Spastic colitis. Spastic colitis: symptoms, treatment, eating Chr spastic colitis ICD 10

Hanna Novikova

For international reasons, spastic colitis is a functional disorder of the intestine, which is accompanied by pain and other uncomfortable sensations in the empty stomach, the intensity of which decreases after the act of defecation. Painful syndrome of bandages with impaired deformity (frequency, type, consistency) and trivae over the liver.

The irritable bowel syndrome (another name for spastic colitis) significantly affects the quality of life of patients. The diagnosis is made in that case, as the complex of appointments of the damage is prone to no less than three months for the rest of the quarter.

Spastic colitis of the intestine - classification

According to MKL-10

Internationally recognized classification of contagious spastic colitis of the intestine up to class K58, subtypes K58.0 and K58.9 (likely colitis that is accompanied by diarrhea, and without it).

Behind the character of the ruined style

Іsnuє chotiri types of this ailment, which differentiate between themselves for the changes of the defect.

It's a pity that not all patients in the country can reasonably evaluate the change in their style. Deyakі їх pіd diarrhea mаyut іn uvaѕі frоm spožnennya, scho suprovodzhuєєєєєєєєєєєєєєє є kalovy masami; In case of constipation, there may be discomfort in the area of ​​the anus and rectum during defecation.

Causes of illness

Before the development of spastic colitis, induce a complex of the most common causes, among which one can name stress, taking antibiotics, infections. There is a theory about the immovable mechanism of forming the IBS: the illness is blamed through the increased activity of the other parts of the IBS.

I want to go through the grassy tract to such a manifestation, like peristalsis. As the peristalsis becomes too strong and abnormal, a pain syndrome develops. This explains the timchasial character of the clinic: the strength of the peristalsis is changed by schohvilin.

Influencing similar activity can be such factors:

• trivaliy taking antibiotics to reduce the intestinal microflora;
• increased activity of the autonomic nervous system: disruption of the nerve regulation of the intestine. An important role for whom they play:
• increased emotion and stress;
• chronic upovilnena infection of bacterial or viral nature, zdatna periodically provoking attacks of aggravation;
• individual intolerance to foodstuffs (in the lowest number of cases).

Symptoms

Clinic

All symptoms that accompany chronic spastic colitis can be divided into the following groups:

• intestines;
• kargi on іnshі vіddіli ShKT;
• skargi, which should not lie before gastroenterology.

Diagnosis Spastic colitis of the intestine is comorbid due to the presence of scarg of all three groups.

Pererahuemo peculiarities of symptoms:

1. Illness characterizes the number of insignificances. There is the past, and you can be dull, prickly, or baked, which twists; localized sound at the lion's air outlet.

In a standing position, pain in the subcostal area is indicated. The intensity decreases when the sick person moves in a horizontal position with the trochs raised by the pelvis. A typical decrease in the intensity of the pain syndrome after menstruation, degeneration, release of gases, implantation of antispasmodics, during menstruation. At night, pain does not sound turbulent.

1. The symptomatology is the least pronounced lie. If you notice bloating in the abdomen.
2. Diarrhea develops after taking a meal. The frequency of active defecation - from two to four years of sleep. Carrying is often accompanied by tenesmus - pardoning postures and signs of frequent emptying. The first style calls for decorations. The amount of feces for doba is no more than two hundred grams. At night the diarrhea is not turbulent.
3. Spastic colitis due to constipation is characterized by fragmentation of deformities (on a lump of "sheep", "plugs"). Later, rare sightings may appear. Kali may have mucus. I'm not guilty of pus of bloody houses!

Additional symptoms

The designated clinic cannot be considered pathognomonic for IBS, because all symptoms can be exacerbated in other diseases of the gastrointestinal tract. Prote chronic spastic coli t is often accompanied by scars on dyspeptic disorders: baking, tedium, swelling and non-gastroenterological symptoms.

The rest includes headaches, appearing pain in the area across, m'yazyv, gloomy, almost internal tremtonya. There are more often cuts, more often such a night, watching the full cut mikhura after the first emptying. In such patients, there is often varto voicing on weakness to emotional breakdown: zavoi іpochondrії, depressiveness, anxiety; sleep problems.

Sliding respect for the innocence of the obligatory obligation to dosit to the self-confidence and the trepidation of the ailment.

Respect! With the appearance "anxious symptoms" in the sight of a sharp decrease in the vag, the nightly chi of the post-pain, the progression of the ailment, it is necessary to pass outside the obstezhennja shkodo oncology. The suspicion of another pathology is also to blame for that fall, as if some of the patient's relatives had ailments for colon cancer, nyak, celiac disease or Crohn's disease.

Diagnostic series

Spastic colitis of the intestine following differentiation from:

• pіdslunkovoyu insufficiency;
• endocrinological pathology;
• celiac disease;
• enzymatic deficiency (lactase, disaccharidase);
• other inflammatory diseases of the intestinal tract (NUC and Crohn's disease);
• colitis of another type (for example, pseudomembranous);
• diverticulosis;
• syndrome of superfluous bacterial growth.

obstezhennya

Suspicion of chronic spastic colitis due to complex obstruction that develops from the onset of attacks:

1. Vіdmova vіd vikoristannya UZS and colonoskopiї, yakshcho skargi of the patient to meet international criteria for the presence of "alarming symptoms". Similar pidkhid helps to incapacitate diagnostic pardons.
2. There are such studies as biochemical and clinical blood tests, analysis of the concentration of certain hormones in the blood (for the exclusion of endocrine pathology), analysis of the section and feces (including those for blood), analysis for herbal enzymes. For obvious reasons: FGDS, ultrasound, colonoscopy, too.

Treatment of spastic colitis

Patient satisfaction is made up of three components:

1. diet,
2. medicinal preparations (folk medicines),
3. psychotherapy.

Why lie in the liquor after the appointment of a doctor: the therapist chi gastroenterologist is guilty of formulating in the patient a viable look at the liquor strategy, explaining to you the essence of the disease, rozposti about possible side effects on therapy.

Diet is the right food

Dietary food for skin ailments for spastic colitis is selected individually and is taken as a variant of pathology. However, є th global recommendations:

Medical care

The preparations prescribed by a gastroenterologist for spastic colitis can be divided into such groups:

• for liquidation of pain syndrome;
• for usunennya diarrhea;
• for constipation;
• combinations of products;
• probiotics;
• psychotropic.

1. The first group includes antispasmodics of the most addictive mechanism of diuresis: blockers of calcium and sodium channels, as well as M-anticholinergics (halfs of hyoscine, pinaveria). To lie down to the first preparations among practical recommendations for patients with spastic colitis.
2. Elimination of diarrheal syndrome. Vykoristovuyutsya loperamide - lopedium, probiotics (about them troch below), "intestinal" antibiotic rifaximin, smecta. Kozhen zasіb maє recognition.

- adding to the consistency of feces, reducing the intensity and quantity of tenesmus. Doesn't apply to pain syndrome.

Smecta- a good three-time intake of the drug, based on the results of testing, additionally improve the quality of life of ailing people with IBS, reducing the severity of such symptoms, such as bloating, flatulence, abdominal pain.

Rifaximin effectively eliminate diarrheal syndrome, reduce bloating. Oskіlki spastic colitis - chronically ill, then the trivale of victorious rifaximin is guilty of zdіysnyuvatisya for the confession of a doctor.

1. Usunennya constipation. Here an important role is played by recommendations on the diet of eating. Slid zbіlshuvati obsyag vzhivannoї klіtkoviny and rіdini, okrem respect to give an active way of life. However, without stopping medical treatment, the effect of such recommendations can be reduced to a minimum. Call out to declare:

Forward, what to infuse on osmosis: lactulose, macrogol 4000 - to trap water at the intestinal lumen, to take stool without discomfort;

Preparations that stimulate intestinal motility, for example, bisacodyl;

Speech, scho zbіlshhuyut obsyag feces and pratsyyut for the reflex principle (plantain), razrіdzhuyut masi, roblyachi їkh consistency m'yakshoy. Chi does not work on the mucosal wall of the intestine, do not cry out to the ringing syndrome. Such food fibers, like visivka, are simply ineffective in times.

Triviality of therapy by appointment does not outweigh two types.

1. Speech to give a complex injection on the symptoms of illness. It does not only reduce the severity of abdominal pain syndrome, but also normalizes the deformity (its consistency and frequency). Among them, trimebutine maleate can be considered. Denmark is safe and safe in case of trivial survival, even more effective in the treatment of IBS.

1. The effect depending on the choice of the group of preparations should be assessed in a month from the cob. In IBS, it is recommended to take care of vicorists to fight S. Thermophilus, B. Infantis, L. acidophilus, B. breve. Vimogi to probiotics:

• the amount of bacteria in one capsule is not less than 109;
• the appearance of the shell, rozchinnoy less in the intestines.

On the territory of the Russian Federation, a medical zasib is issued, splitting it up especially for those who are ill with spastic colitis and vouching for the most important ailments and warehouses.

1. For psychotropic medicinal purposes, drugs of the SIZZS group (for example, fluoxetine, escitalopram, paroxetine), as well as tricyclic antidepressants, are considered. Їх vikoristovuyut for influx on the emotional change and reduction of pain syndrome in the abdomen. It's a pity, the sickness is filthy sick before therapy with psychotropic speeches, and in the thirds of the depressions, they take it on their own. Regardless of the high efficiency, information about the safety of psychotropic diseases and their tolerance to infections is not enough.

Psychotherapy

Hypnosis, psychotherapist's consultation with active psychological support, as well as cognitive behavioral therapy can be added to the treatment methods for spastic colitis with proven effectiveness. Possibly randomized studies have shown the possibility of victorious treatment in the case of any illness of such techniques as acupuncture and relaxation.

Not all patients are ok to exultation of their illness. The rich don’t like the idea that they happen to take too much (in their opinion) medical benefits. The stench vvazhayut tse oburlivim.

Deyakі ailments vvazhayut for more beautifully go into the recipes of folk medicine.

1. Anise tea, which helps with flatulence, helps with flatulence.
2. Sik agurusu - an effective treatment for abdominal pain and diarrhea.
3. To torment constipation - in addition to the rose of spicy fermented cabbage for the winter.
4. Harbuz, brukva - miraculously carried.
5. The fruits of the blackberry have a look: syrup, tincture, dried berries - help to restore the broken intestinal motility.
6. In the ignition process, add fresh apples and thorns. The apple is due to medium hardness, rather than a trio of sourness.
7. In case of flatulence, it is additionally taken from the motherboard, valerian and chamomile at a ratio of 5:1:5. Preparations of nastya drink 100 ml of biscuit on the day after you go (after 30 quills).
8. Parts of constipation can be overcome for help infusion of lyon. Fresh flax is brewed with dill (one tea choven per bottle).

Forecast

Official medicine has no unequivocal thoughts about the flow of spastic colitis. In the course of numerous trials, it was determined that, regardless of the therapy, which is actively carried out, the clinic of illness in the greater part of the ailments is saved, the prote is not helped. The chance of usunennya symptomatology for a long period of time becomes close to 40%. Before the situation, which negatively affects the prognosis and overcoming illness, you can see:

• poor patient care before therapy;
• variant of colitis with overdose of diarrhea;
• chronic autonomic syndrome, parts of stress;
• the anxiety of the ailing on the risks of his own ailment;
• seriously ruined the quality of life;
• trivaliy perebig;
• concomitant neurological and psychiatric pathology.

Source: stopgemor.ru

Spastic colitis is a disruption of the intestinal function, as it is manifested by pain in the abdomen, constipation and diarrhea (through rashes), it is one of the forms of inflammation of the colon. Painful spasms - one of the signs of colitis - are caused by impaired intestinal function, spasms can occur in other intestinal tracts, through which the localization of pain changes.

Tsya form of inflammation is important for functional discord.

Illness is blamed on the nerves - through trival experiences, stress, conflicts, physical and nerve changes, hormonal disorders.

People are more likely to suffer from spastic colitis, more for everything, it is connected with it, that for the female body the power of the hormonal balance on the aphids of the menstrual cycle, vaginess or low.

ICD-10 code

Spastic colitis code for MKH-10 is K-52 (non-infectious gastroenteritis and colitis).

ICD-10 code

K50-K52 Non-infectious enteritis and colitis

Causes of spastic colitis

The main cause of illness is the wrong eating - often the use of food, important food, alcohol.

It is not uncommon to develop colitis to produce chronic constipation, parts of conflict, various fears, emotional shock, including, hormonal disorders, intestinal infections (especially in protracted forms). Also, provoking inflammation of the intestines can be an allergic reaction to hedgehog.

Symptoms of spastic colitis

Impaired intestinal motility is accompanied by painful spasms, abdominal distension, gas production. Pain is often blamed at night, lies, or afterward.

Also, spastic colitis is manifested by rare deformities and constipation.

Chronic spastic colitis develops through a lack of ration of cells, so provoking discord can often strangle calls to defecation.

With this form of illness, the patient suffers from insomnia, headache, toma. The process of bowel movement can be observed in 2-3 stages, as it is more important dry and thin. Jubilation at the time of trivale and vimagaє dotrimannya of singing rules.

Constipation is one of the manifestations of spastic colitis.

When ill, an important role is played by eating, which can be changed by showing unacceptable symptoms.

Deyakі products can provoke constipation, it is important to take care of the reaction of your body to the zhu (as after the introduction of these products, problems with defecation begin, the discomfort appears sooner in the vіdmovіtієі vіd vіd vіvannya їїї їzhі).

The main symptoms of spastic constipation are severe abdominal cramps, bloating, grumbling, and increased gas production. Defecation at times occurs once in a few days.

Spastic colitis in children

Spastic colitis in children is often blamed as an aggravation of infectious diseases of the intestinal tract (intestinal, rotavirus infection, etc.). Illness causes a high temperature, carrying (on the cob may be constipated), bіl, mucus or bloody houses in feces (deposit due to infection), weakness.

These signs of colitis in children show up in a few days (half after 3 days), in their own colitis often occurs at the same time from gastritis and enteritis. In zanedbanih vipadkah, children may start to get stronger water.

The use of enterosorbents, antibiotics, preparations for improvement of water and electrolyte balance. Self-mocking at times is unacceptable.

In chronic spastic colitis, children experience dull pain in the abdomen, impaired deformity, restlessness, sleeplessness, low hemoglobin, decreased vaginitis. Illness proceeds in a sickly manner, guests of the attack change with trivial remissions.

Prolonged colitis can cause intestinal obstruction, anemia, adhesions in the intestine, inflammation of the peritoneum.

Parts of diarrhea and constipation can provoke fissures of the anus, bowel leakage, changes in the mucous membrane.

Under the hour of rejoicing, I especially respected the next to add food to the child - zha maє be sparing for the intestines, thermally fermented. From the children's menu, next, turn on hot, sour, salty, lubricated.

The child is obliged to stay in a calm environment, not to get nervous and physical preoccupations. It is recommended to take mineral waters for normalization of etching, spa treatment in the period of remission.

Diagnosis of spastic colitis

With spastic colitis, various symptoms are observed. The characteristic signs of this disease are abdominal cramps (or no pain), most often due to the left airway region, as well as impaired constipation (severe stilettos and constipation).

On the look around, the fahivets under the hour of palpation can indicate the pathology of the intestine (expansion or shortness).

In case of suspected spastic colitis, endoscopic follow-up is prescribed - a look at the mucous membrane of the rectum for the help of a sigmoidoscope or a special probe, which reveals inflammation processes, atrophy, intestinal dystrophy, mucus engorgement (signs of illness).

In the acute stage, the mucous membrane of the fluff is covered with erosion, punctate hemorrhages.

With atrophy of the intestines, mucus is pale, covered with a thin mesh of vessels, dry (shards of daily mucus), intestinal tone decreases.

To exclude other pathologies, there may be appointments of ultrasound, a deep analysis of blood, sechi, feces, and further examination of fecal masses in the laboratory for the detection of pathologies of CT.

Treatment of spastic colitis

The principle of treatment of spastic colitis based on the normalization of deformity and reduction of unacceptable symptoms. In the period of confinement, antiseptic preparations are prescribed, which, in a short hour, improve self-esteem, the prote does not follow the recommendations of the course of treatment, scalings of infection can damage the intestinal microflora.

To relieve pain, spasmolytics (No-shpa, Decitel) are prescribed, at the hospital, the doctor prescribes cholinergics or adrenoblockers, but you can still have important side effects, so it’s necessary to take them only under the supervision of fahivtsya.

With colitis on the walls, a large amount of mucous membrane is established, to reduce the irritating effect, preparations with enveloping diarrhea (calcium carbonate) may be prescribed.

In case of advanced gasification, enterosorbents are prescribed (enterosgel, activated vugillya), decreased elevated acidity - acedin-pepsin, and enzyme preparations and polypsy herbal functions are also prescribed.

In case of damaged microflora, take a course of prebiotics and probiotics (only after antiseptic preparations).

To improve the impassioned self-perception, polyvitamins are prescribed, sound internally.

In case of constipation, it is better to use vicorism on an olive basis or herbs, as it does not provoke teasing of the mucous membrane. Good efficiency is shown by vaseline oil (1 tablespoon per day), olive oil (1/4 bottle per day), ricin oil (1 tablespoon per day).

As part of the nerve overload, stress and other are guarded, a course of calm measures, calm infusions, light sleep is recommended.

National treatment of spastic colitis

Likuvannya folk zasobachae importantly taking herbal infusions, enemas.

For enemas, it is recommended to prepare infusions of calendula and chamomile (1 tbsp. of the sum of herbs, brew 200 ml of dill, after the passage is reached). Under the hour of the procedure, it is necessary for a sprat of whilin to take care of the medical nastiya in the middle, repeat the procedure for two days. The course of likuvannya 1 - 3 tyzhn, fallow due to severity.

For pains, promoted by gassing, good anise helps, infusion of which you need to replace the great tea (1 tsp per 200 ml of water).

In case of nerve overvoltage, tea from mint or melissa is effectively supplemented (3 times a day).

With spastic colitis, folk medicine recommends microclysters with honey- Sprinkle in warm boiled water with 50-100g of honey.

Eating with spastic colitis

From the first days of likuvannya, the ailing one should wait for a special meal.

The diet can be varied, include products with a large amount of cellular tissue (not fresh wheat bread, vegetables, cereals).

Eat in small portions up to 6 times a day.

For older patients in the period of illness, it is recommended to go hungry for the first two days, then start early in the morning from a bottle of water, in the offence, it is a vineyard (for example, turbulently succumbing - it’s better to cook rice soup in the evening - porridge).

The coming day can be added to the diet by cooking meat, fish, eggs.

Next, turn on the products that tease the intestines (beans, peas, mushrooms, bird skin, ribi, meat with tendons).

In people with periods of illness, fruits and vegetables are more beautiful in a carcass-like appearance, in the world, the diseased symptoms can be added to the diet of syrі products, it is better to clean the skin from the skin, be it fruits and vegetables.

It is important to unify conflict situations, nervous and physical challenges, stressful situations (you can take a course of calming drugs for consumption).

Prognosis for spastic colitis

With spastic colitis with occasional constipation, it may cause crooked diarrhea, intestinal obstruction, and in some cases, surgery may be necessary.

In most cases, the prognosis is favorable, therapy will require a comprehensive approach (medication, dietary management, and in some cases, a psychoneurologist's consultation may be needed).

Spastic colitis may occur in hostile chronic forms. Illness is caused by a functional disorder of the SHK, the main factors that provoke illness, stress, parts of the organism (both physical and nerves), improper eating.

Important to know!

The ambiguity of the etiology of nonspecific virazic colitis complicates the investigation. Terapіya scho zastosovuєtsya in Danian hour, Yea for sutі empіrichnoyu, i Poshuk preparatіv scho toil antibakterіalnu, protizapalnu that іmunodepresivnu dіyu lead to osnovі poshirenoї teorії viniknennya oboh zahvoryuvan scho viznaє provіdnu role antigenіv kishkovogo pohodzhennya, pid vplivom yakih vіdbuvaєtsya zmіna reaktivnostі that inflammation of the intestines.

Tsіlі jubilation: improvement of remission and prevention of complications (diagnosis of pathological houses in feces, normalization of constipation, relief of pain in the abdomen, regression of systemic manifestations, decrease in SOE, increase in hemoglobin in the skin).

Non-drug treatment: diet number 4.

In case of a severe break, ill in case of consumption of over 15% body mass during the period of congestion, parenteral ingestion is indicated. If necessary, adequate hydration and correction of electrolytic disorders (often hypokalemia).

Efficacy of 5-aminosalicylic acid (5-ASA), glucocorticoids, and cytostatics has been demonstrated in NUC and CD. Basic therapy is better in the recognized preparations of 5-ASA (but also in the case of folic acid).

The main indications for the recognition of corticosteroids in NUC є: left-sided and total lesions with severe overwork, III stages of activity, acute severe and moderate forms with post-intestinal manifestations/complications.

Indications for the recognition of corticosteroids in CD are severe anemia, loss of body mass over 20% of the discharge, bowel manifestations/complication, recurrence after surgery.

In patients with intolerance or ineffectiveness of 5-ASA and corticosteroids, cytostatics (azatioprin) are indicated, as they are also prescribed to patients in whom remission has been achieved.

With a light leak vicorist mesalazine at a dose of 2-4 g / dose is more important in tableting forms or sulfasalazine (2-8 g / dose). The priority is given to mesalazine, less toxic and less side effects. With isolated proctitis, mesalazine can be prescribed in the form of rectal suppositories and enemas (4-8 g/dobu).
For a more stable effect, a combination of 5-ASA preparations with corticosteroids, which are prescribed for rectal enemas (hydrocortisone at a dose of 125 mg, prednisolone 20 mg orally on the doba until hemorrhage is observed), is possible. After reaching the remіsії ptsієnnі guilty otrimuvati protyazh 2 rokіv pіdtrimuyuchuyu therapy with mesalazine or sulfasalazine (2 g / dose).

For moderate forms preparations of 5-ASA at known doses are combined with corticosteroids (hydrocortisone or prednisolone). Hydrocortisone should be administered rectally at a dose of 100-200 mg of bipartite per doba. Prednisolone is also prescribed for enemas, 20 mg twice per doba or internally 40 mg per doba (until the effect is reached, as a rule, during the first week), 30 mg (onset day), 20 mg (one month) with further dose reductions. 5 mg/dobu. For the presence of perianal complications, metronidazole at a dose of 1.0-1.5 g/dose is included in the complex of jubilant entries. Additive preparations (antibiotics, prebiotics, enzymes, etc.) are prescribed for indications.

With important forms preparations of 5-ASA at reasonable doses are combined with high doses of corticosteroids. Hydrocortisone is prescribed 100 mg intravenously 6 times per day, or prednisolone 30 mg intravenously 4 times per day for 5-7 days. Intravenous administration of corticosteroids should be administered rectally (hydrocortisone 100 mg in enemas 2 times per doba). Nadalі switch to oral administration of corticosteroids. For indications above, azathioprine is administered intravenously at a dose of 150 mg/dose. Nadal as an adjunct to azatioprine therapy is prescribed at a dose of 50 mg/dobu.

It is necessary to spend the day looking around the patients, but quietly, who is resting at an important station, - 2 times in the extraction. I would like to pay special attention to changes in body temperature, pulse rate, abdominal expansion and tension of the cervical wall.

Extreme indications before operative examination NUC(colectomy) є: toxic dilatation, perforation, massive bleeding, daily polypsynia with severe overshoot on adequate therapy (including intravenous administration of steroids) with a stretch of 5 deb. Planned indications include: severe failure of UC due to the effect of conservative therapy with progression of illness, partial relapses, which significantly worsen the quality of life, high-grade dysplasia or malignancy.

Basic indications before surgical treatment of BCє: important forms for the effect of conservative therapy, intestinal obstruction due to strictures, burrows, abscesses, perforation.

This is the inflammation of the mucous membrane and may be characteristic signs. This is a form of illness, transient phase, acute phase, and remission, if the symptoms are present. Milking is often accompanied by other ignition processes in the organs of the intestinal tract.

There is a large number of reasons that can lead to a number of pathologies. Vіd tsogo rich in what stale and likuvannya. Therapy, as a rule, is complex, and one of the warehouses is a special diet. Also, medicines of various groups are prescribed, directed at the usunennia as a cause, as well as symptoms.

1. What is it

Chronic intestinal colitis is an inflammatory process that attacks the mucous membrane and submucosal ball of this organ. Discord, however, often develops in women, and in men, but in the rest of the wines it manifests itself in the dead.

The chronic form of colitis passes the phase of acute phase and the phase of remission, if there are no other signs. Symptoms with this form of manifestation are weaker, lower with acute colitis. Diagnosis of pathology is easy, it is treated in a complex way.

Factori risiku

Officials of the riziku viniknenny kolіtіv takі:

• decreased immunity;
• wrong eating;
• parts of stress;
• abuse by alcohol;
• presence in the anamnesis of autoimmune diseases;
• abnormal budova sudin in the intestines.

2. ICD-10 code

ICD has 10 kil colitis - tse K52, but in the fallow, the form of wine varies from K52.0 to K52.9. Crohn's ailment and virazkovy colitis are seen as okremі zahvoryuvannya, shards may have an autoimmune character.

3. Reasons

Approximately 30% of patients with inflammation of the intestine - the last of intestinal infections (dysentery, salmonellosis). More likely the reason for the trival treatment of antibiotics, as they disrupt the normal balance of the intestinal microflora.

Causes of the same can be attributed to the evils of alcohol and the wrong eating, as if to inflame. In a number of cases, chronic colitis is the aggravation of other ailments of SHK, such as chronic, pancreatitis, as well as recent anomalies in the development or functional insufficiency of the intestine

4. Form chronic colitis

Illness of more than one type:

• Spastic. Shown by severe pains, which are blamed on various intestinal tracts, the dislocation of pain sensations changes.
• . For tsієї ailments are characterized by a wider. It is also possible to bleed and bleed.

Fallen due to the causes that provoked, chronic colitis can be allergic, infectious, ischemic, promenevious, toxic, combinable. At times, there will be a few etiological officials.

For the width of the battlefield, the number of bumps is:

• segmental - if the pathological process is less than a specific part of the intestine;
• total - the entire intestine is affected.

Behind the level of difference:

• easy step - if it is easy to reach remіsії;
• moderate severity - to ensure the elimination of symptoms, the need for medication and diet;
• an important step - overwhelmed by the remіsієyu, and the reach of the rest is important.

5. Symptoms

So, as with a chronic leak, the phase of the onset of symptoms and aggravation are drawn, most often, the disease itself turns to the doctor, if the signs are sharply given signs. During remіsії stench vіdsutnі аbo vrazhayutsya even weakly.

The main symptoms of chronic colitis are:

With nonspecific virazic colitis, the following symptoms may be:

• lightly shaking;
• loss of appetite;
• inflammation of the organs of the dawn (it rarely happens);
• painfully visible in the swamps;
• m'yazova weakness.

With acute symptoms of this form, it is possible to change the mucous membrane of the intestine, such as swelling, bleeding, and the appearance of small veins and dentures, similar to polyps.

Chronic spastic colitis manifests itself as follows:

• painful spasms that worsen during hunger or at night;
• bloating;
• cherguvannya that;
• sleeplessness and that is post_yna vtom;
• bіl head of different intensity;
• outside of the bowel can often be more than another or a third time, and the process of removing feces takes less than a few days;

To reduce the manifestation of symptoms, a diet became necessary, but if you need to take care that the products can be provoked.

6. Diagnostics

For the diagnosis of chronic colitis, a consultation with a general practitioner and a gastroenterologist is necessary. Come in like this:

7. Treatment of chronic colitis

Likuvannya with chronic colitis is stale in the phase of illness. At the stage of remission, it is enough to take a diet, in case of acute disease, drug therapy is required. Jubilation can be recognized individually for the type of discord, the difference in sign of the patient's infamous state.

Medical treatment

Sound in case of chronic colitis, there are such groups of medicines:

Nelikarskie zasobi likuvannya

Three non-drug methods for chronic colitis may be indicated for sanatorium treatment. Korisnі mineral water, baths, microclysters, bowel washing.

Some doctors recommend courses of physiotherapeutic procedures, such as magnetotherapy, holcotherapy, mud applications. Prompt intervention may be needed for the presence of inconsistencies in indications in case of complicated colitis.

Also, you can zastosovuvatsya deakі folk recipes:

• Come back from the burns to help the fire, the beast, the mine, the m'yati.
• With the rise of gasification, mint, dog nettle, nettle.
• To relieve spasms in the intestines, microclysters can be performed with calendula and chamomile.
• In case of brown microclysm with sea buckthorn oil on the night.

Dodatkovі methods and likuvannya conduct courses. It is recommended to consult with a doctor before victories.

Diet for chronic colitis

Therapy will not be effective, as the patient will not receive a special regimen of eating. Diet rules for chronic colitis are similar to those for the attack:

• The diet may have a lot of cellular tissue. Vaughn vengeance in vegetables, cereals, bread.
• I need to live 4-6 times a day.
• Low-fat fish and meat get used to the boiled one. You can also have boiled eggs.
• The diet has a lot of peppery herbs cooked in vegetable broths.
• Korean seafood.
• Fruits and vegetables need to be cleaned from the skin.
• From the diet, you can use buti consumed products that treat the intestines. They include dairy and sour-milk products, legumes, gostra and salted hedgehog, peas, and alcohol.

Eating may be high-calorie and include a large number of brown-colored speech organisms: vitamins, proteins and others.

Diet for colitis is one of the entry points that enter the complex treatment of illness

8. Possible aggravation of that legacy

If you don’t slander the sickness, you can provoke low comfort. Tse zdebіlshoy worth. The notes can be like this:

• Conducted virazki, the result of which is peritonitis. In my case, symptoms appear

Hostile colitis, as if it were a chronic disease, it is necessary to look at hospitals, at proctologists. The colitis of infectious nature rejoice at the specialized infectious departments.
Even more important is the significance of the treatment of chronic colitis and the need to treat the treatment of chronic colitis. With this diet, all products are included, as they can mechanically and chemically exfoliate the intestinal mucosa. Recommend frequent eating, bazhano to live in a shabby look. So, as dairy products, they can roam and gaseous, in the presence of them, the bazhan is moved for an hour of rejoicing. It is allowed to dry non-malted wheat bread from bakery varieties. M'yaso and fish of low-fat varieties, bazhano, are prepared by steaming. With subsidence of pronounced clinical symptoms, the diet is incrementally expanded. To fight against constipation, it is recommended to include boiled vegetables, fruit purees (jelly), bread with fritters and other products, rich in cellulose, into the diet. Polypshennya passage of intestinal masses sprya roslinna oliya and sufficient quantity of native, bagan-purified water, which is used for extraction.
During the period of zagostrennya, it was fenced in to grow in fruits and vegetables. It is necessary to be treated with chilled herbs, lactic acid products and even with high acidity. To regulate the secretion of rіdini, the intestines are surrounded by the introduction of salt.
In case of infectious nature of colitis and suffocation of pathogenic bacterial flora, which developed as a result of dysbacteriosis, antibiotics are prescribed in short courses (drugs tsifran, enterofuril, rifaximin). For the selection of adequate antibiotic therapy, a consultation with a gastroenterologist is necessary. We will show є analysis of feces for eggs of helminths, and if they are detected, it is necessary to recognize anthelmintic diseases.
For relief of the painful syndrome, spasmolytic drugs (drotaverine, papaverine) are prescribed. In chronic colitis, sulfosalase and other anti-inflammatory drugs, as well as glucocorticoids, are indicated.
With the treatment of proctosigmoiditis, the main therapy is the following: microclysters with herbs with an antiseptic effect - chamomile, calendula, with tannin or protargol. In case of proctitis, rectal suppositories with belladonna, anestezin are prescribed to relieve severe sickness, astringents (dermatol, zinc oxide, xeroform).
In case of diarrhea in astringent and enveloping diseases, they are administered in the middle (tanalbine, bismuth nitrate, white clay, measles oak, other infusions of pickles, to avenge the tannin components). With constipation, hydrocolonotherapy (purification of the intestines) is indicated.
Severe spasms in colitis may be an indication of the recognition of cholinergics.
In case of colitis, it is possible to use enterosorbents (for combating flatulence), enzyme preparations (for damaged etching as a result of enzyme deficiencies), and eubiotics (for correcting dysbiosis).
A good effect in the treatment of chronic colitis is given by regular sanatorium treatment, balneotherapy.