That thick, it is empty
examination of modern diagnostic methods can not
identify any sores, no visible inflammation. It would seem that there is no reason to
poor health. And the symptoms - is.
Someone will say: no
ulcers - ought to be happy, to be sure, abdominal discomfort! say it
a girl who can not meet young people, because it
tormented constant bloating. Or the young man who knows
All public toilets on the way to work. Or the one who wakes up
in the morning and feels pain in the abdomen, which for the time calms down only after
hike on the toilet. ...
IBS: Is it all over?
refer to the SRK with seriousness. It is not surprising, since
Symptoms characteristic of IBS occur in 10-20% of the adult population,
being most working - more than 80% of patients - aged 30
up to 60 years. Women suffer in 2 times more often than men. Since 1988 held
three international conferences devoted to the diagnosis and treatment
Do not dissemble: despite all the efforts, the reason
Irritable Bowel Syndrome is still unknown to scientists. It is believed that
IBS occurs when increased sensitivity of the sensory apparatus
intestine, which leads to spastic response in response to normal
incentive to reduce. The second mechanism is a decrease in the threshold
Predisposed to IBS are, on the one
hand, those who experience constant stress, psychological trauma.
On the other hand, can provoke food borne disease
poisoning and intestinal infections.
At one hundred syndrome symptoms
Still worth a stop on IBS symptoms. The main ones are
recurrent pain or discomfort in the abdomen, which is due to start
change frequency or stool form, and improvement comes after
Additional symptoms include violation of frequency
chair: constipation (stool less often 3 times a week) or diarrhea (stool often 3
once a day), abnormal stool form: lumpy, solid, liquid,
(Watery), as well as a feeling of incomplete evacuation, mucus,
To be able to start talking about a syndrome
irritable bowel is necessary that the above symptoms
were observed for at least six months.
There are so-called "alarm symptoms" (fever, blood in
the stool, weight loss, anemia), which make the diagnosis of IBS
unlikely. Finally, IBS - day guest for the night symptoms
It is not characteristic.
Since there are no diseases
Specific features for the diagnosis of a clear need
description of the symptoms and the type of pain. "It is recommended to make a diagnosis as early as
the first day of treatment the patient ", - stated in the criteria developed
international commission in Rome. In practice this has meant that
diagnosis of "irritable bowel syndrome" is extremely common.
Soon the central institution of gastroenterology conducted a study, and
it was found that diagnosis of IBS was confirmed in only 24% of patients, while
76% of patients with other bowel disease or illness were established with
intestinal symptoms. This led to the emergence in our country
diagnostic standards necessary to exclude other
pathology. Only if there is no diagnosed
Three Principles of IBS treatment
"Again, this is" - longingly tells my friend, who is the third
times per day nazvanivaet his patient suffering from IBS. And I understand it.
Among doctors "irritable bowel syndrome" is sometimes jokingly referred to as
"Syndrome irritated head," because besides the basic symptoms
often there are those that are associated with disruption of the central
and the autonomic nervous system. Lump in the throat when swallowing, pain
muscles, headaches, heart palpitations, feeling of incomplete
breath, increased anxiety patients. Here one gastroenterology
not do: we'll have to organize a way of life, to do the analysis and
establishment of normal relations between home and work, and sometimes -
2. It is necessary to respect the
food, preferably - to include fiber in your diet.
It happens that certain foods trigger increased symptoms, and
then the doctor asks the patient to conduct a "food diary".
the treatment of irritable bowel syndrome drugs are used
drugs, of which the main ones are antispasmodics (Duspatalin,
ditsetel) and regulators of intestinal motility (motilium, debridat,