Alternative medicine
Diseases that lead to the development of inflammation of the anus usually respond poorly to treatment with folk remedies, because herbs and other available ingredients are unable to cope with infectious pathogens, accumulated foci of pus and other organic lesions. But they have a good auxiliary effect, help in the fight against symptoms and are available for preparation and use at home.
With internal localization of the inflammatory process, the greatest effect can be achieved by enemas, substances introduced with the help of suppositories and ointments into the rectal ampoule. When the process is externally localized, the use of sitz baths and compresses on the affected area is sufficient.
Treatment
Therapeutic measures are aimed at accelerating the healing of erosions, stopping bleeding, and replenishing blood loss. In mild cases, treatment is carried out at home, in case of extensive intestinal damage and bleeding symptoms - in a hospital.
Diet
General principles
- take food in small portions up to 6 times a day – fractionally;
- eat in a calm environment, take your time, chew your food thoroughly;
- exclude rough foods and products that promote gas formation;
- cooking methods: boiling in water and steaming;
- in the acute period of the disease, dishes should be homogeneous, semi-liquid consistency;
- The optimal food temperature is 15-60 °C.
Grocery list
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Medicines
- Bismuth preparations (Vicair, De-nol) – form a protective film on the surface of defects, promote the healing of erosions, suppress Helicobacter Pylori.
- Antacids (Phosphalugel, Almagel) – neutralize hydrochloric acid in gastric juice, reduce abdominal pain and heartburn.
- Antisecretory drugs (Omez, Famotidine) - reduce the production of hydrochloric acid and accelerate the healing of erosions.
- Antibiotics - prescribed for damage to the duodenum to suppress Helicobacter Pylori: Clarithromycin, Metronidazole, Amoxicillin.
- Anthelmintics - for helminthic infestation, Pirantel, Nemozol are recommended
- Antispasmodics (No-shpa, Buscopan, Papaverine) – relieve intestinal spasms, reduce abdominal pain
- Prokinetics (Motilium) - normalize peristalsis and increase the tone of the esophageal sphincter, prescribed for nausea and vomiting.
- Antidiarrheals (Loperamide, Imodium) - drugs for the symptomatic treatment of diarrhea, reduce intestinal motility.
- Suppositories with Methyluracil - used for erosive lesions of the rectum. The product stimulates the restoration of the mucous membrane.
- Blood transfusion is performed in cases of massive bleeding and severe anemia.
- Hemostatic drugs - Aminocaproic acid intravenously and orally, Dicynon, Vicasol in injections. The drugs activate the blood coagulation system.
Endoscopic treatment
Bleeding erosions are cauterized using endoscopic equipment.
Basic techniques:
- laser coagulation;
- diathermocoagulation.
- extensive damage to the intestinal wall, a combination of erosions with ulcers, rough scars;
- heavy bleeding that cannot be stopped by other methods.
Intestinal erosion: causes, symptoms and treatment methods
Intestinal erosion is a superficial defect of the mucous membrane that heals without scarring. Erosion can be single or multiple and can affect any part of the intestine. They occur under the influence of damaging factors or against the background of other diseases. Erosion does not have specific symptoms; an accurate diagnosis is made only by endoscopy.
Symptoms
Single defects of the mucous membrane in young people are asymptomatic in 90% of cases. Clinical signs occur with multiple erosions and the development of complications.
Intestinal manifestations
Complaints depend on the location of the lesion.
Duodenal erosions
- aching pain under the xiphoid process and to the right of it, occurring 1.5 hours after eating and at night;
- heartburn;
- belching;
- decreased appetite;
- black stool with bleeding defects.
Read more: Duodenal erosion: symptoms and treatment
Erosion of other parts of the intestine
- cramping abdominal pain after eating;
- bloating;
- stool disorder - diarrhea or alternation of constipation and diarrhea;
- blood in the stool.
General manifestations
With a chronic process and frequent bleeding, the following occur:
- weakness;
- dizziness;
- fainting;
- weight loss.
Causes
The exact causes of the disease are not known. Intestinal erosions appear due to a combination of several factors:
- Helicobacter Pylori infection. Microorganisms damage the mucous membrane of the duodenum, causing erosive gastroduodenitis and ulcers.
- Heredity . 30% of patients with intestinal erosions have relatives with the same problems.
- Nutritional Features . Spicy, hot food stimulates the secretion of gastric juice.
- Bad habits . Nicotine causes vasospasm and ischemia of the mucous membrane of the digestive tract, while alcohol stimulates gastric secretion.
- Acute and chronic stressful situations . Nervous stress provokes diseases of the digestive tract - “stress” erosions or ulcers.
- Medicines – hormones, non-steroidal anti-inflammatory drugs (especially salicylates and Indomethacin).
- Food allergies. When consuming a product that causes an allergic reaction, the mucous membrane becomes inflamed and erosions appear.
- Worm infestation. Pinworms and roundworms mechanically damage the intestinal wall. Helminths release toxic substances that cause inflammation.
- Chronic diseases of the heart and respiratory system . Due to the constant lack of oxygen, the intestinal mucosa is easily damaged.
- Autoimmune diseases . With Crohn's disease, multiple erosions and ulcers form in all parts of the intestine.
We recommend reading:
Gastroenteritis: how is the pathology manifested and treated?
Diagnostics
If you have complaints from the digestive system, consult a physician or gastroenterologist.
Basic Research
- A general blood test - a decrease in hemoglobin and red blood cells will indicate hidden bleeding.
- Blood test for iron content - with bleeding erosions, the iron level decreases.
- Feces for occult blood - the reaction is positive.
- FEGDS is the standard for diagnosing defects of the upper gastrointestinal tract, endoscopic examination with the possibility of biopsy.
- Colonoscopy – examination using a colonoscope of all parts of the large intestine: rectum, sigmoid, cecum, colon.
- Rectoscopy is an examination of the rectum using an endoscopic apparatus - a rectoscope.
- Capsule endoscopy is the most modern method of endoscopic diagnosis. The patient swallows a special video capsule, which moves through the intestines, records an image, and then comes out during a bowel movement. The procedure is painless. The only drawback is the inability to take a biopsy from problem areas.
- X-ray examination with contrast - allows you to identify lesions measuring 1-3 mm. The study is prescribed for contraindications to endoscopic methods.
Endoscopic criteria for diagnosis
- The mucous membrane in the affected area is bright red, edematous.
- Acute erosions are flat round, linear or point defects up to 5 mm, covered with blood or fibrin.
- Chronic erosions are convex formations on the mucous membrane with a depression in the center, covered with a coating of fibrin.
Treatment
Therapeutic measures are aimed at accelerating the healing of erosions, stopping bleeding, and replenishing blood loss. In mild cases, treatment is carried out at home, in case of extensive intestinal damage and bleeding symptoms - in a hospital.
General principles
- take food in small portions up to 6 times a day – fractionally;
- eat in a calm environment, take your time, chew your food thoroughly;
- exclude rough foods and products that promote gas formation;
- cooking methods: boiling in water and steaming;
- in the acute period of the disease, dishes should be homogeneous, semi-liquid consistency;
- The optimal food temperature is 15-60 °C.
Grocery list
Allowed | Forbidden |
|
|
Medicines
- Bismuth preparations (Vicair, De-nol) – form a protective film on the surface of defects, promote the healing of erosions, suppress Helicobacter Pylori.
- Antacids (Phosphalugel, Almagel) – neutralize hydrochloric acid in gastric juice, reduce abdominal pain and heartburn.
- Antisecretory drugs (Omez, Famotidine) - reduce the production of hydrochloric acid and accelerate the healing of erosions.
- Antibiotics - prescribed for damage to the duodenum to suppress Helicobacter Pylori: Clarithromycin, Metronidazole, Amoxicillin.
- Anthelmintics - for helminthic infestation, Pirantel, Nemozol are recommended
- Antispasmodics (No-shpa, Buscopan, Papaverine) – relieve intestinal spasms, reduce abdominal pain
- Prokinetics (Motilium) - normalize peristalsis and increase the tone of the esophageal sphincter, prescribed for nausea and vomiting.
- Antidiarrheals (Loperamide, Imodium) - drugs for the symptomatic treatment of diarrhea, reduce intestinal motility.
- Suppositories with Methyluracil - used for erosive lesions of the rectum. The product stimulates the restoration of the mucous membrane.
- Blood transfusion is performed in cases of massive bleeding and severe anemia.
- Hemostatic drugs - Aminocaproic acid intravenously and orally, Dicynon, Vicasol in injections. The drugs activate the blood coagulation system.
The effectiveness of treatment is monitored using endoscopy every 3-4 weeks.
Endoscopic treatment
Bleeding erosions are cauterized using endoscopic equipment.
Basic techniques:
- laser coagulation;
- diathermocoagulation.
Surgery
Indications for surgery:
- extensive damage to the intestinal wall, a combination of erosions with ulcers, rough scars;
- heavy bleeding that cannot be stopped by other methods.
Forecast
With late diagnosis, defects in the intestinal mucosa lead to recurrent bleeding and anemia. The disease progresses, complications develop: erosions turn into ulcers, cicatricial deformation of the intestinal wall occurs. With proper treatment, intestinal erosions heal completely within 3-4 weeks.
Source: https://ProKishechnik.info/zabolevaniya/eroziya-kishechnika.html
The main symptoms that may indicate the appearance of intestinal erosion
Symptoms, like the underlying causes, can occur individually or together. The main manifestations of the disease include:
- frequent constipation;
- discomfort or pain of varying intensity in the middle and lower abdomen;
- bloating, excessive gas formation, flatulence;
- loss of appetite, sudden weight loss;
- in the later stages of the disease, intestinal bleeding of varying intensity may be observed.
Intestinal or stomach bleeding is the first sign, after which you should immediately consult a doctor. These symptoms are manifestations of quite serious diseases. To avoid more severe consequences, it is necessary to immediately identify the underlying cause and begin treatment.
Causes of the disease
The appearance of such a disease can be simultaneously influenced by many provoking factors. Moreover, they can have an effect on the intestinal mucosa, both individually and simultaneously in combination. The main causes of the disease include:
- poor nutrition. Excessive consumption of spicy, bitter, sour, smoked foods. Highly fatty meat and fish also have a negative impact;
- excessive alcohol consumption;
- infectious diseases, frequent poisoning;
- consumption of large amounts of medications. The intestinal walls are especially negatively affected by excessive and frequent consumption of antibiotics;
- eating foods that cause food allergies;
- hereditary predisposition of the body;
- various diseases of the gastrointestinal tract can also provoke the appearance of erosion as a form of complications.
Features of treatment of the disease
Therapy for the disease is based on conservative methods and largely depends on what exactly led to its occurrence. The main goal of treatment is to eliminate the factors that contributed to the development of the pathology, thereby preventing the formation of deeper processes and the transformation of erosion into ulcers.
If the disease was caused by infections, then antimicrobial agents are prescribed, but the doctor can announce a specific drug only after receiving the examination results. For this purpose, a stool culture analysis is prescribed to further identify the degree of sensitivity of the intestinal microflora.
Anti-inflammatory therapy consists of prescribing sulfonamide drugs and antibiotics. For erosion caused by cytomegalovirus or herpes virus, antiviral drugs are recommended.
In addition, your doctor may recommend:
- Antispasmodics (to relieve pain).
- Ointments and suppositories with healing properties.
- Antihistamines (if parasites are present).
In the acute course of the disease, bed rest is of no small importance. In the event that gentle treatment options do not produce the expected result, the specialist prescribes urgent surgical intervention
If gentle treatment options do not produce the expected result, the specialist prescribes urgent surgery.
The operation is performed if the following complications are noted:
- Paraproctitis.
- Narrowing of rectal scars.
Proper nutrition
Compliance with a dietary diet is an important point in the treatment of rectal erosion, which implies a complete rejection of all foods that can irritate the delicate mucous membranes of the intestines:
- Fatty and spicy foods.
- Fried foods.
- Pickles, smoked meats.
- Spices.
- Vegetables, fruits (acute form of the disease).
- Sweets.
- Foods with a high presence of food acids.
Priorities in therapeutic nutrition should be:
- Semolina or rice porridge with water.
- Low-fat cottage cheese.
- Protein steam omelettes.
- Broths made from chicken or lean meats.
- First courses with vegetable broths in the form of puree.
- Boiled lean meats and fish.
- Kissel.
- Low-fat cottage cheese and sour cream.
- Yesterday's or dried bread.
At the very beginning of a relapse of the disease, be sure to adhere to bed rest, eat only pureed foods and drink at least two liters of fluid per day.
Enemas
In most cases, doctors prescribe cleansing and healing enemas.
Cleansing procedures promote deep and systematic cleansing of the intestines. They must be used every day, using clean water at room temperature.
The effect of therapeutic enemas is focused on eliminating the symptoms of inflammation, and they are carried out only after cleansing the intestines. For such enemas they use:
- 2% solution of collargol.
- Potassium permanganate solution.
- Rivanol solution.
- Colibacterin.
In addition, it is possible to treat rectal erosion with folk remedies, for example, infusion of calendula or chamomile, which is used in the form of enemas. These decoctions perfectly reduce the severity of inflammation in the rectum.
Microclysters based on oil, for example, with sea buckthorn, are used only after the acute manifestations have been completely eliminated. For therapeutic enemas, it is necessary to take exclusively warm water with a temperature of 36 degrees.
Physiotherapy in the fight against erosive proctitis
Of the numerous methods of physiotherapy in the treatment of this disease, sitz baths have proven themselves well, to which it is recommended to add potassium permanganate, which can have not only an antiseptic effect, but also destroy pathogens.
If there is erosion of the rectum, an excellent option would be a sanatorium-resort holiday in areas such as:
- Izhevsk Mineral Waters.
- Truskavets.
- Druskininkai.
- Arzni.
- Essentuki.
- Borjomi.
Special physical exercise, which prevents such a negative phenomenon as the formation of constipation, has also proven itself well. However, you can do it only after the acute manifestations of the disease have been eliminated, and the complex of therapeutic physical education itself is compiled by a physical therapy specialist on an individual basis.
Prolapse of the rectum from the anus
Prolapse of the rectum and anus is common in children as well as adults.
The skin and mucous membrane of the anus may fall out, then they speak of anal prolapse; if the mucous membrane and wall of the rectum fall out, they speak of rectal prolapse.
Etiology. Both congenital and acquired conditions contribute to the development of hair loss. Of these, the most important is the weakness of the pelvic floor and rectal muscles and the low position of the peritoneum, which passes from the bladder to the rectum. Constipation matters. catarrh of the intestines, dysentery. haemorrhoids. straining during childbirth, and in children – a more vertical and straight course of the rectum.
The diagnosis is not difficult. Bowel prolapse can be confused with invaginated bowel prolapsed through the anus. When the anal mucosa prolapses during a bowel movement, a protrusion of the mucous membrane appears in the form of a bright red rosette, which goes back after the end of the bowel movement.
When the intestine prolapses, the prolapsed part remains outside in the form of a cylinder. The intestinal mucosa is initially unchanged, but then undergoes chronic inflammation, turning red and swelling. Sometimes ulcers and erosions are found on the intestine. In these cases, pain appears, patients become untidy and stain their linen. In the beginning, after defecation, they can set the intestine back. Over time, reduction becomes impossible. Prolapse at this stage is accompanied by incontinence of stool and gas. The intestine may be pinched.
Treatment and care for children are limited to eliminating constipation, diarrhea, keeping them in bed, correct bowel movements, diet and keeping the prolapsed bowel clean. Erosions and ulcers are cauterized with lapis. If the intestine falls out after defecation, apply a bandage with a large piece of gauze or tighten the buttocks with an adhesive bandage.
To reduce the prolapsed rectum, the patient is placed in the knee-elbow position or placed on his side. With the right hand they press the rectum at the center and try to screw in the wall of the prolapsed intestine. Surgical treatment is rarely used in children.
In adults, surgical treatment is carried out in several ways. In some operations, the anus is narrowed and strengthened using fascia taken from the thigh or a wire passed around the anus; other operations are aimed at strengthening the rectum inside the pelvis, while others are aimed at strengthening the muscular floor of the pelvis and destroying the peritoneal sac. In addition, operations have been proposed to remove all prolapsed mucosa.
Before surgery, the patient's intestines must be thoroughly cleansed with laxatives and enemas. After the operation, catheterization may be necessary, since the patient often cannot urinate on his own due to pain.
Clinical picture
The clinical picture of this pathology is quite clear, regardless of the area affected. Erosion, affecting the epithelial layer of the intestine, provokes the development of internal bleeding, which ultimately manifests itself as vomiting with blood and tarry stools or hidden blood in the stool, which is detected only in tests. Speaking of blood, the level of hemoglobin in it decreases and anemia gradually develops, which will be confirmed by a general analysis.
In addition, from the onset of the disease, the patient himself notes a feeling of weakness throughout the body, decreased appetite and discomfort, mainly localized in the middle and lower abdomen. He may also note flatulence and the fact that his stool has become unstable, constipation alternates with diarrhea, moreover, sometimes the patient himself notices that there is blood or mucus in the stool.
In the event that erosion has affected the rectum and the disease is in acute form, then the symptoms become pronounced and increase rapidly. The patient complains of sharp pain in the rectum, which intensifies during the act of defecation and even interferes with it. He may complain of a burning sensation in the rectum or pain radiating to the perineum and reproductive organs. There are also signs of general intoxication of the body, in the form of increased body temperature, weakness, chills and increased fatigue. Otherwise, the clinical picture is the same as for any other erosive lesion of the intestine. In the absence of treatment, the acute course is replaced by a chronic one, the symptoms persist, but appear to a lesser extent and with a certain frequency.
And in the case of the duodenum, pain syndrome is added to the general clinical picture, mainly in the epigastric region, which manifests itself some time after eating.
Signs of development of erosive anomalies
The symptomatic picture of the disease largely depends on what stage it is progressing at the moment, and in what form it is observed (chronic or acute).
So, the symptoms of acute rectal erosion are characterized by:
- Sharp pain in the rectum, worsening at the time of bowel movement.
- Erroneous urge to defecate.
- Liquid stool.
- The stool contains mucus and blood.
- Temperature increase.
- Spasmodic contraction of the sphincter muscles.
An erroneous urge to defecate is a symptom of rectal erosion
Chronic proctitis is almost asymptomatic, only in certain periods can the following be observed:
- Dull and aching pain in the lower abdomen or perineum.
- Mild itchy discomfort.
- A slight increase in temperature to 37.2 degrees.
- Mucous discharge.
- Pale skin.
- Anemia.
Other symptoms of chronic pathology practically do not appear, so the presence of erosion is detected at the time of endoscopic examination by a coloproctologist.
Methods for treating intestinal erosion
Licorice root syrup
Intestinal erosion, symptoms and their severity determine treatment tactics.
Erosion of the duodenum in the initial stage allows you to limit yourself to proven folk remedies against the backdrop of strict adherence to a diet.
Drug treatment is acceptable in later stages in severe cases and includes:
- acid suppressants (proton pump and H2-histamine receptor inhibitors);
- coatings (antacids);
- reparative agents (sea buckthorn oil);
- antibiotics, especially in the presence of an intestinal infection or Helicobacter.
It is worth recalling that if a parasitic infestation is confirmed, it is necessary to carry out deworming. The diet for duodenal erosion excludes irritating foods - alcohol, strong tea and coffee, marinades, pickles, canned and fresh tomatoes, sour fruits and berries, spices.
Food should be steamed and mechanically gentle. Dishes must be warm, cold and hot are excluded.
Folk experience in herbal medicine suggests treating minor erosions of the intestinal mucosa with decoctions and infusions of herbs. Chamomile decoction is widely used and can be drunk warm as tea. Calamus, gentian, and bearberry have the same therapeutic effect on erosion.
It is recommended to consume one banana on an empty stomach. Banana pulp has good enveloping properties. Freshly prepared carrot juice 1/3 cup three times a day is beneficial.
Directions for use for adults: dilute 1 dessert spoon in half a glass of water, take this dose 3 times a day. For a child over 2 years old, half a teaspoon per quarter glass of water is enough. The course is limited to 10 days.
Sea buckthorn oil
Sea buckthorn oil remains the most prescribed remedy for erosive and ulcerative processes of the gastrointestinal tract. The carotenoids, vitamin E and lipophilic substances it contains accelerate the healing of mucosal defects and have a hemostatic effect. For erosion, the oil is taken orally, a teaspoon 2-3 times a day on an empty stomach for a month. If you have concomitant problems with the gallbladder and pancreas, sea buckthorn oil should not be taken orally. But a sea buckthorn suppository will be effective for erosions and fissures of the rectum.
For bleeding erosions, surgical treatment is performed in a closed manner, that is, without an incision in the abdominal wall. The operation is performed using an endoscope inserted into the duodenum. The erosion is cauterized with electric current, after which a strict diet is prescribed until the erosion heals.
Symptoms of intestinal erosion: causes and treatment
If the digestive tract works normally at all levels, then this process not only does not cause any disturbance to the person, but also gives a feeling of pleasure. In some cases, digestive problems occur.
One of these problems is the formation of erosion in various parts of the intestine.
In the article we will look at what signs can be used to suspect the presence of a defect in the mucous membrane of the inner wall of the intestine and what should be done to get rid of this disease.
Intestinal erosion
Causes of intestinal erosion
What is erosion? A defect in the skin is called a wound, and the same defect on the mucous membranes is called erosion.
The cause of the wound is an external mechanical, thermal, radiation, chemical effect or an inflammatory process caused by microorganisms.
Most mucous membranes line the internal organs of a person and are protected from external influences. What can disrupt the integrity of the mucous membrane?
Causes of intestinal erosion
The second question that arises in this regard concerns the concept of ulcer. How does an ulcer differ from erosion? The mucous membrane has several layers.
Erosion is a more superficial defect, the epithelium is damaged down to the basement membrane, so healing occurs without scarring.
With an ulcer, the mucous membrane is damaged more deeply, the defect extends beyond the basal layer, affects the muscles and sometimes even penetrates through. Healing of the ulcer is accompanied by the formation of a scar.
Important! Why does the intestinal epithelium become vulnerable to the formation of erosions? It is logical to assume that the damage is associated with incoming food - a person systematically eats “wrong” food that irritates the mucous membrane.
In addition, the disease occurs for the following reasons:
- heredity, the presence of ulcers or erosions in close relatives;
- disruption of normal intestinal microflora;
- helminthic infestations;
- allergies;
- intestinal infections;
- taking medications, especially from the NSAID group;
- poisoning;
- concomitant diseases of the gastrointestinal tract;
- nervous system disorders.
Attention! Often there is more than one reason, and in addition, the situation is aggravated by systematic alcohol consumption and excessive smoking.
Symptoms depending on the location of intestinal erosion
Symptoms of bowel disease
Anatomically, the intestinal tube is divided into several sections, each of which performs its own function. The small intestine is divided into 3 parts:
- duodenum 12;
- skinny;
- ileum.
This is where the small intestine ends and the large intestine begins:
- cecum;
- ascending colon;
- transverse colon;
- descending colon;
- sigmoid;
- straight.
After the initial treatment with gastric juice, the food bolus enters the duodenum. The ducts of the pancreas and gallbladder open there.
With the help of bile and pancreatic enzymes, the food eaten is digested, that is, proteins, fats and carbohydrates are broken down. This is facilitated by the cells of the duodenal mucosa, secreting intestinal juice, enzymes and biologically active substances.
Final digestion ends in the small intestine and absorption of nutrients into the blood begins.
Erosion of the duodenum leads to disruption of food digestion. An important symptom is that the patient begins to have pain in the abdomen, namely its upper parts.
The pain is of a “hungry” nature and decreases or goes away after eating. Food cannot be fully digested, which means that particles of undigested food are found in the stool.
An adult loses appetite, periodically experiencing nausea, sour belching, and heartburn.
During erosion, the nerve endings of the vagus nerve are irritated, so such patients are characterized by symptoms such as bradycardia, sweating, weakness. Erosion of the duodenum, symptoms and treatment resembles an ulcerative process and in some cases erosion turns into an ulcer and is complicated by bleeding. It manifests itself as black stool or coffee-ground-colored vomit.
The undigested bolus of food moves into the small intestine, where absorption begins. This process fails because the breakdown of food components into amino acids, bile acids, glucose and other simple carbohydrates has not occurred.
The situation is aggravated by the presence of erosions in the jejunum and ileum.
Malabsorption leads to organs and tissues not receiving vitamins, minerals, and basic food components, and this disrupts the nutrition of the cell.
The pain symptom is complemented by weight loss, hypovitaminosis, anemia, and increased fatigue. Often the patient is bothered by bloating and stool disturbances; there may be either constipation or diarrhea.
The role of the colon is that it absorbs water, electrolytes and forms feces. On the other hand, the microflora that lives in the large intestine ensures the normal functioning of the immune system.
Erosion of this localization is characterized by abdominal pain without clear localization, varying in intensity, rumbling and bloating, stool disturbances, and frequent diarrhea.
Feces become foul-smelling and, with bleeding erosions, resemble meat slops. Defecation becomes painful and may be accompanied by bleeding due to rectal erosion.
The general condition of erosive colitis gradually worsens, weight loss, performance decreases, and sleep suffers.
Methods for diagnosing intestinal erosion
Diagnosis of intestinal erosion
The diagnosis of intestinal erosion can be made in a timely manner when a patient presents early with symptoms indicating the presence of erosion. In addition to questioning and examination, the doctor palpates the abdomen. Additionally assigned:
- clinical and biochemical blood test;
- feces for occult blood;
- corporate program;
- culture for dysbacteriosis;
- examination for the presence of helminthic infestations;
- X-ray examination with contrast;
- gastroduodenoscopy;
- sigmoidoscopy.
Methods for treating intestinal erosion
Licorice root syrup
Intestinal erosion, symptoms and their severity determine treatment tactics.
Erosion of the duodenum in the initial stage allows you to limit yourself to proven folk remedies against the backdrop of strict adherence to a diet.
Drug treatment is acceptable in later stages in severe cases and includes:
- acid suppressants (proton pump and H2-histamine receptor inhibitors);
- coatings (antacids);
- reparative agents (sea buckthorn oil);
- antibiotics, especially in the presence of an intestinal infection or Helicobacter.
It is worth recalling that if a parasitic infestation is confirmed, it is necessary to carry out deworming. The diet for duodenal erosion excludes irritating foods - alcohol, strong tea and coffee, marinades, pickles, canned and fresh tomatoes, sour fruits and berries, spices.
Food should be steamed and mechanically gentle. Dishes must be warm, cold and hot are excluded.
Folk experience in herbal medicine suggests treating minor erosions of the intestinal mucosa with decoctions and infusions of herbs. Chamomile decoction is widely used and can be drunk warm as tea. Calamus, gentian, and bearberry have the same therapeutic effect on erosion.
It is recommended to consume one banana on an empty stomach. Banana pulp has good enveloping properties. Freshly prepared carrot juice 1/3 cup three times a day is beneficial.
Advice! In the absence of exacerbation, licorice root syrup helps well in the healing stage of erosion. Thanks to the biologically active substances it contains, it has an anti-inflammatory, regenerating, and immunostimulating effect.
Directions for use for adults: dilute 1 dessert spoon in half a glass of water, take this dose 3 times a day. For a child over 2 years old, half a teaspoon per quarter glass of water is enough. The course is limited to 10 days.
Sea buckthorn oil
Sea buckthorn oil remains the most prescribed remedy for erosive and ulcerative processes of the gastrointestinal tract. The carotenoids, vitamin E and lipophilic substances it contains accelerate the healing of mucosal defects and have a hemostatic effect.
For erosion, the oil is taken orally, a teaspoon 2-3 times a day on an empty stomach for a month. If you have concomitant problems with the gallbladder and pancreas, sea buckthorn oil should not be taken orally.
But a sea buckthorn suppository will be effective for erosions and fissures of the rectum.
For bleeding erosions, surgical treatment is performed in a closed manner, that is, without an incision in the abdominal wall. The operation is performed using an endoscope inserted into the duodenum. The erosion is cauterized with electric current, after which a strict diet is prescribed until the erosion heals.
Important! Any treatment for intestinal erosion, including traditional medicine, should be agreed with the attending physician and carried out only after a comprehensive examination.
Prevention of erosion
People tend to hope for some kind of magical remedy that will help maintain health, that is, provide prevention from diseases. In fact, the secret of prevention is hidden in following simple rules of a healthy lifestyle:
- your diet should be complete and rational, do not abuse fatty, fried, spicy, salty foods;
- steam or bake lean meat, fish, vegetables;
- limit carbonated drinks, alcohol, strong tea and coffee;
- follow the diet;
- fresh vegetables and fruits should be consumed daily;
- in addition to them, take vitamin-mineral complexes;
- adequate sleep and resistance to stress should be the norm;
- dosed physical activity, sports as opposed to physical inactivity;
- regular bowel movements in compliance with hygienic requirements.
If there are any signs of trouble, do not try to solve the problem on your own, hoping for “maybe” or advice from relatives, colleagues and friends. The disease progresses differently for everyone. The sooner the diagnosis is made and treatment begins, the faster and easier it is to regain temporarily lost health and good mood.
Source: https://LechiGemor.ru/drugie-zabolevaniya/kishechnik/5281-eroziyu-kishechnika-simptomyi.html
Causes of pathology
Erosion of the rectum is a pathology that is included in the group of polyetiological diseases that arise as a consequence or complication of various diseases of an infectious or non-infectious nature.
Improper nutrition causes constant irritation of the intestinal walls, which leads to the formation of erosions.
Infectious causes that cause the formation of erosions on the intestinal mucosa are as follows:
- acute intestinal and parasitic infections (dysentery, helminthiases, balantidiasis, enterobiasis, etc.) - bacteria, entering the intestines, penetrate into its mucous tissue, causing a severe inflammatory reaction. Toxins released by bacteria provoke the formation of erosions on the mucous membrane, and if not treated in a timely manner, serious ulcerations and hemorrhages;
- sexually transmitted infections (gonorrhea, syphilis, chlamydia, etc.) – infection of the rectum occurs during anal intercourse. In women, infection can also occur during classical sexual intercourse, when contact spread of pathogenic microorganisms occurs due to the flow of vaginal discharge into the anal canal.
Non-infectious causes causing the formation of erosions:
- unhealthy diet – abuse of hot, spicy, fatty foods causes constant irritation of the intestinal walls, which over time leads to the development of the inflammatory process and the formation of erosions;
- Chronic constipation - when stagnation occurs, stool thickens and becomes hard. As they pass through the intestines, they injure its walls. With constant constipation, over time, a superficial defect of the mucous membrane (erosion) forms on the mucous tissue;
- radiation therapy – most often, rectal erosions are observed in patients who have recently undergone a course of treatment for pelvic tumors with contact gamma therapy;
- various damage to the mucous membrane (mechanical, chemical, thermal) - occurs due to improper administration of enemas, introduction of irritating liquids or foreign objects into the intestine.
Most often, rectal erosions are observed in patients who have recently undergone a course of treatment for pelvic tumors with contact gamma therapy.
In more rare cases, the formation of erosions in the intestine can be caused by diseases of the digestive system and pelvic organs (vulvovaginitis, prostatitis, cystitis), a sharp decrease in immunity, hemorrhoids, and anal fissures.
What is rectal erosion
The presence of erosive foci in the rectal area indicates the formation of an inflammatory process in the mucous tissues of the rectum. A distinctive feature of such erosions is their ability to heal without further scarring .
The disease occurs in patients of both sexes in the middle age group.
Rectal erosion is a disease that belongs to polyetiological pathologies and develops as a result of infectious or non-infectious complications. In addition, the disease can occur in both acute and chronic forms.
The acute form is characterized by a ten-day manifestation, and in the advanced stage – a month and a half, but the chronic form of the disease can last 5 years or more.
The nature of erosive lesions of the mucous membranes usually consists of multiple or single groups, and the erosions themselves have various forms: flat, hemorrhagic, polypous.
In the absence of timely therapeutic measures, chronic erosion of the rectum in the photo above can acquire an erosive-ulcerative nature, which in the future is dangerous for the development of serious infections and the appearance of pus , which can spread to neighboring tissues, which significantly increases the risk of developing paroproctitis.
Treatment
Treatment of erosion is carried out according to the same principles that are used in therapy for peptic ulcer disease. With erosions, bleeding is more common, so doctors concentrate their efforts on preventing them.
The disease can be cured. If the patient has healed surface defects of the mucous membrane, there are no hemorrhagic changes and swelling, this means that a state of clinical remission has occurred (recurrent pain and dyspepsia have disappeared). It does not guarantee the absence of relapse (especially when the patient does not change his eating habits and continues to drink alcohol, junk food, etc.). The mechanism of recurrence of the disease is still not well understood, so it is recommended to reconsider your lifestyle.
In severe hemorrhagic syndrome, accompanied by complicated bleeding, the patient can only be treated in a hospital setting. Such patients are hospitalized in the surgical department. Bleeding from duodenal erosion is capillary in nature, but can be dangerous.
In this case, an endoscopic examination is first performed, after washing the mucous membranes of the stomach in order to improve visibility and assess the extent of the lesion. In this case, ice water is used to reduce the intensity of blood flow and facilitate appropriate manipulations (electro- or photocoagulation in bleeding areas). The latter involves exposure to laser radiation through an endoscope. After the operation, Fibrinogen, epsilon-aminocaproic acid and other hemostatic drugs are administered intravenously.
Sometimes it is possible to get rid of the disease at home. Treatment involves taking medications such as antacids - they not only coat the mucous membranes, but also reduce the level of acidity. These medications accelerate healing and have a cytoprotective effect. Medicines such as proton pump inhibitors (PPIs) play a critical role. If a Helicobacter infection causing an ulcer has been added to the underlying disease, antibiotics are taken.
Among PPI drugs, the most widely used drugs are Nexium (Esomeprazole), Controloc (Pantoprozole) and Pariet. Combination drugs that consist of a PPI and a prokinetic agent have proven their effectiveness. These are Omez-D and Domstal-O. The dosage of such drugs and the duration of the course of treatment are determined by the doctor. If a patient has to take non-steroidal anti-inflammatory drugs that cannot be replaced, some experts suggest taking them simultaneously with a PPI.
Symptoms depending on the location of intestinal erosion
Symptoms of bowel disease
Anatomically, the intestinal tube is divided into several sections, each of which performs its own function. The small intestine is divided into 3 parts:
- duodenum 12;
- skinny;
- ileum.
This is where the small intestine ends and the large intestine begins:
- cecum;
- ascending colon;
- transverse colon;
- descending colon;
- sigmoid;
- straight.
After the initial treatment with gastric juice, the food bolus enters the duodenum. The ducts of the pancreas and gallbladder open there. With the help of bile and pancreatic enzymes, the food eaten is digested, that is, proteins, fats and carbohydrates are broken down. This is facilitated by the cells of the duodenal mucosa, secreting intestinal juice, enzymes and biologically active substances. Final digestion ends in the small intestine and absorption of nutrients into the blood begins.
Erosion of the duodenum leads to disruption of food digestion. An important symptom is that the patient begins to have pain in the abdomen, namely its upper parts. The pain is of a “hungry” nature and decreases or goes away after eating. Food cannot be fully digested, which means that particles of undigested food are found in the stool. An adult loses appetite, periodically experiencing nausea, sour belching, and heartburn.
During erosion, the nerve endings of the vagus nerve are irritated, so such patients are characterized by symptoms such as bradycardia, sweating, weakness. Erosion of the duodenum, symptoms and treatment resembles an ulcerative process and in some cases erosion turns into an ulcer and is complicated by bleeding. It manifests itself as black stool or coffee-ground-colored vomit.
The undigested bolus of food moves into the small intestine, where absorption begins. This process fails because the breakdown of food components into amino acids, bile acids, glucose and other simple carbohydrates has not occurred.
The situation is aggravated by the presence of erosions in the jejunum and ileum. Malabsorption leads to organs and tissues not receiving vitamins, minerals, and basic food components, and this disrupts the nutrition of the cell. The pain symptom is complemented by weight loss, hypovitaminosis, anemia, and increased fatigue. Often the patient is bothered by bloating and stool disturbances; there may be either constipation or diarrhea.
The role of the colon is that it absorbs water, electrolytes and forms feces. On the other hand, the microflora that lives in the large intestine ensures the normal functioning of the immune system.
Erosion of this localization is characterized by abdominal pain without clear localization, varying in intensity, rumbling and bloating, stool disturbances, and frequent diarrhea. Feces become foul-smelling and, with bleeding erosions, resemble meat slops. Defecation becomes painful and may be accompanied by bleeding due to rectal erosion. The general condition of erosive colitis gradually worsens, weight loss, performance decreases, and sleep suffers.
Erosion of the small and large intestine: symptoms, treatment, folk remedies, diet, drugs
The function of the small and large intestines is one of the most important in the functioning of the human body.
Currently, medicine considers intestinal diseases as a factor affecting the entire condition of the body. How correctly it functions, and in what ratio the healthy microflora is to pathogenic microbes, depends on the functioning of many other organs. One of the most common intestinal diseases is erosive changes in the mucosa, leading to dangerous complications such as cancer or ulcers.
Causes
Intestinal erosion can be caused by several factors simultaneously, but the most common causes are the following:
- heredity;
- intestinal dysbiosis;
- helminthic infestation;
- allergy;
- inadequate medication intake;
- intestinal infections;
- poor nutrition;
- nervous system disorders;
- diseases of other gastrointestinal organs.
In connection with these factors, foci of inflammation develop in the intestines, leading to disruption of the integrity of the mucous membrane. In this case, the internal epithelium is singly or diffusely affected, without affecting the muscle layer.
Depending on the part of the intestine that has undergone erosion, characteristic symptoms will appear, since changes in the mucosa directly affect the function of a particular section.
Everything that a person eats is digested in the small intestine - this is the main “pot” of our body, where proteins, fats and carbohydrates are broken down and absorbed into the blood. Thanks to peristalsis, the bolus of food moves further to the large intestine, where digestion is finally completed.
Accordingly, damage to the mucous layer of the small intestine will lead to the body not receiving enough nutrients and causing bowel problems.
The large intestine is the final part of the gastrointestinal tract, which is 1.5 meters long. It performs the function of absorbing water and forming stool from the food bolus. One of the important functions of the large intestine is immunomodeling.
Due to the necessary microflora, the large intestine produces substances that subsequently protect the body from microbes. Therefore, erosions of the large intestine affect the quality of stool and the general condition of the body.
Symptoms of erosion:
Small intestineLarge intestine
- anemia; - weight loss; - bloating; - hypovitaminosis; - loss of appetite; - frequent constipation or diarrhea, which may be mixed with blood; - abdominal pain; - the presence of poorly digested food residues in the stool. | - frequent diarrhea 7-10 times a day; - stool mixed with blood; - rumbling; - pain in the abdomen; - pain during bowel movements (with erosive damage to the rectum); - weakness; - rapid pulse; - sometimes high temperature and pain in the joints. |
In the absence of treatment, the acute stage of the disease is replaced by a chronic one, symptoms appear periodically, but are less pronounced.
Diagnostics
Based on the patient’s symptoms, the doctor prescribes a series of tests to identify pathological changes in a certain part of the intestine:
- Fibrogastroduodenoscopy for examination of the duodenum.
- Irrigoscopy (x-ray method) of the intestine using a special contrast agent.
- Colonoscopy is an examination of the colon using an endoscope.
- Sigmoidoscopy to examine part of the sigmoid and rectum.
Laboratory tests of blood, urine and feces are also prescribed for further treatment of concomitant conditions (anemia, fever, etc.).
How to treat the disease?
Treatment of intestinal erosion is aimed at relieving the inflammatory process, restoring digestive function and rehabilitating the body as a whole. Therefore, a combined treatment is prescribed, which includes diet, drug therapy and, in some cases, special procedures in the form of enemas.
Diet
As a rule, in case of intestinal diseases, the attending physician prescribes Diet No. 4, which has its own rules and characteristics.
Food should be taken at least 5-6 times a day in portions of approximately 250 grams. Since frequent diarrhea deprives the body of a large amount of fluid, and dehydration is common, drinking at least 2 liters of water per day is prescribed.
Daily rate:
- carbohydrates – 200–400 g;
- proteins – 100–120 g;
- fat – up to 100 g;
- salt – 10 g.
Table of foods prescribed by the diet:
DietRecommendedProhibited
Bakery products | 200 g wheat crackers made from premium quality flour. | Fresh rye bread, wholemeal wheat bread, baked goods, puff pastry pastries. |
Soups | On a weak, low-fat meat broth with cereals, pureed meat or meatballs. | Dairy, with vegetables, pasta, millet, fatty, strong. |
Poultry and meat | Non-wiry, low-fat varieties in steam cutlets, meatballs, quenelles. | Fatty varieties, pieces of meat, sausages, frankfurters. |
Fish | Fresh, steamed or water-based, low-fat. | Salty, fatty, caviar, canned fish. |
Dairy | Freshly prepared calcined or unleavened pureed cottage cheese. | Whole milk and other dairy and fermented milk products. |
Eggs | Up to 2 per day, steamed omelette or soft-boiled. | Raw, hard-boiled, fried. |
You should also refrain from undiluted fruit juices, carbonated drinks, sweets and confectionery.
Folk remedies
Traditional treatment of intestinal erosions, along with medications, often contributes to a speedy recovery of the patient.
One of the effective means used for this is flax seed. It is brewed with boiling water - 1 tbsp. spoon of flax per glass, and boil for 5 minutes. The resulting infusion should be taken twice a day, half a glass.
Decoctions of various medicinal herbs with the addition of honey are also used:
- St. John's wort;
- chamomile;
- yarrow;
- sage
Sea buckthorn oil has good wound healing and anti-inflammatory properties. Today you don’t even have to prepare it yourself, since modern pharmacology produces oil in capsules, which are taken 1 piece at a time. three times a day.
Attention! The use of any folk remedies requires mandatory consultation with the attending physician.
Drugs
To treat intestinal erosion, depending on the cause that caused it, the doctor may prescribe the following groups of drugs:
- Antibiotics (fluoroquinols, penicillins, macrolides).
- Antacids (Maalox, Rutacid, Gastal).
- Immunosuppressants (Cyclosporine, Azathioprine).
- Antimicrobial agents (Enteroseptol, Furazolidone).
- Proton pump blockers (Omez, Nexium, Omeprazole).
- Antidiarrheal drugs (Loperamide, Imodium).
- Enzymes (Creon, Panzinorm).
Antihistamines, painkillers and other drugs may also be prescribed depending on the accompanying symptoms.
Complications
Since erosions are considered a precancerous condition, it is very important to consult a doctor in time so as not to miss the transition of the disease to the chronic stage.
In addition to the threat of neoplasms, erosion can contribute to the development of diseases such as:
- Crohn's syndrome;
- ischemic colitis;
- peptic ulcer and other pathologies.
Prevention
Prevention of intestinal pathologies comes down, first of all, to lifestyle correction, which includes:
- proper nutrition;
- rejection of bad habits;
- compliance with personal hygiene standards.
Unfortunately, today, with the frantic pace of life and the eternal lack of time, an annual preventive examination is rather an exception to the general rule than the norm. But many diseases could be avoided if such a measure were mandatory.
Therefore, there is no need to wait for symptoms of the disease, but it is better to take a day off from work and undergo a preventive examination at the nearest clinic.
Source: https://gidmed.com/gastroenterologiya/zabolevaniya-gastro/kishechnik/eroziya-kishechnika.html
Causes
The exact causes of the disease are not known. Intestinal erosions appear due to a combination of several factors:
- Helicobacter Pylori infection. Microorganisms damage the mucous membrane of the duodenum, causing erosive gastroduodenitis and ulcers.
- Heredity
. 30% of patients with intestinal erosions have relatives with the same problems. - Nutritional Features
. Spicy, hot food stimulates the secretion of gastric juice. - Bad habits
. Nicotine causes vasospasm and ischemia of the mucous membrane of the digestive tract, while alcohol stimulates gastric secretion. - Acute and chronic stressful situations
. Nervous stress provokes diseases of the digestive tract - “stress” erosions or ulcers. - Medicines
– hormones, non-steroidal anti-inflammatory drugs (especially salicylates and Indomethacin). - Food allergies. When consuming a product that causes an allergic reaction, the mucous membrane becomes inflamed and erosions appear.
- Worm infestation. Pinworms and roundworms mechanically damage the intestinal wall. Helminths release toxic substances that cause inflammation.
- Chronic diseases of the heart and respiratory system
. Due to the constant lack of oxygen, the intestinal mucosa is easily damaged. - Autoimmune diseases
. With Crohn's disease, multiple erosions and ulcers form in all parts of the intestine.
How to cure erosion in the rectum
If the digestive tract works normally at all levels, then this process not only does not cause any disturbance to the person, but also gives a feeling of pleasure. In some cases, digestive problems occur.
One of these problems is the formation of erosion in various parts of the intestine.
In the article we will look at what signs can be used to suspect the presence of a defect in the mucous membrane of the inner wall of the intestine and what should be done to get rid of this disease.
Causes of intestinal erosion
What is erosion? A defect in the skin is called a wound, and the same defect on the mucous membranes is called erosion.
The cause of the wound is an external mechanical, thermal, radiation, chemical effect or an inflammatory process caused by microorganisms.
Most mucous membranes line the internal organs of a person and are protected from external influences. What can disrupt the integrity of the mucous membrane?
The second question that arises in this regard concerns the concept of ulcer. How does an ulcer differ from erosion? The mucous membrane has several layers.
Erosion is a more superficial defect, the epithelium is damaged down to the basement membrane, so healing occurs without scarring.
With an ulcer, the mucous membrane is damaged more deeply, the defect extends beyond the basal layer, affects the muscles and sometimes even penetrates through. Healing of the ulcer is accompanied by the formation of a scar.
Important! Why does the intestinal epithelium become vulnerable to the formation of erosions? It is logical to assume that the damage is associated with incoming food - a person systematically eats “wrong” food that irritates the mucous membrane.
In addition, the disease occurs for the following reasons:
- heredity, the presence of ulcers or erosions in close relatives;
- disruption of normal intestinal microflora;
- helminthic infestations;
- allergies;
- intestinal infections;
- taking medications, especially from the NSAID group;
- poisoning;
- concomitant diseases of the gastrointestinal tract;
- nervous system disorders.
Reasons for the development of proctitis
Proctitis is caused by a variety of causes. Its development is provoked by both mechanical damage and negative processes in the body itself.
Other pathogens include the following:
- Damage to the mucous membrane and walls of the end of the intestine is caused by mechanical damage.
- Chronic dilatation of hemorrhoidal veins, which is accompanied by the formation of cracks around the sphincter.
- Poor nutrition.
- Impaired bowel movements, constipation.
- Infectious diseases that affect the pelvic organs. Sexually transmitted diseases.
- Radiation therapy for oncological pathology.
- Malfunctions of the digestive system.
- Pathological processes in neighboring organs.
Microorganisms that provoke an inflammatory process in the rectum:
- pathogenic microorganisms;
- tuberculosis microbacteria enter the rectum through cracks in the walls or through the bloodstream;
- gonococci - in the presence of gonorrheal vaginitis, this type of microorganisms can enter the intestinal tract through the vaginal wall;
- pale spirochetes - affect the rectum and provoke the formation of chancre in it;
- helminths - proctitis sometimes develops due to the negative effects of worms.
In addition, inflammation of the lower intestine can be triggered by surgery in the anal area. If the cause of this disease is identified in a timely manner, treatment will not be difficult.
Inflammation of the rectum, symptoms and treatment
The gastrointestinal tract, like any other organ in the human body, is a very delicate thing. As long as everything works well and there are no problems, no one thinks about how easy it is to disrupt the proper functioning of the intestines and stomach. But these organs are entrusted with a very serious function.
We eat to give our body strength to live. If your stomach hurts, eating becomes not a joy. But enjoying delicious dishes is a very pleasant thing. But usually the population takes extreme measures. Either we don’t eat anything, or we eat a lot for a long time.
Inflammation of the rectum, symptoms can appear in completely unexpected situations. A person comes on vacation, and there is a different climate, different food and different water, so the hidden troubles of the body appear. Therefore, it is always recommended to take proven medications with you on vacation. Because in another country, for example, there may be something else under the same name.
It may also be that there are no drugs with that name at all. So it turns out that a person does not relax on vacation, but suffers from pain in the intestines, or constipation, or, conversely, indigestion.
Symptoms of rectal inflammation are, first of all, discomfort in the stomach or intestines. After all, such a disease means that either a fissure or hemorrhoids has formed in the rectum. Inflammation can be acute or chronic. With acute inflammation, there may be an increase in temperature, as well as chills, constipation, and a feeling of heaviness in the stomach and intestines. An exacerbation may be accompanied by a burning sensation in the rectum.
If the disease is in an advanced state, erosions and ulcers may be observed on the intestinal walls. And in non-unit quantities. In this situation, the disease is called ulcerative colitis. The disease is accompanied by bloody discharge from the intestines during bowel movements. Blood can appear in the form of drops, as well as in the form of dark clots. Mucus with bloody streaks may also be released from the intestines.
If we talk about chronic inflammation, then this phenomenon is very common. There are no general symptoms as such. Sometimes there may be itching in the anal area, burning. Therefore, patients do not consult a doctor, but treat themselves. Such things can lead to intensification and exacerbation of the disease.
Etiology and pathogenesis
More often, proctitis is one of the manifestations of inflammatory diseases of the colon: ulcerative colitis, Crohn's disease or dysentery. Inflammation of the rectum can develop in patients who have undergone surgery on the rectum, for example, for hemorrhoids, anal fissures, paraproctitis, etc. Proctitis can occur in patients with acute intestinal infections caused by campylobacter, chlamydia, herpes viruses or cytomegalovirus. The cause of proctitis can also be pathogens of sexually transmitted diseases: gonorrhea and syphilis. Inflammation of the rectal mucosa is sometimes caused by treatment with antibiotics, radiation therapy, and the use of enemas with irritating substances.
According to the clinical course, proctitis is divided into acute and chronic. Acute proctitis has a sudden onset, accompanied by an increase in body temperature, chills, tenesmus (false urges) accompanied by constipation, a feeling of heaviness in the rectum, and a strong burning sensation in it. Acute proctitis occurs infrequently, but when it occurs, it is severe due to pronounced subjective local sensations. Chronic proctitis, unlike acute proctitis, is very common. It appears unnoticeably, gradually. There are almost no general symptoms. Local symptoms are also not clearly expressed: either only itching in the anal area, or weeping, or burning. Sometimes all these phenomena are observed simultaneously.
Based on materials from: www.medlinks.ru, www.med-informs.ru, www.colorectalcancer.ru, eva.ru
Etiology of the disease
Erosion of the rectum is caused by an inflammatory reaction in the upper layer of the mucous membrane, which can be triggered by a number of reasons:
- Causes of an infectious nature: intestinal pathogens - chlamydia, campylobacter, herpes virus, streptococci, staphylococci, E. coli; syphilis; tuberculosis; gonorrheal proctitis; parasitic pathogens - worms, dysentery, balantidiasis.
- Mechanical damage: surgical treatment of other diseases, passage of swallowed solid objects, anal fissure, trauma during childbirth.
- Unhealthy diet: spicy foods, seasonings and spices, excessive alcohol consumption.
- Pathologies of the digestive system, leading to the entry of poorly processed food into the rectum, causing chronic constipation or diarrhea; inflammation of the gallbladder; gastritis and stomach ulcers; intestinal dysbiosis.
- Endocrine diseases: hepatitis, cirrhosis, pancreatitis.
- Hemopathies: impaired blood flow, diseases leading to blood stagnation, hemorrhoids, varicose veins, thrombophlebitis, heart failure, venous insufficiency with excessive periods of sitting.
- Malignant neoplasms in the rectum, metastases.
- Radiation damage, incl. during radiation therapy.
- Toxic poisoning: the most common is poisoning with lead or other heavy metals.
- Autoimmune causes: Crohn's disease, autoimmune inflammation of the colon.
- Indirect factors: nervous stress, hypothermia, diseases of the genital organs.
Etiology of erosion development
The reasons why erosion develops are quite varied. The disease can be called polyetiological, since its formation most often requires the influence of several factors.
Among the most common factors are:
- Infection with an intestinal infection, for example, dysentery;
- Helminthiases;
- Incorrect drug therapy that disrupts the balance of intestinal flora;
- Poor nutrition;
- Food allergies;
- State of dysbacteriosis;
- Toxic poisoning.
- Hereditary predisposition to intestinal erosion;
- Frequent severe stress and unstable neuro-emotional states;
- Pathologies of the gastrointestinal tract of a different nature.
Other human diseases such as hyperparathyroidism or diabetes mellitus can also predispose to the development of intestinal erosion. The causes may also be injuries or surgical interventions performed on the intestine.
In some cases, some etiological factors may be added. For example, rectal erosions can also develop in connection with the development of malignant neoplasms, impaired blood flow in the intestine, autoimmune pathologies such as Crohn's disease and radiation therapy.
Diagnostic measures
Diagnosis of erosion that has developed in the intestines is quite simple. To determine the final diagnosis and its details, a number of studies are carried out.
First of all, this is a general examination and history taking, during which the medical officer learns the patient’s complaints and forms an idea of the nature of the disease. Also, based on the data obtained during the survey, he may suspect that the intestine is affected and, moreover, that this lesion is erosive in nature.
A complete blood count is then done, which may indicate anemia. And a stool analysis or coprogram, which can show the presence of hidden or not hidden blood and mucus in the stool.
After this, it is necessary to confirm in which part of the intestine the pathology developed. To do this, fibrogastroduodenoscopy, or FGDS, is performed, examining the duodenum. Then irrigoscopy, that is, an X-ray examination of the intestines, for which the cavity is filled with a contrast agent. The small intestine is examined endoscopically over a length of about 1 meter, this is called colonoscopy. And they perform a sigmoidoscopy, that is, they examine the rectum and partially the sigmoid colon.
Methods for diagnosing intestinal erosion
Diagnosis of intestinal erosion
The diagnosis of intestinal erosion can be made in a timely manner when a patient presents early with symptoms indicating the presence of erosion. In addition to questioning and examination, the doctor palpates the abdomen. Additionally assigned:
- clinical and biochemical blood test;
- feces for occult blood;
- corporate program;
- culture for dysbacteriosis;
- examination for the presence of helminthic infestations;
- X-ray examination with contrast;
- gastroduodenoscopy;
- sigmoidoscopy.
Food should be taken at least 5-6 times a day in portions of approximately 250 grams. Since frequent diarrhea deprives the body of a large amount of fluid, and dehydration is common, drinking at least 2 liters of water per day is prescribed.
Therapeutic measures based on the cause of the disease
If the anus is inflamed, then it is imperative to know the true cause of this phenomenon. Treatment “finger in the sky” without identifying the irritation factor will be futile
It is also important to know the stage of the pathological process and accompanying diseases
If an ulcer is to blame, then therapy will be aimed at following a healthy diet and preventing constipation. The patient’s menu should contain enough fiber and plant foods.
Affected hemorrhoids can be successfully treated with compresses and lotions. In some cases, intervention is performed. Subcutaneous processes can be cured after opening and drainage.