Spastic colitis with constipation: causes of development, symptoms and treatment methods. Spastic colitis: symptoms, course and treatment of irritable bowel syndrome

Without similar drugs can be dispensed with by identifying spastic colitis, for other forms of inflammation, antibiotic therapy is necessary.

Patients are prescribed sulfonamides like Sulgin or Ftalazol, as well as Enterol, Metronidazole, Enterofuril or De-nol. Special attention drugs with hydroxyquinoline deserve. They are able to influence microflora that are resistant to other antibiotics. Such drugs include Enteroseptol, Intestopan, etc.

Patients note the effectiveness of the drug Sulfasalazine in the treatment of intestinal colitis.

Somehow I got ulcerative colitis - appeared terrible pain, the doctors even had to hospitalize me. It turned out that I brought myself to grief poor nutrition, stress and even a hereditary tendency to such a disease. The specialist prescribed a bunch of medications, but the basis of therapy was Sulfasalazine. I simply drank it in incredible quantities and every day in different ways - this is what the treatment regimen suggests. Once I even had to take 12 pieces, and the tablets are quite large. But my torment was not in vain, at the end of the course from ulcerative colitis All that remained were unpleasant memories. Effective drug and inexpensive.

Painkillers

Since the disease often occurs with severe pain syndrome, then painkillers are also prescribed during treatment.

• Especially often in similar situations eubiotics like Enteroseptol, Mexase or Intestopan, Enterofuril, etc. are prescribed.
• These products contain hydroxyquinoline, due to which their effectiveness increases significantly.
• They normalize stool, reduce bloating and eliminate abdominal pain.

Such drugs are practically devoid of adverse reactions, if taken for a short course, only a small number of patients experienced headache and mild nausea. But with long-term therapy, damage may develop or optic nerves etc.

Therefore, you should not get too carried away with these drugs; they are usually prescribed in 10-day courses. If the treatment needs to be repeated, then at least a month should pass between the courses.

Rectal suppositories

Suppositories are quite widely used in the treatment of colitis, as they have a powerful local anti-inflammatory effect. Rectal suppositories are quite convenient to use at night.

Such drugs help achieve rapid healing and tissue regeneration.

Influenced rectal suppositories is happening fast healing wounds and microcracks in the rectum, inflammatory processes and tissue swelling are eliminated, pain is relieved and bowel movements are facilitated.

The drug should be prescribed only by a specialist, taking into account the form and severity of colitis.

1. Among the most effective rectal suppositories is Salofalk; this drug is also effective for proctosigmoiditis or proctitis.
2. Ultraprok, Natalsid suppositories, suppositories with propolis or sea buckthorn, methyluracil suppositories, etc. are also effective.
3. Suppositories with propolis have a pronounced analgesic and wound healing, regenerating and anti-inflammatory effect.
4. Methyluracil suppositories stimulate protection against cellular level, help stop bleeding, relieve inflammation, which is very important in the development of intestinal colitis.
5. Sea buckthorn suppositories provide antibacterial, wound-healing and anti-inflammatory effects, and help relieve swelling and itching.

Restoration of microflora

Antibiotic therapy causes a very significant blow to the intestinal microflora, so after such therapy, beneficial microorganisms need powerful support. For this purpose, patients are prescribed medications to eliminate dysbiosis and enzyme activity disorders.

Probiotics, which are not considered drugs, have these properties; however, they successfully restore microflora and remove toxic substances. Also, the products in this group help restore stool, improve appetite and eliminate excessive gas formation.

Today, many effective probiotics are known, but their effects are the same, and they differ only in dosage active ingredients and additives, as well as the manufacturer.

Therefore, you need to choose a drug based on prices and medical recommendations. The most by known means similar action are Probifor and Bifidumbacterin, Bifiliz and Lactobacterin, Lactofiltrum, etc.

For enzymatic disorders, taking pancreatin-containing drugs like Mezim, Panzinorm or Festal is indicated. Also restores well intestinal microflora drug Linex.

Normalization of motor skills

Colitis of any etiology is accompanied by spasms of the intestinal muscles. To eliminate them, a technique is indicated antispasmodics like No-shpa, Papaverine, Drotaverine, Platifillina.

• You can restore motor skills by taking Cerucal or Motilium.
• The drug Duspatalin also helps in eliminating spasms, which, in addition to relieving painful symptoms, accelerates regeneration processes in intestinal tissues.
• Resolor or Trimedat perfectly restore peristalsis.

If the need arises, the specialist prescribes bismuth preparations or calcium carbonate, which have antidiarrheal and enveloping properties.

Vitamins and antidepressants

Colitis negatively affects not only the condition of the intestines, but also the well-being of the patient as a whole. Internal discomfort and pain cause irritation and weakness, insomnia and chronic fatigue.

Experts recommend combining these drugs with B vitamins, especially B 6 and B 12. Such injections are quite painful, so it is recommended to take them in tablet or capsule form. These are the drugs Magnicum, Magne-B6 or Neurovitan, etc.

When will it be finished drug treatment, the patient needs a sufficiently long recovery period, during which you need to take vitamins, immune-strengthening agents and procedures necessary to maintain a weakened body. It is recommended to take probiotics until the microflora is completely restored.

In addition to traditional methods Treatments can also be used, but any remedy must be discussed with a specialist.

It is very useful for patients with colitis after a course of therapy to continue rehabilitation in a sanatorium, where patients receive the necessary dietary food and strengthening and restorative physiotherapy procedures.

Spastic colitis is an inflammatory process in the mucous membrane of the large intestine. The disease has no restrictions regarding gender and age. But, according to official statistics, the disease is most often diagnosed in individuals young. Women get sick more often than men.

Etiology

The most common causes of spastic colitis are the following factors:

• poor nutrition for a long time;
• abuse of laxatives;
• surgical intervention in the gastrointestinal tract;
• long-term treatment with antibiotics;
• development of pathogenic organisms in the intestines.

The most favorable factors for the development of the pathological process are the following:

• gastrointestinal diseases;
• inflammatory processes in the pancreas;
• allergic reactions;

As shown medical practice, most often spastic colitis develops due to systematic failure proper nutrition. The main risk group includes people in the following categories:

• people working in chemical production;
• suffering from chronic diseases Gastrointestinal tract;
• allergy sufferers;
• undergoing long-term drug treatment.

General symptoms

On initial stage development of the pathological process, signs of the disease may be completely absent or insignificant. As it develops, the following symptoms of spastic colitis can be observed:

• sharp abdominal pain that intensifies after eating;
• nausea, occasional vomiting;
• increased gas formation;
• unstable stool;
• Sometimes the stool may contain mucus.

It should also be noted that with such an illness a person may suffer from long-term.

Due to the fact that initial symptoms illnesses indicate food poisoning, the majority of people do not apply for timely medical care. The disease can lead to significant loss weight. Ultimately, this negatively affects human life. Please note that symptoms may vary depending on the cause of the pathological process.

Forms

There are two forms of development of spastic colitis - acute and chronic. Acute form is accompanied by a short clinical picture and is much more treatable.

As for the chronic form of the disease, symptoms may not appear immediately, which significantly complicates diagnosis. Chronic spastic colitis is very difficult to completely cure. But, with proper nutrition and lifestyle, you can significantly reduce the manifestations of the disease and extend the period of remission.

Diagnostics

Diagnosis is based on laboratory and instrumental methods research, personal examination and medical history.

The standard research program includes the following activities:

• retromanoscopy;
• coprogram;
• studies of intestinal microflora.

If it is impossible to accurately establish a diagnosis using the above research methods, then differential diagnosis is carried out.

Diagnostics is needed not only to accurately determine the disease, but also to identify the cause of the development of the pathological process. Without knowing the cause of the disease, it is impossible to prescribe the correct treatment.

Treatment

The treatment plan for spastic colitis depends on the cause of the development of the pathological process.

The basis of treatment is drug therapy and diet. Drug therapy includes the following drugs:

• antiseptics;
• painkillers (for severe pain);
• adrenergic blockers;
• regulators of intestinal motility;
• Cholinergics.

It should be noted that drug therapy is carried out in combination with diet. It is strongly not recommended to treat such a disease on your own, without a doctor’s recommendation.

Diet

A diet for this pathological process involves excluding the following foods from the diet:

• spicy, salty;
• fat;
• fried and smoked.

You should also completely eliminate alcohol and limit smoking.

At the same time, a diet for spastic colitis implies the inclusion of the following products in the diet:

• whole wheat bread;
• dried fruits (as they are rich in fiber);
• legumes;
• lean meat and fish;
• dairy products.

Meals should be fractional, small portions. Preference is given to boiled or steamed food. All foods that the patient consumes should be easily digestible by the intestines.

Drug treatment together with diet gives positive results even with the chronic form of the disease. In most cases this pathological condition requires constant dieting.

Treatment with folk remedies

Such diseases can be treated with folk remedies only as prescribed by a doctor.

Folk remedies for the treatment of spastic colitis involve the use of the following recipes:

• decoction of coltsfoot;
• anise tea;
• infusion of chamomile and oregano flowers;
• viburnum berry tea.

These same recipes can also be used for preventive purposes.

Prevention

It is quite difficult to completely cure this disease. But if you follow a proper diet and preventive measures, then the development of a pathological process in the body can be excluded.

Prevention of spastic colitis involves the practical application of the following rules:

• avoid stressful situations and nervous tension;
• do not abuse junk food;
• lead healthy image life;
• eliminate smoking and excessive alcohol consumption;
• promptly and correctly treat all inflammatory and infectious diseases.

Especially preventive measures should be taken by those who suffer from gastrointestinal disorders. At the first symptoms, you should seek medical help and not self-medicate.

Is everything correct in the article? medical point vision?

Answer only if you have proven medical knowledge

Diseases with similar symptoms:

Intestinal colic - severe painful sensations in the intestines, having a paroxysmal and cramping nature and arising against the background of disturbances in the tone and peristalsis of the organ. Often this pathology develops when the intestinal loops become overstretched, leading to irritation nerve endings, which are adjacent to its walls. According to ICD-10, code intestinal colic is not noted, since it is a consequence of other disorders in the gastrointestinal tract. However, according to ICD-10, this symptom refers to the coding K59.9, which sounds like “unspecified functional bowel disorder.”

More than 50% of patients who seek medical help with symptoms of various digestive disorders have chronic colitis. In women, the disease is observed closer to 20–65 years, in men, colitis sharply intensifies by 40–65 years. The topic of this article will be one of the types of colitis - spastic colitis.

Symptoms

Irritable bowel syndrome (spastic colitis, SRCT, mucous colitis) most often manifests itself as cramping and bloating and bowel dysfunction. Signs of the disease manifest themselves differently in people. For some, the symptom of the disease is constipation (infrequent and difficult bowel movements), for others it is diarrhea, and for others there may be all these symptoms of spastic colitis at the same time.

Manifestations of the disease are deeply individual. However, normally, stool should not be liquid and should not be hard, it should not be streaked with blood, and the act of defecation should be accompanied without pain and spasms. The number of bowel movements varies from person to person - for some it is three times a day, for others it is three times a week.

The disease is not classified as serious illnesses. In fact, doctors consider this disease to be a functional disorder, since upon examination no symptoms of the disease are detected.

Clinical signs of colitis

bloating;

pain as symptoms of spastic colitis;

changes in bowel habits, such as constipation or diarrhea;

formation of gases.

Diagnostics

Clinical picture has many common factors with functional disorder. Characteristic pain is spastic or aching in the abdomen, often in the left iliac region, and stool pathology. The condition of patients with symptoms of spastic colitis is satisfactory.

Palpation of the abdomen reveals spastic, painful dilated or contracted areas of the colon. Signs of the disease also include:

bloating,

rumbling in the stomach,

increased formation of gases.

Long-term constipation changes to frequent, scanty, liquid or half-formed stools.

With help endoscopic methods(colon-fibroscopy, sigmoidoscopy) reveals symptoms of spastic colitis, signs of inflammation, atrophy and dystrophy of the colon. The walls of the organ are swollen, hyperemic, and have a coating of mucus. When an exacerbation is detected, it becomes easily vulnerable, loose, with isolated petechiae and erosions. In such cases, a careful differential diagnosis is needed latent form ulcerative nonspecific colitis. The mucous membrane with atrophy is pale with a network of thin small vessels, since there is no mucus, the intestinal wall will look dry, and the intestinal tone is several times reduced.

Treatment

Treatment should include the correct general and nutritional regimen. It is recommended to eat food with high content slag. Such products include:

black bread,

various cereals.

For effective treatment It is necessary to develop the ability to defecate at a certain time. Particularly important for this disease is the elimination inflammatory processes intestinal mucosa. Treatment of spastic colitis with laxatives and enemas is carried out only until a stable bowel reflex is developed.

Folk remedies

Symptoms and treatment of chronic pseudomembranous colitis. Medicinal plants will help restore intestinal motor function, relieve nervous tension and improve digestive process.

Here is a list of some medicinal plants:

Treatment of spastic colitis with yarrow. Juice everything flowering plant. Helps relax muscles, relieves cramps and spasms.

Chernobyl (wormwood). Widely used for symptoms of spastic colitis in many countries as traditional medicine. An infusion from both the roots and the herb itself helps to enhance the activity of the stomach, neutralizes colic and cramps, increases appetite, relieves pain, and is used as a mild sleeping pill. Preparation: 1 tbsp. l. Pour boiling water (1 tbsp) over the herbs and leave in a thermos or warm place for 4 hours.

Treatment with gooseberry for spastic colitis. Take mashed berries and juice. Helps with cutting pains in the intestines and stomach, diarrhea, enhances the activity of the gastrointestinal tract.

Lettuce, radish, pumpkin, rutabaga with a laxative effect. Used before meals in kind.

Scented celery will help treat illness. Take juice from the roots. Possesses small properties laxative for constipation, enhances digestion, removes gases during excessive accumulation in the intestines.

How to deal with colitis at home?

Keep a record of your diet; if you have spastic colitis, do not eat foods that cause spastic colitis (for example, chocolate);

less fatty foods, especially fatty meat, whole milk, leather poultry, cheese, cream, vegetable and butter, margarine, whipped cream and avocado;

increase the amount of fiber in your diet (to do this, eat beans, whole grain bread, vegetables and fruits);

eat to relieve diarrhea in small portions, but often;

try to be less nervous, make an effort different techniques to reduce stress;

If you develop a fever, have blood in your stool, are losing weight, or have persistent abdominal pain, see your doctor.

Eating more food, eating fiber, and using laxatives (infrequently) may help relieve constipation, but you'll need to talk to your doctor first.

Causes

Surprisingly, the causes of the pathology are not clear, although it is known that in people suffering from this disease the colon is more reactive than in healthy people. In a patient, the functioning of the colon changes some triggers, for example, certain food, medications or stress. Typically, spastic colitis appears against a background of fatigue, stress, and nervous overexcitation.

In approximately 30% of patients, the disease develops after intestinal acute infections and especially after salmonellosis and dysentery. The disease is often preceded by dysbiosis, which occurs after a long antibacterial therapy, also provoke the disease

alcohol abuse,

poor nutrition,

sedentary lifestyle life

and other factors that violate normal work gastrointestinal organs.

Video: Psychotherapist I. Nikitenko about the symptoms and treatment of pseudomembranous colitis

The intestine is one of the most important organs in the human body. It is he who is responsible for human immunity and well-being. After all, he lives here great amount microorganisms that perform important functions. Therefore, any problems with the digestive system can lead to serious consequences.

Spastic colitis is an inflammation of the large intestine. This disease refers to functional disorders. It can bring not only unpleasant sensations, but also severe pain. What should you do in this case and who should you contact? The answers can be found in the article.

Symptoms of the disease

Spastic colitis continues for a long period of time. Often the pain does not go away even after six months. Unfortunately, people live with this problem and often they are even ashamed to see a doctor, but it is necessary to do so.

Since this disease affects the large intestine, the symptoms also affect this area. In addition, pain is often felt throughout the entire abdomen.

The symptoms of spastic colitis are as follows:

• pain in the large intestine;
• change in stool;
• disturbance of intestinal motility;
• flatulence;
• bloating;
• unpleasant and painful sensations after eating.

If you monitor your body and notice any of the above symptoms, you may be concerned. After all, such symptoms may indicate this disease.

The disease is mainly characterized by spasms. They have different localization. This is why it is sometimes difficult for a patient to describe exactly where his stomach hurts. Sometimes unpleasant sensations arise with right side, and later - on the left. They often feel like cramps in the navel area.

Symptoms and treatment of spastic colitis in different people may vary. In this disease, everything is purely individual. Some people may have diarrhea, while others may have constipation. In this case, the stool may often change. This causes a lot of anxiety for a person.

U healthy people There should be no problem going to the toilet. If they have any difficulties, this indicates that not everything is in order with their body. In this case, you should immediately seek help from a professional.

With spastic colitis, pain decreases after defecation. It is by this symptom that the disease can be identified. It is also noteworthy that during sleep a person does not feel any discomfort.

Additional symptoms

Chronic spastic colitis can also be characterized by other symptoms. For example, these include:

• heartburn;
• nausea;
• headache;
• lower back pain;
• weakness;
• irritability and fatigue;
• and others.

It should be noted that with intestinal diseases, human immunity deteriorates. As a result, he is more susceptible various diseases. More difficult to cure common cold or runny nose. And all because protective forces the body was weakened, and the person became extremely vulnerable.

Also, people in this state begin to lose interest in life. They have problems in various areas. It can be noted that they quickly get tired and become nervous. This happens to almost every patient. Knowing both the causes and symptoms of spastic colitis, it will be easier to choose the appropriate treatment.

Causes of the disease

Spastic intestinal colitis occurs for a number of reasons. One of the most common is stress and physical fatigue. The human body weakens. This leads to stool disturbances and other manifestations of colitis.

The reasons must be known in order to recover from the disease. These are really important, so they cannot be ignored. You should carefully analyze your diet, and also pay attention to whether the person has nervous breakdowns V Lately. This will help understand the “roots of the problem.” You must tell an experienced specialist about all your observations.

Mainly the disease is caused by:

• sedentary lifestyle;
• poor nutrition;
• alcohol consumption;
• long-term use of antibiotics;
• use of drugs that affect intestinal motility.

Can also lead to illness chronic infections and food products that the body does not accept. You need to be extremely careful about your health so as not to encounter this problem.

Diagnosis of the disease

Knowing the causes and symptoms of spastic colitis, it is much easier to select treatment, but this should be done qualified specialist. First of all, to diagnose the disease, the doctor must carefully listen to all the patient’s complaints. After this, colitis can be determined by palpation of the abdomen. This will cause some areas of the large intestine to become painfully dilated or contracted.

A doctor must carry out an examination for colitis. He needs to identify the patient’s painful areas.

Also, spastic colitis can be determined using endoscopic methods. The doctor may prescribe a colonoscopy or sigmoidoscopy for the patient. In this case, the examination will show that the walls of the large intestine are swollen and hyperemic. The muscle tone of the large intestine is weakened.

IN Tibetan medicine Another method is used - pulse diagnostics. With its help, you can find out about the causes of the disease, as well as determine general state sick.

New, improved methods may soon appear that will help more quickly recognize this disease.

Prevention

It is easier to prevent any disease than to treat it later. This is especially true when it comes to spastic colitis. After all, it is he who gives people a lot of pain and discomfort.

For symptoms of spastic intestinal colitis, treatment should be prescribed by a doctor and only after a thorough examination.

To begin with, you should be careful about your diet. It must be balanced and rich various vitamins and microelements. In addition, you should lead a healthy lifestyle. To do this, you need to play sports at least several times a week, spend as much free time as possible on fresh air.

You also need to remember the rules of personal hygiene. And of course, do not use medical supplies that affect intestinal motility, without a doctor’s permission.

A doctor who can help

Unfortunately, today everyone can face the disease, regardless of age. Therefore, there is no need to be shy. You need to seek help as quickly as possible.

If you have signs of spastic colitis, you should consult a gastroenterologist. He examines the patient, clarifies his diagnosis and prescribes treatment.

A proctologist also deals with the symptoms and treatment of spastic colitis in adults. His specialty is the intestines. Therefore, he will be able to give complete answers to many questions.

It is worth remembering that for a speedy recovery you must listen to all the doctor’s recommendations.

Treatment of the disease

A doctor must prescribe treatment. He will select for each person individually certain drugs and indicate their dosage. No need to self-medicate! This often leads to irreversible consequences. Therefore, you need to be very careful when choosing medications and taking them.

Today you can achieve noticeable results with modern treatment. But you need to understand that such a disease requires complex therapy. There are a number of tablets that are prescribed for this disease. Moreover, they can be divided into various groups, namely:

• eliminating constipation;
• eliminating diarrhea;
• reducing pain;
• eliminating dysbacteriosis (probiotics).

Each medicine produces a specific therapeutic effect. Only a doctor can prescribe them.

Diet for illness

With spastic intestinal colitis, nutrition plays one of the most important roles. Every doctor will tell his patient about this. After all, all digestive problems are most often directly or indirectly related to poor nutrition. Therefore, every person who is faced with such a problem needs to monitor what he eats.

Each case is individual, so talk about general recommendations difficult. But it can still be done.

Firstly, people who are facing this problem should eat regularly. They should not skip breakfast, lunch or dinner. You should also Special attention give snacks. At the same time, the breaks between meals should not be long.

Secondly, people suffering from colitis should eat slowly. There is no need to rush anywhere. It is better to chew your food thoroughly.

You can eat flax seeds or cereals. At severe diarrhea and bloating, you should not eat large amounts of fresh fruit.

Also, a person who suffers from such a problem needs to pay attention to foods that lead to a worsening of the condition. Their use should be reduced or eliminated altogether.

For colitis, it is useful to eat cereals, drink freshly squeezed juices, and also consume healthy foods. Many doctors recommend paying attention to bran for constipation. Everything is quite individual and products may not always produce the expected effect. In any case, you should pay attention to nutrition and believe in speedy recovery.

Psychotherapy

Psychotherapy methods are often used to treat spastic colitis. This is due to the fact that sometimes the disease occurs on nervous soil. In this case, it is best to seek help from a psychotherapist. The doctor will be able to alleviate the symptoms of the disease and possibly even cure the patient.

You should be careful when using a method such as hypnosis. Although it is not contraindicated, it is not always used.

Traditional methods of treatment

You can try to treat spastic colitis at home. Many folk remedies tested over the years and helped a large number of people. Basically, treatment of spastic intestinal colitis using traditional medicine involves taking herbal infusions. Let's just mention a few natural remedies.

Sauerkraut can help with constipation. Pumpkin also has laxative properties. But gooseberry juice will help cope with severe pain.

Blueberries help restore intestinal motility. You can use it in any form.

Such products, when used correctly, do not have side effects. This is why many people resort to folk medicine. Not everyone wants to take a huge amount of pills. Most people consider them harmful. In this case, it is worth trying a similar treatment method.

Physical activity

Despite the severity of spastic colitis, we cannot forget about sports. You should always try to lead active image life, even when it seems impossible. Walking in the fresh air, exercise and simple movements will help cope with this disease.

Exist special exercises that help cope with the disease. Treatment of the symptoms of spastic intestinal colitis in this case will be even more effective.

It is good to stretch the spine when you are sick. For example, bending to the side with a straight back and with outstretched arm above your head will help with bloating. People with this disease can also do various crunches on the mat. They will tone up the intestines.

ICD

By international classification this disease belongs to class K58. The ICD for spastic colitis also defines it as subtypes K58.0 and K58.9. The official diagnosis sounds like irritable colon. Only in the first case is it accompanied by diarrhea, and in the second - not.

Forecasts

Unfortunately, numerous studies have shown that this disease is extremely difficult to cure. In many patients, symptoms persist for a long time. long period time, and sometimes throughout life. But despite this, new medical methods and medicines appear every day. Therefore, there is a chance for recovery. The main thing is not to lose heart and follow all the recommendations of your doctor.

conclusions

Spastic colitis is a common disease. It, like allergies or obesity, is found in most people. This disease causes a lot of trouble to its owner. With it, it is violated motor function thick and even small intestine. Symptoms of spastic intestinal colitis are difficult to treat. You need to be patient to achieve positive result. After all, more than a year may pass before a person forgets about this problem.

It is important to note that treatment of spastic colitis should be comprehensive. Here it is important to eliminate pain, restore intestinal motor function and correct the functioning of the gallbladder and stomach. After the first appointment, you will need to go to the doctor regularly until all symptoms of the disease disappear.