Irritable Bowel Syndrome (Sensitive/Irritable Bowel)
Irritable Bowel Syndrome (Sensitive/Irritable Bowel)
2022-05-20 08:34:01/ Kategori : General Surgery, Internal Medicine (Internal Medicine)
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 worldwide, especially in developed countries, with a rate of approximately 20%.
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)
For the diagnosis of irritable bowel, these findings should continue for more than 3 months. 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:
- Depression
- Anxiety
- Sleeping disorders
- Fibromyalgia (Common body aches)
- Headache
- frequent urination
- chronic fatigue
There are almost no laboratory and radiological findings that would enable us to diagnose the disease. However, in the beginning, it is necessary to have some tests to rule out other diseases (blood, stool microscopy, occult blood in the stool and colonoscopy if necessary).
Whether or not there is a previous diagnosis of irritable bowel, if there are alarm findings, further examination is absolutely necessary.
ALARM FINDINGS
- weight loss
- Fire
- Anemia
- Vomiting
- Blood in stool (or rectal bleeding)
In the treatment, drugs are used to ensure intestinal regularity, probiotics and antispasmodic agents are used to enrich the intestinal flora. 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.
