What symptoms does irritable bowel syndrome cause?

The health of the intestines has always been an issue of concern to us. Many people's intestines often get sick and have various inflammations, which are very complicated and cannot be effectively treated. When the patient develops irritable bowel syndrome, it is a functional gastrointestinal disease. The main symptoms after the onset are abdominal pain, bloating, abnormal bowel movements, and mucus in the stool. The clinical manifestations of irritable bowel syndrome are large in number, most of whom are middle-aged people, young people, and many women. Although the condition is not serious, it seriously affects people's physical health. Therefore, most of them are caused by psychological disorders, mental disorders, and inattention to diet. Patients need to adjust in many aspects.

1. Mental and psychological disorders are important factors in the onset of irritable bowel syndrome

The cause of irritable bowel syndrome is still unclear, mainly due to abnormal gastrointestinal motility, abnormal visceral perception, mental factors, food intolerance, etc. Many experts believe that mental and psychological disorders are important factors in the onset of irritable bowel syndrome. Some people also believe that intestinal infection is also a cause of irritable bowel syndrome, because many patients with irritable bowel syndrome have a history of acute intestinal infection.

2. Irritable bowel syndrome symptoms mainly include abdominal pain

The main symptom of irritable bowel syndrome patients is abdominal pain. Almost all patients with irritable bowel syndrome have varying degrees of abdominal pain, which is more common in the lower abdomen and left lower abdomen, and is often relieved after defecation or flatulence. In addition to abdominal pain, patients have symptoms of diarrhea and constipation, with diarrhea being the most common, often accompanied by abdominal distension, a sense of incomplete defecation, and a sense of urgency during defecation. Most patients also have mental symptoms such as insomnia, anxiety, depression, dizziness, and headache.

Some patients have alternating diarrhea and constipation. Some patients mainly suffer from constipation and have difficulty in defecation. Their stools are dry and small in volume, and are in the shape of sheep dung or thin rods, with mucus on the surface. Patients with diarrhea as the main symptom generally have diarrhea about 3-5 times a day, and a few may have more than ten times during severe attacks. The stools are mostly thin and mushy, but may also be formed soft stools or thin watery stools. The stools often contain mucus, and some patients have less stool but a lot of mucus, but there is absolutely no pus or blood.

The diagnosis of irritable bowel syndrome is mainly based on symptoms, but organic lesions must be ruled out. People over 40 years old, especially those with weight loss, black stools or bloody stools, bloody stools, and gradually worsening symptoms, should undergo a colonoscopy, mainly to rule out tumors.

3. Patients with irritable bowel syndrome should pay attention to diet adjustment

For the treatment of irritable bowel syndrome, we focus on diet adjustment, such as eating on time, eating less raw and cold food, such as cold beer, refrigerator food, etc.; eating less greasy food; avoiding eating irritating food, such as chili, pepper, garlic, onion, mustard,

Alcohol, soda, etc., as well as foods that are prone to cause allergies, such as milk or dairy products, pollen, shrimp, crab, etc.

4. Eating less meat and eating smaller meals more often can help alleviate symptoms

For patients who are prone to food allergies, a food diary is now recommended. If your symptoms are aggravated by eating dairy products, you can eat less of these foods and try yogurt if necessary. Eating too much meat can cause cramping and diarrhea in people with irritable bowel syndrome. Reducing meat intake and eating small, frequent meals can help alleviate symptoms. For patients with constipation, dietary fiber can relieve the symptoms of irritable bowel syndrome. Cereals, beans, fruits and vegetables are rich sources of fiber. High-fiber foods can cause mild expansion of the colon to prevent progressive intestinal spasms. Some fiber can retain moisture in the stool and prevent hard stools. High-fiber foods can cause gas and bloating, symptoms that quickly disappear within a few months as the body adjusts to these foods.

5. As long as the diagnosis of irritable bowel syndrome is confirmed, there is no need to worry about developing other diseases

6. Treatment of Irritable Bowel Syndrome

1. Psychotherapy: It has become common knowledge that psychological factors may affect the patient's clinical symptoms, symptom type and severity. Now, we attach particular importance to the importance of a good doctor-patient relationship. Physicians should fully understand and communicate with patients with psychological disorders and maintain long-term contact with patients. Cognitive therapy is a short-term psychological treatment model that aims to establish correct personal cognition. Through cognitive education and behavior, it corrects the patient's distorted knowledge of the disease, achieves the reconstruction of correct cognition, and alleviates or eliminates psychological disorders and physical symptoms. It emphasizes recognizing the benign nature of the disease and the good prognosis, building confidence in treatment, and helping patients adjust their emotions and behaviors to achieve long-term relief of clinical symptoms and improve quality of life.

2. Treat irritable bowel syndrome based on different types.

For diarrhea type, the first choice is Desuterum (also known as Pinaverium Bromide). The dosage is 1 tablet of 50 mg, 3 times a day. If the patient has intestinal flora imbalance, it is effective to give him probiotic preparations. Commonly used ones are Livzon Changle, Jinshuangfi, triple live bacteria tablets, quadruple live bacteria tablets and Zhengchangsheng. You can choose any one of them, 2 to 3 tablets each time, 3 times a day. Sometimes one method doesn't work, but another one does. Do not stop taking the medicine immediately after it takes effect. The dosage should be gradually reduced until the minimum effective dose is maintained. There are no adverse reactions when taking it for a long time. In very rare cases of stubborn diarrhea, the above-mentioned medicines are ineffective. Anti-intestinal motility drugs such as montmorillonite and medicinal charcoal can be used in appropriate amounts, but they should not be taken for a long time.

Constipation type: Laxatives may be used as appropriate. It is better to choose cellulose preparations or soft hydrocolloid preparations. Commonly used ones are fospan and lactulose. Gastrointestinal motility drugs such as cisapride or mosapride can also be used alone or in combination with the above medicines. The recently launched tegaserod (Zelmac) has a good effect on this type of disease. Take 6 mg each time, once in the morning and once in the evening, before meals.

3. Auxiliary antidepressants: In addition, irritable bowel syndrome is often accompanied by depressive symptoms. Some antidepressants are also used when the above drugs are ineffective, such as Luyoutai and Delexin.