Irritable Bowel Syndrome
Irritable Bowel Syndrome
2022-05-20 07:13:11/ Kategori : General Surgery, Internal Medicine (Internal Medicine)
Irritable Bowel Syndrome (Irritable Bowel = Irritable Bowel = Irritable Bowel Syndrome)
It is one of the most common diseases of the gastrointestinal tract. Although it is known as a large intestine disease, it affects the entire gastrointestinal tract. It is a common disease throughout the world and is seen at a rate of approximately 20%, especially in developed countries. It is more common in women and is most common between the ages of 20-30. The reason is not known exactly. Many theories are discussed.
Stress is the most important trigger and aggravating factor. Infections and antibiotic use can also be the initiating causes.
CLINICAL FINDINGS (LOVE)
A: Pain (abdominal pain)
S: Bloating
K: Constipation (and/or diarrhea)
These findings must persist for more than 3 months for a diagnosis of irritable bowel. In addition, it should not impair the quality of life and there should not be any other disease that may cause it.
Other common complaints with these findings in people with irritable bowel are as follows:
1-Depression
2-Anxiety
3-Sleep disorders
4-Fibromyalgia (common body aches)
5-Headache
6-Frequent urination
7-Chronic fatigue
There are almost no laboratory and radiological findings that would enable us to diagnose the disease. However, in order to rule out other diseases at the beginning, it is necessary to have some tests (blood, stool microscopy, occult blood in the stool and colonoscopy if necessary)
.
ALARM FINDINGS
1-Weight loss
2-Fever
3-Anemia
4-Vomiting
5-Blood in stool (or blood coming from the anus) In
treatment, drugs are used to maintain intestinal regularity, probiotics to enrich intestinal flora, antispasmodics are used. In order to reduce gas formation, lactose (milk, dairy products) and gluten restriction is recommended if there is sensitivity, and a fiber diet is recommended if constipation is dominant. Antidepressants can be given when necessary, as stress is both a trigger and an aggravating factor. In addition, psychotherapy and hypnosis are other treatment methods that can be applied. Outdoor walking, yoga and relaxation exercises can also reduce complaints.
