IBS with diarrhea( irritable bowel syndrome with diarrhea), symptoms, drug treatment, diet and nutrition, ICD-10 code, how to treat?

Irritable bowel syndrome with diarrhea is characterized by pathological changes in the colon microflora. The solution of this problem is carried out in two directions - without the use of medicines and medicamentous. The choice of how to treat IBS with diarrhea depends on the age of the patient and the degree of intensity of manifestation of the main signs of the disease.

This phenomenon as diarrhea serves as a characteristic feature for many diseases of internal organs. It is most pronounced in acute infectious diseases and inflammatory processes of internal organs, and it is of a short-term nature( less than 2-3 weeks).For organic and functional disorders of the digestive tract is characterized by chronic diarrhea. A distinctive feature of diarrhea in irritable bowel syndrome is the mandatory presence of abdominal pain. Another distinguishing feature of IBS with diarrhea is associated psychopathological processes( anxiety, depression, etc.).In addition, a loose stool, as a rule, is accompanied by the release of mucus.

Treatment of IBS with diarrhea

The organization of nutrition in irritable bowel syndrome with diarrhea is a fundamental factor in the success of the treatment of the disease. Initially, it is necessary to exclude from the menu in irritable bowel syndrome with diarrhea products that most often cause rejection, individual intolerance. This applies to dairy products, whole grain products. With diarrhea from IBS, the body loses fluid. Acceleration of the passage of food masses leads to leaching of nutrients.

Diet with IBS with diarrhea provides fruit and berry jelly and jelly, white bread crumbs, porridge on the water. Useful for inclusion in the diet for diarrhea boiled lean meat, fish, boiled vegetables, sour-milk products. Given that the development of IBS with a predominance of diarrhea associated with the consumption of fatty, spicy foods or alcohol, which are stimulants of the motor activity of the intestine, it is necessary to exclude the consumption of these products in the daily diet. The effectiveness of the diets due to diarrhea in irritable bowel syndrome largely depends on the observance of the basic principles in the formation of the diet, including:

  1. The meal is done regularly, in small portions and often at least 4-5 times a day.
  2. Restrict the use of carbonated beverages, sweet dishes, baking from yeast dough, gas-forming products.

Diet in irritable bowel syndrome with a predominance of diarrhea in the first place should have a fixing effect. The fixing effect of carrots, potatoes, low-fat cottage cheese, yogurt, boiled fish or low-fat meat, egg boiled egg, tea, jelly. Such an effect is enjoyed by vegetables and fruits in a boiled or baked form, so they can be included in the diet menu in the treatment of IBS.To exclude from the diet products related to those that are not transferred on an individual basis, it is recommended to keep special records. Writing down your feelings after eating can exclude foods that provoke diarrhea.

Drugs for irritable bowel syndrome with diarrhea

Treatment of irritable bowel syndrome with diarrhea medications is used to eliminate symptoms on the basis of which a person has sought medical help. That is, it is an acute manifestation of the course of the disease and possible complications, when it is necessary to take urgent measures to eliminate diarrhea. To this end, the following groups of drugs are used to treat IBS with diarrhea:

  • antispasmodic;
  • antibiotics;
  • antidepressants;
  • blockers and activators of serotonin receptors.

In addition, information-wave therapy, massages and special physical exercises are used. In this disease for the slowing down of muscle contractions use antispasmodics such as No-shpa, Papaverin. One of the most effective, being the undoubted favorite among the remedies for IBS with diarrhea possessing a powerful antidiarrheal effect, is Loperamide. Related to agonists of t-opiate receptors, Loperamide slows the rate of passage of fecal matter, increases the level of absorption of fluid and electrolytes in the gut.

Strengthening the inhibition of motility, the drug increases the resistance of the walls of the rectum to stretching. Used in the form of a tablet of IBS with diarrhea Loperamide is convenient for use with nausea, vomiting, difficulty in swallowing, as it does not need to be washed down with water and it dissolves quickly. In psychosomatic disorders, when abdominal pain is combined with diarrhea, drugs with anticholinergic properties are used.

Antidepressants for IBS with diarrhea, appointed after consultation with a psychotherapist. The most effective of this group of drugs are antidepressants from the tricyclic-lerivon group, amitriptyline. In addition, Fluoxetine, which is an inhibitor of serotonin reuptake, is also prescribed. At the same time, the relief of the symptoms of the irritable bowel syndrome itself is combined with the analgesic and neuromodulatory effects of medications. For the treatment of vegetative disorders of a very pronounced nature, Egonil is used.

The use of antidepressants is directed at treatment:

  1. The accompanying pathologies of psychoemotional character are anxiety, depression and others.
  2. Hypersensitivity, impaired secretion and motor function.

When prescribing antidepressants, it is necessary to conduct explanatory work with the patient, as some are suspicious of drugs prescribed for mental disorders. According to the ICD-10 code of IBS with diarrhea has the designation K58.9.When diagnosed with ICD-10 IBS with diarrhea, the quality of life is much worse. This is due to the possibility of a sudden attack of diarrhea, increased gas production, the release of gases with an unpleasant odor. Therefore, the question of how to live with IBS with diarrhea becomes very important.

In the treatment of IBS with diarrhea, along with diet and drug therapy includes the use of drugs, decoctions and tinctures from the arsenal of traditional medicine, as well as physiotherapy and exercise. Excellent helps to eliminate diarrhea, collecting herbs from horsetail, wormwood and yarrow. To calm the intestines and the nervous system, the herb of the motherwort or valerian is effective, which is taken in the form of tea. In the treatment of IBS, diarrhea is effective with a bath of warm water, into which lavender, mint or melissa essential oil is added, are very effective for stopping signs of irritation. If the main symptoms of the disease is a loose stool, then basically the urge to defecate appears in the morning after eating or even during a meal.

Liquid stool, the so-called "bear disease", with irritation of the intestine is provoked by a strong emotional arousal in a stressful situation, feelings of anxiety or fear. This type of disease is accompanied by bloating, pain in the lower esophagus, preceding the sudden urge to empty the intestines, which subside after defecation. Soviets, how to cure IBS with diarrhea, there is a large number, but the main thing is to strictly follow the medical recommendations and consistency in their implementation. Outpatient treatment should be carried out for a long time, with an annual examination, and do not forget about proper nutrition in IBS with diarrhea.

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