Treatment of a dyskinesia of a thick intestine on a hypomotor type


Colitis by hypomotor type

Published: September 14 to 1: 0

Dyskinesia of the large intestine can develop in different ways, so this pathology is of two types: hypermotor dysfunction and hypomotor colitis. Symptoms of dyskinesia depend on whether the peristalsis is lowered or strengthened. The diagnosis of colitis by hypomotor type is set when it is lowered. Decreased peristalsis leads to stagnant phenomena, to the formation of constipation, it is often observed expansion of veins of the small pelvis. In the abdominal cavity formed excessive pressure, which provokes the formation of secondary hemorrhoids. But this is not all the symptoms that the disease has.

Features of hypomotor colitis

Moving the contents of the intestine from the upper sections to the lower ones is ensured by smooth muscles of the intestine. They also form peristalsis. Normally, within one minute, a separate bowel site commits 18 cuts. Decreased rhythm provokes hypomotor colitis: the digestive process is disrupted, stagnant phenomena are formed, chyme begins to rot, toxins are actively released, which cause intoxication of the body. This and this type of inflammation is dangerous.

The following signs may indicate its development:

  • The patient has constipation.
  • The stool becomes very dense, the water is completely absorbed from it, the stool masses are stoned.
  • Disturbances in digestion lead to the formation of gases, they try to break out, so there is a constant feeling of abdominal distension and false defecation.
  • Flatulence and bloating are often accompanied by pain. They are localized in different parts of the abdominal wall.
  • Intoxication causes fever, nausea, dizziness.
  • The vegetative picture is supplemented by sleep disorders and the appearance of severe weakness.
  • Over time, the patient's skin becomes pale.
  • Because the intestines do not absorb iron, anemia develops.
  • Not only does hemoglobin fall, a person begins to lose weight rapidly.

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Such symptoms help to easily suspect colitis by hypomotor type. If there is an alternation of acute phases of the disease and remissions, during which the clinical picture is greatly erased, a chronic hypomotor colitis is diagnosed. Cure it is possible, but only if the causes of the disease are identified and eliminated. Therefore, it is so important not to engage in self-medication, using folk remedies. They usually help to remove only the symptoms, leaving a problem that sooner or later will return again and begin to significantly worsen a person's standard of living.

Features of treatment of hypomotoric colitis

Can I cure chronic hypomotor colitis? It is possible if you apply complex therapy. It consists of four components:

  1. Therapeutic diet.
  2. Exercise stress.
  3. Drug therapy.
  4. Sessions of the therapist.

The right diet, together with exercise therapy, restores the necessary rhythm of peristalsis. The patient is recommended to exclude fatty, spicy and salty foods from his diet, arrange meals so that there are no long-term hunger pauses, it is important to eat at the same time, redistributing the bulk of food between the three methods and arranging between them snack.

Daily should be present and metered physical exertion, the usual half-hour walk can help to cope with the indicated problem.

Drug treatment of hypomotoric colitis can help to eliminate the cause of the disease, remove painful symptoms and improve the smooth muscle of the intestine:

  • Increases peristalsis drug Metoclopramide.
  • Has a mild laxative effect of Regulax.
  • Improves neuromuscular transmission of impulses Amiridin (taken only under medical supervision).
  • Improves the digestion of food Pancreatin.
  • Eliminates the swelling of Espumizan's stomach.

Then, when chronic colitis by hypomotor type develops due to psychological disorders, a psychotherapist is involved in the treatment of the patient. With the help of autogenic training and behavioral sessions, he returns work capacity and eliminates vegetative symptoms.

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Dyskinesia of the large intestine

One of the most common diseases of the digestive system is dyskinesia, in other words, functional disorders of the colon (up to 70% of cases). Dyskinesia of the intestine is characterized by a change in its motor function without organic changes.

Causes of dyskinesia of the colon

There are many factors in the development of dyskinesia of the colon. In the emergence of this disease, hereditary burden is important. These are endocrine disorders, vehestodistonii, constipation. The causes of the disease are: food errors (deficit of plant fiber, etc.), early translation for artificial feeding, infectious acute intestinal infections, food allergy. Also cracks in the anus, hemorrhoids. taking certain medications (anticonvulsants, anesthetics, muscle relaxants, diuretics, etc.).

Also, in the development of dyskinesia of the gut, the factors are important: psychoemotional disorders, spinal disorders and central innervation, the influence of other "not healthy" organs, a violation of the (motor) distant parts of the bowel. Also, the increased reaction of the rectum to stressful, medicamentous and nutritional influences, The altered rate of movement along the intestine of the contents with increasing mucus formation and disorders of stool. There are 2 types of this disease: hypertonic and hypotonic.

Symptoms of dyskinesia of the colon

The main manifestations of the disease are abdominal pain and a violation of the rhythm of defecation. In the hypertensive type of dyskinesia, the bowels have a cramping character and are localized in the lower-lateral parts of the abdomen. With this form of illness, the stool has a tendency to constipation, sometimes alternating diarrhea and constipation. Sometimes in the stool you can notice an admixture of mucus.

Hypertonic type of colon disease is characterized by progressive persistent constipation. Sometimes the stool after constipation departs in large volume and can be irritable. There is an expansion located further (from the stomach) parts of the large intestine. At the same time, the tone of the sphincter and the incontinence of the feces may appear in the form of calomization. Pain with this form of dyskinesia occurs after prolonged detention of the stool, and after emptying pass.

During the examination, with this disease, there may be a slight abdominal swelling, lagging of the tongue, an unpleasant odor from the mouth. When palpating the abdomen, extensive or spasmodic areas of the large intestine are found. Sometimes the doctor can feel the stool stones (fecal matter).

Treatment of dyskinesia of the colon

Treatment of dyskinesia includes compliance with the diet. If the disease is not hypertensive, then the menu excludes the coarse fiber, and the food is taken warm. When hypertensive dyskinesia is recommended to take more rough fiber, fruits and vegetables, cold dishes.

Treatment of medication consists in taking medications, which are chosen by the attending physician. In such cases, self-medication is unacceptable. Also for the treatment of dyskinesia, the methods of physiotherapy, phytotherapy, and therapeutic exercise are used. With this disease, the intake of mineral waters is recommended (with hypertonic form - high mineralization, with non-hypertensive - low).

In the treatment of colon dyskinesia, massage, reactive methods (mud tampons, washing of the intestine with mineral water, enemas) are used, laxatives (with constipation) are prescribed.

All patients with this diagnosis showed an optimal mode of work, also rest, walking, fighting with low mobility, treatment of neuropsychic overstrain. But especially important is the observance of the diet. With constipation, one should eat daily kefir, prunes and dried apricots, coarse-grained porridges (barley, buckwheat), vegetable oil, vegetables and fruits. Psychotherapy is recommended for all patients with dyskinesia of the colon. If such methods of treatment are not effective enough and there are obvious neurotic disorders, then patients are prescribed antidepressant or sedative drugs. It is necessary to know that laxatives are an auxiliary treatment for this disease. These drugs do not influence the essence of the pathological process and can be addictive.

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Biliary dyskinesia

Dyskinesia of the biliary tract is characterized by functional disruption of the biliary tract, as well as the gallbladder. Dyskinesia is primary (without pathological changes) and secondary (there is a constant formation of bile in the liver).

Polyp Guts: Symptoms

Usually the polyps of the rectum do not appear in any way, they are found during endoscopic examinations. A single polyp may not appear for a long time. A sign of polyps in the bowel is blood in the stool, constipation or diarrhea. Polyps are recommended to be removed.

Diverticulosis of the large intestine

Diverticulosis of the large intestine is a disease in which diverticula are formed in the wall of the large intestine. The disease can be asymptomatic, and can be accompanied by pain in the abdomen, diarrhea, constipation. For treatment use irrigoskopiyu, diets, laxatives.

Rectal prolapse

The prolapse of the rectum is its thrust beyond the anal ring. This condition is characterized by severe pain in the abdomen, incontinence of stools and gases, sometimes there is a sense of the presence of a foreign body. There are many reasons for the development of the disease.

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Dyskinesia of the intestine

Symptoms of dyskinesia of the intestine

Dyskinesia of the intestine is a functional violation of the motor function of the intestine, when it can not normally perform its functions. There are several types of dyskinesia. Spastic (hypermotor) occurs with increased muscle tone of the intestine and is accompanied by its spastic contractions. Atonic (hypomotor) occurs with a decrease in the tone of the muscular wall of the intestine, which violates its normal peristalsis, in consequence of which the patient complains of constipation. Since the intestine is the terminal part of the functionally unified digestive tract, the main reason for the development of its dyskinesia is the presence of chronic diseases of the gastrointestinal tract, such as chronic gastritis, liver disease, pancreatitis, cholecystitis, peptic ulcer and duodenal ulcer guts. Also, the cause of temporary functional disorders can be the intake of various medications: antibiotics, muscle relaxants, anticholinergic drugs and psychotropic drugs. Dyskinesia can be psychogenic - as a result of chronic stress. Patients complain of various abdominal pains. The pain can be boring, cutting and lasting from a few minutes to several hours. A person can not say where the pain is localized and usually characterizes it, like a pain in the entire abdomen. Also such people are concerned about bloating and constant rumbling. Often, these symptoms can be the only signs of the disease. Dyskinesia of the intestine can be manifested by alternating constipation and diarrhea. However, with all the above complaints, these patients do not lose weight, or even increase it.

Diagnosis of intestinal dyskinesia

Since dyskinesia of the intestine is a functional disorder, this diagnosis is made after excluding all other possible diseases of the intestine: tumors, diverticula, polyposis, ulcerative colitis. To exclude all of the above diagnoses, the patient must undergo a series of studies, including colonoscopy and colon wall biopsy.

Treatment of dyskinesia of the intestine

Treatment of dyskinesia of the intestine is entirely determined by eliminating the causes of the disease. If it has a psychogenic origin as a result of chronic stress, it is treated with the help of psychotropic drugs (such as tranquilizers, antidepressants, nileoleptic drugs).


Prevention of dyskinesia of the intestine

The diet is prescribed, based on the type of dyskinesia of the intestine. In hypomotor dyskinesia, the presence of a large amount of fiber in the food intake is important. In hypermotor dyskinesia, the emphasis is on the intake of vegetable and animal oils, the intake of starch-containing, sharp and canned foods, coffee and tea is completely excluded.

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Hello! Niece 16 le left diagnosis of intestinal dyskinesia. Have appointed or nominated treatment: noshp, a count an antibiotic once a day tsentriakson, smekta, zheludochno-an intestinal gathering, weight, a lektroforez. Analyzes of urine, rye are good. But very severe pain.

Good afternoon. as she wrote already here. In May, she did a colonoscopy (there were intestinal colic), did not find anything. FGD atrophic gastritis, intestinal metaplasia, ph +++, treated with antibiotics, eventually ended up in hospital with pseudomembranous colitis (pain.



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