Thursday, April 25, 2013

It is enteric and apt to surge checking _'s general knowledge of syndrome

It is enteric and apt to surge checking _'s general knowledge of syndrome
Intestines apt to defy syndrome should do what check?
1,General inspection: IBS patient takes intestinal symptom as the core, the serious one of abdominal distension can see the belly and expand grandly; Person who suffer from abdominal pain and left lower abdomen can have light tenderness for week such as umbilicus; Gurgling sounds of persons who suffer from diarrhoea are very hyperfunction; The gurgling sound of the constipation person can be weakened; Some patient rectum means the wall touch a tender spot behind examining rectum, some patients can not have obvious positive physical sign.
2,Check in the laboratory: The routine inspection of excrement can be seen a large amount of mucus or normal, latent blood bacterium trains the routine of hematuria, stool(at least 3 times) , the thyroid gland function is determined, hepatobiliary it is normal that pancreas renal function, erythrocyte sedimentation rate, electrolyte, serum zymology are checked etc..
3,X-ray examination: X-ray barium enema can see colon to be plentiful and fast defying, making, soliciting, have obvious the intersection of intestines and structure change; The whole digestive tract barium meal can see barium meal to overrun through the small intestine sometimes, the very beginning of barium can be reached to go back the blind department 0.5- 1.5 hours. While checking barium enema, should use warm physiological saline enema, produce and surge and get into the phenomenon because of can cause and form enterospasm in suds or cold liquefaction enemaing.
4,The colon mirror is checked: The naked eye observes the mucous membrane not unusual or only relatively has one degree of congestion edema and excessive mucus are secreted, colon mucous membrane lives and examines normally. When some IBS patients pay the mirror to check, because the sense of pain is irritated, often because suffering from abdominal pain can't tolerate needing to stop checking or can't check midway. After some patients check, there are abdominal pain, abdominal distension for longer time, and it is more difficult to resume, may relate to the fact that the intestines mirror is stimulated when being checked.
5,The colon movement function is checked: Second form colon is pressed, painless diarrhoea person reduces, the constipation person increases; The rectum is pressed, the constipation person increases, the persons who suffer from diarrhoea reduce, and there can be relaxed rectums; Whether constipation or diarrhoea person, can lead to the fact the movement indexes of second form colon and rectum increase.
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