Irritable bowel syndrome with constipation predominance


Climax and irritable bowel syndrome

Irritable bowel syndrome (IBS) is a condition associated with impaired functioning of the whole gastrointestinal tract, which often arise as a result of failure of the regulation of its functioning by the nervous system. This pathology appears mainly in women of middle reproductive age, although they are not insured against this condition and those who are over 40.

Causes and symptoms of IBS with menopause

In medicine, several factors that contribute to the onset of this pathology are noted: high stress level, poor-quality food, violations in the period of childbirth and pregnancy, the negative impact of external environment. In addition, the cause may be hormonal disruptions that may occur during hypothyroidism or premenstrual syndrome.

Can appearirritable bowel syndromeandin the period of menopause. IBS - is a violation of the motor system of the digestive system without an obvious inflammatory process.

Irritable bowel syndrome can occur in three forms: with a predominanc

e of constipation, with a predominance of diarrhea, with flatulence and pain. If the walls of the intestine are stretched, and the volume of its contents significantly increases, then the main sign is diarrhea. In the case where the contents acquire a firm consistency, constipation develops and the stool frequency is reduced to about three to five times a week.

Irritable bowel syndrome with menopause may be accompanied by dyspeptic disorders - discomfort in the abdomen, nausea, often leading to vomiting. The pains begin to appear in different areas of the peritoneum and have a more or less pronounced character. Flatulence manifests mainly in the daytime, and the main cause of its emergence is called non-observance of a healthy lifestyle. in particular the correct diet. In addition, clear symptoms are poor sleep, rapid fatigue, a constant sense of anxiety.

Diagnosis of IBS with menopause

Measures of diagnosis are carried out in cases where pain is already beginning to disturb the woman. It is important to seek help from a doctor in a timely manner and not engage in self-medication.

Laboratory diagnosis includes blood tests (clinical and biochemical), feces and urine to detect lactose deficiency or hidden blood.

Instrumental diagnosis is, above all, ultrasound examination of the abdominal cavity organs and radiographic measures. Do not forget about the colonoscopy, as well as a biopsy, which can appoint a doctor.

Correct diagnostic methods will help to exclude colon cancer, Crohn's disease, ulcerative colitis and many other ailments. The problem is important to be eliminated on time and under the strict supervision of the gastroenterologist.

Irritable bowel syndrome. Symptoms. Treatment.

The main symptoms of irritable bowel syndrome

The main sign of irritable bowel syndrome (IBS) is the appearance in the abdomen of pains that do not have a clear localization. They can be of different intensity: from the feeling of slight discomfort to the occurrence of severe pain, which can not be tolerated. The appearance of pain, usually sudden, they have a cramping character and usually increase after eating. Pain accompanies the feeling of an act of defecation. In IBS, in addition to pain, there may be diarrhea, constipation or alternation of these phenomena, and therefore distinguish 3 forms of IBS.

Form of IBS with predominance of constipation

In case of development of the form of IBS with predominance of constipation, bowel evacuation can be carried out in the form of small dense fragments of feces or to be "corky which is characterized by the release of a dense first portion feces. In the stool, it is possible to detect mucus and unchanged blood during hemorrhoids. If this form of IBS is suspected, an "inert bowl" with anorectal dysfunction, enterocele and rectocele should be excluded. For this purpose, special medical research (rectosigmoscopy, colonoscopy, anorectal manometry, etc.) is envisaged.

The form of IBS with predominance of diarrhea

For the form of IBS with a predominance of constipation is characteristic of the appearance in the morning, after eating and when in public places frequent acts of defecation from 2 to 5 times and more often. Exercises can be at this normal consistency and not be liquefied. Attacks of diarrhea do not occur at night. The stool can contain a certain amount of mucus, pieces of undigested food. Going to the toilet accompanies a feeling that the bowel is not completely emptied. Before the urge to defecate there is an increase in pain, and after it - disappearance or decrease.

When diarrhea occurs, a doctor is assigned a study to identify IBS or celiac disease, Whipple's disease, pseudomembranous colitis. In addition, the occurrence of diarrhea can be associated with an overdose of laxatives. When diagnosing, first of all, the amount of feces is determined.

Mixed form of IBS

For the mixed form of IBS, it is characteristic:

alternation of diarrhea and constipation;

- the appearance of bloating and cramping abdominal pain;

- When carrying out the palpation of the abdomen, the anterior abdominal wall is strained, painful sensations appear in all parts of the intestine;

- increased pain before the act of bowel movement and decrease after bowel movement;

- occurrence of pain when eating.

If there is a suspicion of a mixed form of IBS, an in-depth diagnosis with a true or false obstruction of the small intestine, consideration of whether the patient has an organic pathology or lactase insufficiency. To this end, an x-ray, in some cases computer, study of the abdominal cavity is carried out. In addition, it is possible to perform certain endoscopic and coprological studies, including sowing feces for bacterial flora.

Study of irritable bowel symptoms

In the initial examination of patients with IBS, biochemical and general clinical blood tests are performed, coprogram, sowing of feces for bacterial flora, rectomanoscopy and colonoscopy, in the presence of indications - with biopsy. As a result of all these studies, the presence of ulcerative colitis, cancer of the thick and thin rectum, diverticulosis and intestinal polyposis, Crohn's disease, ischemic and pseudomembranous colitis. In necessary cases, in order to detect extraintestinal changes, there is a need for ultrasound, computed tomography, angiography and laparoscopy.

Passage of such a thorough examination when suspicion of IBS is not required in all cases. Often, in order to diagnose this disease, it is enough to describe in detail the disease and its symptoms. In the study of irritable bowel symptoms, the results of a physical examination are often used, finger and endoscopic examination of the rectum, coprogram, examination of feces for latent blood and worms, and clinical analysis blood and urine.

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