Complex treatment of irritable bowel syndrome

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Irritable bowel syndrome - treatment

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Irritable bowel syndrome disorders usually occur in the large intestine, and are not life threatening, although they can discomfort without treatment.

How to treat irritable bowel syndrome?

This disease is a set of symptoms that manifest themselves over a long period of time, and an unambiguous cause of their occurrence is not established. Therefore, the approach to the treatment of irritable bowel syndrome is usually complex and includes: pharmacotherapy, diet, the use of phyto-and homeopathic medicines, sometimes massages, physiotherapy.

Nutrition for irritable bowel syndrome

One of the main components of the treatment of irritable bowel syndrome is diet.

First of all, it is necessary to exclude products from the diet after which discomfort occurs, as well as to avoid excessively fatty and spicy food. The remaining limitations depend on the form in which the symptoms of the disease are observed.

When diarrhea it is desirable to limit the consumption of fresh vegetables a

nd fruits, coffee, alcohol, garlic, legumes, black bread, prunes, beets.

When flatulence is better to remove from the menu cabbage, legumes, carbonated drinks.

If constipation occurs in the irritable bowel syndrome, a diet with fresh fruits and vegetables, prunes, and a lot of liquid is recommended.

Preparations for the treatment of irritable bowel syndrome

Since this disease does not have one clearly established cause, the drug treatment irritable bowel syndrome is aimed at neutralizing the symptoms that can cause discomfort patient.

Since one of the causes of the disease is considered a nervous breakdown, it is often enough that a neuropathologist or psychotherapist can prescribe sedatives or antidepressants.

To relieve pain in irritable bowel syndrome apply Duspatalin or Buskopan. With diarrhea, various absorbent drugs are used, as well as Imodium, Smektu, Loperamide (with severe diarrhea). With constipation, Dufalac works well.

Since in the irritable bowel syndrome often there is a violation of microflora, the treatment shows agents with the content of lacto- and bifidobacteria.

Treatment of irritable bowel syndrome with herbs

  1. Tincture of leaves (or green fruits) of walnuts on alcohol, is used as a remedy for diarrhea, one tablespoon twice a day.
  2. To remove the spasm of the intestine and eliminate flatulence, prepare a decoction of peppermint. One teaspoon of dried leaves pour a glass of boiling water, insist a quarter of an hour and drink. They take it 1, 2 hours after a meal, twice a day.
  3. For constipation, a mixture of camomile chamomile, buckthorn bark and peppermint in equal proportions is used as a laxative. A tablespoon of the collection is poured into a glass of boiling water and held for a quarter of an hour in a water bath, after which it is cooled and filtered. Use a decoction of 50 ml twice daily before meals.
  4. Another remedy for constipation. a tablespoon of flax seeds pour ½a glass of boiling water and stand for 15 minutes in a water bath, then cool, insist a few hours and drain. Eat 2 to 3 tablespoons of slime 4 times a day.
  5. To eliminate flatulence, it is recommended to add cinnamon and ginger to food.

And remember - in spite of the fact that irritable bowel syndrome does not threaten life, to establish an accurate diagnosis it is worthwhile to turn to the doctor, because the same characteristic symptoms can be accompanied not only by this syndrome, but also by a number of more dangerous diseases of the gastrointestinal tract.

Irritable Bowel Syndrome: Seven Seven Secrets

Irritable bowel syndrome (IBS) is one of the most popular diseases in the world: according to statistics, almost one fifth of the world's people suffer from it. "Focus group" for this disease are people aged 20 to 45 years, and, mainly, female. In elderly people over the age of 60, IBS, as a rule, is not observed.

Irritable Bowel Syndrome Why does the title of the article connect SRC with a secret? And in this you can see for yourself, having read, at least, a chapter on the causes of this disease: solid subjunctive moods with a minimum of specificity. So, do not blame me, if this article does not answer all your questions, tk. all attempts to dot the "e" in terms of the etiology of IBS inevitably encounters reefs of lack of reliable information about the specific cause (s) of the development of this disease. Moreover, the symptoms of irritable bowel syndrome, despite the fact that this is a real disease, introduced into the international classifier, are not expressed so clearly that most of us apply for medical help. Therefore, many do not even suspect which bearer of which syndrome they are.

What is # 17; irritable bowel syndrome # 187 ;?

In general terms, irritable bowel syndrome is a complex disorder of the functioning of the digestive tract, accompanied by a standard intestinal symptomatology in the form of spasms, bloating, flatulence, diarrhea or constipation, which is functional, not organic (ie, structural pathological changes in the mucosa are not occurs). In a word, if you have been watching the above-mentioned "tours" in your digestive tract for more than 3 months, then it is very likely that it is the SRC itself.

Causes of irritable bowel syndrome

As already written, for certain about the causes of IBS, you will not tell any doctor. It is believed that this syndrome is formed against the background of the presence of both a physical and mental dysfunctional component. A number of factors will be presented below, the presence of several of which (3-4, and sometimes 1-2) is sufficient for the development of irritable bowel syndrome:

  • emotional character storage, instability of the psyche, susceptibility to stress;
  • violation of the established diet, its qualitative and quantitative composition. IBS can be caused by the consumption of alcohol, carbonated drinks, coffee, tea, chocolate, chips, biscuits, fatty foods, etc .;
  • deficiency of fiber in the diet;
  • lack of physical activity, low mobility;
  • "Female" diseases (cause functional disorders in the work of the intestines at the reflex level);
  • hormonal "swings" (climacteric period. premenstrual syndrome. diabetes. obesity, hypothyroidism, thyroid gland, etc.);
  • dysbacteriosis caused by t.ch. previous acute infectious diseases of the intestine.

All of the above factors entail a change in the sensitivity of the intestinal wall receptors and the disruption of neural connections between intestines and brain, which negatively affects the work of the main "digestive laboratory" of the human body - a thin intestines. The pain in IBS is mainly associated with spastic intestinal contraction and increased gas formation, which is a consequence of overgrowth of the intestinal wall.

Symptoms of irritable bowel syndrome

Most of the symptoms of IBS have already been listed in previous chapters, however, in order to streamline the information, we will do it again:
Pain and diarrhea # 8212; one of the symptoms of irritable bowel syndrome
  • pain in the near-umbilical area or below, arising after food intake and subside after defecation or the escape of gases;
  • diarrhea that occurs after eating, mainly in the morning;
  • constipation (of course, not simultaneously with diarrhea);
  • increased gassing, rumbling in the abdomen;
  • feeling of incomplete bowel movement after defecation;
  • a feeling of heaviness in the stomach, a lump in the throat, an air belch, nausea, a feeling of lack of air;
  • a headache is possible. weakness, insomnia. tinnitus;
  • urination more often than usual;
  • dry mouth.

A distinctive feature of IBS is the manifestation of its signs against a background of prolonged physical and mental stress.

Diagnosis of irritable bowel syndrome

The main task for a gastroenterologist is differentiation of IBS from diseases that cause organic (anatomical) lesion of the intestinal wall. To this end, in addition to general and biochemical blood analysis and stool analysis, a number of other studies are being conducted:

  • Irrigoscopy (X-ray examination of the large intestine with the introduction of an X-ray contrast substance);
  • sigmoidoscopy (endoscopic examination of the rectus and sigmoid colon);
  • a colonoscopy (the same thing as a sigmoidoscopy, only the entire large intestine is subjected to examination).

Treatment of irritable bowel syndrome

You, probably, have already understood, that psychoemotional tension plays a big role in the development of IBS. Therefore, ideally, the treatment of IBS requires the help not only of a gastroenterologist, but also of a psychologist. The first will take on a symptomatic part of the treatment (that will help to eliminate unpleasant manifestations of the disease), and the second will destroy the disease "at the root eliminating its possible root cause.

Menu

Great value in the treatment of irritable bowel syndrome has the right diet. It excludes all the most delicious: sharp and smoked dishes, chocolate, coffee, flour and alcohol. The emphasis should be on vegetables, fruits, dairy products, steamed or boiled meat and fish, wheat bran, wholemeal bread.

Medications

  • laxatives for constipation;
  • fixing funds for diarrhea;
  • antispasmodics;
  • antidepressants;
  • drugs that stimulate the digestive processes;
  • sedatives of plant origin, for example, extract or tincture of valerian.

Recommendations

Individuals suffering from IBS can be advised to lead a more active lifestyle, exercise, walk in the fresh air, organize the regime of the day and protect themselves from stress.

Video on the subject: # 17; irritable bowel syndrome # 187;

Treatment of diarrhea in irritable bowel syndrome

To drugs that normalize intestinal function in patients with diarrhea variant of IBS, include opiate receptor agonists, cholestyramine, 5-HT3 receptor antagonists, agonists kappa receptors.

The best drug for treatmentdiarrhea variant of IBSis currentlyimodium (loperamide). The daily dose of imodium in the treatment of IBS is selected individually, making in adults an average of 2 capsules per day. A promising form of imodium should be consideredImodium Plus. in the composition of which, in addition to imodium (in a dose of 2 mg), simethicone (in a dose of 125 mg), effectively adsorbing gases in the intestine.

Increasing importance in the treatment of patients with IBS (including patients with diarrhea syndrome) is acquired in recent yearspsychotherapeutic methods. The most widespread among them were hypnotherapy, relaxation therapy (achievement of relaxation and reduction of muscle activity with the help of special audio and video programs), cognitive-behavioral therapy, which aims to identify stress factors and modeling the patient's personal reactions to stress, psychodynamic therapy designed to provide the patient with psychological help in resolving interpersonal conflicts that can play an unfavorable role in the development disease.

With expressed autonomic disorders, as well as the detection of neurotic syndromes, complex treatment of IBS includes andpsychotropic drugs. The drugs are prescribed in accordance with the psychopathological syndrome: asthenia, depression, hysterical syndrome, autonomic dysfunction.

Patients withsevere asthenia, vegetative disorders, low moodrecommend restorative drugs, multivitamins, nootropics (aminalon, pyracetam), psychostimulants, including and herbal preparations of psycho-stimulating action (ginseng, zamaniha, eleuterokokk, Schisandra).

Whensymptoms of anxious depressionuse azafen or amitriptyline in combination with phenazepam.

Whenhysterical syndrome. as well asobsessive fears. nausea, hiccups, vomiting a good effect gives etaperazine.

Whenhypochondriac syndromewith increased irritability, fears, malignancy, depression, menopausal disorders, persistent sleep disorders, sonapaks are shown at 5 mg 2-3 times a day.

Croppingexpressed autonomic disorderspromotes euglonil 50-100 mg 1-2 times a day orally or intramuscularly 2 ml.

In the treatment of patients with a diarrheal variant of IBS,antidepressants. The appointment of antidepressants is recognized as a promising direction in the treatment of patients with IBS. the results of the studies showed that the use of tricyclic antidepressants (doxepin in a daily dose of 75-150 mg) or serotonin reuptake inhibitors (fluvoxamine in a daily dose of 150-200 mg) reduces the severity of complaints in patients with IBS (including manifestations of depression) and potentiates the antidiarrheal effect imodium.

Despite the fact that drug therapy plays an important role in the treatment of patients with IBS, only 30% of patients manage to achieve complete disappearance symptoms and the onset of remission, in 60% of patients, drug therapy can temporarily weaken the manifestations of the disease, and in 10% of patients it is completely is ineffective. Therefore, active development of new pathogenetically substantiated methods of treatment is conducted.

One effectivea scheme based on the combined use of food polysaccharides and acupuncture. but in 40% of cases it does not allow to achieve a significant improvement. In addition, the positive effect of this therapy is retained during the year in only 48% of patients.

Developed bytechniqueapplication of mud sulphide mud of Tambukansky lake in the form of rectal tampons with a temperature of 39 ° C and mud applications on the reflex-segmental zones at a temperature of 40-42 ° C. Less stressful are consideredelectric mud procedures(electrophoresis of mud solution), which give about the same therapeutic effect as "clean" dirt, but some patients are better tolerated.

Complex treatment of patients with IBS also includes the use ofhardware physiotherapy. An effective method is inductothermy.

There is also a method of treating functional disorders of the colon by affecting the brain with a pulsed current of low frequency and low strength -electrosleep.As a result of this influence, there are changes in the functional state of the central, autonomic nervous and endocrine systems. The disadvantage of this method of treatment is not always a good tolerance of the electrosleep due to increased reactivity of the nervous system in patients with IBS.

Patients with IBS with a predominance of constipation is recommendedlocal impact of IT (interference currents)on the area of ​​the projection of the colon at a frequency of 0-10 Hz, current strength 20-30 mA; patients with a predominance of diarrhea it is advisable to recommend the transcerebral impact of IT in the frontal-mastoid technique with a frequency of 90-100 Hz, current of 20-30 mA. IT, applied by the transcerebral technique, helps to reduce the increased autonomic reactivity, improve the psychological state of patients and eliminate pain syndrome; at local impact on the area of ​​the projection of the large intestine IT optimizes the vegetative tone, balances the action of the sympathetic and parasympathetic links of the VNS, eliminates immune violations.

IT have pronounced analgesic, myoneurostimulating, spasmolytic, trophic effects; they excite neuromuscular structures, cause a contraction of the smooth muscles of the internal organs; after the procedure, the blood supply and trophicity of the tissues are improved, the normalizing effect on the VNS. In general, under the influence of IT, the intensity of acute pain decreases, the threshold of pain perception increases, and the spasm of muscles decreases.

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Sources: http://womanadvice.ru/sindrom-razdrazhennogo-kishechnika-lechenie, http://www.webmedinfo.ru/sindrom-razdrazhennogo-kishechnika-tajna-za-semyu-pechatyami.html, http://studopedia.ru/9_204867_lechenie-zaporov-pri-sindrome-razdrazhennogo-kishechnika.html



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