My mother has colitis. She went to the hospital to have a color Doppler ultrasound and said that there was gas accumulation in the intestines. How to treat this?

catalogue

brief introduction

Etiology of colitis

Main clinical symptoms

Diagnosis of colitis

Clinical classification of colitis

Traditional Chinese Medicine Classification of Chronic Enteritis

Treatment of colitis

Dietary adjustment methods for patients with colitis

Edit the introduction of this paragraph.

Colitis, also known as nonspecific ulcerative colitis, has a slow onset and varies in severity. Diarrhea is the main symptom. Purulent bloody stool, mucus bloody stool or bloody stool are often accompanied by abdominal pain → defecation → relief. Abdominal pain is usually dull pain or colic, often located in the left lower abdomen or lower abdomen. Other manifestations include loss of appetite, bloating, nausea, vomiting and hepatomegaly. There may be tenderness in the left lower abdomen, and sometimes the spastic colon may be touched. Common systemic symptoms include emaciation, fatigue, fever and anemia. In the course of chronic diseases, a few patients show severe diarrhea when their condition suddenly worsens or their first attack is explosive, and they discharge feces containing blood, pus and mucus, and have high fever, vomiting, tachycardia, failure, dehydration, electrolyte disorder, coma and even colon perforation/kloc-0-30 times a day. Failure to treat in time will lead to death.

Edit the cause of colitis in this paragraph.

1. Autoimmune response: Most scholars believe that this disease belongs to autoimmune disease. Because there are many patients with autoimmune diseases (such as autoimmune hemolytic anemia), adrenocortical hormone can alleviate the disease, and antibodies against colon epithelial cells can be found in some patients' sera, so it is considered that the occurrence of this disease may be related to autoimmune reaction. In addition, some patients infected with Enterobacter can react with the antigen of colon epithelial cells and damage colon mucosa, and the lymphocytes of patients have cytotoxic effect on fetal colon epithelial cells, suggesting that the occurrence of colitis may also be related to cellular immune abnormalities.

Infection: The pathological changes and clinical manifestations of this disease are similar to some infectious diseases of colon (such as bacillary dysentery), so some people think that infection is the cause of this disease. Among bacteria, fungi, viruses and many other factors, the current research shows that viruses are more likely.

Third, heredity: the incidence of this disease is relatively high in blood families. According to European and American literature statistics, about 15-30% of the immediate family members of patients with ulcerative colitis have this disease. In addition, the study of twins shows that zygotes are more likely to get sick than zygotes, suggesting that the occurrence of this disease may be related to genetic factors.

4. Neuropsychiatric factors: Some people think that mental factors play a certain role in the pathogenesis. Most patients have certain personality characteristics, and their psychological endurance and adaptability to major events in life are poor, which belongs to psychosomatic diseases. Psychosomatic diseases emphasize that psychological factors play an important role in the occurrence or course of the disease. Some people classify seven diseases as psychosomatic diseases, namely: asthma, rheumatoid arthritis, ulcerative colitis, essential hypertension, neurodermatitis, hyperthyroidism and duodenal ulcer. At present, there may be more diseases listed as psychosomatic diseases.

Nowadays, with the fast pace of social life, more and more people are suffering from this disease. Please ask experts to prescribe effective prescriptions for this disease and solve this disease for the majority of patients.

Edit the main clinical symptoms in this paragraph.

The onset of this disease is mostly slow, and a few can be acute. The course of the disease is chronic, lasting for several years to more than ten years, often alternating between attack and remission or worsening, and occasionally acute attack. Clinical manifestations are as follows:

(1) Diarrhea: Mucous stool and purulent bloody stool, ranging from 3 to 4 times a day, dozens of times in severe cases, or diarrhea and constipation appear alternately.

(2) Abdominal pain: Mild patients have no abdominal pain or only abdominal discomfort. Generally, there is mild to moderate abdominal pain, especially in the left lower abdomen or lower abdomen, which may involve the law of relieving the whole abdomen after defecation.

(3) Constipation, constipation, defecation every 4-5 days, feces are like sheep manure, and you can't relax even without taking laxatives.

(4) Other symptoms: abdominal distension, emaciation, fatigue, bowel sounds, insomnia, dreaminess and fear of cold.

Edit this part of the diagnosis of colitis.

Colitis is well confirmed in daily life. If diarrhea, abnormal stool, abdominal pain, bowel sounds, constipation, mucous stool and purulent stool occur, initially taking sulfonamides and antibiotics can control the disease. After repeated recurrence, the effect is not significant. You should go to the local hospital and ask experts for help in diagnosis. 1993 held a national seminar on chronic non-communicable intestinal diseases, and formulated three experimental diagnostic criteria according to China's situation:

(1) Ulcerative colitis, such as bacillary dysentery and amebic colitis, should be excluded first.

(2) It has typical clinical manifestations such as recurrent diarrhea, abdominal pain and mucus pus, and at least one characteristic change of colonoscopy X-ray.

(3) The clinical manifestations are atypical, but there are typical colonoscopy or X-ray findings or histological findings of mucosal biopsy.

Edit the clinical classification of colitis in this section.

Clinical classification of colitis is beneficial to treatment and prognosis. According to the clinical manifestations and clinical progress of colitis, it can be divided into the following four types:

(1) Mild type: the most common, with slow onset, mild symptoms, mild diarrhea, less than 4 times a day, alternating constipation, no or only a small amount of blood mucus in stool, no systemic symptoms, lesions mostly confined to rectum and sigmoid colon, and normal blood condition.

(2) Moderate type: between mild and severe, with diarrhea more than 4 times a day and mild systemic symptoms.

(3) Severe type: fever, fatigue, emaciation, anemia and other systemic manifestations, diarrhea more than 6 times a day, bloody stool or mucus pus and bloody stool.

(4) fulminant type: rare.

Edit the TCM classification of chronic enteritis in this paragraph.

Cognition of TCM: Colitis is mostly caused by damp-heat and blood stasis, deficiency of spleen and kidney yang, deficiency of both qi and blood, qi stagnation and blood stasis, eating disorder, overwork and mental factors. After more than 20 years of clinical experience and the joint efforts of many experts, I have summed up a set of relatively complete and unique TCM classification and treatment methods, so I have achieved strange clinical effects and played a certain role in curing colitis and preventing colon cancer.

(1) Diarrhea type: diarrhea, stool deformation, abdominal pain, bloody stool, mucus stool, purulent bloody stool, bowel sounds, poor defecation, acute diarrhea, weight loss, general weakness, aversion to cold, dizziness and other symptoms. This type is the easiest to treat and can be cured in 20-60 days. )

(2) Constipation type: constipation such as sheep manure, poor and endless defecation, and even no defecation for several days. Some patients have a long history of diarrhea, accompanied by abdominal pain, emaciation, dry mouth, abdominal distension, anemia and other symptoms, and are prone to malignant transformation. (Treatment usually lasts 30-60 days)

(3) Alternating diarrhea and constipation: dry and thin stool, bloody mucus, abdominal pain and bloating. (Treatment usually lasts 20-60 days)

Edit the treatment of colitis in this paragraph.

Chronic colitis is an autoimmune disease, which may be related to some pathogen infections, genetic factors and mental factors. Most of them have a long course of disease and are difficult to heal, especially ulcerative colitis, which has mucus and pus in the stool, and the patients are very painful. These symptoms can not be solved by regulating the spleen and stomach, strengthening the spleen and benefiting the intestines, but should be supplemented by cold and heat, strengthening the spleen and regulating yin and yang, so as to fundamentally treat enteritis.

Liu, a Shandong patient, suffered from abdominal pain and diarrhea for 5 years. He ate a lot of Chinese and western medicines and began to take effect. The more he uses it, the worse the effect will be. Some drugs are relieved after taking them, and then relapse after stopping taking them. When seeing a doctor, the patient's diarrhea is aggravated, and the stool is sticky, 5-6 times a day, and it is urgent and then heavy. There is a burning sensation in the anus after defecation, and the diet is still good. But after dinner, I have to go to the toilet, and my movements are a little slow, so I can't control my stool and my body is getting thinner and weaker. Red tongue, white greasy fur and weak pulse. According to the condition, the methods of invigorating spleen and eliminating dampness and tonifying cold and heat were adopted. After taking the dose of 15, the frequency of defecation decreased, three times a day, but mucus still existed and did not form. On the basis of the original prescription, the kidney was used, and the stool basically returned to normal. The patient thought he was completely cured, but his condition recurred due to improper diet. He defecates 3-4 times a day, and his symptoms are basically the same as before, but his reaction is mild. He still used the original recipe and fried Coix seed 30g, and then 15 dose, the stool basically returned to normal. After taking 15 dose, it completely returned to normal and has not recurred so far.

The key to treating colitis is prescription. Frequent defecation does not necessarily require tonic. It is necessary to combine syndrome differentiation with disease differentiation, strengthen the spleen with neutralization, and generally use tonics. It is necessary to strengthen the body's resistance and eliminate pathogens. Strengthening the body resistance is fundamental, and eliminating evil means eliminating inflammation, so that the effect can be better.

Edit the dietary adjustment method of patients with colitis in this paragraph.

First, rest: rest is of great benefit to the disease, especially for patients in active period, emphasizing full rest and reducing mental and physical burden. With the improvement of the disease, you can gradually increase the amount of activity, but generally you should avoid heavy physical activity.

Second, dietary nutrition: during diarrhea, we should pay attention to supplementing nutrition and appropriately reduce the cellulose components in the diet, such as leeks, celery and garlic moss. And use a diet with less residue to reduce the mechanical damage that high cellulose content may bring to colon mucosa. Regarding the problem of drinking milk for patients with colitis, it depends on whether diarrhea is aggravated after drinking milk, because patients with ulcerative colitis may be allergic to milk protein. On the other hand, some patients may have diarrhea due to the lack of lactase in the intestine. In China, there are more people suffering from lactase deficiency than in the west. Therefore, patients with inflammatory bowel disease during diarrhea should carefully ask whether they have a history of allergic reaction to milk, and limiting the intake of dairy products sometimes plays a role in stopping diarrhea.

Due to diarrhea and bloody stool, long-term eating too little and absorptive malnutrition, patients may have iron deficiency, folic acid deficiency or anemia, and should be supplemented appropriately. Generally, it can be supplemented by oral administration or injection. The use of traditional Chinese medicines that tonify qi and spleen, nourish blood and tonify kidney can also achieve the purpose of strengthening physique and supplementing nutrition, but it is necessary to use drugs dialectically and not to supplement them excessively. Patients with chronic diarrhea should be supplemented with calcium, magnesium, zinc and other trace elements.

Third, correct the imbalance of water and electrolyte: severe patients are prone to dehydration, water and salt metabolism disorder and hypokalemia due to a large number of diarrhea and fever, especially when a large number of hormones are treated, which is more likely to lead to hypokalemia and can induce toxic intestinal dilatation. Therefore, patients should take drugs under the guidance of doctors and pay more attention to the reaction after taking drugs. Outpatients with water-electrolyte imbalance due to the aggravation of illness should be hospitalized in time, so as to replenish water, sodium chloride and potassium salt intravenously in time and correct the imbalance between water and acid-base.

Please refer to the following points!

1. Foods with less fiber and low fat can promote intestinal peristalsis and stimulate the intestinal wall, but they are not easy to digest and are not good for the intestine, so they should be restricted. Oily and fatty foods, in addition to being difficult to digest, will also aggravate diarrhea due to its intestinal sliding effect, so it is necessary to control the dosage of frying, boiling, frying, fat and cooking oil.

2. Pay attention to supplement protein and vitamins. In daily diet, we should choose some digestible high-quality protein foods, such as fish, eggs, bean products and fresh leafy vegetables rich in vitamins. It is best to eat vegetable juice to reduce fiber intake, because patients with chronic enteritis have poor digestion and absorption function, and should adopt an digestible semi-liquid diet with less residue, a small amount of meals, increase nutrition and improve symptoms. During the acute attack of chronic colitis, we should eat porridge, refined rice flour, fish and shrimp, eggs, bean products and digestible food to rest the intestines.

3. If there is dehydration and low sodium in chronic enteritis, you should supplement light salt water in time, eat vegetable leaf soup, and supplement the loss of water, salt and vitamins.

4. When the exhaust and diarrhea are too strong, reduce sugar and easily fermented foods, such as potatoes, beans and milk.

5. Persimmon, pomegranate and apple all contain tannic acid and pectin, which have astringent and antidiarrheal effects. Chronic colitis can be eaten in moderation.

6. Patients with chronic enteritis are weak and have poor resistance, especially the gastrointestinal tract is easy to be complicated with infection. It is necessary to pay more attention to food hygiene, not to eat cold, hard and spoiled food, and to ban alcohol and spicy condiments.

7. Patients with chronic colitis should also closely observe their adaptability to various foods and pay attention to individual differences. Some food, such as eggs, milk, etc. It should have no effect on the intestine. After eating it, the diarrhea is aggravated and the allergen is unclear for a while. So if you find a problem, you must find out the reason, explore the law, and try not to eat.

Besides actively treating acute and chronic recurrent diarrhea by taking Tibetan medicine [Jinhe Zuo Zhu Da Xi], diet conditioning is also very important. Dietary conditioning can reduce the burden on the stomach and promote the repair of intestinal mucosa. In the process of medication, through diet conditioning, we can provide sufficient nutrition to the intestine, improve the nutritional status, avoid irritation, make the intestine get proper rest, which is conducive to early recovery and shorten the course of medication.

Therefore, the dietary principles of patients with acute and chronic colitis are

1, the food should be easy to digest, soft and less residue, and non-irritating. Eating less residual food can reduce intestinal peristalsis and relieve diarrhea. You can eat eggs, dried noodles and rotten rice porridge. Try to eat less foods, fruits and vegetables that contain a lot of crude fiber.

2. Chronic colitis has a long course and often recurs. In order to improve the nutritional status and intestinal environment, a high-protein and high-calorie diet should be given. Foods rich in vitamins, inorganic salts and trace elements, especially foods rich in vitamin C and vitamin B, should also supplement physical strength and nourish the body.

3, eat more food with antidiarrheal effect to relieve diarrhea, and then carry out comprehensive treatment and conditioning through [Jinhao Zuozhu Darcy], which is conducive to early recovery. Such as: purslane, coix seed, lentil, yam, hawthorn, dark plum, apple, litchi, lotus seed, glutinous rice, japonica rice, glutinous rice, lotus root, ham, black-bone chicken, pepper and so on.

4. properly control fat. Don't use greasy food and fried food in your diet. Cooking should use less oil and adopt steaming, boiling, stewing, stewing and other methods. Avoid greasy food, such as lard, sheep oil, cream, butter, walnuts, etc. , so as not to aggravate diarrhea.

5, avoid eating gas-producing food. Due to repeated attacks, ulcers and scar fibers are alternately produced in the colon mucosa, so the elasticity of the inner wall of the colon is reduced. If you eat more flatulence foods such as soybeans, bean products, fried broad beans and sweet potatoes, it may lead to intestinal gas filling and complications such as acute intestinal dilatation or ulcer perforation.

6, avoid cold fruit. Most patients with this disease are spleen and stomach weakness and kidney yang weakness. If you eat more cold food and cold fruits, such as all kinds of cold drinks, iced foods, pears, watermelons, oranges, oranges, bananas, tomatoes, mussels, sea cucumbers, lily soup and so on. , will further damage the spleen and kidney-yang, so that the spleen and stomach can not exercise, cold and dampness will stop. At the same time, these foods themselves are slippery, which will aggravate diarrhea and abdominal pain.

7. Avoid milk and seafood. Diarrhea patients are prone to colon allergy after eating milk, condensed milk, shrimp and marine fish. , causing diarrhea to worsen. In addition, honey and its products have a laxative effect and cannot be eaten.

Magical Chinese medicine therapy

Drug Name: Shenbei Guchang Capsule

Chinese Pinyin: Shenbei Guchang Capsule

Ingredients: American ginseng, Lindera root, pilose antler, Poria, Radix Glycyrrhizae Preparata, Semen Plantaginis, Radix Aucklandiae, Radix Angelicae Dahuricae and many other pure Chinese medicines.

This product is a capsule with yellowish brown powder. Slightly fragrant and slightly bitter.

Function: Mainly used for stopping diarrhea, dispelling cold and clearing heat, and harmonizing qi and blood. It is used for patients with disharmony between liver and spleen, diarrhea and abdominal pain, and chronic nonspecific ulcerative colitis.

A course of treatment is suggested to be about two weeks, and the price is 659 yuan.

Usage and dosage: Take orally, 3 times a day, 4-6 capsules each time, after meals or as directed by the doctor.

Specification: 0.45g× 36 capsules/bottle.

Precautions 1, use with caution for pregnant women.

2. Avoid eating cold, spicy and greasy things during taking medicine.

Storage is sealed and moisture-proof.

The validity period is 24 months.

Approval number: National Medicine Zhunzi Z20080022

Beijing Gastroenterology Medical Center recommends the latest treatment methods.

www.shenbei2008.cn