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Spastic intestinal colitis, symptoms and treatment. Effective methods of treating spastic intestinal colitis

The intestine is one of the most important organs in the human body. It is he who is responsible for human immunity and well-being. After all, a huge number of microorganisms live here that perform important functions. Therefore, any problems with the digestive system can lead to serious consequences.

Spastic colitis is an inflammation of the large intestine. This disease is classified as a functional disorder. It can bring not only unpleasant sensations, but also severe pain. What should you do in this case and who should you contact? The answers can be found in the article.

Symptoms of the disease

Spastic colitis continues for a long period of time. Often the pain does not go away even after six months. Unfortunately, people live with this problem and often they are even ashamed to see a doctor, but it is necessary to do so.

Since this disease affects the large intestine, the symptoms also affect this area. In addition, pain is often felt throughout the entire abdomen.

The symptoms of spastic colitis are as follows:

pain in the large intestine;
change in stool;
disturbance of intestinal motility;
flatulence;
bloating;
unpleasant and painful sensations after meal.

If you monitor your body and notice any of the above symptoms, you may be concerned. After all, such symptoms may indicate this disease.

The disease is mainly characterized by spasms. They have different localizations. This is why it is sometimes difficult for a patient to describe exactly where his stomach hurts. Sometimes unpleasant sensations arise with right side, and later - on the left. They often feel like cramps in the navel area.

Symptoms and treatment of spastic colitis in different people may vary. In this disease, everything is purely individual. Some people may have diarrhea, while others may have constipation. In this case, the stool may often change. This causes a lot of anxiety for a person.

U healthy people There should be no problem going to the toilet. If they have any difficulties, this indicates that not everything is in order with their body. In this case, you should immediately seek help from a professional.

With spastic colitis, pain decreases after defecation. It is by this symptom that the disease can be identified. It is also noteworthy that during sleep a person does not feel discomfort.

Additional symptoms

Chronic spastic colitis can also be characterized by other symptoms. For example, these include:

It should be noted that with intestinal diseases, human immunity deteriorates. As a result, he is more susceptible various diseases. It is more difficult to cure a common cold or runny nose. And all because the body’s defenses have weakened, and the person has become extremely vulnerable.

Also, people in this state begin to lose interest in life. They have problems in various areas. It can be noted that they quickly get tired and become nervous. This happens to almost every patient. Knowing both the causes and symptoms of spastic colitis, it will be easier to choose the appropriate treatment.

Causes of the disease

Spastic intestinal colitis occurs for a number of reasons. One of the most common is stress and physical fatigue. The human body weakens. This leads to stool disturbances and other manifestations of colitis.

The reasons must be known in order to recover from the disease. These are really important, so they cannot be ignored. You should carefully analyze your diet, and also pay attention to whether the person has nervous breakdowns last time. This will help understand the “roots of the problem.” You must tell an experienced specialist about all your observations.

Mainly the disease is caused by:

sedentary lifestyle life;
poor nutrition;
alcohol consumption;
long-term use antibiotics;
use of drugs that affect intestinal motility.

Can also lead to illness chronic infections and food products that the body does not accept. You need to be extremely careful about your health so as not to encounter this problem.

Diagnosis of the disease

Knowing the causes and symptoms of spastic colitis, it is much easier to select treatment, but this should be done qualified specialist. First of all, to diagnose the disease, the doctor must carefully listen to all the patient’s complaints. After this, colitis can be determined by palpation of the abdomen. This will cause some areas of the large intestine to become painfully dilated or contracted.

A doctor must carry out an examination for colitis. He needs to identify the patient’s painful areas.

Also, spastic colitis can be determined using endoscopic methods. The doctor may prescribe a colonoscopy or sigmoidoscopy for the patient. In this case, the examination will show that the walls of the large intestine are swollen and hyperemic. The muscle tone of the large intestine is weakened.

IN Tibetan medicine Another method is used - pulse diagnostics. With its help, you can find out about the causes of the disease, as well as determine general state sick.

New, improved methods may soon appear that will help more quickly recognize this disease.

Prevention

It is easier to prevent any disease than to treat it later. This is especially true when it comes to spastic colitis. After all, it is he who gives people a lot of pain and discomfort.

For symptoms of spastic intestinal colitis, treatment should be prescribed by a doctor and only after a thorough examination.

To begin with, you should pay close attention to your diet. It must be balanced and rich various vitamins and microelements. In addition, you should keep healthy image life. To do this, you need to play sports at least several times a week, spend as much free time as possible on fresh air.

You also need to remember the rules of personal hygiene. And of course, do not use medical supplies that affect intestinal motility, without a doctor’s permission.

A doctor who can help

Unfortunately, today everyone can face the disease, regardless of age. Therefore, there is no need to be shy. You need to seek help as quickly as possible.

If you have signs of spastic colitis, you should consult a gastroenterologist. He examines the patient, clarifies his diagnosis and prescribes treatment.

A proctologist also deals with the symptoms and treatment of spastic colitis in adults. His specialty is the intestines. Therefore, he will be able to give a complete answer to many questions.

It is worth remembering that for a speedy recovery you must listen to all the doctor’s recommendations.

Treatment of the disease

A doctor must prescribe treatment. He will select individually specific medications for each person and indicate their dosage. No need to self-medicate! This often leads to irreversible consequences. Therefore, you need to be very careful when choosing medications and taking them.

Today you can achieve noticeable results by using modern treatment. But you need to understand that such a disease requires complex therapy. There are a number of tablets that are prescribed for this disease. Moreover, they can be divided into various groups, namely:

eliminating constipation;
eliminating diarrhea;
reducing pain;
eliminating dysbacteriosis (probiotics).

Each medicine produces a specific therapeutic effect. Only a doctor can prescribe them.

Diet for illness

With spastic intestinal colitis, nutrition plays one of the most important important roles. Every doctor will tell his patient about this. After all, all digestive problems are most often directly or indirectly related to Not proper nutrition. Therefore, every person who is faced with such a problem needs to monitor what he eats.

Each case is individual, so talk about general recommendations difficult. But it can still be done.

Firstly, people who are facing this problem should eat regularly. They should not skip breakfast, lunch or dinner. You should also Special attention give snacks. At the same time, the breaks between meals should not be long.

Secondly, people suffering from colitis should eat slowly. There is no need to rush anywhere. It is better to chew your food thoroughly.

You can eat flax seeds or cereals. If you have severe diarrhea and bloating, you should not eat large amounts of fresh fruit.

Also, a person who suffers from such a problem needs to pay attention to foods that lead to a worsening of the condition. Their use should be reduced or eliminated altogether.

For colitis, it is useful to eat cereals, drink freshly squeezed juices, and also consume healthy foods. Many doctors recommend paying attention to bran for constipation. Everything is quite individual and products may not always produce the expected effect. In any case, you should pay attention to nutrition and believe in speedy recovery.

Psychotherapy

Psychotherapy methods are often used to treat spastic colitis. This is due to the fact that sometimes the disease occurs on nervous soil. In this case, it is best to seek help from a psychotherapist. The doctor will be able to alleviate the symptoms of the disease and possibly even cure the patient.

You should be careful when using a method such as hypnosis. Although it is not contraindicated, it is not always used.

Traditional methods of treatment

You can try to treat spastic colitis at home. Many folk remedies tested over the years and helped a large number of people. Basically, treatment of spastic intestinal colitis using traditional medicine involves taking herbal infusions. Let's just mention a few natural remedies.

Sauerkraut can help with constipation. Pumpkin also has laxative properties. But gooseberry juice will help cope with severe pain.

Blueberries help restore intestinal motility. You can use it in any form.

Such products, when used correctly, do not have side effects. This is why many people resort to folk medicine. Not everyone wants to take a huge amount of pills. Most people consider them harmful. In this case, it is worth trying a similar treatment method.

Physical activity

Despite the severity of spastic colitis, we cannot forget about sports. You should always try to lead active image life, even when it seems impossible. Walking in the fresh air, exercise and simple movements will help cope with this disease.

Exist special exercises that help cope with the disease. Treatment of the symptoms of spastic intestinal colitis in this case will be even more effective.

It is good to stretch the spine when you are sick. For example, bending to the side with a straight back and arm extended above your head will help with bloating. People with this disease can also do various crunches on the mat. They will tone up the intestines.

ICD

By international classification this disease belongs to class K58. The ICD for spastic colitis also defines it as subtypes K58.0 and K58.9. The official diagnosis sounds like irritable colon. Only in the first case is it accompanied by diarrhea, and in the second - not.

Forecasts

Unfortunately, numerous studies have shown that this disease is extremely difficult to cure. For many patients, symptoms persist for a long period of time, and sometimes for a lifetime. But despite this, new medical methods and medicines appear every day. Therefore, there is a chance for recovery. The main thing is not to lose heart and follow all the recommendations of your doctor.

conclusions

Spastic colitis is a common disease. It, like allergies or obesity, is found in most people. This disease causes a lot of trouble to its owner. It disrupts the motor function of the fat and even small intestine. Symptoms of spastic intestinal colitis are difficult to treat. You need to be patient to achieve a positive result. After all, more than a year may pass before a person forgets about this problem.

It is important to note that treatment of spastic colitis should be comprehensive. Here it is important to eliminate pain, restore intestinal motor function and correct the functioning of the gallbladder and stomach. After the first appointment, you will need to go to the doctor regularly until all symptoms of the disease disappear.

Spastic colitis (irritable bowel syndrome) is an inflammation of the mucous membrane of the large intestine. The disease manifests itself increased gas formation and abdominal cramps, intestinal dysfunction. Some patients may experience diarrhea, others may experience constipation, and sometimes these symptoms may alternate.

Spastic colitis is not a serious illness, in fact it is simple functional impairment, since no changes are observed in the colon. Half of the patients who visit doctors with various manifestations digestive disorders, suffer from chronic colitis.

Causes of the disease

To date, the causes of irritation of the large intestine have not been established; it has only been revealed that in patients the colon is more reactive than in healthy people.

Spastic colitis often develops against the background of gastrointestinal diseases: pancreatitis, enteritis, gastritis, dysbiosis and congenital anomalies intestinal development. These pathologies lead to the fact that food reaches the large intestine in an insufficiently digested state, irritating its lining and causing an inflammatory process.

In approximately 3 out of 10 patients, colitis develops after dysentery, salmonellosis and others acute infections. It is often preceded long-term use antibacterial agents, frequent drinking of alcoholic beverages, a sedentary lifestyle and other factors that disrupt the natural functioning of the intestines.

Symptoms of spastic colitis

Symptoms of spastic colitis vary from patient to patient and may include:

Diagnostics

Differential diagnosis of spastic colitis is carried out with FRG ( functional disorder intestines). Accurate diagnosis can be diagnosed using colonofibroscopy and sigmoidoscopy. Thanks to these endoscopic methods detect intestinal tone, evacuation ability and foci of inflammation in the mucosa. In this case it is necessary differential diagnosis with a latent form of ulcerative colitis.

The doctor may also prescribe a stool, blood test, ultrasound, microflora analysis, or a coprogram.

Diet for spastic colitis is very important because it helps restore function digestive system. For diarrhea it is recommended therapeutic diet No. 4, and for constipation No. 2.

For diarrhea, the daily menu should include jelly, fresh fish and meat, porridge, pureed soups and fruit and vegetable purees.

It is necessary to exclude products causing spasm intestines. Avoid avocados, whole milk, fatty meats, whipped cream, cheese, butter, margarine. It is worth increasing the amount of fiber consumed. You need to eat often, in small portions. Consult your doctor before taking a laxative.

Treatment

Drug treatment of spastic colitis consists of normalizing bowel movements and eliminating the manifestations of the disease. During an exacerbation, it is necessary to take antiseptics, but they should not be used for more than 14 days, since they negatively affect the microflora.

At severe cramps It is possible to take antispasmodic and analgesic drugs: papaverine, dicetel. In a hospital setting, cholinergics and adrenergic blockers are used. Drugs of these groups have many side effects, therefore they are used only under the supervision of a doctor.

Calcium carbonate helps reduce mucus production in the intestines. Adsorbents (enterosgel, Activated carbon) save from increased gas formation.

The acidity level and enzyme production are regulated with the help of acidin-pepsin, festal, mezim and pancreatin. Prebiotics (Linex, Hilak Forte) eliminate dysbacteriosis. Vaseline oil Helps gently relieve constipation. Multivitamins help strengthen the body. In terms of physiotherapy, galvanic collars, paraffin and ozokerite applications, pine and oxygen baths are recommended.

Traditional medicine suggests replacing tea herbal decoctions, which may include yarrow, wormwood, calendula, chamomile, coltsfoot, mint and anise seeds. It is recommended to eat gooseberries, radishes, celery, lettuce, and rutabaga.

Prevention

To prevent the disease, it is recommended to avoid stress and anxiety, increase the amount of plant fiber in the diet, and master methods of relaxation and auto-training. It is also important to note individually intolerant foods and drinks, after consumption of which the symptoms of colitis intensify. Typically these include milk, coffee, champagne, chocolate, beer, cornflakes etc. At the first signs of illness, consult a gastroenterologist.

Without similar drugs can be dispensed with when spastic colitis is detected; for other forms of inflammation, antibiotic therapy is necessary.

Patients are prescribed sulfonamides like Sulgin or Ftalazol, as well as Enterol, Metronidazole, Enterofuril or De-nol. Preparations containing hydroxyquinoline deserve special attention. They are able to influence microflora that are resistant to other antibiotics. Such drugs include Enteroseptol, Intestopan, etc.

Patients note the effectiveness of the drug Sulfasalazine in the treatment of intestinal colitis.

Somehow I developed ulcerative colitis - terrible pain appeared, the doctors even had to hospitalize me. It turned out that I had brought myself down with poor nutrition, stress, and even a hereditary tendency to such a disease. The specialist prescribed a bunch of medications, but the basis of therapy was Sulfasalazine. I simply drank it in incredible quantities and every day in different ways - this is what the treatment regimen suggests. Once I even had to take 12 pieces, and the tablets are quite large. But my torment was not in vain, at the end of the course from ulcerative colitis All that remained were unpleasant memories. Effective drug and inexpensive.

Painkillers

Since the disease often occurs with severe pain, painkillers are also prescribed during treatment.

Especially often in such situations, eubiotics like Enteroseptol, Mexase or Intestopan, Enterofuril, etc. are prescribed.
These products contain hydroxyquinoline, due to which their effectiveness increases significantly.
They normalize stool, reduce bloating and eliminate abdominal pain.

Such drugs are practically devoid of adverse reactions, if taken for a short course, only a small number of patients experienced headache and unobtrusive nausea. But with long-term therapy, damage may develop or optic nerves etc.

Therefore, you should not get too carried away with these drugs; they are usually prescribed in 10-day courses. If the treatment needs to be repeated, then at least a month should pass between the courses.

Rectal suppositories

Suppositories are quite widely used in the treatment of colitis, as they have a powerful local anti-inflammatory effect. Rectal suppositories are quite convenient to use at night.

Such drugs help achieve rapid healing and tissue regeneration.

Influenced rectal suppositories is happening fast healing wounds and microcracks in the rectum are eliminated inflammatory processes and swelling of tissues, pain is relieved and bowel movements are facilitated.

The drug should be prescribed only by a specialist, taking into account the form and severity of colitis.

Among the most effective rectal suppositories is Salofalk; this drug is also effective for proctosigmoiditis or proctitis.
Ultraprok, Natalsid suppositories, suppositories with propolis or sea buckthorn, methyluracil suppositories, etc. are also effective.
Suppositories with propolis have a pronounced analgesic and wound healing, regenerating and anti-inflammatory effect.
Methyluracil suppositories stimulate protection at the cellular level, help stop bleeding, and relieve inflammation, which is very important in the development of intestinal colitis.
Sea buckthorn suppositories provide antibacterial, wound-healing and anti-inflammatory effects, and help relieve swelling and itching.

Restoration of microflora

Antibiotic therapy causes a very significant blow to the intestinal microflora, so after such therapy beneficial microorganisms need strong support. For this purpose, patients are prescribed drugs to eliminate dysbiosis and enzyme activity disorders.

Probiotics, which are not considered drugs, have these properties; however, they successfully restore microflora and remove toxic substances. Also, the products in this group help restore stool, improve appetite and eliminate excessive gas formation.

Today, many effective probiotics are known, but their effects are the same, and they differ only in dosage active ingredients and additives, as well as the manufacturer.

Therefore, you need to choose a drug based on prices and medical recommendations. The most by known means similar actions are Probifor and Bifidumbacterin, Bifilis and Lactobacterin, Lactofiltrum, etc.

For enzymatic disorders, taking pancreatin-containing drugs like Mezim, Panzinorm or Festal is indicated. Also restores well intestinal microflora drug Linex.

Normalization of motor skills

Colitis of any etiology is accompanied by spasms of the intestinal muscles. To eliminate them, a technique is indicated antispasmodics like No-shpa, Papaverine, Drotaverine, Platifillina.

You can restore motor skills by taking Cerucal or Motilium.
The drug Duspatalin also helps in eliminating spasms, which, in addition to relieving painful symptoms, accelerates regeneration processes in intestinal tissues.
Resolor or Trimedat perfectly restore peristalsis.

If the need arises, the specialist prescribes bismuth preparations or calcium carbonate, which have antidiarrheal and enveloping properties.

Vitamins and antidepressants

Colitis negatively affects not only the condition of the intestines, but also the well-being of the patient as a whole. Internal discomfort and pain cause irritation and weakness, insomnia and chronic fatigue.

Experts recommend combining these drugs with B vitamins, especially B 6 and B 12. Such injections are quite painful, so it is recommended to take them in tablet or capsule form. These are the drugs Magnicum, Magne-B6 or Neurovitan, etc.

When drug treatment is completed, the patient needs a sufficiently long recovery period, during which you need to take vitamins, immune-strengthening agents and procedures necessary to maintain a weakened body. It is recommended to take probiotics until the microflora is completely restored.

In addition to traditional methods Treatments can also be used, but any remedy must be discussed with a specialist.

It is very useful for patients with colitis after a course of therapy to continue rehabilitation in a sanatorium, where patients receive the necessary dietary food and strengthening and restorative physiotherapy procedures.

Spastic colitis or irritable bowel syndrome (IBS) is a dysfunction of the large intestine in which one or more of these functions are not performed correctly, but the intestines appear healthy according to examination results. IBS can be acute or chronic. What are the main symptoms and treatment of this type of disease?

Symptoms of chronic spastic colitis

Symptoms of chronic spastic colitis are manifested by the following factors, depending on how the function of the large intestine is impaired:

spasmodic pain after morning meals;
malfunction of the body’s cleansing system: constipation followed by diarrhea;
bloating and gas formation;
constant tension in the abdominal muscles;
nausea and lack of appetite;
disappearance pain after defecation.

Many people are in no hurry to visit the clinic even when there are dysfunctional spastic symptoms and carry out treatment on their own, only thereby triggering the course of the disease.

Principles of treatment

Spastic colitis is not difficult to treat. It is important to adhere to a specific focus and personal approach to each patient.

Main therapeutic measures:

following a diet;
taking prescribed medications, including those from the practice of traditional healers;
improvement of psycho-emotional state.

The dietary layout of the food table also differs according to the initial problem: constipation or diarrhea. For constipation, it is necessary to balance animal proteins and fiber to the same volume. For diarrhea, limit food irritants: fat, spicy seasonings, corned beef. Consume food in small portions at least 5 times a day. Legumes, fruits, vegetables, whole grain bread are healthy.

Focus drug treatment divided into antidiarrheal and constipating. In the first case, drugs of the following groups are prescribed: intestinal antiseptics, probiotics, prokinetics, antispasmodics, adsorbents, pancreatic enzymes and agents that inhibit predilection.

Herbal remedies you can take:

juice of onions, potatoes or sauerkraut;
tea from anise or viburnum;
grated apples;
coltsfoot leaf powder;
a collection of oregano, valerian and chamomile;
flax-seed.

Chronic spastic colitis should be treated in combination with physical education, proper nutrition and reduction stressful situations. Noticing symptoms in time and not starting treatment, then positive result will not keep you waiting.

Spastic colitis is also called mucous colitis, and in the last twenty years it has been called IBS - irritable bowel syndrome. This fairly common syndrome has chronic nature course, creates a lot of anxiety and inconvenience for the patient, but among life-threatening not applicable. Treatment modern drugs allows the patient to achieve long-term stable remissions.

What is it - spastic colitis

IBS is not a disease inflammatory in nature. This is a complex complex of motor and secretory dysfunctions of the intestine, accompanied by nervous disorders and psycho-emotional dysfunctions.

Causes of IBS development

The main causes of spastic colitis are individual hypersensitivity sensory receptors walls of the colon and a reduced pain threshold of the patient. Equally important are constant stress and the consequences of psycho-emotional trauma suffered by the patient. Previously suffered intestinal toxic infections can give impetus to the development of spastic colitis.

Symptoms of spastic colitis

The main symptoms of IBS that bring patients to the doctor:

somatic – pain, diarrhea or constipation;
neurotic and psychopathic - anxiety, panic, phobic, depressive disorders.

With spastic colitis, the patient is bothered by pain and general discomfort in the abdomen. Symptoms of IBS also include constipation and diarrhea, or an alternation of both. With constipation, patients feel bloating and flatulence in the abdomen. Characteristic is the appearance of “sheep” feces - tight, hard and dry lumps. With diarrhea, the stool is foul odor and liquid or mushy appearance, may have an admixture of mucus. Spastic colitis is diagnosed if the intensity of pain and discomfort in the abdomen depends entirely on the effectiveness of the act of defecation. A prerequisite is the exclusion of “alarming” symptoms.

Classification of spastic colitis

There are four clinical type spastic colitis:

with constipation, with hard stools in 25% or more of bowel movements;
with diarrhea, with loose stools in 25% or more of bowel movements;
mixed, when constipation alternates with diarrhea;
nonspecific, characterized by a blurred picture of stool disorders.

Etiotropic treatment

Since the leading symptom complex of IBS is pain and dysphagia, the first choice drugs are antispasmodics - drugs that relieve spasms of the smooth muscles of the walls of the gastrointestinal tract. Highly selective myotropic antispasmodics have an absolute advantage in the treatment of spastic colitis, such as:

Symptomatic treatment

Loperamide, which effectively reduces the frequency and improves stool consistency, has proven itself to be effective in patients with spastic colitis with symptoms of diarrhea. The prescription of Loperamide gives an excellent therapeutic result in combination with Dicetel against the background of De-Nol, enveloping agents and sorbents (such as Smecta, Probiform, Neosmectin) and probiotics.
De-Nol gives positive effect in patients with diarrhea on the second day of treatment, providing stable remission after two weeks of treatment. In most patients, the pain syndrome and flatulence. Stool culture shows a decrease in the population of opportunistic flora and an increase in the population of bifidobacteria and lactobacilli.
Duphalac®, Lactulose, at a dose of 30 ml per day, prescribed in combination with Mebeverine for a month, is effective in treating patients with constipation. This treatment regimen leads in almost 95% of patients to the disappearance of pain, normalization of stool, and absence of straining during bowel movements.

Treatment with dopamine receptor inhibitors

Sulpiride, Eglonil®, Prosulpin® – selective inhibitors dopamine receptors - have an effect simultaneously on both motor dysfunction of the gastrointestinal tract and psychosomatic disorders, have anti-asthenic, antidepressant effects and help improve cognitive functions. Eglonil has antiemetic and antidyspeptic properties. Clinical studies the superiority of treatment with Eglonil compared to conventional treatment has been proven basic therapy spastic colitis. Eglonil tablets are prescribed three times a day, 50 mg for three months.

Other treatments

If symptoms of depression are detected in patients with spastic colitis, antidepressants or SSRIs are prescribed. Treatment of spastic colitis is successfully complemented by the effect of physiotherapeutic methods and courses physical therapy. For any type of IBS course of treatment, except medications, should include confidential contact between the doctor and the patient, courses of psychotherapy and recommendations for rationalization of nutrition.

Diet for spastic colitis

For IBS, the prescribed diet should take into account the type of disease:

For the type of flow with diarrhea, limit the use gas-forming products, vegetable fiber, fats and milk.
For the type of flow with constipation, increase the presence in the diet of foods containing a sufficient amount of coarse dietary fiber, bring the daily volume of fluid intake to two liters, introduce it into the daily routine frequent use food with mandatory breakfast.