Irritable bowel syndrome (IBS) is a functional bowel disease characterized by abdominal pain or abdominal discomfort with changes in bowel habits, and examination excludes organic diseases that can cause these symptoms.
The so-called “irritability” means that many factors such as mental factors, psychological factors or even certain foods can easily “irritate” the intestine, causing dysfunction and changes in bowel habits, either diarrhea or constipation. The reason why it is called “syndrome” is that in addition to digestive symptoms, there are a series of other symptoms, including insomnia, anxiety, depression, dizziness, lightheadedness and so on.
The current global prevalence of IBS is 11.2%, while the prevalence in Europe ranges from 4.7% to 25% and slightly lower in Asia, with 4.6% to 5.67% in China. The incidence of IBS is significantly higher in women than in men. Studies have found that serum testosterone levels are negatively correlated with the severity of IBS symptoms, and differences in sex hormone levels can lead to greater sensitivity to visceral pain in women.
The etiology and pathogenesis of this disease are still unclear. It is currently believed that it may be related to abnormal intestinal dynamics, abnormal visceral sensation, psychological factors, infection, food intolerance, intestinal flora dysbiosis, disturbance of brain-gut axis regulation, altered intestinal mucosal permeability, genetic and environmental factors and cholecystokinin. Because of the high prevalence of IBS and the lack of effective drug treatment, which seriously affects the quality of life of patients and increases the huge medical costs, it is especially important to seek more effective and economical treatments.
Irritable bowel syndrome is no longer a rare disease, so it is necessary to explain to you the daily management of this chronic disease: 1. Remove or avoid precipitating factors such as stress, anger, etc., and you should find ways to avoid these events.
2, active adjustment of emotions, mentality Many contributing factors can not be avoided, so you have to adjust your own mentality. First of all, do not be overly anxious about this chronic disease, and face it openly. We know that the human gastrointestinal tract is “thinking”, most people have encountered distressing things, and feel “tea and food do not want to think”; there are also good things, and instantly “appetite” time. For example, many cab drivers have stomach problems, is because of years of running in the traffic, mental tension than the general workplace, the gastrointestinal tract also with this tension secrete more gastric acid stimulation caused.
Long-term in such a psychological, mental state is certainly not conducive to the gastrointestinal tract, if necessary, should see a psychiatrist, or read some soothing books, listen to some relaxing music, find ways to adjust the mind, emotions to a calm state.
3, appropriate exercise such as brisk walking, jogging, yoga, Tai Chi, etc.. Exercise itself can promote the gastrointestinal tract activities, after abdominal surgery doctors always rush the patient to the floor as soon as possible, do not let them lie in bed, is to promote the gastrointestinal tract through activities to restore function. In addition, exercise can also adjust the mood and improve sleep.
4, medication to assist irritable bowel syndrome itself there is no treatment drugs, but can be based on the symptoms of the right medicine. For example, Otium bromide, pivetonium bromide, which can selectively act on the smooth muscle of the gastrointestinal tract to relieve abdominal pain and thus improve the symptoms of diarrhea. In addition, if the patient also has symptoms such as anxiety and insomnia, the medication should also be used. Otherwise, it is easy to fall into the “bad sleep – bad mood – irritable bowel – worse mood – more bad sleep” The vicious circle.
5, pay attention to diet Try to avoid tobacco, alcohol, spicy, cold, oil and hard, these things are more or less stimulate the gastrointestinal tract, the general public eat it does not matter, but who let your gastrointestinal tract is so irritable it? Eat more crude fiber-rich, easy-to-digest food, in addition to some good yogurt supplement.
Be alert to other diseases
Although irritable bowel syndrome is not accompanied by organic lesions, as patients age, they can also get other organic gastrointestinal diseases. You should not ignore the possibility of lesions just because you know you have irritable bowel syndrome. If the following symptoms occur, you still need to be checked again: weight loss, diarrhea with different characteristics than before, blood in the stool, anemia, and low fever, especially if you are older than
These symptoms are only present at the age of 40. These are called “alarm symptoms”, and once they appear, they may indicate other problems and need to be taken seriously, except for malignant tumors, which need to be improved by colonoscopy and other tests.