OVERVIEW
OVERVIEW
Allergic colitis is a systemic functional disease characterized by disturbances in the physiological function of the colon, without pathologic-anatomic organic changes. It is characterized by symptoms such as abdominal distension, abdominal pain, constipation, diarrhea and mucus stools, either alone or in combination.
Whether medical insurance
Yes
Department
Gastroenterology
Synonyms: Irritable Bowel Syndrome (IBS), Spasticity
Irritable Bowel Syndrome (IBS), Spastic Colon, Mucous Colon, Functional Colon
Clinical symptoms
The main manifestations are abdominal pain, constipation, diarrhea and mucus stools.
Harm
The disease can be recurrent, affecting life and work.
Examination
Physical examination, routine stool, fecal culture, fecal occult blood, abdominal X-ray, electronic fiber colonoscopy.
Diagnosis
Diagnosis is based on the manifestations of abdominal pain, constipation, diarrhea, mucus stools, etc., combined with abdominal X-ray film and electronic fiber colonoscopy.
Treatment principle
Adjustment of diet, psychotherapy, biofeedback therapy, symptomatic treatment.
Curability
Symptoms can be improved and eliminated with active treatment.
Dietary recommendations
For diarrhea, give less residue, low fat, high protein diet, for constipation, give high fiber vegetables, coarse food, avoid cold and irritating food.
Causes
Etiology
The disease is associated with biological factors, psychological factors, social factors, dietary changes, and infections.
Symptoms and Diagnosis
Typical symptoms
1. Symptoms
(1) Abdominal pain: seen in all patients, the site is not fixed, most common in the lower abdomen and left lower abdomen, mostly relieved after defecation or defecation.
(2) Diarrhea: the stools are often thin and mushy, without pus or blood, or alternating between diarrhea and constipation.
(3) Constipation: Difficulty in defecation, small amount of dry feces, in the form of sheep’s dung or thin strips, and mucus may be attached to the surface.
(4) Other gastrointestinal symptoms: mostly accompanied by abdominal distension, a sense of incomplete defecation and a sense of distress.
(5) Systemic symptoms: insomnia, anxiety, depression, dizziness, headache and other mental symptoms, as well as extra-intestinal symptoms, such as fibromyalgia, dyspareunia, temporomandibular joint syndrome.
2. Physical signs
Not obvious, there may be light pressure pain, some may touch the weenie-like intestinal tube, rectal fingerprinting may feel the anal spasm, high tension, there may be tenderness.
Diagnostic basis
1. Clinical manifestations
Abdominal pain, constipation, diarrhea, mucus stools, etc.
2.Auxiliary examination
(1) Negative stool routine and culture (at least 3 times), negative fecal occult blood test.
(2) X-ray barium enema is not positive, or there are signs of irritation in the colon.
(3) Electronic fiberoptic colonoscopy showed hypermotility of intestine in some patients, without obvious mucosal abnormality, and histological examination was basically normal.
Treatment
Treatment guidelines
Adjustment of diet, psychotherapy, biofeedback therapy. Drug therapy is the main, symptomatic use of antispasmodic drugs, laxatives or antidiarrheal drugs.
Drug treatment
1. Gastrointestinal antispasmodic drugs, such as anticholinergic drugs, calcium channel blockers (such as nifedipine, pivoxil).
2. Antidiarrheal drugs, such as loperamide, compound diphenoxylate.
3. Laxatives, which should be used as appropriate and should not be used for a long period of time.
4. Antidepressants, used for abdominal pain, diarrhea treatment is ineffective, accompanied by psychiatric symptoms.
5. Intestinal flora regulating drugs, such as Bifidobacterium, Lactobacillus and other preparations, which are effective for abdominal distension and diarrhea.
6. Gastrointestinal power bidirectional regulators, such as Trimethoprim maleate tablets.
7. Insomnia, anxiety can be given appropriate sedative.
Other treatments
1. Adopt good living habits and avoid eating foods that can trigger symptoms.
2. Psychological and behavioral therapy, including psychotherapy, hypnosis, and regular physical activity.
3. Traditional Chinese medicine (TCM).
Prognosis
Prognosis can be improved with active treatment.
Nursing care
Daily care
1. Pay attention to the combination of work and rest in life, and can participate in appropriate work.
2. Adopt good living habits, eat less and more meals.
3. Develop the habit of regular defecation.
4. Wash the perianal area with warm water after defecation to keep it clean and dry and protect the perianal skin.
Diet regulation
For diarrhea, give less residue, low fat, high protein diet, for constipation, give high fiber vegetables, coarse grains, avoid eating cold and irritating food.