Paroxysmal colic

Introduction Colic is a pain caused by large intestine fistula, and patients with intestinal irritation syndrome often present with paroxysmal colic. "Intestinal colic" is the pain caused by the large intestine, which often makes the baby cry and keep on crying for 1-2 hours. Since the baby does not speak, for the discomfort of the body, only crying is the main body language. Infant colic is characterized by intermittent crying.

Cause

Not completely clear. Mental factors play an important role in the occurrence and development of this disease. Changes in the patient's mental state often cause the onset or aggravation of the disease, such as overwork, emotional stress, family disputes, difficulties in life and work, etc. can interfere with high-grade nerves. Normal activity affects autonomic function and causes intestinal dysfunction. In addition, diet, food allergies, climate change, intestinal infections, surgery, etc. can constitute adverse stimuli of the disease, play a role in inducing or aggravating symptoms, which may be due to the above-mentioned stimulation changes the intestinal response Caused by sex.

an examination

Related inspection

Abdominal CT Abdominal plain film serum chloride

The course of the disease is chronic or recurrent. Among them, colonic motor dysfunction is dominant, but dysfunction may not be limited to the colon, but also has intestinal dysfunction. The patient presented with paroxysmal colic. The onset and duration of abdominal pain are often irregular, usually more often after eating or after a cold drink, or relieved after defecation, venting or abdominal heat. Abdominal pain rarely occurs when you are asleep at night.

The pain is mainly in the right lower abdomen, and a few are located in the umbilicus or other parts. When the colon is paralyzed, the intestinal propulsive peristalsis is weakened, causing constipation, accompanied by abdominal distension and frequent exhaustion. A small number of patients have frequent or intermittent diarrhea due to colonic dysfunction, which is very urgent. It occurs mostly before and after breakfast and dinner, and is rare at night. The feces are mushy and contain a lot of mucus. If the motor's motor function and secretion function are impaired, constipation and diarrhea alternate intermittently.

In addition, patients often have symptoms of indigestion such as upper abdomen fullness, anorexia, nausea, and manifestations of autonomic imbalances such as heartbeat, shortness of breath, chest tightness, flushing, and sweating of hands and feet. Although symptoms such as abdominal pain and diarrhea seriously affect labor and life, patients generally do not have weight loss and dehydration.

Differential diagnosis

It is necessary to thoroughly listen to and analyze the patient's statement about the disease, carefully conduct a physical examination, and select stool examination, intestinal X-ray, endoscopy, etc. according to the condition, after indeed eliminating various intestinal diseases of the intestine. In order to consider the possibility of intestinal irritation syndrome. After the diagnosis of the disease, it should be closely followed up and reviewed. After a period of observation, the diagnosis can be confirmed. In the diagnosis of this disease should pay attention to the identification of the following organic diseases, such as ulcerative colitis, Crohn's disease, intestinal tumor, intestinal polyposis, intestinal diverticulum, intestinal malabsorption syndrome, biliary tract and Pancreatic diseases, chronic lead poisoning, etc.

The course of the disease is chronic or recurrent. Among them, colonic motor dysfunction is dominant, but dysfunction may not be limited to the colon, but also has intestinal dysfunction. The patient presented with paroxysmal colic. The onset and duration of abdominal pain are often irregular, usually more often after eating or after a cold drink, or relieved after defecation, venting or abdominal heat. Abdominal pain rarely occurs when you are asleep at night. The pain is mainly in the right lower abdomen, and a few are located in the umbilicus or other parts.

When the colon is paralyzed, the intestinal propulsive peristalsis is weakened, causing constipation, accompanied by abdominal distension and frequent exhaustion. A small number of patients have frequent or intermittent diarrhea due to colonic dysfunction, which is very urgent. It occurs mostly before and after breakfast and dinner, and is rare at night. The feces are mushy and contain a lot of mucus. If the motor's motor function and secretion function are impaired, constipation and diarrhea alternate intermittently.

In addition, patients often have symptoms of indigestion such as upper abdomen fullness, anorexia, nausea, and manifestations of autonomic imbalances such as heartbeat, shortness of breath, chest tightness, flushing, and sweating of hands and feet. Although symptoms such as abdominal pain and diarrhea seriously affect labor and life, patients generally do not have weight loss and dehydration.

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