Chronic sigmoid - causes, symptoms, diagnosis and treatment
Chronic sigmoid - Chronic inflammation of the mucosa of the sigmoid colon. Manifested abdominal pain, often given into the lower back, leg and chest rumbling, flatulence, feeling of fullness, false desires, disorders stool, mucus and blood in the stool. During exacerbation of chronic sigmoidita symptoms are worse, there is a weakness and a slight hyperthermia. Perhaps the inflammation spread to the peritoneum with the development perisigmoidita. The disease is diagnosed based on symptoms, physical examination, barium enema, sigmoidoscopy and stool tests. Treatment - diet, drug therapy.
Chronic sigmoid
sigmoid - a kind of segmental colitis, in which inflammation occurs in the mucosa of the sigmoid colon. It is considered the most common segmental colitis. It occurs in all age groups, children suffer less adult men - rarely women. Often combined with proctitis. In some patients, revealed widespread colitis with predominant symptoms of chronic sigmoidita. Current undulating, with alternating exacerbations and remissions. When frequent exacerbations and severe weight loss observed, asthenia and reduced work capacity. The treatment carried out by specialists in the field of proctology.
chronic constipation, and constant irritation of the intestinal wall solid fecal matter. An additional factor is provoking a sedentary lifestyle also contributes to chronic constipation.
The cause of chronic infectious pathogens sigmoidita serve the cause of parasitic - worms and parasites from the group of protozoa. Coronary disease occurs when blood circulation disorders caused by atherosclerosis of the mesenteric arteries, radiation - during radiation therapy. Chronic sigmoid may also develop in the propagation of inflammation of the rectum and urogenital system, in Crohn's disease, ulcerative colitis, diseases of the upper gastrointestinal tract and the formation of adhesions in the abdominal cavity after surgery.
constipation with fecal discharge of "sheep". In patients with chronic fecal masses can be detected sigmoiditom mucus, at least - of blood. After the defecation pain also can be amplified, and then gradually disappear or weaken.
Increased pain in chronic sigmoid can be caused by an act of defecation, and the nature of the patient's activity. The pain intensified when running, strong shaking in transport or intensive physical activities. Some patients complain of belching, nausea and vomiting. During exacerbation of chronic sigmoidita all these symptoms become more pronounced, there is a weakness, and pyrexia. When frequent exacerbations or severe chronic sigmoidita possible weight loss.
In some patients with sigmoid colon inflammation spreads to the peritoneum. Develops perisigmoidit, accompanied by the formation of adhesions. The clinical picture is similar to chronic perisigmoidita sigmoiditu. With the development of adhesive disease may increase pain and dyspepsia. In the propagation of inflammation in the region of the solar plexus nature of pain varies. Pain becomes permanent connection with the act of defecation and physical activity is lost.
On palpation of the abdomen of the patient suffering from chronic sigmoiditom, revealed tenderness in the projection of the sigmoid colon. Sometimes, due to unusual localization of pain on palpation of the gut do not occur in the left half of the abdomen, and in the area of the median line, or even right. When percussion ulcer location area determined tympanitis. Development perisigmoidita accompanied by a decrease or loss of bowel motility. When inflammation of the solar plexus area patient with chronic sigmoiditom notes expressed tenderness subcutaneous tissue and the white line.
proctologist draws attention to the defecation frequency and character of stool, the duration, nature and location of pain, their connection with the act of defecation and physical activity. On palpation determined soreness and some bloating. On gross examination reveals fecal mucus, at least - of pus and blood. When stool microscopy reveals epithelial cells, erythrocytes and leukocytes. If you suspect an infectious or parasitic nature of chronic sigmoidita prescribed bacteriological examination of feces and fecal worm eggs.
Barium enema in chronic sigmoid indicates a decrease in the folding of the mucosa. When perisigmoidite determined flattening contours and fixation of the intestine. Sigmoidoscopy allows you to receive visual information about the state of the intestinal wall, the severity and extent of the inflammatory process. If necessary, during endoscopy perform a biopsy. The differential diagnosis of chronic sigmoidita performed with colorectal cancer, diseases of the female reproductive organs and the urinary tract.
dysbiosis probiotics used. If spasms recommend taking antispasmodics. Along with drug therapy in the treatment of chronic sigmoidita widely used medicinal herbs with anti-inflammatory and astringent. During the patient's remission directed physiotherapy.