Irritable Bowel Disease

  • Home
  • Irritable Bowel Disease
It is a functional bowel disease that affects 15% of society. Although it occurs in both sexes, 80% of patients are female. The reason for this is not entirely clear. But it is thought it could be due to gender-related biological changes or women being more sensitive to their health. It can also be called spastic colon, spastic colitis, sensitive bowel disease. Irritable bowel disease (IBD) should not be confused with serious diseases of the large intestine, such as ulcerative colitis, crohn's disease. Abdominal discomfort is a real and treatable disease characterized by changes in defecation, such as pain, constipation, or diarrhea. In many cases IBD is defined by what it is and not what it is.

WHAT ISN'T IBD?

It is not an anatomical or structural problem.
It is not a detectable physical or chemical disease.
It is not the cause of cancer or cancer.
It is not the cause of another digestive system disease.
Patients with IBD experience abdominal discomfort, bloating and/or pain, as well as complaints of constipation, sometimes diarrhea. It should be noted that IBD is a real medical condition that is not life-threatening and will not cause another serious problem. It is formed as a result of a somewhat abnormal study of the relationship between the nervous system and the novelistic structure of the intestine. The muscles of the large intestine can be very strong or contract very slowly. For this reason, although there is no mechanical blockage, he may feel abdominal pain in the style of cramping or signs in the style of blockage.

WHAT IS THE ROLE OF STRESS IN THE FORMATION OF IBD?

Stress does not play a role in the formation of IBD. It is not a psychological or psychiatric disease. It can increase the signs of emotional stress. Many people may feel nausea, vomiting, abdominal pain when they are nervous or excited. We can't control the impact of stress on our intestinal system, but we can weaken the signs of IBD by reducing the sources of stress in our lives. HOW DOES IT AFFECT LIFE? It can disrupt a person's daily life, disrupt school or work life, affect their social relationships, skip meals or cause changes in dietary habits. It has been shown to cause a severe labor loss. In general, there will be a significant decrease in the quality of life.

ARE THERE DIFFERENT TYPES?

Doctors usually divide this disease into three groups based on their experience as constipation (abdominal pain, bloating and constipation), diarrhea (abdominal pain, urgent need to defecate and diarrhea), or alternately constipation and diarrhea. It occurs equally in all three types. Determining the type of IBS is important for proper treatment.

WHEN SHOULD YOU SEE A DOCTOR?

If you have the above-mentioned complaints, and they are repetitive, you are facing a real and treatable medical condition called irritable bowel disease. In this case, you should consult a doctor to evaluate your complaints.

HOW IS IT DIAGNOSED?

 It is important to distinguish and diagnose some serious conditions that can cause similar complaints. In other words, it should be shown that there are no other conditions that can cause these complaints. Bleeding with defecation, weight loss, recurrent fever, anemia, severe chronic diarrhea, family history of cancer is important. If you have these symptoms or a suspicious condition, your doctor may ask you for a colonoscopy (examination of the large intestine). It is recommended that those who have colon cancer in their family and all patients over the age of 50 should have a colonoscopy for screening purposes.

HOW IS IT TREATED?

Preventing stress; understanding that IBD is not a life-threatening or serious problem will reduce excitement and stress. Reducing stress, using behavioral therapies, relaxation methods, and pain management methods may reduce symptoms in some people. A positive effect of regular exercise has been shown in some patients. It would be useful to use a diary to identify certain foods or factors that trigger the findings. Lifestyle changes, diet; some changes in lifestyle, diet before drug use can be much more useful in the treatment of IBS. What should be done?
Avoid or reduce foods such as gas-producing legumes, onions, broccoli, cabbage.
Avoid fast and overeating.
Drinks containing gas (Cola, soda, soda) should be avoided. These drinks can create gas and cause pain. Chewing gum also causes a significant amount of air to be swallowed.
Using a large amount of sweeteners can cause excess gas, bloating, cramps and diarrhea.
More than 40% of IBS patients experience intolerance to lactose in milk. In this case, avoid milk and dairy products.
Consuming more wheat bran and other fibers will reduce your complaints.
If you're making changes to your diet habits, make a slow transition so your body can get used to it.
Avoid too much, too fat, fried food. Caffeine, alcohol can cause pain or diarrhea.
Fructose found in some fruits is not fully absorbed from the intestine, can cause pain and diarrhea. Citrus juices, flaxseed soften faeces and reduce pain. Water-insoluble fibers such as cellulose, Corn Flakes and Bran can reduce diarrhea by absorbing water. But consuming too much can sometimes create discomfort.

MEDICATION
 
As of the occurrence of the disease, there is no drug specific to this disease. But some medications can be used to reduce the patient's complaints. Anti-constipation drugs can be used in patients with constipation. If you have diarrhea, your doctor may give you medications that reduce bowel movements. Anti-spasm agents may be somewhat effective in patients with abdominal pain. Antidepressant drugs may benefit some patients. In a patient diagnosed with IBD, surgical treatment is not indicated and is not recommended.

MD. Coşkun ÖZER

GENERAL SURGERY SPECIALIST