Syndrome
Is a group of symptoms and signs that are related to disease and occur together, and form together with each other a picture of the disease. A person may hear the word “syndrome”, accompanied by names that do not express the symptoms of the disease itself as Down Syndrome, Tourette Syndrome, Asperger Syndrome, Kleinfelter syndrome and other syndromes. These syndromes bear the names of the doctors who first described and recorded them.
Intestinal irritation syndrome (colon)
The irritable bowel syndrome, or so-called nervous colon, is a group of symptoms that include abdominal pain or discomfort, changes in the daily habits of diarrhea (diarrhea, constipation or both). This syndrome has no specific cause in itself , Is a common disorder in the intestine, expressed as dysfunction of the digestive system.
There are many names for irritable bowel syndrome, including irritable colon syndrome, irritable bowel syndrome, and irritable colon.
Types of irritable bowel syndrome
Doctors classify this type of syndrome based on the nature of the output; knowing this helps identify the treatment that improves the symptoms. Types of irritable bowel syndrome are:
- Irritable bowel syndrome with constipation.
- Large bowel irritation syndrome with diarrhea.
- Large intestinal irritation syndrome accompanied by both constipation and diarrhea (mixed).
- The large intestinal irritation syndrome associated with both constipation and diarrhea, but less than those mentioned in the previous point, is called “unsubtyped”.
The prevalence of irritable bowel syndrome syndrome
According to a medical study published in 2014, people diagnosed with the disease based on diagnostic criteria make up nearly 11% of the world, and nearly 30% of patients see their doctor for irritable bowel syndrome. Some studies have shown that most of those infected with the disease are female, and the disease is more prevalent in those under the age of 50 years, and increases the risk of a person if he has a family history of nervous colon.
Symptoms of irritable bowel syndrome
The following symptoms are the most common among patients with irritable bowel syndrome:
- Pain of the abdomen that is in the form of colic, which often disappears after the output and bowel movement.
- diarrhea.
- Constipation.
- Change in the nature of the stool.
The disease is a chronic disease – which lasts a long period of time – where the patient may be associated for years, however, the symptoms may not continue continuously, sometimes comes and sometimes disappear, and this disease does not lead to other health problems or any damage to the device Digestive system.
There are other problems that may be afflicted by the patient, but not a condition to be infected by all patients; patients with irritable bowel are more vulnerable than others to:
- Indigestion indigestion.
- Chronic fatigue syndrome.
- Dysmenorrhoea.
- Anxiety.
- Depression.
Causes of irritable bowel syndrome
The obvious cause of the disease is not specific, but it is believed that there are several factors that lead together to the disease, including:
- There is no normal movement of the colon. Its slow speed leads to constipation, but if it is rapid it can lead to diarrhea, and cramps and convulsions in the intestine increase pain. If you have Irritable bowel syndrome, the feeling of cramping usually increases after eating or with increased stress and stress.
- Disturbance of some neurotransmitters.
- Genetic factors.
- Eat foods that increase the symptoms of the disease: Some patients with irritable bowel do not like eating some food; it causes them to bloat even though they are not allergic to it – there is no common type of food that irritates all people – coffee may be a beverage causing the emergence These symptoms on some people, and may not be a reason for the emergence of others, as well as fried food may cause intestinal irritation of a group of patients without others).
- Anxiety and depression
- Post Traumatic Stress Disorder.
Diagnosis of large bowel irritation syndrome
Diagnosis is done by interviewing the physician and taking a complete history and clinical examination (diagnosis is clinically). The doctor may require several tests for the patient to exclude the presence of other diseases that may afflict the patient with symptoms similar to this disease; there is no specific examination confirms the existence of the disease or rule out.
Diagnostic criteria
The doctor relies on certain criteria when diagnosing the syndrome of irritation of the large intestine; the patient is asked about some things:
- The presence of recurrent pain in the abdomen for three days a month, during the previous three months; the pain is characterized by at least two of these features:
- Lightens after output.
- The usual number of times of defecation changes.
- The shape or nature of the usual stool varies with its beginning.
- Having mucus with stool.
- Feeling bloated.
- The absence of certain symptoms, such as fever, unexplained depression, or anemia.
We note that these symptoms that may be felt by the patient is lighter evening.
Risk Marks
The presence of any of the following requires further testing:
- Having a family history of colorectal cancer, celiac disease, or inflammatory bowel disease.
- If the patient is diagnosed at the age of 50 years.
- Certain symptoms, such as fever, unexplained weight loss, or anemia.
Treatment of irritable bowel syndrome
There is no specific treatment for the disease. The doctor advises the patient to change his diet, taking some medications, and detailing it as follows:
- Diet and determine what would cause diarrhea for the patient.
- Advice to reduce stress and stress.
- Fiber intake; which may help in constipation, which may increase swelling.
- Low Fodmap diet is a shortcut to:
- F: Fermentable: Fermented.
- O: oligosaccharide: a few sugars.
- D: Disaccharide: Dual sugars.
- M: Monosaccharide: monoclonal sugars.
- And: and
- P: Polyols: Polyols such as sorbitol and zylitol.
- Probiotics: They are microorganisms that, when taken in appropriate quantities, give a healthy benefit to the host – the person who deals with them.
- Linaclotide: Good in the case of irritable bowel syndrome which is mostly accompanied with constipation.
- Lubiprostone: Good in the case of irritable bowel syndrome which is mostly accompanied with constipation.
- Loperamide: Good for irritable bowel syndrome, which is often associated with diarrhea.
- Antispasmodics: Not recommended for long term use.
- Antidepressants (tricyclic antidepressants) in small doses.