If you suddenly felt a sharpparoxysmal pain in the gut, to be sure - is intestinal colic. Scientifically speaking, colitis - the defeat of the colon that is inflammatory or inflammatory-dystrophic character. To determine the origin of this discomfort is very difficult. Sometimes the pain is the result of stretching or intestinal loops nerve irritation of the intestinal wall tension due to the mesentery of the small intestine.
However, based on the occurrence of unpleasant sensationsalmost always is a violation intestinal motility mechanism: its tone and peristalsis. By the way, in case of intestinal obstruction due to excessive pain occurs stenotic peristalsis in that part of the intestine, which is above the obstacle location. If considered colitis, enterocolitis, they arise from the stretching and peristaltic intestinal walls that have changed due to the strong inflammation.
The most characteristic symptoms of intestinal colic may be considered:
- cramping and spasms in the gut;
- feeling very bloated and rumbling in the gut;
- problems with a chair (regular constipation or disorder);
- selection during defecation mucous white "ribbons" and "tubes".
Spasmodic attacks occur and rapidly gainingTurnover during or after nerve shocks, conflict and strong emotions. If you feel the abdominal cavity during the colic, you can feel the spasmodic contraction of the large intestine. Palpation is extremely painful. But at the same time, body temperature, blood pressure is normal, there is no muscle tension. seizure duration can vary from several minutes to a day. After colic retreats patient usually observed with separation as constipation called kala "sheep". The primary task of the doctor - in each case to distinguish intestinal colitis, acute gastritis, Lead colic, intestinal obstruction and abdominal syndrome (Shonleyn-Henoch disease).
Acute gastritis It can be identified by a number of dyspeptic symptoms: nausea, vomiting, aversion to food, frustration gastrogennogo origin. All these states are accompanied by colicky abdominal pain. In addition, an acute digestive disorders suggests coated tongue, feeling of heaviness and strong abdominal distention, Painful sensation at the pit of the stomach feeling. Complications gastritis can be forgotten if the inconvenience of origin dyspeptic patient does not complain.
lead colic makes itself felt sharp labor-like painsaround the navel, abdominal distention, which at first may come across the idea of intestinal colic. However, in the case of lead poisoning gums are covered in black and gray border, grayish hue acquires a large part of the skin, particularly the face. If a blood test, he would point to anemia and pathological changes in the structure of red blood cells. Lead colic definitively confirm anamnestic indications of activity, which is associated with the lead.
ileus occurs due to mechanical or blockadedue to violations of intestinal motility. For these reasons, the mechanical obstruction is divided into (anatomical) and functional (dynamic). The latter can occur in various ways: either fades peristalsis, threatening intestinal complete paralysis (paralytic ileus), or spasms of the smooth muscles of the entire cover intestine, due to which pathologically decreased gut lumen. Both cases are complicated by difficult passage of intestinal contents.
Paralytic ileus occursmore often. It can be a complication following surgical intervention in the abdominal cavity due to wounds. In the case of hepatic or renal colitis, myocardial infarction likely to develop this type of bowel obstruction increases. The main symptoms of the dynamic obstruction can be called pain, vomiting, cessation of flatus, the partial or complete absence of defecation.
Pain usually appear suddenly and sharply,their frequency varies, the intensity sometimes reaches enormous strength, it feels cramping. A characteristic feature of such an obstruction - a sharp reduction or almost complete disappearance of intestinal discomfort in between bouts, followed by increase of. Often, it is practically impossible to determine exactly where it hurts - colic has no clear localization. Soon after, I started to hurt the intestine, there are nausea and vomiting. First vomiting contain liquid and food debris, follow - bile complicated retching called fecal (much bloating, virtually fade gases and feces). In the first hours of the attack soft belly, later on palpation detected voltage abdominal muscles. Paralytic ileus completely "off" peristalsis, while, as in the static obstruction of the intestinal motility is active, although weakened.
In recent years, the statistics says,cases of mesenteric vascular occlusion. In this connection, the doctors offer select another form of intestinal obstruction - cardiovascular. Thrombosis of the mesenteric vessels - is the most severe cramping abdominal pain, which was later compounded by vomiting, lack of passage of gas and feces. Very quickly, in which case the peritonitis develops and starts bleeding in the intestines.
Abdominal bleeding kapillyarotoksikoz(Shonleyn disease - Henoch) is also accompanied by the typical intestinal colic. The disease is expressed with periodic bouts of severe colicky pain around the navel, in the inguinal region, in the lower abdomen. The pain is often complicated by constipation than disorder. The stool contains blood and mucus. From intestinal colitis is an expert can distinguish abdominal complication by the presence of hemorrhagic skin rashes, joint pain, symptoms of nephritis and intestinal bleeding.
Treatment of intestinal colitis
our website notes that it is impossible in intestinal colicabused painkillers - they "smazhut" clinical picture of what is happening, and the doctor will not be able to make the correct diagnosis! However, with strong attacks and can use antispasmodic carminative (vegetable or simethicone in the composition). In most cases, intestinal colitis requires urgent medical intervention.
The patient was sent to the surgical departmenteven if the final diagnosis is still out, but there is an assumption of intestinal obstruction. The local doctor, finding acute intestinal obstruction, does not use any narcotic drugs to alleviate the patient's condition, otherwise the disease picture will be dimmed. Also refrain from enemas. When set to attack the mucous colic, apply heat to the abdomen and the oil enema. Of the drugs administered to the patient by subcutaneous injection atropine, papaverine and diphenhydramine intravenously - Novocaine. After doctors removed an attack of acute pain, the patient provide a desensitizing treatment.
Human Diet, which has repeatedly facedintestinal colic, should be rich in fiber. Contained fiber in raw and cooked vegetables, fruits, artichokes, especially a lot of the substance in the grated apple and carrot in a pumpkin. In order to prevent frequent attacks of colic, it is necessary to impose a taboo on products with a high percentage of fat, beans, soft white bread, spicy seasonings, ketchup and mayonnaise.