Irritable bowel syndrome

Irritable bowel syndrome
Sign up for an appointment with the Gastroenterologist
Гінекологія Consultation cost
Consultation of a gastroenterologist
1 000 UAH
Гінекологія Repeated consultations
Follow-up consultation of a gastroenterologist
900 UAH
Гінекологія Ultrasound
Ultrasound of heart (Echocardiogramm)
750 UAH
Ultrasound of abdomen
580 UAH
Ultrasound of abdomen and kidneys
750 UAH
Ultrasound of gall bladder (before and after cholagogue meals)
580 UAH
Ultrasound of pleural cavity
500 UAH
Ultrasound of thyroid gland
500 UAH
Utrasound of soft tissues (1 anatomical zone)
430 UAH
Ultrasound of 1 group of lymphatic nodes (axillary, inguinal, cervical, abdominal)
430 UAH
Ultrasound of the adrenal glands
430 UAH
Ultrasound og kidneys
430 UAH
Ultrasound of urine bladder
430 UAH
Ultrasound of kidneys and urine bladder
500 UAH
Ultrasound of kidneys, urine bladder and prostate
580 UAH
Transabdominal ultrasound of urine bladder, prostate
500 UAH
Transrectal prostate ultrasound
580 UAH
Ultrasound of scrotum
500 UAH
Transabdominal ultrasound of small pelvis
580 UAH
Transvaginal/transrectal ultrasound of small pelvis
580 UAH
Ultrasound of breast
500 UAH
Ultrasound of 1 joint
500 UAH
Ultrasound of the hip joints 1 joint
500 UAH
Neck and Head vessels Duplex Scan
750 UAH
Arterial/venous Duplex Scan Upper and Lower Limbs
750 UAH
Duplex Scan of abdominal vessels (arteries of abdomen)
750 UAH
Duplex Scan of kidney vessels
750 UAH
Doppler of penile vessels
750 UAH
Ultrasound of 1 organ (not listed in the price-list)
430 UAH
Гінекологія Laboratory Universum Clinic
Urinalysis
240 UAH
Complete blood count
190 UAH
Сoagulogram
330 UAH
D-dimer
290 UAH
Protein total
130 UAH
Bilirubin total
130 UAH
Bilirubin direct
180 UAH
Bilirubin indirect
300 UAH
ALT
130 UAH
AST
130 UAH
Alpha-amylase
130 UAH
Creatinine
130 UAH
Urea
130 UAH
C-reactive protein, CRP Quantitative
190 UAH
C-reactive protein, CRP Qualitative
240 UAH
Alkaline phosphatase, ALP
130 UAH
Cholesterol
130 UAH
Gamma-glutamyl transpeptidase (GGT)
130 UAH
Lactate dehydrogenase (LDH)
130 UAH
Uric Acid
130 UAH
Glucose (venous blood)
130 UAH
Glucose tolerance test
350 UAH
ABO / Rh test
210 UAH
Albumin
130 UAH
Glycated hemoglobin
230 UAH
Fibrinogen
160 UAH
Complex "Biochemistry general" (bilirubin total, direct, indirect, ALT, AST, ALP, Creatinine, Urea, Total protein, Glucose)
1 120 UAH
Complex' "Biochemical" '№1 (Bilirubin total, ALT, AST, Creatinine, Urea, Total protein)
780 UAH
Complex "Biochemical" №2 (ALT, AST, LF, total bilirubin, direct, indirect; total protein, creatinine, urea, glucose, alpha-amylase, cholesterol, triglycerides, HDL, LDL, atherogenic factor)
1 650 UAH
"Liver panel" №1 (bilirubin general, direct, indirect, total protein, ALT, AST, ALP, GGT)
830 UAH
"Liver panel" №2 (ALT, AST, ALP, GGT, total protein, bilirubin total)
780 UAH
Complex "Bilirubin fractions" (bilirubin general, direct, indirect)
280 UAH
"Renal panel" №1 (creatinine, urea, total protein)
390 UAH
"Renal panel" №2 (creatinine, urea, Uric Acid)
390 UAH
Package endocrinological "Thyroid gland" (TSH, T4, Complex "Lipid" "Cholesterol of lipoproteins" (HDL, LDL, VLDL, triglycerides) ALT, AST, bilirubin, cortisol (saliva)
1 540 UAH
Package endocrinological "Overweight" Nome Index, Vitamin D, TSH, T4, Lipid Complex "Lipoprotein Cholesterol" (HDL, LDL, triglycerides), ALT, AST, Bilirubin, salivary cortisol)
2 632 UAH
Urological package "Men's Health" (testosterone free, total, CBC, Lipid Complex "Lipoprotein Cholesterol" (HDL, LDL, triglycerides), vitamin D, Biochemical Complex №1 (Total bilirubin, ALT, A
3 152 UAH
Package "Women's Health" TSH, T4, T3, Complex "Reproductive hormonal women's health" (LH, FSH, prolactin, progesterone, estradiol), Complex "Lipid" "Lipoprotein cholesterol" (HDL, LDL, trigly
4 302 UAH
COMPLEX of vascular health (Complex "Lipid" + "Cholesterol of lipoproteins" (HDL, LDL, triglycerides), Coagulogram, CBC, D-Dimer) without the cost of ultrasound of vessels lower extremities)
1 210 UAH
THROMBOS COMPLEX (Coagulogram, Lipid Complex №1 "Lipoprotein Cholesterol" (HDL, LDL, triglycerides), D-Dimer, Antithrombin 3.
1 020 UAH
Package "Cardiological" Complex "Biochemical" №1 (Bilirubin total, ALT, AST, creatinine, urea, total protein), urine analysis, Uric acid, Complex "Lipid" "Cholesterol of lipoproteins" (HDL, L
3 010 UAH
Package "Gastrointestinal tract" CBC, urine analysis, Uric acid, Complex "Biochemical" №1 (Bilirubin total, ALT, AST, creatinine, urea, total protein), Complex "Lipid" "Cholesterol of lipopro
3 200 UAH
Package "Gastrointestinal Inflammation" CSC, Complex "Biochemical" №1 (Total bilirubin, ALT, AST, creatinine, urea, total protein), CRP-quantitative, Alpha-Amylase, Complex "Lipid" "Lipoprote
2 946 UAH
Patskage "Polyneuropathy" Glycemic hemoglobin, TSH, Creatinine, Rea, ALT, AST
970 UAH
COMPLEX "Acute Abdomen" CBC, Biochemical '' №1 (Total bilirubin, ALT, AST, creatinine, urea, total protein), Alpha Amylase, CRP quantitative
1 290 UAH
Package "Anemia" CBC, B12, Folic Acid, Iron (Serum), Ferritin, Transferrin
1 800 UAH
Antithrombin III
200 UAH
Complex "Lipid" "Study of lipid metabolism" (cholesterol, triglycerides, HDL, LDL, atherogenic factor)
400 UAH

Irritable bowel syndrome (IBS) is a functional disorder of the intestinal tract that lasts for 3 months or more and is accompanied by abdominal pain with violations of the act of defecation or transit in the intestine. The muscles lining its walls are normally periodically contracted and relaxed during the passage of food, but during IBS this process is disrupted. As a result, there is discomfort with unpleasant sensations, which significantly impairs the quality of life of the patient.

The incidence of this disease is the same among children and adults. However, if in women this figure is about 70-80%, among men it is only 10-20% of the total number of cases. In general, according to research, IBS are found in 10-20% of the world's population. It is associated primarily with the close influence of the emotional state of man on the occurrence and nature of the disease, pointing to psychosomatics as one of the most common causes of exacerbation of its manifestations.

 

Symptoms

It should be noted that since one of the main requirements for diagnosis is the absence of organic lesions of the intestinal tract, most of the symptoms are collected from the subjective (but very real) complaints of the patient:

  • Abdominal pain (convulsive, sharp, spastic, localized mainly in the lower and lateral abdomen and almost never occurs at night)
  • Tenesmus (constant sharp pain radiating to the rectum)
  • Flatulence (increased)
  • Disorders of defecation.

There are also three main forms of the disease, according to the type of defecation disorders, which predominate:

  • With diarrhea. Characteristic sharp urge, usually after eating, in the morning or before an important event (public speaking, travel, flight, unwanted conversation). Stools are not increased in volume, semi-liquid or liquid, with mucus impurities.
  • With constipation. The feces is solid, collected in small, nut-like breasts. The act of defecation may be delayed and accompanied by pain, and then there is a feeling of incomplete defecation.
  • Mixed. A form in which constipation may change to diarrhea or be absent altogether. It is also possible to have a predominantly painful syndrome with sensations of spasms, flatulence and bloating.

Etiology

Unfortunately, it is still impossible to determine the exact cause of this disease. However, there are a number of factors that can cause it alone or in combination with each other.

  • Transferred infectious lesions of the intestine with subsequent disorders of the microflora.
  • Violation of the synthesis and balance of biologically active substances that regulate the colon (histamine, bradykinin, serotonin).
  • Deviations from the recommendations on the rules of healthy eating (eating unhealthy, fast food, irregular and eat cold food).
  • Psycho-emotional disorders with manifestations of depressive or anxiety disorders.
  • Genetic predisposition (in the presence of the same disease in first-line relatives (parents, children, brothers or sisters) the risk of its occurrence is much higher)

Diagnostic methods

The examination includes a direct examination by a doctor and a collection of medical history. At suspicion of IBS first of all diagnostics for an exception of other organic (or inflammatory) defeats of a digestive tract is carried out.

  • According to the CDC (Centers for Disease Control and Prevention in the United States), additional screening methods can also be performed if a person is too severe to tolerate symptoms or does not respond to previously prescribed blood test to rule out the presence of an inflammatory process (platelets, erythrocytes, leukocyte formula, C-reactive protein);
  • fecal analysis (coprogram and calprotectin (marker of intestinal inflammation);
  • endoscopic examination (colonoscopy to check for additional formations or affected areas of the intestine with the possibility of taking material for histological examination);
  • external methods of visualization (CT or MRI method for obtaining images of the digestive tract and other soft tissues from the outside.)

Treatment

Treatment of irritable bowel syndrome is aimed at reducing or eliminating the influence of one or another factor that causes it and can be both non-drug and through the use of certain groups of drugs.

Non-drug include:

  • Modification of lifestyle with normalization of sleep and rest to reduce the impact of stressors.
  • Consumption of sufficient clean liquids during the day to maintain and quickly restore water balance.
  • Repeated feeding in small portions and giving preference to heat-treated products with restriction of dairy and careful use of fiber (increases flatulence).
  • Exclusion of food that provokes increased symptoms of flatulence (fast food, fried or spicy foods, legumes, beans, cabbage, broccoli, caffeinated beverages, raisins, chocolate and carbonated beverages). During diarrhea, for example, the consumption of products containing lactose and fructose (pear, plum, grapes) is limited  and for constipation, it is recommended to add to the diet of cereals and bread made from wholemeal flour (or with the addition of bran).

Medication groups of drugs are used as prescribed by a doctor, depending on which symptom predominates:

  • Antispasmodics to reduce spasms and peristalsis, which improves the passage of food through the intestines.
  • Prokinetics to reduce flatulence.
  • Laxatives in the presence of constipation.
  • Antidiarrheals and astringents.
  • Sedatives or antidepressants in the presence of a psychological problem (anxiety or depression)

Advice

The main and most important complication of irritable bowel syndrome is a violation of the quality of social life of the patient. Caused symptoms not only create physical discomfort, but also negatively affect a person's ability to actively travel, work and interact with others. Despite this, the world is still struggling to ensure that patient do not hide the presence of IBS for fear of shedding light on the problem. That is why it is very important to understand that its solution and restoration of a normal way of life directly depends on the earliest possible start of the necessary treatment.

So the main tips are:

  • Pay attention in time and identify the problem that worries you.
  • See a doctor to rule out other lesions and get advice.
  • Adhere not only to drug therapy, but also to regulate stimuli in the form of stress and nutrition.

https://www.cdc.gov/ibd/what-is-IBD.htm

Kostanopulo Olena
Kostanopulo Olena
Family Physician, Gastroenterologist
More details
Ostapenko Lesia
Ostapenko Lesia
Therapist, Family Physician, Gastroenterologist, expert in the treatment of infectious diseases
More details
Sign up for an appointment with the Gastroenterologist