Irritable bowel syndrome - 28% of patients with digestive symptoms
Definition
Irritable bowel syndrome is a functional bowel disease with chronic abdominal pain or abdominal discomfort, bowel movement disorder, without the intestinal abnormalities of the intestinal tract.Cause
No clear cause has yet been identified, including colorectal dysfunction, sensory abnormalities, brain-intestinal interactions, low-grade inflammation that persists after infection, immune system abnormalities, changes in the intestinal microbiota, genetic predisposition, and psychosocial factors, have.Symptom
28% of patients who visit the digestive system symptoms are common enough to be diagnosed as irritable bowel syndrome. Symptoms include bowel movement, abdominal pain, abdominal bloating, mucus in the stool. Disability, palpitations, anxiety, anxiety, depression, etc. are well accompanied. These symptoms tend to be exacerbated by certain food intakes or stress.Diagnosis / Test
Irritable bowel syndrome cannot be diagnosed with any one special test because it cannot be explained by biochemical and structural abnormalities. For diagnosis, it is important to determine the presence or absence of warning symptoms, and if symptoms occur for the first time in people over 50 years of age, accompanied by bleeding, weight loss, anemia, or a family history of colorectal cancer or inflammatory bowel disease Must be checked. General blood tests, thyroid function tests, fecal tests, colonoscopy are performed, and additional tests such as rectal anal function tests and stool culture tests are performed depending on the symptoms.Treatment
Treatment is most important to eliminate psychological anxiety and conflict that cause irritable bowel syndrome. Above all, it is important for the patient to understand his or her illness and to avoid foods that can cause severe irritation to the large intestine. You should also avoid overeating and have a regular diet and a comfortable mindset. It is also helpful to get moderate exercise and rest to relieve stress. Medication therapy uses medicines such as antispasmodic drugs that reduce bowel sensitivity, constipation-effective volume-forming laxatives (drugs that absorb moisture and increase the volume of stool and make it softer), and may also use some nerve stabilizers.Progress / Complication
This disease has nothing to do with cancer or other personality disorders of the patient and has nothing to do with other diseases that require discrimination (such as ulcerative colitis or Crohn's disease). Although it is not a life-threatening disease, patients suffering from this may experience discomfort in their daily lives and may lead to loss of motivation and disrupt social life.Prevention method
For people with irritable bowel syndrome, reducing stress is a top priority. First, it is important to change your lifestyle patterns and get proper rest and exercise to identify and reduce your main stressors. In particular, walking is very effective in activating bowel movement, so walking or jogging can be a good treatment.Diet / Life Guide
It can help to avoid foods that cause symptoms, because symptoms can get worse after eating certain foods. High-fat foods, cigarettes, coffee, etc. should be restricted, and FODMAP, a low FODMAP diet that limits intake because oligosaccharides, disaccharides, monosaccharides, and polyols that are easy to ferment in the gut can cause diarrhea or abdominal bloating. It may help improve symptoms.
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