Experts interviewed: Wu Kaichun, executive vice president of Xijing Gastroenterology Hospital, Air Force Military Medical University
Recently, many readers have called the newspaper, saying that they often feel abdominal pain, anger, especially when they are agitated, accompanied by frequent diarrhea. Professor Wu Kaichun, executive deputy director of the Xijing Gastroenterology Hospital of the Military Medical University, told the Life Times reporter. There is no lack of such patients, if you continue or intermittent abdominal pain, diarrhea, constipation and other conditions for more than 3 months, the examination found no problems, we must suspect whether IBS.
Irritable bowel syndrome is a common functional bowel disease. Symptoms include abdominal pain, abdominal distension, bowel habits, and changes in stool characteristics. Diarrhea-dominated type, constipation-predominant type, and diarrhea-constipation are alternately mixed, and the results are generally not pathological. Changes. The characteristics of the disease that distinguish it from other diseases are: Longer onset time, 3 months or more in patients with chronic recurrent abdominal pain, pain areas mostly in the left lower abdomen, and pain in the umbilical cord. Abnormal frequency of defecation (per Less than 3 times a week or more than 3 times a day, the symptoms can be relieved after the stool. Obviously during the day, reduce after nighttime sleep.
The prevalence of irritable bowel syndrome in China is about 5% to 7%, and it can be affected in all age groups. The young and middle-aged groups work under pressure and have many bad habits. The prevalence rate is as high as 15%. Women are relatively frequent, male and female. The ratio is about 1:2. 2. It also occurs in the elderly population, but there is a declining trend with age. The disease is not life-threatening, but it has a long duration and seriously affects the quality of life. Many patients are chronically troubled by abdominal symptoms and are emotionally excited. One angry, it is easy to abdominal pain; can not sedentary, afraid to go far away or take a coach, long time easily lead to anxiety, depression and other psychological diseases.
Wu Kaichun said that the pathogenesis of irritable bowel syndrome is not yet clear, and it is related to abnormal gastrointestinal motility, visceral sensory abnormalities, abnormal brain and intestines, inflammation and mental health. Many patients have a treatment of intestinal signals by the central nervous system. And dysregulation, the intestine is more sensitive than the average person. People who have been traumatized in childhood are prone to disease. People with dysentery, enteritis and other history of intestinal diseases are also susceptible to the crowd. Irritable bowel syndrome after acute intestinal infection The probability is greatly increased.
The disease mainly relies on the diagnosis of symptoms, and through colonoscopy, stool tests and other tests to rule out organic disease. No surgical treatment, generally for the treatment of different symptoms of comprehensive medication. Relieve abdominal pain, diarrhea drugs can inhibit intestinal peristalsis. Runchang Laxative drugs can promote bowel movements and relieve constipation. In addition to symptomatic medications, they can also use probiotics to improve the environment of the intestines. Doctors also use drugs to reduce the sensitivity of visceral nerves, and with psychotherapy.
Wu Kaichun suggested that patients should adjust their daily life, work rhythm, reasonably cope with stress, and maintain mental health. Avoid cold, greasy and spicy foods. Sensitive people should adjust the type of diet and temperature according to their physical condition. Maintain personal hygiene and regularity. Life. Get medical attention as soon as possible when you are in serious condition. Don't ignore illnesses.
