Spastic colitis, which is also called dyskinesia of the intestine or a symptom of the irritated bowel, is a disease in which the motility of the large intestine and, to a lesser extent, the thin one, is disrupted. It is not due to changes in the organic nature. This pathology is characterized by periodically arising pain sensations, a change in the bowel's function, and in some cases, an increase in the secretion of mucus. This disease is extremely common in the world. It is detected in about half of those who seek help for intestinal disorders.
Spastic colitis provokes a variety of neurotic disorders, vegetative dystonia, chronic and severe acute stress, regularly occurring conflict situations, both at home and at work, diencephalic syndrome, hereditary predisposition, dysfunction of the endocrine glands. In this disease, foci of hyperkinetic (spastic), or, conversely, hypokinetic (atonic) changes appear in different parts of the intestine, and more often a combination of these two species.
Spastic colitis. Symptoms
Anxiety causes periodic abdominal pains that do not have a clear localization and disorder of the stool, which, moreover, are often accompanied by the release of a large amount of mucus. The intensity of pain varies from feelings of squeezing in the lower abdomen and to severe colic. These seizures can last from a couple of minutes to a week or even longer. There are errors in differential diagnosis with an attack of acute appendicitis, and then comes in some cases even before surgery. Constipation often occurs, which alternate with diarrhea. Diarrhea usually occurs early in the morning or after eating. As a rule, mucus is often mixed with feces.
The diagnosis of "Spastic Colitis" can be made only after all organic diseases having similar symptoms have been completely eliminated. It is mandatory to carry out a diagnostic procedure, such as endoscopy. Usually at such research it is revealed that the mucosa of the colon is hyperemic, in places covered with abundant mucus, some areas are spasticized. There are no changes in microscopic examination of stool, biochemistry also shows normal indices. In differential diagnosis with habitual constipation, it must be remembered that spastic colitis is characterized by alternating constipation and diarrhea, whereas with habitual constipation, alternating constipation comes with normal bowel movements. Moreover, at a spastic colitis in a feces it is a lot of slime. Sometimes it even stands out in the form of membranes. The pain syndrome is much more pronounced, up to intestinal colic, and the intestinal loops are painful and spasmodically reduced during palpation, their gaustration is unevenly strengthened. There are no significant clusters of feces in the rectum.
Treatment of spastic colitis is carried out with great care, especially with regard to drug treatment. Tranquilizers and sedatives, such as valerian and motherwort preparations, bromine salts, more potent elenium and melipramine, diazepam and trioxazine are mainly shown. In the case of severe spasms and pain, no-shpa and papaverine, belladonna and halidor, atropine and platyfilin, buscopan and metacil are shown. From physiotherapy procedures are recommended:
- coniferous and oxygen baths,
- Warming of the abdomen,
- wrapping wet sheets,
- galvanic collar,
- applications on the bottom of the abdomen from paraffin and ozocerite and so on.
Prevention consists in the timely treatment of neuroses, adequate rest and sufficient physical activity.