Spastic colitis
Interview with Mr. Demetrios Karagiannis, Gastroenterologists
The spastic colitis or irritable colon syndrome characterized by diffuse abdominal pain, bloating (flatulence) and changes in sinitheion bowel (diarrhea or constipation).
What is the spastic colitis;
Normally all the intestine of humans contains air. The quantity of air contained in the gut and produced mainly by the treatment accorded to faecal bacteria from the gut, it causes no symptoms. Patients suffering from spastic colitis are more sensitive and quantity which leads them to pain. That is why the official scientific name is irritable colon syndrome. The exact cause is not clearly defined. The mechanism is unclear, however, challenge and link the syndrome with stimuli from the brain and neurotransmitters such as substance serotonin.
What are the symptoms of the disease?
Common symptoms of the disease are:
* Pervasive abdominal pain usually even decline temporarily after voiding,
* Bloating excessive air in the abdomen,
* Usually diarrhea, but constipation may,
* Feeling of incomplete emptying, ie, the patient feels that the emptying not empty the bowel and is willing to resume the discharge (epixi for emptying)
* Mucus in stool
What are the causes of disease?
As mentioned above the exact cause is not illustrated, but we know that a diet high residue (fiber) and fat, and emotional stress can cause this spastic colitis. Other factors influencing the disease appears to be the hormonal changes in women during the period.
What can I do to protect himself?
The patient should be careful of the diet particularly in terms of fiber and fat. About you can find us at the gate, the gate of food in the "diet and disease. Also the patient must learn to manage stress with special techniques.
How is the diagnosis of the disease?
Your doctor will try to exclude other causes the same symptoms. The diagnosis of the disease that is diagnosed on the exclusion. To exclude other causes, your doctor might ask you check with colonoscopy or barium enema (radiographic examination), ultrasound abdomen, blood tests and stool check.
There are complications?
Not the disease does not affect other organs.
What is the treatment?
Treatment usually has two axles, the diet and medicines. The drugs used are analgesics or antidepressants that appear to be more specific action on the mechanism causing the disease. Aminotryptilines These are drugs that inhibit the action of serotonin. These drugs are administered orally, but to achieve a therapeutic effect should wait at least three weeks and treatment should last several months. Important support also may find the patient by psychoanalysis and education to deal with stress. Recently the FDA approved the marketing alosteron only for women but six months after it withdrew its approval of such complications is presented to patients.
What happens after treatment?
The symptoms usually return. The diet should be maintained for the lifetime of the patient. The drug therapy should be decided by the gastroenterologist.