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拉肚子肚子一阵一阵痛 - A gust of pain in the stomach

文章导读

拉肚子应该说是日常生活中最常见的一种情况,在出现的时候人们就会感觉到自己的身体变得非常的虚弱,还会感觉到自己的肚子一阵一阵的疼痛,但是在没有明确自己的病情原因的时候绝对不能胡乱地吃一些药物的,这样的话对于自己的身体来说是很大的一种伤害,特别是要注意绝对不能够使用止痛药的。

拉肚子肚子一阵一阵痛 - A gust of pain in the stomach

治疗

病因治疗和对症治疗都很重要。在未明确病因之前,要慎重使用止痛药及止泻药,以免掩盖症状造成误诊,延误病情。

拉肚子肚子一阵一阵痛 - A gust of pain in the stomach

1.病因治疗

(1)抗感染治疗 根据不同病因,选用相应的抗生素。

(2)其他 如乳糖不耐受症不宜用乳制品,成人乳糜泻应禁食麦类制品。慢性胰腺炎可补充多种消化酶。药物相关性腹泻应立即停用有关药物。

拉肚子肚子一阵一阵痛 - A gust of pain in the stomach

2.对症治疗

(1)一般治疗 纠正水、电解质、酸碱平衡紊乱和营养失衡。酌情补充液体,补充维生素、氨基酸、脂肪乳剂等营养物质。

(2)黏膜保护剂 双八面体蒙脱石、硫糖铝等。

(3)微生态制剂 如双歧杆菌可以调节肠道菌群。

(4)止泻剂 根据具体情况选用相应止泻剂。

(5)其他 654-2、溴丙胺太林、阿托品等具解痉作用,但青光眼、前列腺肥大者、严重炎症性肠病患者慎用。

腹泻的诊断关键是对原发疾病或病因的诊断,需从起病情况与病程、发病年龄、发病人群、腹泻次数与粪便性质、伴随症状和体征、常规化验特别是粪便检验中获得依据。

急性腹泻应根据病史、发病季节、伴随的全身症状等,首先鉴别是病毒、细菌、寄生虫等引起的感染性腹泻,还是食物中毒、药物或其他疾病引起的腹泻。致病菌的明确有赖于粪便培养,一些寄生虫如贾第虫等需行肠黏膜活检。

慢性腹泻可通过病史,体检,肛门指检,大便常规培养及找虫卵和寄生虫、大便脂肪测定,消化道内镜和活检等来明确诊断。首先应明确腹泻是源于小肠还是结肠。

如为小肠性腹泻,应进一步作钡餐检查、小肠镜和其他实验室检查,以确定是器质性抑或功能性。如属结肠性腹泻,应做结肠镜检查,观察有无肿瘤、溃疡性结肠炎、克罗恩病等。


Reading guide

Diarrhea should be said to be the most common situation in everyday life, when people feel that their bodies become very weak and feel a burst of pain in their stomach, but it is absolutely impossible to eat some drugs at a time when they are not clear about the cause of their illness. Words are a great harm to your body. Especially, you should never use painkillers.

拉肚子肚子一阵一阵痛 - A gust of pain in the stomach

Treatment

Etiological treatment and symptomatic treatment are important. Before making any definite cause, we should use painkillers and antidiarrheal drugs carefully so as not to cover up the symptoms, cause misdiagnosis and delay the disease.

拉肚子肚子一阵一阵痛 - A gust of pain in the stomach

1. etiological treatment

(1) antibiotics should be chosen according to different etiologies.

(2) other products such as lactose intolerance should not be used in dairy products. Adult celiac disease should be banned from wheat products. Chronic pancreatitis can supplement various digestive enzymes. Drug related diarrhea should be discontinued immediately.

拉肚子肚子一阵一阵痛 - A gust of pain in the stomach

2. symptomatic treatment

(1) general treatment to correct water, electrolyte, acid-base balance disorders and nutritional imbalance. Replenish liquids as appropriate, supplement vitamins, amino acids, fat emulsions and other nutrients.

(2) mucosal protective agents such as double eight faced montmorillonite and sucralfate.

(3) microecological agents such as Bifidobacterium can regulate intestinal flora.

(4) antidiarrheal agents should be selected according to the specific circumstances.

(5) other 654-2, bromine, amphetamine and atropine have spasmodic effects, but patients with glaucoma, hypertrophy of the prostate and severe inflammatory bowel disease are careful to use it.

The key to diagnosis of diarrhoea is to diagnose the primary disease or cause of the disease. It should be based on the condition of the disease, the course of the disease, the age of the disease, the population of the disease, the number of diarrhoea and the nature of the stool, the accompanying symptoms and signs, and the routine test, especially the fecal test.

Acute diarrhea should be based on the history of disease, the onset of the season, the accompanying systemic symptoms, the first identification of the virus, bacteria, parasites and other infectious diarrhea, or food poisoning, drugs or other diseases caused by diarrhoea. The identification of pathogenic bacteria depends on stool culture. Some parasites, such as Giardia, need intestinal biopsy.

Chronic diarrhoea can be diagnosed by medical history, physical examination, anus examination, routine cultivation of stool and finding insect eggs and parasites, stool fat determination, digestive tract endoscopy and biopsy. First of all, it should be clear whether diarrhea originates from the small intestine or colon.

For small bowel diarrhea, barium meal examination, enteroscopy and other laboratory examinations should be further done to determine whether it is organic or functional. If it is a colonic diarrhea, colonoscopy should be done to see if there is any tumor, ulcerative colitis, Crohn's disease, etc.

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