Irritable bowel syndrome is a pathological condition, the course of which is accompanied by a malfunction of the gastrointestinal tract. One of the varieties of the disease is IBS with constipation. In this case, the pathology is characterized by a delay in defecation. In this case, sometimes constipation is replaced by severe diarrhea. According to statistics, the development of the disease affects 20% of the world's population. Moreover, IBS with constipation is most often diagnosed in women. Treatment of the disease is carried out by conservative methods. In addition, all patients are shown exercise therapy and diet.
Etiology
Currently, the exact causes of the development of irritable bowel syndrome are unknown to medicine. Doctors believe that the ailment is a consequence of problems of both a physical and mental nature.
The main provoking factors for the development of IBS with constipation are the following diseases and conditions:
- Violation of the conductivity of nerve impulses from the brain to the intestine.
- The increased degree of sensitivity. Even with a slight stretching of the intestines with gases, people experience severe pain.
- Motor impairment. If it slows down, a person begins to suffer from constipation.
- Disorders of a mental nature. Panic attacks, stress, depression - this is just an incomplete list of disorders that can trigger the development of IBS with constipation.
- Gastroenteritis of a bacterial nature.
- Dysbiosis. This term refers to the accelerated growth of bacteria in the small intestine. Dysbiosis leads to the development of IBS with constipation and flatulence. In addition, patients sharply reduced body weight.
- Hormonal imbalance.
- Hereditary predisposition.
- Unbalanced diet.
Enough exposure to even one factor to appear irritable bowel syndrome. However, patients are often diagnosed with 3-5 conditions. If the disease is multifactorial, clinical manifestations are most pronounced.
In the ICD IBS with constipation, code K58.9 is assigned.
Risk factors
Not a single person is safe from the development of the disease. However, according to statistics, pathology is most often diagnosed in people from 30 to 40 years old.
Risk factors:
- Dysbacteriosis Against the background of microflora disturbance, the degree of intestinal sensitivity increases.
- Helminthic infestations. In individuals suffering from parasitic diseases, the walls of the colon are injured by toxic compounds secreted by worms.
- Various intestinal infections.
In addition, pregnancy is a risk factor. During the bearing of a child, the likelihood of developing an ailment is significantly increased.
Clinical manifestations
Symptoms of irritable bowel syndrome are paroxysmal. As a rule, their intensity intensifies after a meal.
The main clinical manifestations of IBS:
- Cramping and severe pain. As a rule, they disappear after a cleansing enema or an independent bowel movement.
- Constant constipation.
- Bloating, swelling.
- Flatulence.
- Frequent urge to commit a bowel movement, ending unsuccessfully.
- The feeling that the intestine is not completely empty.
- The appearance of mucous discharge from the anus.
Against the background of this symptomatology, patients develop depression. Due to psycho-emotional instability, the course of the pathology gradually worsens.
Diagnostics
Currently, there is no study whose results would unambiguously confirm the presence of IBS, accompanied by constipation. In order to identify pathology, doctors prescribe a comprehensive diagnosis.
It includes the following studies:
- Analysis of feces. It is prescribed to detect parasites or blood impurities.
- Clinical blood test. Based on the results of the study, the doctor can judge the presence or absence of infectious agents in the body.
- A blood test by ELISA for celiac disease. This disease has similar clinical manifestations.
- Colonoscopy During the study, the condition of the colon and rectum is assessed.
- Sigmoidoscopy. Allows you to identify any pathology in the sigmoid and rectum.
- CT
- NMR of the pelvic and abdomen.
Based on the diagnostic results, the doctor makes the most effective treatment for IBS with constipation.
Conservative Therapies
The disease requires an integrated approach. In all cases, the treatment of IBS with constipation involves taking medication.
Groups of drugs prescribed for pathology:
- Antispasmodics. They help reduce the severity of pain. The main disadvantage of antispasmodics is that against the background of their administration, many patients experience heartburn and a burning sensation in the region of the anus. Examples of funds: Duspatalin, Mebeverin, Niaspam, Sparex.
- Laxatives. After ingestion, the volume of feces increases, in addition, they liquefy, which allows them to leave the body gently and painlessly. One of the active components of laxatives is fiber. It is she who contributes to an increase in feces in volume. In order for the swollen masses to come out unhindered, it is necessary to drink as much pure non-carbonated water as possible during treatment. Doctors say that before taking a night's sleep, you should not take these funds. As a rule, doctors prescribe Citrucel and Metamucil.
- Antidepressants. The psycho-emotional state of most patients requires serious correction. For this purpose, doctors prescribe the following medications: Amitriptyline, Citalopram, Imipramine, Fluoxetine.
- Probiotics These funds contribute to the normalization of intestinal microflora. The active components of the drugs also eliminate bloating, flatulence and pain. As a rule, doctors prescribe the following drugs: "Rioflora", "Linex", "Acipol", "Hilak Forte".
To increase the degree of treatment effectiveness, experts advise to undergo a course of physical and hypnotherapy. According to medical reviews, IBS with constipation is not a sentence. It is enough to follow the recommendations of specialists so that the pathology recedes in a short time.
Physical exercise
Several years ago, an experiment was conducted in Sweden. Its essence was to assess the health status of two groups of individuals. The first included people who, for several months, led a familiar lifestyle, not even implying a moderate degree of physical activity. The second group consisted of people who performed a simple set of exercises three times a week, ran and engaged in cycling. According to the results of the study, with IBS, physical activity is extremely useful. Half of the participants from the second group disappeared constipation and flatulence, as well as pain.
Thus, doctors recommend that each patient at least 2-3 times a week to subject their body to moderate physical activity.
Diet for IBS with constipation
Adjusting the diet and diet is one of the main steps in the treatment of irritable bowel syndrome. The diet should be such that the process of normal operation of the digestive tract starts. In addition, nutrition in IBS with constipation should be balanced so that internal organs do not experience a deficiency of vital components.
Eat every 3 hours. In this case, the size of one serving should not exceed 200 g. The daily caloric intake of the patient's diet should be about 2500 kcal.
With IBS with constipation, the following products must be present in the menu:
- Bread (black or bran).
- Cold vegetable soups (e.g. okroshka).
- Dairy products (one-day, on the next day its use, on the contrary, will contribute to constipation).
- Meat and fish of low-fat varieties.
- Fruits and vegetables both fresh and boiled.
- Butter and vegetable oils.
- Porridge (barley, pearl barley, buckwheat).
- Dried fruits compote.
- Honey.
- Jam.
- Prunes
- Beet.
- Pumpkin.
- Carrot.
Diet for IBS with constipation and flatulence implies a complete rejection of the following products:
- Carbonated drinks.
- Confectionery and flour products.
- Kissel.
- Potatoes.
- Cabbage
- Mashed cereals.
- Whole milk.
- Of tea.
- Coffee.
- Chocolate.
- Grapes.
- Legumes.
- Rye bread.
All meals should be warm. Eating too hot or cold foods will worsen the course of irritable bowel syndrome.
Folk remedies
It is permissible to resort to unconventional methods of treating IBS with constipation. However, it is important to remember that you can not consider the use of folk remedies as the main therapy. In addition, you must first consult with your doctor.
The most effective are the following recipes:
- Take in equal proportions chamomile flowers, valerian roots, mint leaves and buckthorn bark. Grind the raw materials. Mix the ingredients thoroughly. Take 1 tbsp. the resulting collection and fill it with 250 ml of water. Put a container of liquid on a fire. Stew for 15 minutes. Cool and strain the resulting broth. Take twice a day before meals, 50 ml.
- In equal proportions, take birch, sage, linden, calendula and cornflower. Grind and mix thoroughly all components. Take 1 tbsp. l Collect and fill it with 200 ml of water. Put the container on fire. Boil for 15 minutes. Cool and strain the resulting liquid. Take 50 ml twice a day before meals.
- Cut off a few fleshy aloe leaves. Rinse them thoroughly. Grind the leaves. Using gauze tissue, squeeze the juice from the resulting slurry. Take 1 tsp. healing liquid and add it to 200 ml of boiled water. Drink the resulting drink before a meal.
It is important to remember that all medicinal plants are potential allergens. If there are signs of an undesirable reaction, treatment of IBS with folk remedies must be completed.
Possible complications
Ignoring the symptoms of the disease leads to various negative consequences. Despite the fact that the course of the disease is not accompanied by the appearance of changes at the cellular and tissue level, it remains very dangerous.
Doctors have revealed a pattern between IBS and depression. Persons with the syndrome are much more likely to suffer from psycho-emotional instability. In addition, a person simply gets used to uncomfortable sensations and does not always notice in time the development of other pathologies that pose a danger not only to health but also to life.
Doctors Recommendations
Doctors advise all people with IBS with constipation to stop smoking and drinking alcohol. In addition, it is important to follow a diet and exercise regularly.
Doctors also recommend contacting a medical institution at the slightest deterioration in well-being.
Instead of a conclusion
Irritable bowel syndrome with constipation is a pathological condition, manifested by painful sensations, bloating and flatulence. If the first alarming signs occur, you should consult a doctor. The specialist will draw up a referral for diagnostic measures and, based on their results, will draw up the most effective treatment regimen.