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Gastrointestinal dysfunction

  Gastrointestinal dysfunction is a general term for a group of gastrointestinal syndromes. The disease often has a psychological background and is mainly characterized by dysfunction of gastrointestinal motility. There is no organic pathological basis in pathological anatomy, so it does not include gastrointestinal dysfunction caused by other systemic diseases. Clinical manifestations are mainly abnormal eating and defecation, and are often accompanied by other functional symptoms such as insomnia, anxiety, attentional disorders, forgetfulness, over-sensitivity, and headache. Gastrointestinal dysfunction is quite common, and there is currently a lack of precise statistics on the incidence rate in China. Among various organ neuroses, the incidence of gastrointestinal neuroses is the highest, and it is more common in young and middle-aged adults.

 

Table of Contents

1. What are the causes of gastrointestinal dysfunction?
2. What complications are easy to occur in gastrointestinal dysfunction?
3. What are the typical symptoms of gastrointestinal dysfunction?
4. How to prevent gastrointestinal dysfunction?
5. What kind of laboratory tests are needed for gastrointestinal dysfunction?
6. Diet taboos for patients with gastrointestinal dysfunction
7. Routine methods for the treatment of gastrointestinal dysfunction in Western medicine

1. What are the causes of gastrointestinal dysfunction?

  The pathogenesis of this condition is not yet unified. Psychological factors play an important role in the occurrence and development of this condition, such as overwork, emotional tension, family disputes, and difficulties in life and work. If these issues are not resolved reasonably in the long term, they can interfere with the normal activity of the central nervous system, causing brain-gut axis disorders and further leading to gastrointestinal dysfunction. Diet disorders and frequent use of laxatives or enemas can constitute adverse stimuli, promoting the occurrence and development of this condition.

 

2. What complications are easy to occur in gastrointestinal dysfunction?

  Long-term gastrointestinal dysfunction can lead to severe malnutrition and nervous anorexia in patients. It seriously affects the patient's daily life and health, so it is necessary to seek timely treatment as soon as symptoms are detected.

3. What are the typical symptoms of gastrointestinal dysfunction?

  Dysfunction of the gastrointestinal tract often starts slowly, with clinical manifestations mainly gastrointestinal symptoms. Patients with gastric neurosis often show symptoms such as acid regurgitation, belching, loss of appetite, nausea, vomiting, burning sensation under the xiphoid process, postprandial fullness, discomfort or pain in the upper abdomen. The symptoms may worsen with emotional changes; intestinal neurosis, also known as irritable bowel syndrome, is mainly characterized by intestinal symptoms, with patients commonly experiencing abdominal pain, distension, bowel sounds, diarrhea, or constipation. A cord-like mass can be palpated during left lower abdominal pain. Abdominal pain often worsens after eating or drinking cold drinks and is relieved after defecation, flatus, or enema. Abdominal pain is often accompanied by distension, difficulty in defecation, or increased frequency of defecation, with stools that can be loose or dry.

 

4. How to prevent gastrointestinal dysfunction

  1. Have regular meals:People with gastric diseases should try to have regular meals, with 5-6 meals per day. A small amount of food intake can reduce the burden on the stomach, avoid excessive expansion of the stomach; frequent meals can keep a small amount of food in the stomach to neutralize the excessive gastric acid. For severe cases, it is best to eat nutritious, easily digestible, soft foods such as noodles, rice porridge, milk, etc. If possible, you can also eat more honey, because honey has the function of inhibiting the secretion of gastric acid and promoting the healing of ulcers.

  2. Regular diet:Many people cannot control themselves in terms of diet, such as overeating. This is likely to cause dyskinesia of the stomach, which in turn causes hyperactivity of the nerve plexus within the gastric wall, promoting the secretion of gastric juice, and over time, gastritis or gastric ulcer may occur. Therefore, diet should be regular and quantitative, and never overeat.

  3. Maintain a cheerful spirit:The health of the stomach is closely related to mental factors. Excessive mental stimulation, such as long-term tension, fear, sadness, and depression, can cause dysfunction of the cerebral cortex, promote vagus nerve dysfunction, lead to spasmodic contraction of the gastric wall blood vessels, and further induce gastritis and gastric ulcer. Therefore, patients with intestinal spasm should be cheerful, outgoing, and strong-willed in their daily life, and good at extricating themselves from difficulties.

5. What laboratory tests are needed for gastrointestinal dysfunction

  1. Imaging diagnosis

  According to different conditions, X-ray, endoscopic examination, gastric juice analysis, and fecal examination are adopted. Necessary ultrasonic, CT and other examinations should be performed to exclude the lesions of abdominal organs such as liver, gallbladder, and pancreas.

  (1) Gastrointestinal X-ray examination shows that the movement of the entire gastrointestinal tract accelerates, the colon pouch deepens, and the tension increases; sometimes due to colonic spasm, the descending colon and below show linear shadows.

  (2) Colonoscopy examination showed no obvious abnormalities in the colon mucosa.

  2. Laboratory diagnosis

  Mainly include blood routine, immunefactor examination, liver and kidney function, and necessary to perform histological examination of living tissue if necessary.

6. Dietary taboos for patients with gastrointestinal dysfunction

  First, foods suitable for patients with gastrointestinal dysfunction

  1. Pay attention to eating nutritious foods: Eat more high-protein and high-vitamin foods to ensure that the body has sufficient nutrients, prevent anemia and malnutrition. For those with anemia and malnutrition, it is recommended to increase the intake of foods rich in protein and heme iron in the diet, such as lean meat, chicken, fish, liver, kidneys, and other internal organs. High-vitamin foods include dark green vegetables and fruits, such as green leafy vegetables, tomatoes, eggplants, jujubes, etc. It is best to eat 2-3 fresh hawthorns per meal to stimulate the secretion of gastric juice.

  2. Pay attention to acid-base balance in food intake: When there is excessive secretion of gastric acid, drinking milk, soy milk, eating steamed buns or bread can neutralize gastric acid; when the secretion of gastric acid decreases, concentrated broth, chicken soup, sour fruits or fruit juice can be used to stimulate the secretion of gastric juice and aid digestion.

  二、不适宜吃的食物

  Secondly, foods not suitable for consumption

 

To avoid foods that cause abdominal distension and high fiber content, such as beans, bean products, sucrose, celery, chives, etc.. 7

  Conventional methods of Western medicine for the treatment of gastrointestinal dysfunction

  This disease belongs to the categories of 'gastric pain', 'regurgitation of acid', 'vomiting', 'diarrhea', 'plum pit Qi' in traditional Chinese medicine. The occurrence of this disease is mainly due to internal injury of the seven emotions, and is also related to dietary disorders and liver Qi stagnation. The treatment is divided into the following 4 types:
  Phlegm and Qi obstruction
  Due to emotional disorders, liver Qi stagnation, spleen deficiency and dampness retention, which leads to phlegm, Qi stasis and phlegm congestion, blocking the throat. Symptoms include discomfort in the throat, as if something is blocked, eating is not affected, nausea and acid regurgitation, chest and side stuffiness, thin white fur, wiry-thin pulse.

  Treatment should be to regulate Qi and open the stagnation, dissolve phlegm and benefit the throat. The prescription is Pinellia and Magnolia Decoction, with medicinals such as pinellia, magnolia, poria, perilla stem, tangerine peel, Platycodon, melon, tangerine peel, etc.
  Liver Qi attacking the stomach
  Due to anger and hurt the liver, the discharge is abnormal, Qi flow is blocked, invades the stomach, the stomach loses harmony and rises, leading to vomiting with acid regurgitation, frequent belching, chest and side pain, reduced intake, irritability, insomnia with frequent dreams, red tongue with yellow fur, wiry pulse.

  Treatment should be to soothe the liver and harmonize the stomach, reduce Qi and stop vomiting. The prescription is modified Left Golden Pill, with medicinals such as Forsythia fruit, Corydalis, Evodia, Coptis, white peony, tangerine peel, bamboo shavings, rose,佛手, magnolia, etc.
  Qi inversion and phlegm obstruction
  Treatment should be to reduce Qi and dissolve phlegm, harmonize the stomach and stop hiccups. The prescription is Even Qi Powder, with medicinals such as aloes wood, clove, sandalwood, costus, amomum, white cardamom, magnolia, pinellia, cinnabar, ginger, etc.

  Liver Qi attacking the spleen
  Due to the long-term Qi stagnation, the heat generates fire, invades the spleen and stomach, causes abnormal intake and digestion, Qi not rising, turbid Qi not descending, leading to abdominal pain occurring in attacks, intestinal sounds followed by diarrhea, pain reduced after diarrhea, exacerbated by anger, or alternating with constipation, side and chest stuffiness, palpitations and insomnia, pale tongue with thin white fur, deep and fine pulse.
  Treatment should be to suppress the liver and support the spleen, dry dampness and relieve pain. The prescription is modified Pain Relieving Decoction, with medicinals such as fried Atractylodes macrocephala, fried white peony, dried tangerine peel, Prevention Wind, loquat, fried mung bean, fried yam, nutmeg, licorice, etc.

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