The intestines are apt to defy syndrome to diagnose _'s symptom
The diagnosis of IBS is according to the stool characteristic, time of pain and characteristic, and can be established after getting rid of other diseases through physical examination and regular diagnosing test. Standardized IBS diagnostic standard already been fixed. Abdominal pain that IBS Rome standard relieves 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, IBS patient is 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 refer to and check, should make pelvis inspection to women.
Should make the latent blood inspection (you had better last three days and go on continuously) of stool . Relevant travel or symptom (generate heat, courageous and upright diarrhoea, acute outbreak that suffer from diarrhoea seriously) Support,it is worm's ovum or parasite check or train stool after it is regular carry oning not to need seldom.
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. IBS patient's mucous membrane and blood vessel are 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. The same as IBS, 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.
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