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Irritable bowel syndrome: symptoms and treatment, drugs

Irritable bowel syndrome is found in more than half of the patients who applied to the doctor for intestinal disorders. In the case of this disease, the symptoms and treatment of irritable bowel syndrome are closely related, since the main therapy is aimed at eliminating the symptoms.

This pathology is equally common in children and adults. Consider what constitutes IBS and how to treat it.

What it is?

Irritable bowel syndrome (IBS) is a violation of the motor function of the large and small intestines, which is not associated with organic lesions.

Irritable Bowel Syndrome

It is characterized by painful sensations of varying degrees of intensity, problems with the stool and other symptoms that have been troubling the patient for several months. Other names for the disease are intestinal dyskinesia, spastic colitis, irritable bowel.

With IBS, no study can detect any changes that could be the source of the problem, but the patient continues to experience unpleasant symptoms of irritable bowel.

The reason for this condition can be a number of factors:

  • neurotic disorders;
  • vegetative dystonia (malfunction of the autonomic nervous system);
  • genetic predisposition;
  • hormonal imbalance;
  • stress, depression and conflict situations;
  • unhealthy diet;
  • dysbacteriosis and other causes.


Symptoms of irritable bowel syndrome

Symptoms of irritable bowel syndrome

What happens to the intestines in IBS? In various parts of the colon and small intestine, temporary spastic or atonic changes occur, and more often a combination of these types of disorders.

They lead to functional disorders of the intestinal function, absorption and digestion of food are disturbed, and fermentation processes are activated. Consider the symptoms of irritable bowel syndrome:

  1. Disorders of the chair. One part of patients complains of diarrhea, others are worried about persistent constipation. Constipation may alternate with diarrhea. Diarrhea is usually observed in the morning or after eating. In feces, patients often notice the presence of mucus.
  2. Pain in irritable bowel syndrome in the abdomen does not have a clear localization. Disturbed by discomfort, a feeling of pressure, less pain intense by the type of colic and spasms. Such pain lasts from a few minutes to 3-4 days. Patients often confuse this condition with an exacerbation of an ulcer or an attack of appendicitis.
  3. The feeling of incomplete bowel movement and false urge to act to defecate.
  4. Other signs: bloating, belching, heartburn, increased gas formation, nausea, urge to vomit, loss of appetite, weakness, weight loss, etc.

The severity of symptoms can vary greatly from person to person. In one patient, the disease is almost not manifested, and in another it causes painful painful attacks in combination with vomiting and diarrhea.

Depending on the prevalence of certain symptoms, there are three forms of IBS:

  • IBS with a predominance of diarrhea;
  • IBS with a predominance of constipation;
  • IBS with a predominance of pain and flatulence.

This classification helps to determine the tactics of treatment.

Irritable Bowel Syndrome in Children

The disease often occurs in childhood and adolescence. Some patients outgrow it, and the rest it lasts throughout life.

In children, the psychoemotional component becomes a frequent provocative factor: conflicts with parents, problems with studies, high workload, etc. The variety of complaints of a small patient and atypically satisfactory general condition of the child attracts attention.

The situation is as follows: the child often and often complains of pain and problems with the stomach and at the same time he normally is, sleeps and plays. Parents can not see the problems and decide that the baby simulates. At the other extreme, it is suspected that the child has a severe pathology and begin to treat it independently.

A characteristic symptom of IBS in children is discomfort or pain in the abdomen. Going to the toilet brings relief, and stool frequency increases up to 3-4 times a day or constipation worries. There may be a change in the appearance of fecal masses.

These signs should alert parents and doctors for IBS.

Treatment of irritable bowel syndrome, drugs

Preparations for the treatment of irritable bowel syndrome

The treatment of irritable bowel syndrome depends on the symptoms and their severity. First of all, they pay attention to the state of the psycho-emotional sphere of the patient and, if possible, correct it. In parallel, they select the optimal diet and normalize the day regimen.

They use various physiotherapeutic procedures and select moderate physical exertion.

Drugs for the treatment of irritable bowel syndrome help to cope with the unpleasant symptoms of the disease and are prescribed if all of the above measures have been ineffective:

  • Antidiarrheal (Loperamide);
  • Laxatives Use as homeopathic laxatives (castor oil), and medicines (Lactulose). In severe cases, resort to enemas;
  • Preparations normalizing the intestinal microflora (Enterohermine, Linex and others);
  • Painkillers (No-shpa). Apply with severe pain syndrome;
  • Sorbents (Enterosgel, Polifepam);
  • To reduce flatulence (Simethicone);
  • Sedatives and sedatives;
  • Homeopathic remedies and decoctions of medicinal herbs (oak bark, marshmallow, licorice, chamomile, etc.).

Treatment of irritable bowel syndrome is largely determined by the symptoms of the disease and is chosen by the attending physician based on the data of the entire clinical picture. Before the start of drug treatment, they try to cope with the disease by correcting diet, psychotherapy and physiotherapy.

Diet with IBS

Any form of irritable bowel syndrome implies diet - nutrition should be frequent, divided and varied.

If the patient is dominated by constipation, then the diet includes foods rich in fiber, decoctions based on prunes, cereal and wholemeal bread. If IBS with a predominance of diarrhea, then exclude products that increase intestinal motility (milk, muffins, fatty meats, coffee, spices, vegetables, etc.).

The patient is recommended to have a food diary and monitor the body's response to certain products.


Preventive measures include:

  1. Relieving stress and treating depression.
  2. Normalization of the day and the nature of power.
  3. Weight control.
  4. Moderate physical activity.
  5. Normalization of intestinal microflora.

Monitoring of such patients is carried out for several years before they are removed from the dispensary registration in the absence of symptoms.

Long-existing functional disorders can lead to the development of organic pathology (erosion, ulcers, inflammation, etc.).

What doctor to contact if you suspect IBS?

The gastroenterologist or therapist (in the absence of a gastroenterologist) is engaged in the diagnosis and treatment of this problem. The diagnosis is made on the basis of the exclusion of any possible organic pathology in the presence of typical symptoms of IBS.

The specialist will suggest to undergo a series of examinations in order to exclude other probable diseases and only after that will suggest the presence of IBS.

Irritable bowel syndrome is a functional disorder of the bowels that manifests itself in abdominal pain, stool disorders and other symptoms. The disease develops in both adults and children, and is subject to medical correction.

Mary kay
2018-02-15 05:31:13

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