1, a woman's intestines are as black as a coal mine tunnel.
Last week, a 30-year-old female patient with colonoscopy came to the Endoscopy Center of the Affiliated Hospital of Hangzhou Normal University. She came to see a doctor because of a little pain in her abdomen. Less than a minute after the colonoscopy entered her body, the doctor found something unusual: the screen of the original clear and bright inspection equipment suddenly turned black. On closer inspection, the screen turns black because the patient's intestinal wall is black.
Wang Zhiyong, chief physician of the Department of Gastroenterology, Affiliated Hospital of Hangzhou Normal University, said that after normal colonoscopy, the intestinal mucosa should be ruddy and shiny, but when this patient underwent colonoscopy, we saw that the intestinal wall was dark, like entering a coal mine tunnel, but we could not see the normal mucosa.
This is a normal colonoscopy image, and the intestinal mucosa is ruddy and shiny, but the female patient's intestine is dark and almost no mucosa can be seen. The doctor inquired about the medical history carefully and learned that the female patient loved beauty. In order to keep slim, she took diet pills for more than a year, and the culprit that caused her intestines to turn black was diet pills.
The doctor said that some traditional Chinese medicines in diet pills are mainly anthraquinones, such as rhubarb, aloe and senna. These anthraquinones contain lipofuscin or melanin. After patients take diet pills for a long time, this melanin, or lipofuscin, will be deposited in the intestinal mucosa, so the mucosa appears black.
Clinically, this disease is called melanosis coli, which is manifested as melanosis coli mucosa. The patient's external manifestations include abdominal distension, constipation and dull pain in the lower abdomen. In the past, patients with melanosis coli were mostly elderly people, because constipation was high in the elderly population and the frequency of taking laxatives was relatively high. But in the past two years, it has been found that young people, especially women around the age of 30, have an increasing trend, and they all have one thing in common: taking diet pills for a long time.
It should be reminded that melanosis coli is not just the blackening of the intestine. The incidence of polyps in patients with melanosis coli is several times higher than that in the general population, and colon polyps, including adenomas, are precancerous lesions themselves, and some may develop into colon cancer.
2. Treatment of gastrointestinal dysfunction
drug therapy
Short-term use of tricyclic antidepressants is useful for patients with obvious mental symptoms. Dicyclovaline (10 ~ 20mg, 3 ~ 4 times /d) can relieve the discomfort of postprandial abdominal pain when IBS patients have spasmodic abdominal pain. The calcium antagonist desshute 50mg3 /d can reduce the increase of spike activity after meals. Taking 0.2ml peppermint oil before meals can relax smooth muscle and relieve abdominal pain to some extent. Loperamide (dimethylketone 2mg4 /d) is effective for diarrhea IBS.
(2) Psychotherapy
Effective for 2/3 patients. The key to treat gastrointestinal functional diseases is to eliminate psychological barriers and adjust organ functions. If patients suspect or worry that they have some kind of disease, doctors should make targeted examinations to dispel doubts and stabilize their mood, which is also a kind of treatment in itself.
(3) Support therapy
There is generally no need to stay in bed unless the patient is in poor general condition. Regular life and proper physical activity can enhance physical fitness and accelerate the recovery of neurological function. Anorexia nervosa patients with severe malnutrition and diarrhea caused by eating through nasogastric tube need intravenous nutrition. High fiber food can relieve the symptoms of IBS patients.
(D) Chinese medicine treatment
1. Neurotic vomiting: If there is no other witness except vomiting, Xiaobanxia Huo Ling Decoction can be used to relieve vomiting, which is effective for mild patients.
2. Swallowing syndrome: it can be treated with Xuanfu Daizhe decoction.
3. Irritable bowel syndrome: If there is abdominal pain and diarrhea, hypochondriac fullness and pulse string, it is disharmony between liver and spleen, which can be modified by Tongxie Yaofang Yao. If before dawn every day, the abdomen sounds diarrhea, the abdomen is cold and the limbs are cold, and the tongue is pale and the pulse is thin, which belongs to spleen and kidney yang deficiency, then Fuzi Lizhong Decoction and Shen Si Pill are used for treatment.
(5) Other treatments
Acupuncture, physical therapy, etc. Sometimes it is effective and can be adopted according to the specific situation.
The treatment of gastrointestinal diseases is here for everyone. The incidence of this kind of disease is relatively high in life, so it is necessary for people to understand the treatment of this disease, so that they can deal with it in time and accelerate basic rehabilitation after illness.
3, the harm of gastrointestinal dysfunction
1, patients with gastrointestinal dysfunction often have difficulty falling asleep, wake up early, have many nightmares and are easily awakened. In terms of diet, there are often no symptoms such as hunger, tasteless food, abdominal distension, burping, sourness and heartburn. Sometimes there will be dizziness, headache, tight hair, blurred vision, burning sensation in the whole body skin and other symptoms.
2. Emotionally, there will also be bad emotions such as irritability and anxiety, bad mood, love to lose your temper, sensitivity and suspicion, fear and injustice.
3. If gastrointestinal dysfunction is not well treated, it is likely to cause serious complications such as severe malnutrition and anorexia nervosa.
4. What should I eat for gastrointestinal dysfunction?
Diet therapy:
Hua Yao Shen Si 1
Formula: pig kidney or sheep kidney 1 pair, psoralea corylifolia10g, meat fruit10g, pepper10g, star anise nasal spray10g.
Method: remove fascia from pig kidney, cut into pieces and cut into fine flowers, add appropriate amount of water to the other four ingredients, cook for half an hour, add a little salt, and cook for 10 minute. 65438+ 0 times a day, eat kidney flowers instead of soup.
Function: Warming kidney, strengthening yang, strengthening intestine and stopping diarrhea.
2, cardamom white steamed bread
Formula: cardamom 15g, flour 1000g and yeast 50g.
Methods: The cardamom was ground into fine powder. Add water to the flour and knead well. When the flour is cooked, add an appropriate amount of alkaline water, take out the cardamom powder and knead it evenly to make white steamed bread. Can be used as a staple food for breakfast.
Function: Warming middle warmer, invigorating spleen, regulating qi and relieving pain.
3. Euryale ferox yam porridge
Formula: 30 grams of Euryale ferox, 30 grams of dried Chinese yam slices, 50 grams of glutinous rice, and appropriate amount of sugar.
Methods: Euryale ferox, yam and glutinous rice were boiled into porridge and seasoned with sugar. You can eat it sooner or later.
Function: invigorating spleen and qi, strengthening kidney and stopping diarrhea.
5, gastrointestinal dysfunction diet precautions
1, regular diet.
Many people can't control their diet. When they meet delicious food, they will have a meal, and they will be hungry if they don't taste it. This will easily lead to gastric peristalsis dysfunction, and then make the nerve plexus in the stomach wall excited and promote the secretion of gastric juice. Over time, gastritis or gastric ulcer will occur. Therefore, the diet should be regular and quantitative, and never overeat. In addition, you must chew slowly when eating, so that the food can be fully ground in your mouth and mixed with saliva, which can reduce the burden on your stomach and make the food easier to digest.
Step 2 eat regularly
People with stomach problems should try to eat regularly, 5-6 times a day, and eat less, so as to reduce the burden on the stomach and avoid excessive expansion of the stomach; Eating more can keep a small amount of food in the stomach and neutralize too much gastric acid in the stomach. People with serious illness had better eat nutritious and digestible soft foods, such as noodles, rice porridge and milk. If conditions permit, you can also eat more honey, because honey can inhibit gastric acid secretion and promote ulcer healing.
3, can't drink and smoke.
Alcohol and tobacco do great harm to the stomach. The stimulation of nicotine in tobacco to the stomach will delay the discharge of gastric contents and lead to the increase of gastric acid secretion, which will lead to the aggravation of gastritis and gastric ulcer. Drinking alcohol, especially on an empty stomach, is more harmful to patients with gastric diseases, because alcohol in wine has a great stimulating effect on gastric mucosa, and the stomach will contract and expand strongly after being stimulated, which is likely to cause gastric bleeding or perforation of gastric ulcer, thus endangering life.
4. Don't eat spicy food.
In daily life, patients must pay more attention and care in diet, especially some foods that are too spicy and irritating. These foods are very harmful to the stomach. In addition, we should also pay attention to some foods that are too cold, such as soda and ice cream, and some foods that are too greasy and too hot, which are very unfavorable to patients with gastrointestinal dysfunction.
5, avoid cold food
For patients with gastrointestinal diseases, we must pay special attention not to eat raw food in daily life. Whether it is vegetables, meat or seafood products, these foods need to be banned. There are many bacteria in these foods. If it is not sterilized at high temperature, the bacteria in food will enter the human stomach and affect the normal flora of the intestine, which will not only easily lead to diarrhea, but also cause gastrointestinal diseases.