Diarrhea. Causes of protracted diarrhea Different types of protracted diarrhea

diarrhea(carrying) - accelerations, bagatorazovy rare stilts. Carrying sounds accompanied by pain, grumbling in the abdomen, flatulence, tenesmus. Carrying is a symptom of infectious diseases and inflammation of the intestines, dysbacteriosis, neurogenic disorders. Tom important meaning in prophylaxis, the diagnosis is more complicated and the treatment of the main illness. The loss of a large amount of water during profuse carrying up to the disruption of the water-salt balance and can cause heart and nerve insufficiency.

Zagalni vіdomostі

Diarrhea is called a one-time or frequent defecation with feces of a rare consistency. Diarrhea is a symptom that signals a disturbance in the absorption of water and electrolytes in the intestines. At the norm, a large number of feces, which are seen for the good of a grown-up person, kolivaetsya in the range of 100-300 grams fallow with the peculiarities of children (the number of cultivated dewy cells, speeches, which are filthy conquered, natives). In the case of a stronger intestinal motility, the stiletto may often grow out of it, or else it will be left in the middle of the norm. If the amount of rіdini in feces grows up to 60-90%, then talk about diarrhea.

Diagnosed with acute diarrhea (trochitis more than 2-3 days) and chronic. In addition, in the understanding of chronic diarrhea, the scaling is reduced to a periodical cassock style (over 300 grams per doba). Patients, as they suffer from the destruction of the vmoktuvannya of the lifeless speeches, tend to the trend to polyfaeces: seeing a large amount of fecal masses, in order to avenge the unexposed surpluses of the living.

Causes of diarrhea

In case of intoxication in the intestine, there is an excess secretion of water with sodium ions, which reduces the excretion of the bowel. Secretory diarrhea develops with intestinal infections (cholera, enteroviruses), taking drugs medicinal products and biologically active additives. Osmolar diarrhea is the cause of malabsorption syndrome, lack of over-etching of sucroses, supramundane reduction of osmotically active speech (carrying salt, sorbitol, antacid and other). The mechanism of development of diarrhea in different cases due to the development of osmotic pressure in the lumen of the intestine and diffusion of the intestine along the osmotic gradient.

A significant factor that prevents the development of diarrhea is impaired intestinal motility (hypokinetic and hyperkinetic diarrhea) and, as a result, changes in the smoothness of intestinal transit. Strengthen motility to spriyat pronosnі zasobi, magnesium salts. Impaired motor function (weakening and strengthening of peristalsis) may occur in the development of irritable bowel syndrome. When to talk about functional diarrhea.

Inflammation of the intestinal walls is the cause of the exudation of protein, electrolytes and water in the intestinal lumen through the mucus membrane. Exudative diarrhea accompanied by enteritis, enterocolitis of various etiologies, intestinal tuberculosis, acute intestinal infections (salmonellosis, dysentery). Often, with such a look of diarrhea in the style, there is blood, rot.

Diarrhea can develop due to the use of drugs: pronoxious, antacids, magnesium salts, some groups of antibiotics (ampicillin, lincomycin, cephalosporins, clindamycin), protiarrhythmic drugs (quindyline, propranol), foxglove preparations, potassium salts, pieces, cholestyramine, chenodeoxycholine acid , sulfonamides, anticoagulants

Classification

The following types of diarrhea are distinguished: infectious (with dysentery, salmonellosis, amebiasis, toxic infections and entrovirus), alimentary (associated with disorders in the diet or allergic reactions to the food product i), dyspeptic (accompanying etching damage; and also in case of insufficient secretion of enzymes in the small intestine), toxic (with disorders caused by mischief or mercury, uremia), drug-induced (wiklikana by taking drugs, drug dysbacteriosis), neurogenic (with changes in motor skills due to impaired nervous regulation, psycho - emotional experiences) .

Clinical features of diarrhea

In clinical practice, acute and chronic diarrhea is distinguished.

Gostra diarrhea

Chronic diarrhea

Diarrhea that lasts more than 3 days is considered chronic. It may be the result of various pathologies, which are revealed to be the main tasks of the delineation of the tactics of extortion. To give information about the causes of chronic diarrhea, you can give anamnesis, concomitant clinical symptoms and syndromes, physical obstezhennia.

Particular respect is given to the nature of the bowel movements: the frequency of defecation, additional dynamics, commitment, consistency, color, and the presence of houses in feces (blood, mucus, fat). During the examination, the presence or presence of concomitant symptoms is manifested: tenesmus (hibni call to defecation), abdominal pain, flatulence, tedium, vomiting.

Pathologies of the small intestine are manifested by clear watery or fatty deformities. For an ailment of the intestinal tract, there is a characteristic less clear deformity, in the feces, streaks of pus or blood, mucus can be seen. Most often, diarrhea in case of colitis is accompanied by sickness in the stomach. Illness of the rectum is manifested by partial small deformities as a result of increased sensitivity to stretching of the intestinal walls, tenesmus.

Diagnosis of diarrhea

Gostra diarrhea, as a rule, is characterized by a pronounced intake of radium and electrolytes in the feces. When looking at that physical obstezhennі patsієnta signs znevodnennia: dryness and decrease in the turgor of the skin curves, increased pulse and decrease in arterial pressure. With a pronounced deficiency of calcium, the symptom of the m'yazovy roller becomes positive, it can be judged.

In case of diarrhea, the patient’s stylets are always seriously looked around; The manifestation of anal fissures, burrows, paraproctitis can be allowed to be treated with Crohn's ailment, which may be. For any diarrhea, carry out a complex follow-up of the organs of the herbal tract. Instrumental endoscopic techniques (gastroscopy, colonoscopy, irigoscopy, sigmoidoscopy) allow you to look at the inner walls of the upper veins of the mucosal tract and larynx, to reveal the mucus membrane, inflammation, neocretion, in Iraqis to bleed.

Microscopy of feces allows to reveal a high volume in a number of leukocytes and epithelial cells, which can be said about the presence of inflammation of the mucous membrane of the herbal tract. The manifestations of excess fatty acids are the result of damage to the soaking of fats. In marriage, with excess m'yazovyh fibers and high starch in feces, steatorrhea is a sign of malabsorption syndrome. The process of wandering after the development of dysbacteriosis will help to change the normal acid-puddle balance of the intestine. For the detection of such disorders, the pH of the intestine is adjusted (at the norm, it becomes 6.0).

With intermittent drifts in the supramundaneous duct secretion, the Zollinger-Ellison syndrome is characterized (ulcerogenic adenoma of the subductal duct). In addition, trival secretory diarrhea may be the result of the development of hormone-producing puffballs (for example, vіpomi). Laboratory studies of blood tests for signs of an ignition process, biochemical markers of liver damage and submucosal ulcers, hormonal disorders, which can be the causes of chronic diarrhea.

Excitement of diarrhea

Diarrhea is a symptom of many illnesses, therefore, in the choice of medical tactics, the main role is played by the manifestation and treatment of the underlying pathology. Fallow in the type of diarrhea, the patient is direct for a consultation with a gastroenterologist, an infectious disease specialist or a proctologist. It is necessary to seek medical assistance, as if there is a case of diarrhea, which lasts for 4 days, or in the feces there are streaks of blood or mucus. In addition, the symptoms, yakі it is not possible to deprive the posture of respect, є: dogtepodіbniy stiletz, pain in the abdomen, lihomania. As soon as there were signs of diarrhea and the absence of food poisoning, it is necessary to turn to the doctor as much as possible.

Therapy, directing the use of diarrhea to fall into the type of її. І includes the following warehouses: diet food, antibacterial therapy, pathogenetic treatment (correction of impaired absorption in case of enzyme deficiencies, decreased mucus secretion, preparations that normalize intestinal motility and in.), treatment of inherited diarrhea (registration, updating the electrolyte balance).

In case of diarrhea in the food diet, introduce products that will relieve the change in peristalsis, decrease the secretion of water from the intestinal lumen. In addition, the underlying pathology that caused diarrhea is protected. The components of the diet are responsible for the functional etching mill. Products that absorb the secretion of hydrochloric acid and increase the speed of evacuation from the intestines are excluded from the diet for an hour of acute diarrhea.

Antibiotic therapy for diarrhea is prescribed to suppress the pathological flora and restore normal eubiosis in the intestines. In infectious diarrhea, broad-spectrum antibiotics, quinolones, sulfanilamide, nitrofuran are prescribed. The drugs of choice for intestinal infections are to ensure that the intestinal microbiocenosis is not adversely affected (combined drugs, nifuroxazide). Sometimes with diarrhea of ​​various genesis, eubiotics may be indicated. However, more often, such treatment is prescribed after the calming of the sign of diarrhea for the normalization of the intestinal flora (elimination of dysbacteriosis).

As a symptomatic disease, adsorbents are formed, enveloping and binding, which neutralize organic acids. For the regulation of intestinal motility, loperamide should be injected, in addition to that, without interfering with the opiate receptors of the small intestine, reducing the secretory function of enterocytes and reducing the absorption. The antidiarrheal effect is not affected by somatostatin, which affects the secretory function.

In case of infectious diarrhea, drugs that reduce intestinal peristalsis should not be stopped. The consumption of redine and electrolytes in case of trivality and clearing diarrhea improves the life of entry into the registration. Most ailments are prescribed oral registration, but 5-15% of cases are due to the need for an internal introduction of electrical sources.

Prevention of diarrhea

Before the prevention of diarrhea, you can come in to take care of the hygiene of the body and eating. Mitty hands in front of the hedgehog, retelne mittya six vegetables and fruits and the correct culinary processing of products to spriyat unique grubs and intestinal infections. In addition, warto remember about the need to uniquely administer orphan water, unknown and suspected hedgehogs, food products, which can cause an allergic reaction.

can be both exo- and endogenous.

Exogenous toxic carry can be a sign of intoxication with mice, mercury, nicotine poisoning. There are symptoms of eliminative colitis (tenesmus, blood-mucus membranes). Changes in skins, mucous membranes (mish'yakovy melanosis), nirok (with mercury poisoning), hypochromic anemia, and exsanguination are added. In the presence of severe disorders, carry a profuse character. Given the anamnesis, it is possible to make a connection with the introduction of occupational scourges and nicotine poisoning.

Diagnosis: conduct biochemical analysis of blood, analysis of section, chemical analysis of hair, nails (for the detection of mischief).

Allergic carry (often profuse) can be blamed after the introduction of certain products (seafood, milk, sunflower, eggs, etc.). In a number of cases, it is possible to show allergies (cropivyanka, Quincke's rash, allergic conjunctivitis). In some ailments, there is a large amount of mucus, intestinal bleeding is possible.

Diagnosis: conduct allergy skin tests to reveal the allergen.

In case of uremia, eliminative colitis is caused, sometimes due to the development of viral infections.

Diagnosis: biochemical analysis of blood shows an increase in creatinine, sechovin.

Diarrhea is the most common side effect of many other medicinal drugs. The most commonly used for diarrhea are: antibiotics, cytostatics and immunosuppressors, colchicine, non-steroidal antiseptic drugs, foxglove, quinidine, propranolol, amiloride, triamterene, secretory transfer drugs (senna, jostera, bisacodyl), osmotic weak), preparations of prostaglandins, magnesium-containing antacids, preparations of fatty acids (cheno-and ursodeoxycholic acid), lithium, saline preparations.

Serious bowel injury, sensible drug treatment that occurs with severe diarrhea and fever, pseudomembranous colitis is a variant of infectious diarrhea. It is blamed on the influx of Clostridium difficile micro-organisms, which can be multiplied when treated with active antibiotics. Diarrhea with this colitis is mixed - exudative and secretory.

Secretory diarrhea also includes furosemide, thiazide, misoprostol (prostaglandin E1), olsalazine (dipentum), and ethanol. Cholinergic drugs (pilocarpine, muscarine, metoclopramide), cholinesterase inhibitors (neostigmine, physostigmine), erythromycin, methylxanthines (theophylline and caffeine products, for example chocolate) stimulate intestinal secretion and motility. Cholestyramine, which sounds like constipation, in case of chronic constipation, it shows fatty acids, which can lead to breakdown of fat digestion and steatorrhea.

One of the forms of intestinal infections associated with NSAIDs, is the so-called NSAID-associated enteropathy, as it is manifested in many ailments, as it is taken by medicinal preparations of this group. The pathogenesis of NSAID-associated enteropathy includes disruption of metabolic processes in the epithelial cells of the small intestine for an hour of soaking NSAIDs, as well as an increase in the permeability of the mucous membrane. As a result, damage to the wetting is blamed small intestine, some ailments develop malabsorption syndrome and increase the intake of protein through the mucous membrane. NSAID-associated colitis occurs with abdominal pain, diarrhea with blood clots, and progression of SOE. This form of infection is mainly in people with a frail age and develops on aphids of a trivial (from 2 months to 5 years) taking NSAIDs.

Low levels of other drugs (potassium chloride, cytostatics, flucytosine, D-penicylamine, gold preparations, foxglove, ergotamine) are accompanied in some cases by the development of erosive or ischemic forms of intestinal infection, which also occurs with diarrhea.

With the help of carrying the benefits of constipation from constipation, for a three-hour period in some patients, you can carry it, bloated stomach, that was in the left half of the stomach, losing weight. Women of the frail and middle age are most often ill. Arthropathy, osteomalacia, liver dysfunction with pigmentation, steatorrhea can be blamed.

Diagnosis: conduct endoscopic follow-up of CT, including sigmoidoscopy; in the biochemical analysis of blood in case of taking some medical measures, electrolytic damage is blamed on visual hypokalemia.

v. Diarrhea, caused by food poisoning and avitaminosis, rarely develops. Carry the guards at the pіznіkh stages of alimentary dystrophy. In case of this and other symptoms: appearance of subcutaneous cellular tissue, atrophy of the mia, senile appearance, hypothermia, swelling. Shkіra sound of a pale-zhovtyanoy zabarvlennya, dry, peeling. Hypochromic anemia develops. Partial complications - enterocolitis, pneumonia, bronchitis.

VI. Diarrhea in case of intolerance to carbohydrates due to deficiency of other enzymes, which is necessary for the absorption of carbohydrates from the intestines.

Lactose intolerance is associated with decreased activity of the lactase enzyme in grass juice. It is manifested by watery diarrhea, abdominal distension, grumbling and pain when milk is taken in. After a bowel movement, or the release of a large amount of gas, in ailments, you feel relieved. Characteristic of the appearance of pain in the abdomen at night. The diagnosis is confirmed by a provocative test from lactose ingestion.

Lack of absorption of monosaccharides is manifested by a rare carry-over after the introduction of glucose, galactose. Illness cannot tolerate disaccharides. Characteristically, carry it with significant increases in additional weight. Diarrhea is often accompanied by pain in the abdomen, the development of flatulence. The peristalsis of the intestines is increasing, which calls out to a thick grumbling. Vsmoktuvannya fructose tsih ailments are normal.

Diagnosis assists in the diagnosis of fructose diet, the diagnosis of electrolytics, sigmoidoscopy.

VII. Functional diarrhea is one of the main variants of irritable bowel syndrome. This syndrome is characterized as functional (so it is not associated with organic intestinal infections) contagion, the main clinical manifestations of which are pain in the abdomen, which changes after defecation and is accompanied by flatulence, grumbling, and almost inconsistent bowel movements or imperative poses for defecation, as well as broken bowel functions - constipation, passing or spitting.

Clinical signs of functional diarrhea are different. Characteristic є, nasampered, the presence of diarrhea at the night time, the presence of a clear fall to the rhythm of defecation at the hour of dobi. Stilec (mushy or rare) with a frequency of 2-4 times for doba is seen in patients more importantly at the early age, as a rule, after a snidanka. The peristalsis of the intestines is strengthened, which underlies the blame for the form of diarrhea, sound rises with the movement of gas, then call for defecation in patients often have an imperative character, in this case the term is victorious and "rank storm syndrome". Kalovi masi to avenge houses of blood and pus. Functional diarrhea proceeds without loss of intestinal space, and also the mass of feces, sound, is taken from 200 g / day.

In case of constipation ailments, various bowel symptoms manifest: headaches, pain in crises, vasospastic reactions, disorganization of the cuticle, skarga on the appearance of a coma during bowel movements, inability to sleep on the left side, dissatisfaction in the breath and so on , inconsistency in the midst of a great number of skargs and a kindly camp of ailments, the presence of so-called symptoms of anxiety (houses of blood in the feces, lihomania, pronounced loss of mass of the body, anemia and an increase in SOE).

Functional diarrhea was traced to organic (table).

Protracted diarrhea is not a safe phenomenon. In quiet depressions, if the trivality of the passage becomes close to three days and more, we can say that the diarrhea is protracted. And even though the armchair sprung up in a hospitable form and three close to two tyzhniv, then it’s not safe anymore.

Traces of trival diarrhea

In such types of terms, there is a trace of labor and singing. Adzhe tse znevodnennya, but it’s not safe to finish it with an unsafe legacy.

With diarrhea, a person does not only feel uncomfortable, but when dragging on, they blame the disorder of the psyche and the vegetative system.

  • The head turns round, the weakness of the body is rampant, and also the attack. Basically, this phenomenon occurs after taking antibiotics.
  • In addition, a trivial passage can be through an intestinal infection, an anemia child, transferred to a year with piece sums.
  • Before causing serious diarrhea, a bacterial infection is considered. Tse traces of brudnoy їzhі and napoїv. Kharchov’s disorders are accompanied by vomiting, diarrhea, pain in the abdomen.

If it is right to zdіysnyuvati likuvannya, then diarrhea will pass in a few days. But if everything is left as before, it is necessary to go to the doctor. On the basis of taking analyses, the doctor can know the reasons and understand why the carrying is trivial.

Varieties of protracted diarrhea

Schodenna diarrhea is manifested in seemingly rare cases of malformation, and then, during the day, feces of normal consistency. It is not unsafe, as it is blamed for one-time rare deformities. If there is no water, blood, mucus, daily vomit and feeling pain in the kali, then the cause of such diarrhea may be improper eating, the introduction of passing drugs, vaginess, and also alcoholism in chronic form.

Toxic diarrhea

Toxic diarrhea can be caused by damage to the intestinal mucosa by various toxins. Treat the poisoning with important metals, nicotine, as well as ethyl alcohol. If a person has been treated with a mish'yak, vomit is caused, pain is felt in the abdomen, a strong carry-over, a sharp flood. Such a diagnosis is confirmed by chemical analysis of the nail plate and hair.

Diarrhea after sex

Diarrhea after sex is usually followed by anal sex. Fahivtsі vpevnenі, scho anal sex is not bad for the body. Ale sled it is correct to be engaged in it. Innodi vin spryaє viniknennyu carrying. Tse z tim, that before the slander itself, spit enemas for purification. If the intestines can not take away all the water, then it will be overwhelmed. And then you want to go by name. In addition, as an enema becomes hot water, you can bring it before you carry it. During anal sex, the walls of the rectum are relaxed. If a person ate heavily before the act, then it can also cause diarrhea. Іsnuyut products, as a transit to go by organism. That also can be a rare steward.

Differential diagnostics

As soon as the difference is three years old, then in order to reveal the cause, differential diagnosis will be established. The presence of blood in feces is excluded. In addition, they give respect to the signs of flooding. As if by raptom, the body is protected from water, the person is registered at the hospital for rejoicing. If there is no water, then the disease rejoices. Zdebіlhogo tse vіdbuvaєtsya protyaty five days.

In the case of a patient, the doctor has a disease, why a sick person has diarrhea, what a feces, like a meal in a sick person, who lives in the homeland in sufficient quantity. The main role is played by the physical weathering. Go about the moments, how often a person goes to the toilet, what happens in the house, what else causes diarrhea.

An important moment є, chi є destruction of information, anxiety, right.

As soon as they explained the reasons for the protracted carrying, it is possible to pick up the likuvannya. The main method is the normalization of the consistency of feces. Patients prescribe a diet, carry out therapy. The products are not responsible for navantage of the herbal tract, which may be obov'yazykovo obroblyatsya. Everyday orphan vegetables and fruits. It is allowed to cook food in a steamer. It is not recommended to live the products, as they work, to spray the molding of the processes of wandering. For the help of medicines, supplementary water is provided, vitamins and minerals are stored, exchange processes, and intestinal microflora.

Carrying - tse camp, in a person who has frequent defecation, in his own rare style. Such a camp is not a safe team, which can bring the body to a dead end. Carrying can be due to infection of the herbal tract, stress, improper eating, poisoning with medicinal preparations.

The reason may lie in intestinal dysbacteriosis or the presence of worms. It is essential to control the frequency of defecation, respect the color (white, gray), smell (rotten, sour), blood house. When the sprat is different, the stench is deformed, the stench is marked by singing characteristics, which make this symptom appear normal.

I carry symptoms

Clinical manifestations of diarrhea are characterized by a standard set of signs and symptoms of an objective examination. For certain її species, there are specific recognized signs, Yakimi can accurately determine the specific nature of the disease. Ale traplyatsya in such a way that the additional laboratory-instrumental data do not always appear informative. In order not to miss anything, it is necessary to respect everything that is in the body, accompanying the passage.

High temperature when carrying

It is seen that bugatma is ill as an additional symptom. Yogo development is characteristic for rich types of diarrhea. We need to deal with microbial (viral and bacterial) species. Even if penetration into the immune cells of foreign protein structures leads to the production of antibodies, which is accompanied by the vision of mediators of inflammation and the temperature reaction.

Vrahovyuchi, that the intestines are one of the most severe immune organs, її appearance is not guilty of violence. Navpaki, if a person may have signs of an infectious bowel disease, but if he has a temperature during the day, it is not necessary to talk about the manifestation of immunodeficiency. If there are specific values, then the stinks lie in the pathogenicity of the microbe and the reactivity of the organism and can swell from 371 to more than 39 C.

Nudota and vomit while carrying

Nudota is definitely the most common symptom of diarrhea, no matter what. Tsomu є logical explanation. Adzhe disruption of the normal protrusion of grubs and feces through the intestines is bound to lead to incorrect throwing at the right side.

In addition, intoxication, which is to blame for aphids, be it intestinal catastrophes, it is necessary to bring these toxic products to the systemic blood circulation in all organs and tissues. The first thing that reacts to them is the vomit center of the brain, which is clinically manifested in the appearance of nudity with the onset of vomiting. Before speech, the rest of the reflex act is one of the very physiological mechanisms of cleansing the body of toxins, no matter what the outcome.

Ball in the stomach

It is a result of strengthening intestinal motility. As a rule, to wear a spastic strong and intense character. It is characterized by an attack-like flow with periods of sharp aggravation with stepwise subsidence and gradual infliction. Sound soon, or at the hour of a painful attack, you will feel positive for a bowel movement, which is manifested by a strong passing.

The appearance of pain is typical for all types of diarrhea, but most often it is due to microbial types and food poisoning. Reshta її see accompanied by discomfort and a feeling of heaviness in the stomach.

Rotten wind when carried

Blame it as the first symptom, or step by step on aphids diarrhea. In the first fluke, if it’s ahead of the passage, it’s time to talk about the enzymatic deficiency of the subduct, the tube and the zhovchovidilnoy system.

As a result of what is hedgehog, which enters the body, it is not over-etched, it becomes rotten. It’s safe to wriggle into the sanctuary of stinking gases, as if to go out of the hose like a path of wind. Naturally, the uncorrupted parts, coming up to the intestines, cry out for teasing and carrying. If the wind blows rotten wine on aphids, then after the second damage to the etching, the minds of the main illnesses, and witness about this progress.

Cause the passage of grown-ups

Carrying is the result of an incorrect bowel function: it is necessary to accelerate the herbal process, which leads to frequent defecation and defecation. Call the reason for the passage of bacterial and viral infections, as well as food poisoning.

As a rule, salmonella bacteria and Escherichia coli appear as a rule of the day, as they can be near the water. Diarrhea, which is caused by a bacterial infection, is most often suffered by tourists, as exotic lands rise in price. No wonder this kind of illness is also called “carrying a tourist”.

The reason for carrying can be related to hepatitis virus or herpes simplex, implanted antibiotics. Another reason for carrying is Virazkovy colitis. Vіn is also a building fluctuation and a strong carry-over, protecolitis is pronounced pizno, and it is important when looking at the intestines internally.

With the improvement of the alkaline contact of the herbal system with the internal systems of the body and dovkіll, we can boldly indicate the staleness of them. Therefore, the stink is often sicker to the point of getting sick. Most of the time, if a normal robot has a problem, the development is manifested by vision of mucus, accelerated motility and, in the final result, by carrying.

Carrying in grown-ups can have the following reasons:

  • Bacterial infections: dysentery, toxic infections, salmonellosis, cholera, escherichiosis.
  • Viral infections: enteroviruses, rotaviruses, adenoviruses.
  • Illness of the intestine: enterocolitis, Crohn's disease, enteritis, nonspecific viral colitis, Whipple's disease.
  • Enzymatic deficiency: zhovchnokam'yana ailment with damage to the flow of zhovch, congenital intolerance to some food products, pancreatitis, fermentopathy.
  • Autoimmune disease: rheumatoid arthritis, intestinal injury in red dog, allergic reactions and atopic dermatitis.
  • Puffy growths: adenocarcinomas, polyps, diverticula, which become more inflamed.
  • Medicamentous injections: cytostatics, prokinetics and anticholinesterase agents, antibiotics, overdosing with them.
  • Intoxication: important metals, butova chemistry, poisoning with nitrates, otrutochemicals.
  • Ductal-intestinal bleeding: small bowel bleeding, rupture of the duodenum and duodenum, intestinal bleeding.

Carrying after the introduction of antibiotics

For this reason, that wines are used by medical (iatrogenic) infusions, call on the back to help people. The stinks are often buzzing and can be the cause of serious ailments right up to death. We're in front of you side effects antibacterial therapy, which leads to dysbacteriosis, and instead of pseudomembranous colitis.

Not less important are infectious diarrhea of ​​viral and bacterial infections. The stench stings more often, but at rich vipads they end happily. I explain the nature of the organism to remake aggressive workers, because stinks are introduced by natural components. You can’t say the same about diarrhea, as they are associated with toxic and other toxic effusions. The stench is unnatural and cannot be overcome by immune mechanisms without a sound call.

Bring the mechanisms of vindication through the same way. The inclusion of a song to lie down for reasons that called diarrhea. As a rule, when carrying, there is no more than one mechanism for its implementation. Characteristically, their combination with the override of one of the others.

Vidi pronos

  • Infectious carrying is prevented in case of dysentery, salmonellosis, grub infections, viral infections (viral diarrhea), amebiasis, etc.
  • Alimentary carrying is blamed for improper eating, for allergies to yakis products.
  • Dyspeptic carryover occurs when the food is damaged by overcorrecting through the secretory deficiency of the mucus, submucosa, liver, when the small intestine does not see any enzymes.
  • Toxic carry-over accompanying uremia, poisoning with mercury, mish'yak.
  • Medical carry-over is carried out under an hour of strangulation of the physiological flora of the intestine, the development of dysbacteriosis.
  • Neurogenic carry-over is caused by damage to the nervous regulation of the motor activity of the intestine (for example, carry-over, which is due to the influx of praise or fear).

Easy and non-trivial carrying practically does not seem to be in the wild camp of a person. Severe or chronic - withering the body, leading to hypovitaminosis, significant changes in the organs.

Diagnostics

Іsnuє a number of pershochergovyh diy in the treatment of diarrhea:

  1. It is necessary to use the reason for blaming the carrying.
  2. It is important to get used to when you come to the place where the development is complicated.
  3. It is necessary to carry out a visit to restore the resources of the body after the transfer.

The current stage of the exaltation of diarrhea is conveyed by the blessing of these triokh zavdan at once.

For the cob, it is necessary to name the reason, through the yaku the carrying has appeared. Tsey zahіd is very important, shards of wine help to recognize the likuvannya, which allows you to take the cause of the disease (so-called etiotropic therapy). It is not easy to pinpoint the cause of diarrhoea. Significantly facilitate the diagnostic procedure and recognition of a competent likuvannya allows you to determine the nature of the carry (watery or bloody stilets).

If so, the diagnosis can be clarified by using such a method as microscopy of feces (when you can specify whether feces have pathogenic bacteria). Rіdshe and the main rank of epidemiological purposes, such a method is established, like sowing on the living quarters of the middle. Let's take a look at the main types of diarrhea and the methods by which they rejoice.

Color I carry from a grown-up

The clinician's information about the color and typical characteristics of rare fecal masses can indicate a similarity to the passage. If you need to fold the clothes, other symptoms. To give you the opportunity to understand and clarify the details of the treatment of the right blame for diarrhea.

Carrying green color

Typical for bacterial and viral infections of the intestines. The appearance of greenery is due to the uninterrupted accumulation of leukocytes in feces, as well as to the active reproduction of purulent coco flora (staphylococci) on aphids, weakening of the muscular immune mechanisms in the intestines.

Clinically it looks like a rare feces of heterogeneous consistency with small green fennel or densely covered and mixed with viscous green mucus. Sound like a drift accompanied by a pronounced hyperthermic reaction, pain in the abdomen, nausea and vomiting, signs of severe intoxication and flickering changes in the blood system.

Carrying yellow color

To lie down to the most pleasant yoga views, the shards of the most mind-boggling, strengthened by peristalsis (shortness) of the intestine. After a quick transfer of fecal masses, the stench does not fully develop into a normal shape and consistency. Ale, when you need it, it may be necessary to enzymatically process and frequently soak the active components in the bloodstream. As a result - feces of normal color, aloe of a rare consistency. Characterized by the presence of additional symptoms with a few minor rіzіv and severity in the abdomen.

Black carry (dark color)

To lay down to the arch of the wild or, navpaki, natural symptoms. Nasampered varto zupinitsya on the new, like a menacing sign. The appearance of a black one, like a gnat, or pitched feces, you can only talk about one thing - I'm bleeding from the drain. The appearance of such a problem was induced by the collapse of erythrocyte hemoglobin under the influx of hydrochloric acid and the tube. With this, hematin hydrochloride is dissolved, which is more characteristic of infection. In such situations, it is impossible to spend any kind of indulgence and terminology for medical help.

Another situation, in the result, is the same, the Chorni Kal, є є ’product is the product on the basics of the sulfate of the blood (roofing), the great Kilkosti Buryakiv, the Chornitsi Abo Medicamment (assets of the Vugille, the drugs Vimuta-Vikalin, de-nol). The very fact often becomes the reason for the slaughter of people for medical assistance. Differential-diagnostic criteria for the occurrence of black drift is the presence of a clear history of the introduction of speech transfers, or a decrease in hemodynamic indicators (hypotension, tachycardia) in cases of mucosal-intestinal bleeding.

White carry (light color)

The order of black feces is brought to the most specific, characterizing only one reason for the appearance. In this vipadka, there is not enough processing of grub masses in the intestines. It is useful when crushing or blocking the gallbladder duct with a plump or stone.

In typical vipadkah, such a carry-over of the shoes is accompanied by a yellow coat and a strong darkening of the battle. Uncharacteristic pain syndrome, temperature reaction and fever. Vіn often wear a non-intense character, owing to less than a few times, for which the white color of feces is saved at the current normal consistency.

Carrying from the blood

The most common sight of the passage, the shards are evidence of active bleeding, which is trivae, in the empty intestine. The sound is characteristic of the swelling of the intestines, which break up, important intestinal infections, as a result of which there is a collapse of the mucous membrane of the intestinal wall.

Sometimes the appearance of bloody carry-over can become a trace of a toxic infusion on the intestines of various chemical diseases. Bloody carry-over may not be pure blood, but a rare dark cherry style. At this time, it is possible to say with confidence about those who suffered from bleeding in the right half of the intestines.

Carrying with mucus

Just for one characteristic, it is not possible to determine the right side of diarrhea. Aje slime can be different and can be seen in different numbers. Prozory її look є a sign of a friendly overrun, which can be deluded by food poisoning and mild poisoning. If the mucus becomes greenish, brown or bloody, you should not speak of a severe diarrhea or the effect of exultation.

Carrying by water

Be it a scientific helper, an outstanding women's journal dedicated to health, you can only know one way to ask about a watery stele. Tse, obviously, cholera. The ailment of ailments is so powerful that it is swallowed in the intestines, it turns on all the possible mechanisms of the passage, which manifests itself in non-gamous visions of the replacement of feces. Naytsіkavіshe, scho temperature rises rarely. Ale, the number of deformities of the flooring is great, so that ailments are not in the mind to frighten them. As a result of this fault, a sharp increase in water, as if it will require a negaine correction along a path of massive infusion therapy.

I'm passing by

A lot of therapeutic methods are used regardless of the type of carrying: the recognition of diet, antibacterial drugs, as well as drugs that relieve symptoms (with viscous, adsorbing, enveloping powers). Preparations of the antibacterial series are used to restore the normal state of the intestinal microflora (eubiosis).

As a hostile carry-over of the disease by bacterial factors, the patient is prescribed antibiotic drugs, antimicrobials (from the group of quinolones of the first and other generations), sulfanilamide and antiseptic agents, and nitrofuran drugs. It is important to win ty medical care, yakі do not add to the balance of the intestinal microflora. As an alternative therapeutic method, for the treatment of diarrhea of ​​​​a different case, bacterial infections can be recognized from the general trivality to the course of treatment up to 30-60 days.

Preparation of symptomatic diarrhea, neutralization of organic (carboxylic) acids, application of astringent and enveloping diarrhea. In the case of diarrhea, there are also drugs that regulate the motor function of the intestine (motility regulators): data, that with their interaction with the opioid receptors of the small intestine, the function of the cells of the epithelium changes, which leads to a decrease in keel the bones of the secret, which is seen, and the promotion of the smoky building. Changes in secretory vision, by their own accord, lead to a decrease in intestinal motility.

Obov'yazkovim є zapovnennya spent by the body r_dini (registration); tse necessary for the fight against znevodnennyam and vіdpovіdno z damaged exchange of elektrolitіv і KOS (acid-base camp). Sound, in ailments with hostile infectious ailments of the intestines, the filling of the motherland is like a path of splendid drink; Only in 5-15% of cases, physicians are concerned about the necessary recognition of internal registration. Remember, if a child or a grown-up person tends to be more often or more rarely deformed, more like carrying yellow, green or bloody, then the cause of such diarrhea and signs of exaltation can be identified as a likar .

Diet while carrying

The director of the diet, which is assigned as a likuvannya to carry, lies in the galvanic speed of the intestines and changes in the amount of water and electrolytic fluids, which are secreted from the intestinal lumen. The products are chosen in such a rank, so that they could easily get into the small intestines, so that they could be found in them.

The main principle of diet when carrying is the exclusion of mechanical and chemical teasing of the intestine. In case of acute form, it is possible to include products in the set, so that it can be used to increase the strength of the intestinal secretion and the strength of the motor-evacuation activity of the intestines. Treatment of diarrhea in children young age will require especially relativistic development of the scheme of dietary eating.

Replenishment of spending money

And it can be significant - up to a few liters - volume. And not only water, but also micronutrients, it’s better to drink not just water from herbs, but pharmacies (regidron, citroglucosolan) and self-prepared glucose-salt varieties: for a liter of water - a teaspoon of salt, twice less for soda, a quarter of lies ki potassium chloride, 4 tablespoons of zucru. It’s not possible to add potassium salt to the booth (which is possible as much as possible), you can replace it with a bottle orange juice or compote with dried apricots.

sorbent

Before them one can see:

  • activated vugillya up to 10 tablets per day;
  • kaolin (white clay);
  • calcium carbonate and gluconate;
  • salts in mud, yak practically do not get wet in the intestines and soak up the feces (venter, de-nol),
  • smecta: a sachet of water, take 3-4 times a day;
  • preparations of lіgnіnu (polyphepan, bіlіgnіn): qіdnі lіgnіnі do not differ near water, but the powder is still easier to drink, like a tablespoon in half a bottle of water;
  • attapulgite - silicate of aluminum and magnesium, which is dispensed in tablets, you can take up to 14 pieces with a stretch, drinking water, it is not necessary to drink more than 2 deb,
  • cholestyramine is an ion-exchange resin that has a beneficial effect on fatty acids, which helps with hologenic diarrhea, as a result of operations on chewing michuri shlunk.

Sorbent binder and remove gas, viruses, bacteria and toxins from the intestines. The stench is effective in infectious diarrhea, relieves flatulence in irritable bowel syndrome, and in case of impaired excitation (enteropathy, amyloidosis), such drugs can alleviate the symptoms of food deficiency.

Do not forget what the preparations of these groups are medical care That should be taken at the hour, bazhano not less than 2 years old.

Damage to the mucous membranes of the intestines of various toxic rhechovins of exogenous and endogenous nature causes a symptom of diarrhea.

The butt of exogenous infection is poisoning with important metals - mercury salts and mish'yaku, intoxication in the form of nicotine and alcohol, which is accompanied by toxic carry-over.

Acts of application of toxic diarrhea in the article:

Clinical characteristics of acute poisoning with mishaku salts show symptoms of gastroenteritis with acute pain syndrome in the dilatation of the abdomen, vomiting attacks, clear diarrhea and signs of constipation.

With clear visions, the slips are afraid of dryness in the throat and judiciary spasms in the faces of the legs. The remaining signs are evidence of obvious symptoms of illness, the result of which in a couple of days can be toxic shock and, as a result, death.

With chronic disorders chemical element syndrome of diarrhea is less pronounced. Ale posterіgayutsya vydozmіni skіrnіh skіrіvі and mucosal membranes, signs of emaciation and anemia, possible paralysis. To confirm the diagnosis, laboratory analysis should be carried out, which will continue the hair of the victim. In times of severe poisoning, green vomit and a sharp, hourly smell, you should be aware of it.

The development of chronic uremia is the butt of internal infection with toxic carry. Illness is formed on aphids of the nirk system - pyelonephritis, glomerulonephritis, amyloidosis.

Symptoms

Symptoms of the pathology:

  • parts of defecation, 3 - 4 days a day;
  • smorіd that darkening color feces;
  • bloating is alive with manifestations of flatulence;
  • often trembling and vomiting reflex;
  • tongue and ammonia smell from the mouth.

Celebration

The resurrection of the functionality of the intestines of a sick person is carried out for additional procedures for cleansing the body (plasmapheresis) and blood (hemosorption) for the removal of nitrogenous toxins.

Preparations

To cleanse the body of toxins, it is necessary to sorb itself.