Gastroenterology
Gastroenterology

IBS - irritable bowel syndrome: symptoms and treatment

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Irritable bowel syndrome is found in more than half of patients who have consulted a doctor about intestinal disorders. In the case of this disease, the symptoms and treatment of irritable bowel syndrome are closely related, since the main therapy is aimed at eliminating the symptoms.

This pathology is equally common in both children and adults. Consider what is IBS and how to treat it.

What is it?

Irritable bowel syndrome( IBS) is a violation of the motor function of the large and small intestine, which is not associated with organic lesions.

Irritable Bowel Syndrome

It is characterized by pain sensations of varying degrees of intensity, problems with stool and other symptoms that have troubled the patient for several months. Other names of the disease are dyskinesia of the intestine, spastic colitis, irritated bowel.

In IBS, no study can detect any changes that could be the source of the problem, but the patient continues to be bothered by unpleasant symptoms of the irritated bowel.

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The cause of this condition can be a number of factors:

  • neurotic disorders;
  • vegetative dystonia( malfunctioning of the autonomic nervous system);
  • hereditary predisposition;
  • hormonal imbalance;
  • stress, depression and conflict situations;
  • improper power;
  • dysbacteriosis and other causes.

Contents

  • 1 Symptoms of irritable bowel syndrome
  • 2 Irritable bowel syndrome in children
  • 3 Treatment of irritable bowel syndrome, preparations
    • 3.1 Diet for IBS
  • 4 Prevention
  • 5 To which doctor should I consult if I suspect IBS?

Symptoms of irritable bowel syndrome

Symptoms of irritable bowel syndrome

What happens to the intestines with IBS?At various sites of the large and small intestine, temporary spastic or atonic changes occur, and more often a combination of these types of disorders.

They lead to functional disorders of the intestine, impaired absorption and digestion of food, fermentation processes are activated. Consider the symptoms of irritable bowel syndrome in more detail:

  1. Stool disorders. One part of the patients complains of diarrhea, others are worried about constipation. Constipation attacks can alternate with diarrhea. Diarrhea is usually observed in the morning or after eating. In feces, patients often notice the presence of mucus.
  2. Pain in irritable bowel syndrome in the abdomen does not have a clear localization. Disturbing discomfort, feeling of pressure, less often painful sensations intense in the type of colic and spasms. This pain lasts from a few minutes to 3-4 days. This condition patients are often confused with exacerbation of an ulcer or an attack of appendicitis.
  3. Feeling of incomplete bowel evacuation and false urge to act of defecation.
  4. Other signs: bloating, belching, heartburn, increased gas production, nausea, urges to vomit, decreased appetite, weakness, weight loss, etc.

The severity of symptoms may vary greatly among different people. In one patient, the disease is almost not manifested, while the other causes painful bouts of pain in combination with vomiting and diarrhea.

Depending on the prevalence of these or those symptoms, three forms of IBS are distinguished:

  • IBS with predominance of diarrhea;
  • IBS with predominance of constipation;
  • IBS with a predominance of pain and flatulence.

This classification helps to determine the tactics of treatment.

Irritable Bowel Syndrome in Children

Disease often occurs in childhood and adolescence. Part of the patients outgrows it, and the rest it persists throughout life.

In children, the psychoemotional component becomes a frequent provocative factor: conflicts with parents, learning problems, high workload, etc. Attention is drawn to the variety of complaints of a small patient and the atypically satisfactory general condition of the child.

The situation is as follows: the child is many and often complains of pain and stomach problems and at the same time he normally eat, sleep and play. Parents can not see the problem and decide what the kid is faking. The other extreme, is to suspect the child of a serious pathology and begin to treat it independently.

A characteristic symptom of IBS in children is discomfort or pain in the abdomen. Walking to the toilet brings relief, and the frequency of the stool is increased to 3-4 times a day or on the contrary disturb constipation. There can be a change in the appearance of feces.

These signs should alert the parents and the doctor with regard to IBS.

Treatment of irritable bowel syndrome,

Preparations for the treatment of irritable bowel syndrome

medications The treatment of irritable bowel syndrome depends on the symptoms and their severity. First of all, they pay attention to the state of the psychoemotional sphere in the patient and, if possible, correct it. In parallel, they select the optimal diet and normalize the regime of the day.

Various physiotherapy procedures are used and moderate exercise is selected.

Preparations for the treatment of irritable bowel syndrome help to cope with unpleasant symptoms of the disease and are prescribed if all of the above measures were ineffective:

  • Antidiarrheal( Loperamide);
  • Laxatives. Use both homeopathic laxatives( castor oil) and medicines( Lactulose).In severe cases, resort to enemas;
  • Preparations, normalizing the intestinal microflora( Entererozermina, Lineks and others);Anesthetics( No-shpa).Apply with severe pain syndrome;
  • Sorbents( Enterosgel, Polyphep);
  • To reduce flatulence( Simethicone);
  • Sedatives and sedatives;
  • Homeopathic remedies and herbal medicinal herbs( bark of oak, marshmallow, licorice, chamomile, etc.).

Treatment of irritable bowel syndrome is largely determined by the symptoms of the disease and is selected by the attending physician, taking into account the data of the entire clinical picture. Prior to the beginning of drug treatment with the disease try to cope with diet correction, psychotherapy and physiotherapy.

Diet for IBS

Any form of irritable bowel syndrome implies compliance with the diet - food should be frequent, fractional and varied.

If the patient has constipation, then the diet includes foods rich in fiber, decoctions based on prunes, cereals and bread from wholemeal. If IBS with a predominance of diarrhea, then exclude products that enhance intestinal motility( milk, baking, fatty meat, coffee, spices, vegetables, etc.).

The patient is recommended to have a food diary and monitor the reaction of the body to these or other products.

Prevention

Preventive measures include:

  1. Stress relief and treatment of depression.
  2. Normalization of the regime of the day and the nature of nutrition.
  3. Control of body weight.
  4. Moderate physical activity.
  5. Normalization of intestinal microflora.

These patients are monitored for several years before they are removed from dispensary records in the absence of symptoms.

Long-term functional disorders can lead to the development of organic pathology( erosion, ulcers, inflammation, etc.).

To which doctor should I contact if I have a suspicion of IBS?

The gastroenterologist or therapist is engaged in diagnostics and treatment of this problem( in the absence of a gastroenterologist).The diagnosis is made on the basis of exclusion of any possible organic pathology in the presence of typical symptoms of IBS.

The specialist will propose to undergo a series of examinations to exclude other probable diseases and only after that will presume the presence of IBS.

Irritable bowel syndrome is a functional bowel movement disorder that manifests itself in abdominal pain, stool disorders and other symptoms. The disease develops in both adults and children, and is subject to curative correction.

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