Irritable bowel syndrome is an extremely common organic disease. Patients often suffer from diarrhea, usually 3-5 times a day, and in a few severe attacks, up to a dozen times. There are also systemic symptoms, such as insomnia, anxiety, etc. 1. Clinical manifestations are abdominal pain and changes in bowel habits and stool characteristics. 1. Abdominal pain Almost all IBS patients have abdominal pain to varying degrees. The location is variable, but it is more common in the lower abdomen and left lower abdomen. Most of the time, the pain is relieved after defecation or passing gas. 2. Diarrhea usually occurs about 3-5 times a day, and in a few severe attacks it may occur more than ten times. The stool is mostly loose and mushy, but can also be formed soft stool or watery stool. It often contains mucus. Some patients have less feces but a lot of mucus, but there is absolutely no pus or blood. Bowel movements do not interfere with sleep. In some patients, diarrhea and constipation occur alternately. 3. Constipation: difficulty in defecation, dry and small stools, in the shape of sheep dung or thin rods, with mucus on the surface. 4. Other gastrointestinal symptoms are often accompanied by abdominal distension or bloating, and there may be a feeling of incomplete defecation and a feeling of urgency during defecation. 5. Systemic symptoms A considerable number of patients may have mental symptoms such as insomnia, anxiety, depression, dizziness, headache, etc. 6. Physical symptoms: There are no obvious physical symptoms, but there may be mild tenderness in the corresponding part. Some patients can touch the sausage-like intestinal tube. Rectal digital examination can feel anal spasm, high tension, and tenderness. 7. According to clinical characteristics, the disease can be divided into diarrhea type, constipation type, alternating diarrhea and constipation type, and flatulence type. 2. Features Irritable bowel syndrome is an independent, intestinal functional disorder with a special physiological and pathological basis. It is characterized by no structural defects in the intestine, but excessive or abnormal physiological response to stimulation. In the past, this disease was called "colon dysfunction", "colon spasticity", "colon allergy", "spastic colitis", "mucous colitis", etc. Because there is actually no inflammation in the intestines and the dysfunction is not actually limited to the colon, it is collectively referred to as irritable bowel syndrome. This disease is the most common functional disease of the gastrointestinal tract. It is more common in middle-aged adults, with more men than women, about 3:2. It is very rare for the first diagnosis to be made after the age of 50. The clinical manifestations are abdominal pain, diarrhea, constipation, or alternating diarrhea and constipation as the main symptoms, which are often triggered by emotional fluctuations. It is generally not difficult to diagnose this disease, but organic intestinal diseases and intestinal manifestations caused by systemic diseases must be ruled out. |
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