Diarrhea alternates with constipation
Introduction
Introduction Diarrhea, commonly known as "diarrhea", is one of the common symptoms of the digestive tract that everyone is familiar with. Constipation is just the opposite. The stool is not dry enough, and every time the stool is very laborious. The alternating diarrhea and constipation refers to a period of time, not constipation or diarrhea, which alternates. Sometimes constipation for several days, then suddenly diarrhea. If there is an exchange of diarrhea and constipation, you should be alert to colitis. The onset of colitis is slow, the severity of the disease is different. The main clinical manifestations of diarrhea, abdominal pain, mucus and pus and bloody stools, urgency and heavy, and even constipation, can not pass stool within a few days; often accompanied by weight loss and fatigue, and repeated attacks.
Cause
Cause
Cause
Common diseases that cause diarrhea and constipation alternation include dietary factors such as colitis, intestinal tuberculosis, localized enteritis, and intestinal irritation syndrome. Epidemiological studies have shown that 70% to 90% of cancer incidence is related to environmental factors and lifestyle, and 40% to 60% of environmental factors are related to diet and nutrition to some extent, so diet in the onset of cancer Factors are seen as extremely important factors. The high-fat diet increases the activity of 7a-dehydroxylation enzyme, leading to an increase in the formation of secondary bile acids, while the effect of cellulose is reversed, and the deoxycholic acid of the intestinal tract is reduced by inhibiting reabsorption, dilution and adsorption, and chelation. Concentrations that increase solids in the feces may also be related to mood.
Examine
an examination
Related inspection
Abdominal auscultation abdominal plain film abdominal perspective abdominal shape palpation abdominal shape examination
Some patients, not constipation, are diarrhea and appear alternately for a long time. According to clinical practice, the common diseases that cause this symptom are as follows:
1. Fill the feces. In the middle-aged and elderly people, in constipation, the abdomen is faint and painful, and every time there is a will, it can not be achieved. In the left lower abdomen, a long lumps can be touched, and sometimes watery diarrhea suddenly occurs. When the fecal mass is drained, the mass in the left lower abdomen disappears rapidly and the diarrhea stops. In fact, this lump is a manifestation of the dung in the intestine. This kind of diarrhea is pseudo-diarrhea, which is called hot junction bypass by Chinese medicine.
2, colon allergy. More common in middle-aged women, the number of stools increased slightly during diarrhea; more water-like, unformed feces were removed. In constipation, the abdomen swells and faints. The shape of the fecal mass to be solved is a slender pen, or solid as a sphere. X-ray films showed intestinal fistula, and the tension and power were too strong. Enteral tuberculosis. People with tuberculosis are prone to suffering, in addition to intermittent diarrhea, abdominal pain and constipation, when the lesion spreads to the colon, it can be a disease-like disease, easy to find acid-fast bacilli in the feces, X-ray film visible in the ileocecal area is defective Shadows and smashing.
3, colon cancer. There are many among the middle-aged and the elderly. Regardless of the transverse colon, left koji colon, right koji colon, etc., there may be a significant decrease in body weight, anemia, significant fatigue, poor appetite, and varying degrees of pain in the abdomen. For example, transverse colon cancer, often in the umbilical cord, can move and can not move the mass of the stool. For example, in the early stage of left colon cancer, in the case of incomplete intestinal obstruction, although there are symptoms of alternating constipation and diarrhea, the abdominal mass is not easy to touch. For example, right colon and cecal cancer can be easily rubbed and swollen on the right side of the abdomen.
4, intestinal obstruction. In children, intussusception and mites obstruction are common. The most common suffocation, intestinal adhesions and tumors in middle-aged and elderly people can cause intestinal obstruction. In the case of incomplete intestinal obstruction, alternating intestinal constipation and diarrhea are common due to intestinal inflammation of the proximal obstruction. When the intestinal obstruction is gradually increased, blood in the stool and pseudo diarrhea can occur.
5. Liver cirrhosis. People with chronic hepatitis are susceptible. 2 to 3 times a day, the stool is always thin, and sometimes oily stools can appear. The feces that were not dissolved in the stool for a few days were mostly hard, light yellow and indigestible.
6, regional ileitis. Patients between the ages of 20 and 40 are characterized by frequent fever and paroxysmal abdominal cramps, alternating constipation and diarrhea. X-ray films showed that the ileum was knotted, the small intestine was swollen, and the cecum was proximal to the incomplete shadow and stenosis.
The above-mentioned prepared diseases not only have the symptoms of alternating constipation and diarrhea, but also have different degrees of abdominal pain. Therefore, when using antidiarrheal drugs, painkillers and laxatives, care must be taken to avoid delays in treatment.
Diagnosis
Differential diagnosis
Attention should be paid to the identification of colitis and constipation caused by chronic intestinal inflammatory diseases such as colitis, intestinal tuberculosis, localized enteritis, and intestinal irritation syndrome. Although this symptom occurs. But the cause is different! The situation may also be related to emotions. Therefore, we should pay attention to the situation caused by emotions, and treatment should focus on regulating emotions.
