Functional disorders of the digestive system affects more than twenty percent of the adult population of the planet. The presence of IBS is indicated by the following factors:
- Changes in the motor functions of the digestive tract.
- Presence of periodic pain syndromes in the abdomen.
According to pathogenetic signs, the disease is divided according to the type of stool:
- With predominance of obstructed defecation.
- With diarrhea.
Irritable bowel syndrome with constipation is characterized by a delayed passage of intestinal contents. The motor function of the intestine is affected by many factors, including the nervous system and the effect of gastrointestinal peptides. According to the definition of ICD-10, IBS with constipation is a complex of disorders of bowel functions continuing more than a quarter.
Given that the IBS primarily reflects the disturbance of the regulatory process in the nervous system, in patients with constipation IBS, a pathological reaction to the disease manifested in depression, hypochondria, and hysterectomy is noted. The main symptoms of IBS with constipation are:
- Pain syndromes, which can be sharp or blunt, cutting, aching, cramping, burning or flushing.
- Solid or bean-shaped feces constituting at least a quarter of all acts of defecation.
Diet with IBS with constipation
Given that the disease is not associated with organic disorders, but has a functional character, the treatment of irritable bowel syndrome with constipation is divided into two stages:
- Primary course, providing for clarification of the diagnosis and elimination of symptoms.
- Basic therapy, including diet and medications.
The list of studies includes various analyzes, ultrasound and sigmoidoscopy. The main emphasis in the treatment of IBS with the predominance of constipation is done on the organization of nutrition. Nutrition in irritable bowel syndrome with constipation provides for the cancellation or restriction of the use of foods that contribute to constipation, and the intake of large amounts of liquid. In the menu with IBS with constipation must be present food, rich in so-called ballast substances. A fiber-rich diet with IBS with constipation in combination with vegetable oil and onions gives a fairly strong relaxation effect, facilitating the acceleration of fecal matter.
Menu with IBS with constipation is developed individually for each patient, taking into account the characteristics of the body. It is useful for a patient with IBS with constipation without the urge to defecate to "food" records, which record the products used for cooking and the reaction of the body to every meal. Such records allow you to exclude unwanted products or change the order of their application.
Approximate diet with irritable bowel syndrome with constipation includes cereals in milk, fruit salads from apples, peaches, kiwi, with yogurt, salads from beets, cucumbers, tomatoes. From meat dishes in the diet, you can include baked chicken breast, azu from beef, broth or soup from low-fat varieties of meat. Beans, cabbage, peas, buns, as well as coffee, chocolate are categorically unacceptable in IBS without the urge to defecate.
Treatment of IBS with constipation
The basis of abdominal pain is smooth muscle spasm and therefore, in the first place with IBS with constipation use drugs from the group eliminating spasms of smooth muscles. Especially effective for the control of complicated bowel movements is the use of such modulators of the gastrointestinal motility as eglonyl, metoclopramide, cisapride. To normalize bowel function, use Mukofalk, which does not irritate the mucous membrane.
Forlax facilitates bowel movement by increasing the fluid content and softening the stool. With insufficient effect of diet and antispasmodics, mildly acting laxatives, such as magnesia, lactulose, are recommended. Annoying laxatives in this case are categorically contraindicated, since, provoking spastic bowel reduction, cause additional pain.
If the gastrointestinal symptoms are aggravated by stress and psychological factors, antidepressants or selective inhibitors are prescribed. To eliminate the symptoms of irritable bowel syndrome with constipation, herbal preparations are an effective and proven method. The main thing in this method of treatment is systematic and constancy. Phytotherapy does not give such a quick effect as medications, but there are no side effects, and the result is prolonged for a very long period. Excellent relaxes the musculature of the intestinal infusion from the Canadian yellow-root, chamomile, medicinal marshmallow, peppermint and dioscorea. The patient should include this infusion in daily nutrition with IBS with constipation. To improve the effectiveness of the fight with a difficult chair, you can use cooking or roasting while cooking.