Irritable bowel syndrome

  I. Clinical manifestations of irritable bowel syndrome The clinical manifestations of irritable bowel syndrome are mainly abdominal pain or abdominal discomfort, diarrhea and constipation. A considerable number of patients may have insomnia, anxiety, depression, dizziness, headache and other mental symptoms.  The disease is a common functional bowel disease with abdominal pain, bloating, diarrhea and constipation as the main complaints, and is accompanied by systemic neurological symptoms. The lesions are mostly limited to the colon, but can also involve the small intestine. Psychological factors play an important role in the occurrence and development of this disease, which was also called “allergic colitis” or “colonic irritation” in the past. The incidence of the disease is quite high, and with the development of society, people’s work and life tension increases, the incidence is on the rise. It is believed to be related to psychological factors, increased gastrointestinal sensitivity, and a history of previous intestinal infections.  Second, the treatment of irritable bowel syndrome Treatment is often used the following drugs: sedatives such as diazepam tablets 55mg, taken orally every night, can also be taken to regulate autonomic function of glutathione 20-50mg, three times a day. Desutex, the active ingredient pivetonium bromide, is a selective gastrointestinal calcium antagonist, which has been clinically proven to be effective in improving abdominal pain and bowel disorders in patients with this disease, especially in the two-way treatment of diarrhea and constipation, Desutex 50mg per tablet, 1 tablet per dose, 3 times daily, increasing to 6 tablets daily if necessary, and similar domestic drugs such as Shu Li Qi Neng The same kind of domestic drugs such as Shuriken can be taken orally 3 times a day. For diarrhea, 2mg of Emmenthal can be used, with the addition of Rejuveno, l-2 capsules, taken orally 4 times a day; or Lactobacillus 0.5g, taken orally 4 times a day, antibiotics should not be applied.  In case of abdominal pain or intestinal cramps, atropine 0.3 mg, 3 times daily, or 0.5 mg intramuscularly may be given. For diarrhea, especially neurological diarrhea, take difenoxanthine l-2 tablets once a day. Constipation can be given to 20 ml of paraffin oil 3 times a day when the stool is dry and hard; or gastrointestinal motility drugs such as domperidone 3 times a day, or cisapride lO mg 3 times a day.  In addition, hot water bags can be placed on the abdomen to reduce abdominal pain caused by intestinal cramps. Physical therapy such as abdominal massage, ultrashort wave, warm water shower or tub bath, and sunbathing are also helpful for this disease.  Prevention of irritable bowel syndrome Prevention of the disease should pay attention to the following five points: 1, try to avoid some triggering factors, keep a cheerful mood, avoid mental stimulation, eliminate tension is the key to prevent the disease, and should eat less greasy, cold food.  2, do not worry too much anxiety, as long as the exclusion of organic disease, there is no need to consider what drugs to “eliminate” diarrhea.  3, do not use antibiotics at will. This kind of diarrhea is not caused by inflammation, no need to use antibiotics. The common use of antibiotics will instead cause intestinal flora imbalance, making aggravated symptoms. Even serious complications.  4, normal diet. Normal meals, ordinary diet can be, but in daily life should be carefully summarized easy to induce symptoms of food, try to eat less or do not eat this food.  5.See a doctor promptly for obvious symptoms. Now the hospital has a lot of gastrointestinal symptoms and mental symptoms of patients to reduce the effectiveness of drugs, if the medication for a period of time according to medical advice, most patients can achieve better results.