1 The essence of the disease

Tiflit is a disease of the caecum in the form of an inflammatory process on the mucosa. This disease is considered one of the varieties of segmental colitis and is caused by the appearance of nonspecific intestinal microflora under the influence of various endogenous and exogenous factors. Pathology can manifest in any person, but the most common is among men aged 22-34 years.

This disease can occur in acute or chronic form. An acute variety occurs when the intestinal environment is disturbed and manifests itself with rather pronounced symptoms. Chronic type of disease occurs against a background of not healed acute form and is characterized by alternation of stages of exacerbation and remission. Acute tiflitis may have catarrhal, fibrinous, ulcerative or erosive forms. The started stage of the disease is fraught with serious complications.

2 Etiology of the pathology

The etiology of tiflitis is associated with a violation of the composition of the intestinal microflora, which causes an inflammatory reaction. Among the main causes of the disease, the following factors can be identified:

• improper nutrition with a predominance of food with coarse fiber, excessive consumption of fatty foods, pickles, fried foods, smoked foods, preservatives;
• physical overload with overstrain of abdominal muscles;
• sepsis;
• complications after appendicitis or peritonitis;
• infectious intestinal lesions;
• is an allergic reaction to foods;
• is a chronic form of Crohn's disease;
• ulcerative colitis of nonspecific type;
• lactose or gluten intolerance;
• of bowel disease in combination with dysfunction of the stomach, gallbladder or pancreas;
• chronic dysbacteriosis;
• abdominal candidiasis;
• intestinal tuberculosis.

One of the most common causes is stagnant stool in the intestine.

3 Symptomatic manifestation of

As noted, tiflitis can occur in acute or chronic form. Symptoms of acute form are very similar to an attack of appendicitis, which is often misleading. Suddenly, the pain syndrome with intense pain on the right in the ileum region continues and continues for a long time. Pain syndrome often has the character of colic with increased physical activity or active walking. The main difference from appendicitis colic is that the pain manifests itself immediately after ingestion.

With prolonged stays in the recumbent position, spasmodic manifestations shift from the pelvic area to the lumbar region. In addition to the pain syndrome, there are signs of digestive disorders( flatulence, rumbling in the abdomen, raspiruyuschy feeling in the intestines, bloating, constipation) and general intoxication( fever, nausea, vomiting, loss of appetite, weight loss, general weakness).

The chronic form is characterized by a slow development with the appearance of signs of intoxication of the body, a decrease in working capacity, headaches. The patient begins leukocytosis, neutrophilia, albuminuria and microhematuria. In the infectious nature of the appearance of pathology, there is a rapid but not abundant stool with purulent and bloody discharge.

4 How does the disease come to light?

Given the fairly rare occurrence and similarity of symptoms with other pathologies, diagnosing tiflitis is not as easy as it seems at first glance. The doctor-gastroenterologist is engaged in the identification and treatment of the disease, which should be addressed at the first signs. The primary diagnosis is based on the results of examination and analysis of feces( the analysis shows the content of starch, muscle fibers, abundance of cellulose).

The final diagnosis and differentiation of the disease is carried out according to the results of irrigoscopy and parietografia of the intestine. A characteristic feature on the roentgenogram is a shortening of the caecum, as well as contrasting spots on the mucous membrane.

5 Principles of treatment

Basic therapy for tiflitis is aimed at restoring normal intestinal microflora. The scheme of therapy is based on the results of bacterial stool culture, which gives an idea of ​​the state of this indicator. Treatment begins with the appointment of Enterofuril and Metronidazole. If these drugs are ineffective, Furazolidone or Amoxicillin is administered. In order to normalize the composition of microflora, Linex and Acipol are recommended.

The second direction of treatment is symptomatic therapy. The total intoxication of the body is eliminated by the dropping of physiological solution, glucose solution and Reopoliglyukin. Anesthetic preparations are taken to relieve pain.

In the treatment of chronic tiflitis, the maintenance of proper nutrition plays an important role.

It is necessary to completely eliminate the use of cellulose of vegetable origin.

It is necessary to forget about fruits and vegetables of acidic varieties, legumes, baked pastries, nuts. Do not forget about the possibilities of traditional medicine. It is recommended to take infusions and decoctions of sage, chamomile, chamomile. Normalize the stool will help dried apricots, prunes, senna.

Tiflit is a rare, but rather insidious bowel disease, fraught with complications. It is very important to diagnose the disease in time and start the necessary treatment.