irritable bowel syndrome
Ca. 3 million people in Germany suffer from chronic indigestion, which are summarized under the term "irritable bowel". The diagnosis of irritable bowel syndrome "is really more an expression of helplessness. If multiple, the patient severely damaging complaints, no organic correlate or a clearly defined pathology can be assigned.
How does the digestive system?
early as the first station of the food - the mouth - digestion begins: During the chewing of certain enzymes in the saliva split the long chains of sugar in the diet. Long and thorough chewing facilitates the further digestion, the work enormously. Because: "Well chewed half-digested".
In the stomach, the food by wave-like Movements of the stomach wall ground until a uniform paste. Then the food from the stomach is given in portions of the small intestine.
In the small intestine the chyme with alkaline secretions of the pancreas is mixed. The fat from the digested food is broken down with the help of bile acids into smaller components. Various enzymes break down the chyme into small parts now that they can be easily absorbed by the intestinal wall and transported in the blood through the body.
The actual digestion of food per food portion takes about half an hour and happens to millions of tiny villi that line the intestine completely. A single square inch of our small intestine, with up to 3,000 of these villi ("fingers") entries, whereby the surface of the intestinal mucosa is increased enormously. Would the numerous folds and millions of little toe Otten of about 5 feet long small intestine are spread out, would mean a space of more than 300 square meters! This is nearly the size of a tennis court.
expressed as a irritable bowel syndrome?
Morning sickness, accompanied by mild, recurrent abdominal pain are characteristic of vague abdominal discomfort. The belly is usually inflated and occasionally diarrhea occurs. Not infrequently complain Patients also have fatigue, exhaustion, muscle cramps or an increased susceptibility to infection.
main symptoms
* bloating, abdominal cramps
* diarrhea or constipation (often alternating)
* nausea, anorexia
* bad breath
accompanying symptoms
* tiredness, ill humor
* impaired concentration
* skin conditions, allergies
* headache, migraine
* Joint and muscle pain
The diagnosis of irritable bowel syndrome "is really more an expression of helplessness. If multiple, the patient severely damaging complaints, no organic findings or a clearly defined pathology can be associated, often the diagnosis is irritable bowel syndrome.
What causes may have the symptoms?
revealed the basis of the holistic individual medical history to indicate possible causes of the complaints. Sometimes the symptoms are so clearly stated that once a tentative diagnosis can be made and can be confirmed by a laboratory test.
In most cases, however, with a test not all be clarified and clearly it is also possible for several reasons, the cause vague abdominal discomfort. And proceed to the exclusion principle (medical: differential diagnosis). The existing problem is, so to speak circled on and on. Possible differential diagnoses are:
* overgrowth of the gut
* Limited function of the pancreas (maldigestion)
* Carbohydrate intolerance (lactose, fructose, sorbitol)
* Wheat intolerance (and other grain products)
* histamine intolerance
* parasites (lamblia)
* food allergy, intolerance
can do what the modern diagnostics?
As with any disease, we ask first the medical history. Here, the patient reported typical symptoms and possible comorbidities. It is helpful if he made a kind of diary has been recorded in the, when they occur, how long and how the complaints. A physical examination should follow. What further study options are fitted shall be decided in individual cases.
options include:
* Blood tests
* Investigation of the chair
* Endoscopic examination of the rectum and / or the colon (colonoscopy)
* X-ray examination of the small intestine
* exclusion of lactose intolerance
* Psychosomatic study on the exclusion of anxiety disorders, depressive disorders and / or disease-related fears
Only few patients know that in an investigation of the chair a lot more information than the detection of parasites or a hidden bleeding can be obtained.
Today there are modern laboratory tests, which can be obtained from blood, respiratory gas or stool information that may be helpful for diagnosis.
to exclude individual suspected diagnoses are many and specific laboratory tests are available:
* intestinal flora and fungus proof
(on a defective colonization of the intestine with an overgrowth of putrefactive bacteria or a lack of Säuerungsflora from the gut with fungi colonized)
* Determination of the content of fat, protein, starch in feces
* clarification of the intact function of the pancreas
* bile acids
(will be bile acids sufficiently absorbed in the small intestine)
* testing for certain infections / inflammation markers
(for suspected food allergy, food intolerance and inflammatory bowel changes)
* excluding an intolerance to wheat or other grain products
* breath test for lactose intolerance gas
* breath test for fructose intolerance gas
* study for histamine intolerance allergy tests for food *
(in true allergy or food intolerance)
* Evidence of parasites in the stool (Lambie)
(to stay abroad or to pet owners)
be obtained from the results which test material is different. Not for all the tests, the investigation of stool is needed. Sometimes the diagnosis is done with a breath test or gas from a blood sample.
Dr. Rainer Didier
specialist in general medicine
classical homeopathy, nutritional medicine, medical hypnosis
Nordhofstr. 173 32130 Enger
Tel: 05224-994677
Mobile: 0171-6173744
www.dieSanfteMedizin.de
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