Irritable Colon: How is it possible that bothers me so much and I do not find anything ?

Written by: Dr. Fermín Mearin Manrique
Published: | Updated: 17/02/2018
Edited by: Top Doctors®

¿What is irritable bowel

?

The cranky (or irritable bowel syndrome ) is a digestive functional bowel disorder. That means you do not have an organic cause ( visible) and that the symptoms are caused by alterations in the functioning or sensitivity of the digestive tract. The cause not see does not mean it does not exist. It is something like what happens with most headaches: the fact that there is a brain tumor, intracranial hemorrhage or other lesions, does not indicate that the patient does not get a headache. What happens is that the changes are not seen with the naked eye or with conventional tests: they are microscopic, related to certain neurotransmitters, determined by the type of nerve connections, etc.

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¿, that mean you do not know what causes

?

no. Today enough is known about the mechanisms by which the IBS happens. What happens is that different factors and act in complex ways. In some cases dominate the alterations of digestive movements spasms that cause pain there, the traffic is too slow ( and suffer constipation ) or too fast (and have diarrhea) and sometimes it is irregular (and alternating with constipation diarrhea ). In other patients the origin is an excess of bacteria within the intestine, which may result in increased gas and abdominal swelling. Also influenced by dietary factors, BUT board rule out celiac disease and certain carbohydrate malaabsorciones. Moreover, many patients have an overly sensitive digestive tract, so that pain stimuli occur which in healthy non them are painful. In this regard it must be said that emotional factors may contribute to increased symptoms. Not that discomfort invent, is that your digestive tract malfunctions and becomes more sensitive as a result of stress, anxiety or depression.

 

¿, As out tests in patients with irritable bowel

?

In the absence of an organic lesion is usual that all tests are normal. The patient blood tests, ultrasound, colonoscopy, etc is done. and everything is normal. Then the doctor says,“Do not worry, it has nothing”. And the patient thinks:“& iquest, As I do not have anything if it really hurts the belly and never go to the bathroom right ? It can not be”. Of course there is something. There is a functional gastrointestinal disorder, which is not dangerous but extremely annoying and upsetting for the quality of life does not kill but not to live normally

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¿has treatment

?

Yesifsisuponiendo que. What happens is that there is no unique treatment. You have to find what are the possible causes in each case. This is a work to be undertaken jointly doctor and patient. Some cases can be treated with spasmolytic, others with antibiotics or probiotics;are sometimes necessary medications that act directly sobe pain;and not infrequently the support that is necessary nutritionist or psychologist. It is essential to work in teams and find the best solution individually. Moreover, every time we investigate more about this syndrome and, hopefully, in the near future new treatments on the market.

*Translated with Google translator. We apologize for any imperfection

By Dr. Fermín Mearin Manrique
Gastroenterology

Eminence specialty, is currently the director of the Department of Gastroenterology of the Teknon Medical Center. Doctor Cum Laude at the Autonomous University of Madrid, has experience in professional and research centers of excellence such as the Mayo Clinic in the United States and the Hospital Vall d'Hebron in Barcelona.

*Translated with Google translator. We apologize for any imperfection

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