Lower functional dyspepsia

Lower functional dyspepsia is also referred to as irritable bowel syndrome. This is pain or discomfort lasting at least 12 weeks from the previous year, which:

  1. they alleviate or disappear after defecation;
  2. are associated with a change in the frequency and / or character of the faeces.
  • The diagnosis of irritable bowel syndrome is further supported by feelings of urgency on the stool, a feeling of imperfect emptying, mucus passage, bloating and distension of the abdomen, the patients usually do not wake up from sleep.
  • The etiopathogenesis is the same as in upper functional dyspepsia.

Clinical picture

  • Abdominal pain and discomfort, constipation, diarrhea, feeling empty.
  • Alarming symptoms and risk factors are: 1. age over 50 (colorectal cancer), 2. temperature, 3. weight loss, 4. blood or pus in the stool, 5. steatorhea, 6. dehydration.

Diagnostics

  • Per exclusion (exclude colorectal cancer, diverticular colorectal disease, IBD (Inflammatory Bowel Disease), intestinal infections).
  • Anamnesis, physical examination, laboratory examination (as in upper dyspepsia) + stool examination (OK, cultivation, parasitology), imaging techniques (ultrasound).
  • Colonoscopy is not indicated, but it has a positive effect in terms of reassuring the cancerophobic patient.

Therapy

  1. In case of diarrhea dominance - test with exclusion of lactose in the diet, antidiarrheals, addition of soluble fiber.
  2. When constipation dominates - regime measures (sufficient hydration, soluble fiber, defecation stereotypes), sometimes it is necessary to administer laxatives.
  3. Painful symptomatology - antispasmodics (pinaverin…).
  • The use of antidiarrheals and laxatives should be carefully considered and possible side effects monitored.


Source

  • Template: Quote


Kategorie:Vložené články Kategorie:Gastroenterologie Kategorie:Chirurgie Kategorie:Vnitřní lékařství