Enteric apt diagnosis _'s symptom of surging syndrome

Enteric apt diagnosis _'s symptom of surging syndrome
It is enteric and apt to defy the diagnosis of syndrome to be time of pain and characteristic according to the stool characteristic, and can be established after getting rid of other diseases through physical examination and regular diagnosing test. The standardized intestines are apt to defy the syndrome diagnostic standard to be fixed. Intestines abdominal pain apt to defy Rome's standard of syndrome to relieve after including defecating, the changes of stool frequentness or properties, abdominal distension or mucus. The key diagnosed is the obtaining effectively of medical history, should pay attention to directly, to existing symptom non- mandatorily, medical history, treated the history in the past, family's history, kinsfolks' relation, medicine and diet history were described. The patient is likewise important to explanation and patient's overall mood state of the private problem. The quality of the relationship between doctors and patients is the key to determining diagnosis and therapeutic effect.
During physical examination, the intestines are apt to defy the syndrome patient to be generally healthy in shape. There can be tenderness in the palpation of belly, especially left lower abdomen, there may be second form colon in tenderness sometimes. All patients need to carry on the anus to point and check, should make pelvis inspection to women.
Should act as the latent blood of stool, check ' You had better last three days and go on continuously) . Relevant travel or symptom (generate heat, courageous and upright diarrhoea, acute outbreak that suffer from diarrhoea seriously) Support,regular worm's ovum or parasite check or train stool when needing seldom and carrying on.
Should carry on the form colon mirror inspection of fibrous rectum second. Second form colon mirror stretches into and runs into air and will often bring out enterospasm and pain. It is enteric and apt to defy the syndrome patient's mucous membrane and blood vessel to be often normal. In chronic to suffer from diarrhoea patient, especially in the older woman, mucous membrane live examine exclusion colitis under the microscope, it has two kinds of types: Collagen colon, 3 color dye, reveal collagen is deposited under the mucous membrane; Lymphocytic cellulous colitis, mucomembranous lymphocytes are counted and increased. These patients' mean age is 60~65 years old, women see more. It is apt to defy syndrome to be the same with the intestines, shown as the non- courageous and upright water sample suffers from diarrhoea, can live and examine and pay diagnosing through the mucous membrane of rectum.
Check in the laboratory, should include the whole blood cell is counted; Erythrocyte sedimentation rate; 6 or 12 biochemical tables, including serum amylase, the urine is analyzed and urged hormone of thyroid gland to be determined. Should follow patient's basic medical history, physical examination, age, the result of following up a case by regular visits to and assessing elects to be the belly audiovideo and studies the inspection, barium pharmaceutical enema, oesophageal stomach duodenum or colon mirror. However, these inspections only go on when damaging lightly and spending the inspection that lack revealing unusually.
It is apt to defy syndrome to be diagnosed and does not get rid of and send the suspicion of disease to the companion to the intestines. The symptom change may point out the existence of another disease, such as the localization of pain, the changes of form and intensity, the stool is used to, the change of constipation or diarrhoea, or vice versa, and new symptom or main suit ( If suffer from diarrhoea at night) Perhaps it is significant on clinic. The other symptoms that need to check are including mixing with the fresh blood the excrement and urine, the weight is lightened, very serious abdominal pain or unusual belly is bloated, the excrement and urine that the fat rushes down or obvious evil is white, or the shiver with cold of generating heat, vomiting of continuation, spitting blood, impel symptom (such as pain that the patient wakes up from sleeping soundly or eager to defecate) Or symptom continuation deterioration. The patient is apter to be mixed with organic disease than the young one over 40.
|