THE SYSTEM DISEASES OF THE DIGESTIVE SYSTEM : THE CHRONIC COLITIS (COLITIS CHRONICA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Acute colitis, insufficiently treated, long locks of a functional nature, or in connection with organic changes, impairing motor function of the gut, disorders of gastric secretion (astrogeny colitis), drug abuse (iron, arsenic and others), especially purgatives, stagnation in the inferior Vena cava, the defeat of the urinary organs.
Pathogenesis is the same as in acute colitis (see).
The symptoms are extremely varied and depend on the condition of the nervous system, disorders of secretion of the intestine and from the preferential destruction of this or that Department. Patients complain of a slight pain in the abdomen cramping in nature, bad taste in the mouth, bloating, variability in the frequency and character of stools, recurrent nature of exacerbations, sometimes a small temperature increase. Depending on the predominant lesion of one or another Department of the thick guts, observed: the alternation of diarrhea and constipation when titletag and typlokalitat, constipation, spastic nature when transversity, diarrhea with frequent chair when pacolito finally, frequent urges to urinate on the bottom, a false urgency and tenesmus, painful when proctosigmoiditis. Defecation in chronic colitis liquid consistency or pasty, with mucus, sometimes with blood, often with fetid odor, contain undigested remains of food. The reaction is alkaline, acidic or neutral. Objectively-the decline of power, furred tongue, distended abdomen, pain during thick guts, often purring and stretched sharply descending segment of the colon and the S-shaped colon. The liver is often enlarged and painful; on the part of the stomach is often upset secretory function in the form of lower acidity up to ahilii.
Course and complications. The disease is long lasting, lasts for years. The slightest violation of diety, nervous shock lead to an aggravation of the process. Often on the grounds of chronic colitis develops pericolic.
Subjective complaints of the patient, data palpation and research faeces help not only to diagnose the disease but also to localize it. X-ray examination of the large intestine and sigmoidoscopy are very valuable additional methods of examination.
The duration of the process, persistence and recurrence rates are forced to put only a relatively favorable prognosis.
Prevention is primarily for a thorough treatment of acute colitis, and the rest is the same as in acute colitis.
Requires individualization of each case and is possible only after survey of the patient and establish the nature of the violation of the chemical composition of intestinal digestion. It should be the elimination of the etiological point. When you have constipation, you must first remove them by assigning dieticheskogo mode, olive or paraffin oil tablespoon half an hour before meals 2 times a day; for constipation, spastic nature - micro through long tip, as well as the systematic application of hot oil enema (1 (1/2) -2 cups of sunflower oil 40). Diarrhea resolved with the help of individual food mode, which is set on the basis of the research data feces. It is best to start in these cases, treatment with 2-3 hungry days, practiced every time the exacerbation of colitis and then go to the diet, consisting of mucous soups, pureed soups with butter, soup of pureed vegetables, jellies from fruits, sugar, tea and a large number of vitamins. MOJIOKO completely excluded (permitted cream teas). From food should be eliminated all meat, beef and eggs. With the cessation of diarrhea to the diet add the breadcrumbs, and then grated white meat, fish balls. For constipation diet should not be so strict; in pureed cereals, boiled fish and white meat, it is useful to assign pureed vegetables boiled, stewed fruit, stale rye bread in a small amount. Drug therapy: when diarrhea-calcium, with the defeat of the lower intestine (proctosigmoiditis most benefit from hot oil enema through a long tip, lavage warm solution of silver nitrate (0.1 to 0.2 per 1 liter). With bloating and pain help siphon flush and warm chamomile enemas (1 Cup of weak chamomile infusion 35-37). The big benefits of the systematic application of heat to the abdomen in the form of hot compresses or heating pads. In chronic colitis shown sanatorium-resort treatment.