Colitis of the intestine what is it than to be treated
Chronic Colitis - Symptoms and Treatment
Colitis is a general term, which means inflammatory-dystrophic lesions of the large intestine. Most often it is a pancolitis, in which the large intestine is affected throughout its entire length, but it is possible the development of a pathological process in any one of its departments. The most frequent forms of chronic colitis are proctitis and proctosigmoiditis.
The causes of the development of colitis are very diverse. Alimentary colitis develops as a result of a prolonged disruption of a rational diet and diet. The disease can be caused by bacteria (salmonella, shigella), pathogenic fungi, parasites. Very often chronic colitis is accompanied by achilic gastritis, pancreatitis and chronic enteritis. Sometimes there are cases of the development of the disease as a result of chronic coprostasis (the presence of a mechanical obstacle to the movement of stool masses through the large intestine).
Usually, chronic colitis develops as a result of a combination of sever
Symptoms of chronic colitis
A frequent symptom that accompanies chronic colitis is dull, aching, or cramping abdominal pain localized in its lateral or lower parts, sometimes without clear localization. The intensity of pain is usually worse after ingestion or before defecation and can be weakened after it, gas leakage or after a cleansing enema. Often, patients develop flatulence due to a violation of digestion of food.
The main symptom of the exacerbation of the disease - stool disorders, manifested most often diarrhea (3 to 15 times a day) or constipation. It is not uncommon for cases when there is an alternation of these states. Patients complain of a feeling of insufficient emptying of the intestine, while during defecation a small amount of mushy stools with mucus is released. Often, the exacerbation of the process is manifested by the appearance of false desires for defecation, accompanied by the escape of gases with individual lumps of stool or mucus with blood veins.
Patients with chronic colitis often complain of dyspeptic disorders, such as decreased appetite, belching, nausea, bitter taste in the mouth. With prolonged current colitis, the body weight may decrease in patients.
The general condition of patients with chronic colitis usually remains satisfactory, but in severe cases, malaise, general weakness, disability can be observed.
Treatment of chronic colitis
The aggravation of the disease most often requires in-patient treatment.
Fasting is recommended in the first days of exacerbation. Then the patient is prescribed a therapeutic diet number 4, sparing the affected intestinal walls from mechanical and chemical actions, as well as aimed at preventing the occurrence of fermentation processes in intestines. Food should be divided, 6-7 times a day, it is recommended to thoroughly chew or pre-grind food.
It is recommended to eat stale white bread or crackers from it, mucous soups, meat, poultry and fish of low-fat varieties in the form of souffle, meatballs, steam cutlets. Vegetables are allowed to eat only in boiled form, preferably mashed or mashed in puree, cereals are recommended to boil on the water. Of the fruits allowed to eat only rubbed raw apples. Recommended teas, weak coffee without the addition of milk, fruit and berry juices (except grape, plum and apricot), jelly, broths of wild rose and black currant.
Excluded from the diet are all but the above named, flour products, smoked products, spicy, pickled, salted, fatty meats, poultry and fish, milk and dairy products, millet, barley and barley porridge. You can not eat fresh vegetables and fruits, sweets, carbonated drinks.
During the exacerbation, drug therapy includes the prescription of broad-spectrum antibacterial drugs for oppression pathogenic flora of the intestine, since in most cases the disease is accompanied by a dysbacteriosis.
After the course of antibiotic therapy, it is necessary to conduct treatment aimed at restoring normal intestinal microflora. For this purpose, preparations containing bifido- and lactobacilli are prescribed (Bifidumbacterin, Bifikol, Linex, Acipol, Normoflorin).
Vitamin therapy for exacerbation of chronic colitis is parenteral, the patients are assigned vitamin B vitamins, ascorbic acid. In the future, it is recommended to take a course of multivitamin preparations (Biomax, Alphabet, Vitrum).
To treat diarrhea, patients are prescribed enveloping and astringents. Widely used vegetable infusions and decoctions containing tanning substances (decoctions of rhizomes of tent, coil, infusion of alder cones, cherry and blueberry fruit). When the lower parts of the large intestine (proctosigmoiditis, proctitis) are affected, astringents are useful apply in the form of medicinal enemas (chamomile, protargolovye) or microclysters (suspension of bismuth nitrate).
If colitis occurs with constipation, it is recommended to increase the amount of foods rich in vegetable fiber (mashed vegetables and fruits) in the diet. When atony of the large intestine, therapeutic exercises, abdominal massage, plant laxatives are useful.
Patients who are worried about flatulence, are assigned activated charcoal, infusion of peppermint leaves or a decoction of chamomile.
The appointment of enzyme preparations (Mezim, Creon, Pancreatin) is necessary in case of disruption of food digestion. Most often, these drugs are prescribed for chronic colitis, accompanied by secretory deficiency of the pancreas, stomach or enteritis.
Not the last place in the treatment of chronic colitis is physiotherapy. Patients are assigned intestinal douches, diathermy, mud applications. Very popular is the spa treatment at the resorts of Essentuki, Druskininkai and Zheleznovodsk.
Prevention of the development of chronic colitis, as well as its aggravation, is reduced to timely and correct treatment of acute infectious diseases of the intestine and helminthiases. It is necessary to adhere to the diet and a full-fledged rational diet.
To which doctor to apply
Chronic colitis is treated by a gastroenterologist. Additionally, the consultation of a dietitian will help. In the diagnosis of colitis, the role of endoscopists is important.
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