestine, which is one of the most common diseases of the gastrointestinal tract. It is estimated that about 20% of the population is exposed to it, mainly people aged 20 to 45 years, and in women, irritable bowel syndrome is twice as common as in men. The latter statement is rather controversial, since this disease is not fraught with complications, and up to 75% of patients simply do not consult a doctor. Therefore, it is not possible to establish the exact ratio of men and women suffering from irritable bowel syndrome.

Irritable Bowel Syndrome - Causes

The exact causes of this problem have not yet been established. It is believed that one of the main factors that cause the syndrome of the bowel is stress. Also, the possible reasons for the appearance of TFR include poor quality food, lack or excess intestinal bacteria, the use of products that enhance gas formation, abuse of fatty foods, caffeine. Irritable bowel syndrome is more pronounced in women during menstruation, due to violations of the hormonal background.

Signs of irritable bowel syndrome

It should be noted that irritable bowel syndrome in medicine is not considered a disease, namely a syndrome, that is, a complex of certain symptoms of disruption of the colon, which are observed a fairly long period time.

Usually, irritable bowel syndrome causes pain and discomfort in the abdomen, stools, the appearance of symptoms such as increased flatulence and the presence of mucus in the stool, the pieces are bad digested food.

To establish the diagnosis, usually use the so-called Roman criteria: a list of symptoms that persistent, or there are regular relapses for at least three months, in the absence of any significant pathologies.

About irritable bowel syndrome speak, if:

  • pains in the abdomen pass after emptying the intestine;
  • the appearance of pain coincides with a change in the consistency of the stool;
  • there is a correlation between pain in the abdomen and the frequency of defecation.

Depending on the prevailing symptoms, three variants of the course of the disease are distinguished:

  1. Irritable bowel syndrome with pain and flatulence.
  2. Irritable bowel syndrome with diarrhea.
  3. Irritable bowel syndrome with constipation.

This division is largely conditional, as patients often have several symptoms at once.

How to cure irritable bowel syndrome?

Treatment of this disease is carried out exclusively by conservative methods:

  1. Since the factors that provoke irritable bowel syndrome include stress and various nerve disorders, thenvery often in the treatment of the disease may require consultation of a neurologist, neurologist or psychologist, as well as taking sedatives.
  2. Dietotherapy.It consists in the selection of proper nutrition, when the products that cause deterioration of the state are excluded from the diet, and only those that contribute to the normalization of the stool are used.
  3. Drug treatment.It is selected individually in each case and is aimed at neutralizing the symptoms that cause discomfort.

Treatment of irritable bowel syndrome is a long process, but, fortunately, this syndrome does not provokes complications, and in mild cases it is possible to do without observing a diet without resorting to medication treatment.



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