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March 20, 2012
Intestines dyskinesia – the term defining a complex of disorders of intestines which arise as a result of disturbance in motive functions of intestines. Generally such disturbances arise in a large intestine. Lack of organic changes is characteristic of dyskinesia of intestines, however the body cannot normally carry out the functions. As the World Health Organization reports, have this illness about the third part of all people on the planet. In most cases the disease is characteristic of women.
Intestines dyskinesia symptoms
Dyskinesia of intestines is shown by a number of unpleasant symptoms which can significantly differ at different people. First of all patients are annoyed by various pain in a stomach. It can be the cutting, aching, dull, terebrant pain which proceeds several minutes or several hours. It is difficult to person to tell, pain is localized where exactly, he notes that such feelings are shown "in all stomach". Painful feelings very often stop when the person falls asleep, and again renew after awakening. Some patients complain of increase in intensity of pain after acceptance of food, at stresses or emotional shocks. At the same time after a passage of flatus or bowel emptying at many people pain abates.
Besides, symptoms of dyskinesia of intestines is notable abdominal distention, any disturbances of a chair, a constant abdominal murmur.
In certain cases the abdominal murmur and swelling are almost only symptoms of a disease. These symptoms regardless of what food is used by the person are shown. As disturbance of a chair the lock which can sometimes replace a short diarrhea is most often observed. At the same time together with a chair a slime quantity can be allocated.
However in the presence of similar frustration, in particular frequent ponos of people does not lose flesh, and sometimes even increase in its body weight is observed. At people who a long time suffer from displays of dyskinesia of intestines, some disturbances of mentality are often noted: they are excessively disturbing, nervous, easily fall into a depression. Sometimes patients note pain in a back or heart, however after research it turns out that all these bodies are healthy.
Types of dyskinesia of intestines
In case of spastic (hyper motor) dyskinesia of intestines the raised tone of intestines and its spastic reductions is observed. The lock, and also display of gripes in a stomach can be a consequence of such state. If at the patient atonic (hypomotor) dyskinesia is observed, then there is a sharp weakening of a tone and vermicular movement of intestines. Locks, dull aches, feeling of a raspiraniye will be a consequence of it, and intestinal impassability is in certain cases shown. In turn, accumulation of fecal masses in intestines will be a consequence of a lock that conducts to dizziness, weakness, nausea, working capacity lowering. Contents of intestines are exposed to rotting, and it can provoke manifestation of allergic reaction. Owing to chronic locks there can be hemorrhoids, be formed anal fissures.
Distinguish also primary dyskinesia of intestines at which disturbances of intestines of motive character are an independent illness, and also secondary dyskinesia which as a symptom is shown at other diseases of a gastrointestinal tract. However to differentiate these states rather difficult.
Intestines dyskinesia reasons
It is considered to be that the most often primary dyskinesia is shown owing to influence of psychogenic factors. However often the disease arises also as a result of the excessive use in food of products in which few food fibers. Many specialists are inclined to consider primary dyskinesia of intestines as a psychosomatic disease which develops owing to the critical and chronic psychoinjuring moments, the intra personal conflicts, negative emotions. Besides, acute intestinal infections can serve as etiological factors of dyskinesia of intestines.
Secondary dyskinesia is shown as one of symptoms of diseases of digestive organs. It can be chronic gastritis, liver diseases, a peptic ulcer, pancreatitis and cholecystitis. Also similar disturbance is characteristic of diseases of endocrine system. These are various pituitary frustration, a diabetes mellitus, a myxedema, a hyperparathyreosis. Locks often develop also at the people abusing to receptions of some medicamentous drugs exerting direct impact on motility of a large intestine. Anesthetics, antibiotics, antikonvulsant, muscle relaxants, cholinolytics, psychotropic drugs, etc. belong to such means.
Diagnosis of dyskinesia of intestines
In view of indistinct localization of pain at intestines dyskinesia, and also to the symptoms similar to symptoms of other diseases to diagnose intestines dyskinesia on the basis of complaints of the patient, and also his poll difficult. Therefore, most of specialists, facing so uncertain clinical picture, carry out diagnosis, being guided by process of elimination.
The differential diagnosis in this case is carried out in several steps. First of all, the doctor excludes some pathologies of intestines: tumors, polyps, diverticulums, other anomalies. Further it is important to differentiate dyskinesia and not ulcer colitis. After that the specialist carries out the differential diagnosis of two types of dyskinesia, defining whether primary or secondary dyskinesia takes place. Also disease origins are defined.
To exclude the diseases stated above, the complex of researches applied to inspection of the patients having pathology of a large intestine is conducted. This koprologichesky research, an irrigoskopiya and endoscopy, research a calla on dysbacteriosis and the occult blood. It is also important to carry out a biopsy of a large intestine.
Very often find a diskinetichesky syndrome, dysbacteriosis in the people having intestines dyskinesia. In the course of endoscopy organic changes do not reveal. The normal histologic picture of a gut is observed.
After establishment of the diagnosis "intestines dyskinesia" the doctor faces one more difficult stage: it is necessary to define what type of dyskinesia – primary or secondary – takes place. In this case it is important to define causes of illness therefore the doctor studies the anamnesis and results of all-clinical inspection of the patient in detail.
Treatment of dyskinesia of intestines
Primary dyskinesia of intestines which has psychogenic genesis is successfully treated using psychotropic drugs (in this case tranquilizers, neuroleptics, antidepressants are applied), and also psychotherapy sessions. Means which make fortifying impact on TsNS that, in turn, contributes to normalization of functioning of a vegetative nervous system and lowering of the level of excitability of muscles of intestines will be effective. In this case purpose of medicamentous drugs, and also the choice of tactics of the psychotherapeutic help are carried out by the specialist of the corresponding profile. It is important to consider that psychotropic drugs are not recommended to be applied throughout long term.
As a rule, the doctor approaches purpose of medicamentous means especially circumspectly.
Besides, the patient recommend to take oxygen, pine baths periodically. Effectively in certain cases use of heat on a stomach, ozokeritovy and paraffin applications on a stomach bottom. Also acupuncture sessions are applied in this case.
Also some folk remedies, in particular therapy by medicinal plants are applied to calm of a nervous system. In this case the infusion of herbs described below will be effective.
It is necessary to mix in identical proportions a grass of a sage medicinal, a motherwort, flowers of a yarrow and St. John's Wort, peppermint leaves, oak bark. Two tablespoons of collecting are filled in with boiled water and drawn on an extent of two hours. Collecting needs to be accepted on a half-glass four times a day after food. Three days later a dosage reduce to a third of a glass, and for one week accept collecting already three times a day.
It is possible to apply also special compresses on a stomach: for this half-glass of vinegar it is dissolved in three liters of water. In solution the gauze smaivatsya, and the compress is put on a stomach for one or one and a half hours.
Diet at intestines dyskinesia
At observance of the principles of a diet at intestines dyskinesia the disease disturbs patients much less. First of all, all food should be cooked or steamed, at the same time products do not need to be crushed. For stimulation of motility of intestines it is necessary to include in the berry diet, fruit, vegetables possessing ability to strengthen evakuatorny function of intestines and at the same time not fermenting process and not irritating a mucous membrane of intestines.
At different types of dyskinesia it is necessary to keep to the diet corresponding to type of motility of intestines. So, if the person has hypomotor dyskinesia of a large intestine, then it is necessary to include in an everyday diet surely products with the high content of cellulose. First of all, it is vegetables – beet, carrots, cabbage, vegetable marrows, tomatoes, greens. At the same time it is the best of all to exclude vegetables which contain many essential oils from a diet. These are onions, a radish, turnip, a garden radish, mushrooms. It is the best of all to use bread with bran, from coarse flour, the porridges from grain cooked on water are useful. The diet joins also soups which should be cooked on the fat-free and vegetable broths. Low-fat meat is allowed, fish it is periodically possible to eat eggs, however it is no more than two pieces in day. Besides, every day it is necessary to use juice from fruit and vegetables, dried fruits, bananas and apples. The organic acids which are contained in these products promote stimulation of motility of intestines. Also fermented milk products, especially those which contain live culture of bifidobacteria are not less useful. To stimulate regular bowel emptying, it is necessary to eat cold food. It is possible to use some time wheat bran in pure form – it is recommended to accept them in food about six weeks regularly. They should be filled in with boiled water, it is possible to use as independently, and adding to various dishes. It promotes simplification of bowel emptying.
To people who have hyper motor dyskinesia, recommend to use regularly oils, both various vegetable, and animals. It is necessary to refuse fancy bread, white loaf, products containing starch, fat meat, spicy and tinned food, strong tea and coffee. It is also very carefully necessary to treat products which promote the increased formation of gases. In case of hyper motor dyskinesia of a large intestine it is very important to keep to a special bezshlakovy diet which contains many vegetable fats. At the same time dishes which contain a lot of cellulose should be excluded as they can cause the strengthened spastika and pain in a stomach.
If motor functions of intestines improve, then it is possible gradually to begin to enter boiled vegetables into a diet, and later to pass to the gradual use of crude vegetables.
Prevention of dyskinesia of intestines
As the main measure of prevention of dyskinesia of intestines it is recommended to adhere to bases of a healthy way of life, to avoid stressful situations, to watch a variety of a food allowance. If some disturbances of mentality take place, it is necessary to receive medical treatment, accepting the toning and calming drugs. It is important to get surely advice of the experienced specialist who will appoint necessary preventive treatment.