1, indiscriminate supplementation of nutrition and satiety
After having chronic colitis for a long time, patients generally gradually lose weight and have symptoms such as fatigue, many patients worry about their body malnutrition, and thus consciously supplement nutrition and energy, in addition to eating a variety of nutrients, and consciously eat more meals.
At first glance, it seems very reasonable, but when you look deeper, it is not reasonable. First of all, some so-called “nutritional products”, the approval number is mostly food, health food, health products (some even no lot number), the nutritional value is very limited, not to mention the therapeutic effect, some at best is a food only. Second, even if it is nutritious food, the nature of the food and the nature of the disease to be suitable for the human body is beneficial, such as hot disease to eat cold or flat food, cold disease to eat hot food, otherwise it will aggravate the disease. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The third, chronic colitis patient’s digestive absorption function is weakened, excessive diet and “nutrients” can not be digested, absorbed, but will increase the burden on the intestines, stomach, aggravating the disease.
The author noticed that some patients with colitis have more farts, and by reducing the amount of food farts are significantly reduced, while a little more food farts are significantly increased, and this time farts can be an indicator to observe whether the gastrointestinal tract is overburdened. Therefore, patients with colitis must not blindly supplement and eat more, but on the contrary, the amount of diet should be properly reduced, generally eat to eight full, to reduce the amount of meals after the body is not thin, the spirit is better as degree.
2, eat more vegetarian food, afraid to eat meat
The actual fact is that you will be able to get a lot more than just a few of the most popular and most popular items. At the same time, vegetarian food contains more fiber, can promote gastrointestinal peristalsis, can lead to an increase in the number of stools, diarrhea, loose stools mainly colitis patients are not suitable; too much, hard fiber will also have a greater stimulation of the inflammation of colitis, ulcerative lesions, but not conducive to the recovery of intestinal lesions.
For this reason, the author recommends that patients with colitis, mainly diarrhea (1) should eat less fibrous vegetables such as leeks, celery, bamboo shoots, etc., leafy vegetables should also be properly controlled, if necessary, chewing and then drinking the juice spit slag method. (2) appropriate increase in the diet of lean meat, fish, eggs, mushrooms, etc., as long as not too much, not too greasy, increase the meat slowly, without worrying about indigestion, etc. (3) Soy products are also an important source of protein, but they produce more gas during digestion, which can easily cause abdominal distension, and it is said that talcum powder is added during production to increase hardness, and sanitary conditions are also worrying, so tofu is not good for the body. Therefore, I personally think that colitis patients should eat less soy products as well.
3, drinking can kill the bacteria in the intestine
I have met some chronic colitis patients in the clinic, not only do not pay attention to diet, but also continue to eat spicy and irritating food and wine, ask him why he wants to do so? He replied, “I think my colon is caused by many bacteria and worms in my intestines, and I want to let these bacteria and worms in my intestines die spicy and drunken deaths.” This simple thought, which may seem somewhat ridiculous to outsiders, is probably in the minority among patients who have suffered from chronic colitis for a long time and have not received effective treatment.
Although the cause of chronic colitis is still unclear, it is generally believed that there is no obvious relationship with bacteria, viruses, parasites and other infections, not what intestinal “bacteria, worms,” said the use of alcohol, eating spicy methods to “sterilize, kill worms” is There is no basis, not only unhelpful, but also harmful. The reason is that drinking and eating spicy food will stimulate the gastrointestinal tract, leading to congestion, peristalsis, increased secretion, and therefore will aggravate the symptoms of pus and blood, mucus stool, diarrhea, abdominal pain, etc., affecting the recovery of the disease.
4, that chronic colitis must have diarrhea symptoms
Some patients believe that patients with colitis must have diarrhea symptoms, their stools are dry and difficult to relieve, certainly not “chronic colitis”. The actual fact is that you will not understand that you are diagnosed with “chronic colitis” when you have dry stools and difficulty in defecating.
It turns out that the diagnosis of “chronic colitis” is a pathological diagnosis, based mainly on mild to severe inflammation of a section or all of the mucosal and submucosal layers of the colon. Although most patients with “chronic colitis” can see symptoms such as diarrhea and loose stools, some patients exhibit dry stools or difficult stools. Therefore, the diagnosis of dry stools and “chronic colitis” is not contradictory.
5, the “chronic colitis” as “constipation” treatment
The actual fact is that there are a lot of patients with chronic colitis who have anal swelling, urgency, and incomplete bowel movements after defecation. These patients’ stools are often not dry, mostly loose, or even 2-3 times a day. Because of the difficulty in defecation, and as constipation to take laxatives, although after taking laxatives stool will become more smooth, but after stopping the drug symptoms remain, and even more difficult to defecate, and over time will also form a dependence on laxatives, treatment more difficult, forming a vicious circle.
This so-called “constipation” mostly occurs in the case of inflammation of the anal canal or rectum, because the inflammation of the intestinal wall stimulation, resulting in a feeling of bloating and bowel movements. This feeling of constipation does not disappear with defecation, so the patient feels difficulty in defecating and the constipation does not disappear after defecation. However, by treating the inflammation of the anal canal and rectum, this feeling of dyspareunia will gradually disappear after the inflammation of the anal canal and rectum subsides. Therefore, the focus of treatment in this case should be on “chronic colitis” in order to achieve better results.
6, the mucus in the stool as “intestinal mucosa”
There are often patients who say that there is a lot of “intestinal mucosa” in the stool when they tell their medical history, and they look very nervous. “Please bring the ‘intestinal mucosa’ to see next time, okay?” That was the only answer the doctor could give.
After seeing it, I realized that the so-called “intestinal mucosa” was a mass of mucus. Although the word “mucous membrane” and “mucus” are different, they are two very different things. Mucous membrane is a layer of tissue covering the surface of the body’s lumen with the outside world, with cellular glands, blood vessels, etc.; mucus is the product secreted by the mucous membrane, just like snot is secreted by the mucous membrane of the nasal cavity. In the case of inflammation, the intestine does not normally excrete mucus, but inflammation can stimulate the mucosa to secrete more mucus. Mucous membranes and mucus are distinguishable in appearance. Mucous membrane is a structured tissue, thin and flesh-colored, with capillaries distributed in a dendritic pattern under close observation; mucus is colorless and transparent, sometimes egg-white translucent, in piles or clusters, with no tissue structure. In addition to inflammation of the intestine, the discharge of mucus is also irritable bowel syndrome, colorectal tumors, etc.
7, think enema is the best way to treat chronic colitis
Due to the propaganda of certain advertisements, many patients with chronic colitis often ask, “Isn’t an enema the best way to treat colitis? Can my disease be treated by enemas?”
As with other diseases, different treatment methods are needed for different types and stages of the disease, and there is no absolute best method. It has been observed that enema therapy is effective in treating pus and blood in the stool and rectal symptoms, and the symptoms are usually relieved significantly within a few days after the medication is administered. However, due to the limitations of the rectal mucosa on drug absorption and enema therapy itself, not any drug can be administered by the method of enema, and the efficacy of enema therapy alone is not obvious in quite a few cases, and the symptoms are easily relapsed after relief. Therefore, enemas are not a complete substitute for other treatments. For most patients with colitis, enema therapy can only be used as an adjunctive therapy.
8, looking around for doctors to see or buy drugs to eat everywhere, imagining that there are doctors or drugs to cure the disease at once
The actual fact is that you will be able to get a lot of money to spend on the actual products.
This situation is related to the patients’ eagerness to seek medical help and their fantasy of having a doctor or a drug to cure the disease at once; and the patients’ lack of awareness of the difficulty of treating the disease and the long-term nature of the treatment; and the exaggerated efficacy and effectiveness of certain propaganda and advertisements to deceive the patients to obtain benefits.
Because the cause and pathogenesis of chronic colitis is still unknown, the means of treatment is very limited, the treatment of drugs is also very little, the efficacy is also not high, which determines the difficulty of treatment of the disease, some books even say that the disease can not be cured. Besides, as a chronic disease, its recovery needs a process, and it can never be cured in a few days or weeks. In addition, any kind of drug, there are indications, not what type of disease can be treated and achieve better results, when used poorly (such as the opposite of their own condition), the effect will be counterproductive.
Therefore, patients should be patient and persistent in treatment, on the one hand, and on the other hand, they should acquire more knowledge about the disease, treat and take medication under the guidance of doctors in large non-profit hospitals, and pay attention to diet and other aspects of conditioning, which is the right way. Never go to a hospital (usually small or for-profit hospitals) that claims to have so-called “experts” from abroad, special drugs and special treatments.
9, the “stomach” and “intestinal” diseases to separate to different doctors to see
In the case of chronic colitis, there are many people who have both “stomach” and “intestinal” symptoms, such as abdominal pain, diarrhea, mucus stool, belching, acidity and vague pain in the stomach and epigastrium, but many patients look at stomach and intestinal diseases separately, in the outpatient clinic or However, many patients see stomach and intestinal diseases separately, and only tell the doctor about “stomach” diseases or “intestinal” diseases in the clinic, and will only give a fuller account of their symptoms when asked by the doctor. This situation is especially common in specialist visits, which is mainly related to the patient’s misunderstanding of the specialist.
Chinese medicine attaches great importance to the holistic concept, emphasizing the need to look at all the pathologies in a person’s body as a whole and to diagnose and treat them after comprehensive analysis. Because the human body is a whole, especially the stomach and intestines belong to the same digestive organs, which are connected up and down, and the diseases of both will affect each other. The two diseases are not contradictory in terms of treatment, taking into account each other and considering each other in order to play a more comprehensive and better effect. Therefore, patients with chronic colitis must present their illnesses in a comprehensive and objective manner when they visit the doctor.
10. Refuse to do colonoscopy because of fear
There are very few patients who refuse to do colonoscopy for fear of doing it. The main reason is the lack of understanding of colonoscopy, fear of pain during the examination, fear of fasting and intestinal preparation before the examination. There are also cases where the disease is delayed by not doing colonoscopy, and the lesson is very profound.
As doctors, we believe that (1) the test must be done, no matter how much pain there is in this test method. If you can colonoscopy clear diagnosis, timely detection and treatment of some diseases, especially polyps and tumors, to relieve the patient’s mental worries, what is a little pain during the examination? (2) Although colonoscopy does bring some pain, there is no alternative to it in terms of visual observation of lesions with the naked eye, taking pathological tissue for examination, and treatment of polyps, etc. Therefore, this somewhat painful examination method must be accepted at present. (3) Colonoscopy is quite safe, although there will be abdominal distension, abdominal pain and other discomfort during the examination, but generally within the tolerable level, especially the skilled doctor examination pain is less. (4) Patients with chronic colitis are recommended to have a colonoscopy every 1-2 years, and to be reviewed regularly after polyps are found or treated.
The colonoscope consists of a thin, bendable light-guiding fiber tube, which can be sent from the anus into the rectum and travels retrogradely along the intestine to the end of the ileum via the sigmoid colon, descending colon, splenic flexure, transverse colon, hepatic flexure, ascending colon, and cecum. It can be divided into fiberoptic colonoscopy and e-colonoscopy according to the structure of imaging and image transmission.
When patients with colitis (1) have recurrent diarrhea, constipation or stools with pus, blood or mucus. (2) When there is unexplained abdominal pain, anemia or body wasting. (4) When there is a sudden change in stool habit or difficulty in defecation. (5) When abnormalities are found in gas-barium enema or gastrointestinal imaging and further examination of the colon or clarification of the nature of the lesion is needed. (6) When colon lesions have been found and treatment by colonoscopy is considered. (7) Colonoscopy is necessary and very important when the colon polyps are reviewed after treatment.