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How is irritable bowel syndrome treated?
The set of symptoms that characterize functional malfunctions of the intestine is called irritable bowel syndrome. The mechanism of development of functional disorders of peristalsis and food digestion has not yet been sufficiently studied, but doctors trace a number of dependences of the development of such disorders on some factors. Most often, irritable bowel syndrome develops against the background of psycho - neurogenic disorders: prolonged stress, depressive conditions, neurotic disorders, vegetative - vascular disorders, sleep disorders, hypochondria, sexual dysfunctions. An important role in the development of such a complex of symptoms is played by injuries of the intestinal walls (including those caused by pathogenic microorganisms during the period of infection of the intestinal tract: salmonellosis, dysentery, escherichiosis, listeriosis, gastroenteritis, etc.), intestinal adhesions, the development of intestinal obstruction.
The classic signs of irritable bowel syndrome are:
- Regular and long-term stool disturbances (diarrhea and / or constipation) for a time period from six months to a year, which can alternate;
- Thinning of a chair;
- Increased diarrhea (several times per day);
- Pain in the intestines (in the abdomen), accompanied by seething;
- Pain symptom that develops in the abdomen when lying on the left side;
- Signs of gas accumulation in the intestines and difficulty in their passage, causing pain syndrome;
- Nausea and / or vomiting;
- Sometimes disturbances in the intestines may be accompanied by fever;
- Dizziness and headaches.
Diagnosis of irritable bowel syndrome is carried out on the basis of data from bacteriological examination of feces, steatorrhea, fecal occult blood analysis, coprograms. Diagnosis is supported by abdominal ultrasound, colonoscopy, and intestinal X-ray. Additionally, examinations of the organs of the genitourinary system are prescribed.
It is necessary to start treating irritable bowel syndrome with the consultation of a doctor - psychotherapist, due to the fact that the psycho - emotional background plays an important role in the cure of this syndrome. It makes sense to arrange a favorable emotional atmosphere at work and at home, avoid conflict situations, and deal with stress.
An important role in the elimination of irritable bowel symptoms plays a sparing diet, formulated in such a way as to correspond to the disturbances observed in case of intestinal irritation. With a tendency to diarrhea, coarse fiber foods (celery, bran, raw vegetables and raw fruits), yeast baked goods, fried and smoked foods are excluded from the diet. Preference is given to dishes of a mucous consistency and products containing pectin, so as not to injure the intestines once again. With constipation, boiled vegetables and cereals should be present in the diet. Flatulence requires the use of carminative agents and refusal from products that cause gas formation (legumes, carbonated drinks, beer) and support fermentation processes (alcoholic drinks, raw vegetables and fruits containing acids: tomatoes, apples, citrus fruits, berries). It should be borne in mind that carbohydrates cause fermentation in the intestines, so you should not consume sugary drinks and confectionery during the treatment and prevention of irritable bowel syndrome.
To improve intestinal motility, walking, dancing, and aerobics are useful. Lifting weights is not recommended. A sedentary lifestyle will not improve treatment, but will only provoke constipation.
Irritable bowel syndrome is almost always accompanied by food decay processes, poorly digested and slowly evacuated. To support the intestinal microflora, which is responsible for the utilization of food, it is necessary to take probiotic cultures (bifido, lactobacilli). It is useful to carry out anti-infectious prophylaxis of the gastrointestinal tract. For these purposes, the Intesty bacteriophage is suitable , which contains a wide range of bacterial lysates. Under the guidance of a doctor, you can take a course of drugs that include spore-forming bacteria.
Drugs used to treat irritable bowel syndrome are taken according to symptomatology. To relieve painful attacks, antispasmodics can be used, they relieve spasms of smooth muscles. To improve the psycho-emotional state, the doctor may prescribe sedatives, antidepressants. With complex constipation, laxatives are indicated. Astringents (Immodium, Neointestopan, Loperamide) are taken to stop diarrhea.
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