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Dyskinesia intestine - A term that defines the range of intestinal disorders that occur as a consequence of disturbances in motor function of the intestine. Basically, these disorders occur colon . For bowel dyskinesia characterized by the absence of organic changes, but the body can not properly perform its functions. According to the World Health Organization, this disease affects about a third of all people on the planet. In most cases the disease is characterized by women.
Symptoms of intestinal dyskinesia
Dyskinesia intestines manifested a number of unpleasant symptoms that can vary significantly from person to person. First of all plague patients to a variety of pain in the abdomen. It can be cutting, aching, dull, boring pain that lasts a few minutes or a few hours. Man is difficult to say exactly where the pain is localized, it notes that these feelings are manifested "around his stomach." Pain often cease when a person falls asleep, and again resumed after waking. Some patients complain of an increase in the intensity of pain after eating, when stresses or emotional upheaval. At the same time, after passing flatus or stool many people the pain subsides.
In addition, symptoms of intestinal dyskinesia is palpable abdominal distention , All sorts of violations of the chair, the constant rumbling in the stomach.
In some cases, it is rumbling in the stomach and bloating are virtually the only signs of the disease. These symptoms occur regardless of what type of food a person consumes. As chair violations most frequently observed constipation Which can sometimes change brief diarrhea. At the same time, together with a chair can be allocated a certain amount of mucus.
However, the presence of such disorders, in particular frequent diarrhea person loses weight and sometimes even an increase its body weight. People who suffer from long-term manifestations of dyskinesia of the intestine, are often marked by some mental disorders: they are overly anxious, nervous, easily fall into depression. Sometimes patients report pain in the back or heart, but after investigation it turns out that all these organs are healthy.
Types of intestinal dyskinesia
When spastic ( hypermotor ) Dyskinesia intestine an increased tone of the intestinal and spastic contraction. The consequence of such a state can be constipation, as well as a manifestation of abdominal cramps. If the patient is observed atonic ( gipomotornaya ) Dyskinesia, then there is a sharp weakening of the tone and peristalsis. The consequence of this will constipation, dull pain, feeling of fullness, and, in some cases manifest ileus . In turn, the consequence will be the accumulation of constipation feces in the bowel, leading to dizziness , Weakness, nausea, lowering efficiency. The contents of the intestine exposed to rotting, and this can trigger an allergic reaction. Because chronic constipation may occur hemorrhoids Formed fissure .
There are also primary dyskinesia of the intestine in which bowel disorders motor nature are independent disease, and secondary dyskinesia, which manifests itself as a symptom in other gastrointestinal illnesses. However, the state data is quite difficult to differentiate.
Causes of intestinal dyskinesia
It is considered that the most common primary dyskinesia appears due to the impact of psychogenic factors. However, the disease often arises as a consequence of the excessive consumption of products that are low in dietary fiber. Primary intestinal dyskinesia, many experts see as a psychosomatic illness that develops as a result of acute and chronic traumatic moments of intrapersonal conflicts, negative emotions. Additionally, etiologic factors of intestinal dyskinesia may provide acute intestinal infection.
Secondary dyskinesia appears as one of the symptoms of diseases of the digestive system. This can be chronic gastritis . liver disease . peptic ulcer . pancreatitis and cholecystitis . Also, such a breach is characteristic of diseases of the endocrine system. This variety pituitary disorder . diabetes . myxedema . hyperparathyroidism . Constipation often develop in people who abuse taking certain medicinal products that have a direct effect on colonic motility. These tools include anesthetics . antibiotics . anticonvulsants . muscle relaxants . anticholinergics . psychotropic drugs and etc.
Diagnosis of intestinal dyskinesia
Because fuzzy localization of pain in the intestine dyskinesia, as well as symptoms similar to symptoms of other diseases, to diagnose intestinal dyskinesia, based on the complaints of the patient, as well as its difficult to survey. Consequently, the majority of specialists, when faced with such an uncertain clinical picture, diagnostics, guided by a process of elimination.
Differential diagnosis in this case is carried out in several stages. First of all, the doctor eliminates some bowel disease: tumor . Polyps . diverticula And other anomalies. Further, it is important to distinguish between dyskinesia and nonulcer colitis . After that, specialists perform a differential diagnosis of two types of dyskinesia, determining whether there is a primary or secondary dyskinesia. Also determined the cause of the disease.
To eliminate the above diseases, the complex of studies is useful in patients having pathologies of the colon. It scatological study barium enema and endoscopy, the study fecal bacteria overgrowth and occult blood. It is also important to biopsy colon.
Very often, people suffering from dyskinesia intestine exhibit dyskinetic syndrome . dysbiosis . During endoscopy organic changes are not detected. There is a normal histology intestine.
Once the diagnosis "intestinal dyskinesia," the doctor is faced with another difficult step: to determine what type of dyskinesia - primary or secondary - there is. In this case, it is important to determine the causes of the disease, so the doctor thoroughly examines the history and results of physical examination of the patient.
Treatment of intestinal dyskinesia
Primary dyskinesia intestine, which has a psychogenic origin, is successfully treated with the use of psychotropic drugs (in this case, the tranquilizers . neuroleptics . antidepressants ), As well as psychotherapy. Will be effective agents which have a restorative effect on the central nervous system, which in turn contributes to the normalization of the functioning of the autonomic nervous system and a decrease in the level of intestinal muscle excitability. In this case, the appointment of drugs, as well as the choice of tactics psychotherapeutic care specialist conducts an appropriate profile. It is important to consider that psychotropic drugs are not recommended for long term.
As a rule, the appointment of drugs the doctor is suitable especially cautious.
In addition, the patient is recommended periodically to take oxygen, pine baths. Effectively, in some cases, the application of heat to the abdomen, ozocerite and paraffin applications on the abdomen. Also useful in this case sessions Acupuncture .
To soothe the nervous system are also used some folk remedies, such as herbs therapy. In this case, the infusion is an effective grass described below.
It should be mixed in equal proportions herb sage, motherwort Flowers Yarrow and St. John's wort, peppermint leaves, bark oak. Two tablespoons of collecting pour boiling water and infuse for two hours. Collection have to take half a cup four times a day after meals. After three days, the dosage was reduced to one third of the glass, and for one week already taken charge three times a day.
You can apply, and special packs on his stomach: it half a cup of vinegar dissolved in three liters of water. The solution smaivaetsya gauze and put a compress on the abdomen for an hour and a half.
Diet for bowel dyskinesia
Subject to the principles of diet in psoriasis bowel disease patients is much less worried. First, all of the food to be boiled or steamed, with no need to grind the product. To stimulate intestinal motility should be included in the diet of berries, fruits, vegetables, having the ability to enhance the evacuation function of the intestine and do not cause the fermentation process and do not irritate the mucous membrane of the intestine.
When different types of psoriasis need to follow a diet for the type of intestinal motility. So, if a person suffers gipomotornoy dyskinesia colon , The daily diet should be sure to include foods high in fiber. First of all, vegetables - beets, carrots, cabbage, zucchini, tomatoes and herbs. Meanwhile, the vegetables, which are contained in many essential oils from the diet is best avoided. It onions, radishes, turnips, radishes, mushrooms. Eat the best bread with wholemeal useful porridge from cereals, boiled water. The diet also includes soups, to be cook on low fat and vegetable broths. Permission is granted to lean meat, fish, eggs can be eaten occasionally, but no more than two units per day. In addition, every day should consume juices from fruits and vegetables, dried fruits, bananas and apples. Organic acids contained in these products contribute to the stimulation of intestinal motility. No less useful and milk products, especially those that contain live culture bifidobacteria . In order to encourage regular bowel movements, should eat cold food. You can eat while wheat bran in its pure form - it is recommended to take them to eat about six weeks on a regular basis. They should pour boiling water, you can use both independently and adding a variety of dishes. It helps to alleviate bowel movement.
People who suffer hypermotor dyskinesia Recommend regular use of oil as a variety of plant and animals. It should give up the muffins, white bread, products containing starch, fatty meats, spicy and canned food, strong tea and coffee. Also, be very careful to relate to products that contribute to increased formation of gas. If hypermotor dyskinesia of the colon is very important to follow a special diet bezshlakovuyu, which contains a lot of vegetable fats. At the same time meals that contain a lot of fiber, should be deleted, as they can cause an increase in spasticity and pain in the abdomen.
If the motor bowel function improves, the diet can gradually begin to introduce cooked vegetables, and then gradually move on to eat raw vegetables.
Preventing bowel dyskinesia
As the basic preventive measures recommended dyskinesia intestine stick to the basics of a healthy way of life, to avoid stressful situations, follow the dietary diversity. If there are some mental disorders should be treated by taking tonics and anti-anxiety drugs. It is important to be sure to get the advice of experienced professionals who will prescribe the necessary preventive treatment.
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