RU2489156C1 - Method of treating irritable bowel syndrome with constipations - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly to gastroenterology and represents a method of treating irritable bowel syndrome with constipations with using low-mineralised hydrocarbonate sodium mineral water "Alabakhskaya" (AMW) with a faintly alkaline reaction of the aqueous medium involving the daily three-time drinking of AMW, duodenal drainages with using AMW, intestinal irrigations with using AMW following cleansing enemas, taking toning pine or salt-water baths; the integrated therapeutic course makes 21 day, including an 18-day drinking therapy, a single drinking dose of AMW at temperature 36-38°C is gradually increased from 50-80 ml to 200 ml; the duodenal drainage is conducted with using AMW at temperature 37-39°C in the amount of 200 ml of a single dose; for intestinal irrigations, AMW is pre-heated to 39-40°C, while a single dose makes 500 ml to be gradually increased to 800 ml; the intestinal irrigations are alternated with taking baths.

EFFECT: invention provides higher clinical effectiveness and reduces the length of treatment of irritable bowel syndrome with constipations.

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Description

The invention relates to medicine, namely to gastroenterology and balneology, in particular to methods for treating irritable bowel syndrome with constipation.

Known methods for treating chronic enteritis, colitis, irritable bowel syndrome with drinking mineral waters (see. Reference book on sanatorium-resort selection. Edited by V.M. Bogolyubov, M .: Medicine, 1986; Medical rehabilitation. Edited by V.M. Bogolyubov. ., Moscow-Perm, 1998; Grigoriev P.Ya., Yakovenko A.V., Reference Guide for Gastroenterology, M .: MIA, 1997, P.380; Kulikov A.G. // Physiotherapy and Balneology. Book II. Ch.5. M., Publishing house of BINOM, 2008. - S.167-172).

There is a method of treating patients with irritable bowel syndrome (see RU No. 2253465, A61K 35/08, A61P 1/00, 06/10/2005), based on the use of Amurskaya-2 mineral water-magnesium-carbonate-magnesium-sodium mineral water . The method is used in the complex treatment of functional intestinal pathology and involves drinking the use of Amurskaya-2 mineral water of different temperatures depending on the presence of diarrhea or constipation in patients. However, the method does not involve the stage of adaptation to medicinal water, which cannot contribute to increasing efficiency and reducing treatment time. Complex treatment with Amurskaya-2 mineral water includes only its internal use.

However, it is known that in the Central region of the Republic of Sakha (Yakutia), on the territory of Megino-Kangalassky region, there is a unique deposit of mineral water and healing mud from the soda lake "Abalakh". Abalakh muds are included in the list of the most significant used therapeutic mud deposits in Russia (see Guidelines of the Ministry of Health of the Russian Federation No. 99/228 of December 22, 1999 “List of Russian Resorts with Justification for Their Uniqueness in Natural Climatic Factors”, section 3).

The problem to which the claimed invention is directed, is expressed in increasing efficiency and reducing the treatment time for irritable bowel syndrome with constipation.

The technical effect obtained by solving the problem is expressed in obtaining a treatment method for the complex external and internal use of mineral water of the Abalakhskaya deposit (Republic of Sakha (Yakutia)).

To solve this problem, a method of treating irritable bowel syndrome with constipation using low-mineralized bicarbonate sodium mineral water “Abalakhskaya” (AMB) with a slightly alkaline reaction of the aquatic environment is constructed taking into account the nature of disorders of the intestinal motor activity and acid-forming function of the gastric mucosa and includes daily three-time drinking intake of AMV, duodenal drainage using AMV, intestinal irrigation procedures using AMV after a cleansing enema, procedures for Tony iruyuschih coniferous or the brine baths. At the same time, the course of complex treatment is 21 days, including 2 days of examination of the patient before the course of treatment, 1 day - examination after the course of treatment, 18 days - treatment with internal and external use of AMA, including drinking treatment daily for 18 days, duodenal drainage with AMB - 3 procedures, intestinal irrigation alternates with tonic baths and consists of 5 irrigation procedures and 10 bath procedures. In addition, a single drinking dose of AMB with a temperature of 36-38 ° C gradually increases from 50-80 ml to 200 ml, for procedures of duodenal drainage, AMB is used, previously heated to a temperature of 37-39 ° C, in a volume of 200 ml of a single dose, for intestinal irrigation procedures used AMB, preheated to a temperature of 39-40 ° C, with a single dose of 500 ml with a subsequent increase to 800 ml.

A comparative analysis of the features of the claimed solution with the features of the prototype indicates the conformity of the claimed solution to the criterion of "novelty."

The features of the characterizing part of the claims provide an increase in the effectiveness of treatment of irritable bowel syndrome with constipation, prolonged remission, a decrease in the frequency of relapses and the prevention of the development of inflammatory processes in the intestinal mucosa.

Mineral water “Abalakhskaya” due to the high content of bicarbonate ions (HCO ₃ ) plays a large role in maintaining the acid-base balance, normalizing the secretory and motor functions of the stomach, biliary tract and intestines, and has a pronounced anti-inflammatory effect.

The proposed method is as follows.

In case of irritable bowel syndrome with constipation, the patient is prescribed a 21-day complex treatment, including daily 3-time drinking intake of AMV with a temperature of 36-38 ° C for 18 days, with a gradual increase in a single dose from 50-80 ml to 200 ml, 3 AMB duodenal drainage procedures (200 ml), temperature 37-39 ° С, 10 procedures of coniferous or brine baths, temperature 36-37 ° С lasting 12-15 minutes. In alternation with baths, intestinal irrigation of AMB is carried out at a temperature of 39-40 ° C, followed by an increase in a single dose of AMB from 500 to 800 ml, for a course of treatment of 5 procedures.

Drinking AMV is prescribed for the first two days, 50-80 ml 3 times a day, for 3-4 days a single dose of water increases to 100 ml, for 5-6 days - 150 ml. Starting from day 7, a single dose of water taken is increased to one glass (200 ml). The method and time of taking AMB is determined by the state of the secretory function of the stomach. Water is taken in large gulps with a delay on the root of the tongue slowly, slowly: 15-30 minutes before meals with reduced gastric secretion, 40-45 minutes before meals with preserved secretion, 1-1.5 hours before meals with increased secretion.

The treatment results were evaluated by clinical, laboratory, instrumental diagnostic research methods.

The proposed method treated 10 patients with irritable bowel syndrome with constipation, of which 7 men and 3 women aged 32-53 years.

The diagnosis is verified on the basis of complaints, medical history, examination data, clinical laboratory, instrumental and functional diagnostic research methods. The acid-forming function of the stomach was determined by the method of gastric sounding with stimulation by limontar. By sigmoidoscopy and colonoscopy, the intestines were examined, fractional duodenal sounding was performed with bile microscopy. The examination of patients was carried out in dynamics before and after a course of treatment. After conducting the course of treatment with the proposed method, a significant improvement in the general condition and well-being of all patients was noted and the time of delay in bowel movement was reduced.

The proposed method is illustrated by the following clinical examples.

Example 1. Patient P., 53 years old, medical record No. 16, was treated with a diagnosis of irritable bowel syndrome with constipation. Member of the dispensary since 2003. When examining the acid-forming function of the stomach, hyposecretion was detected. Complaints of bloating, constipation for 3-4 days.

Against the background of complex treatment, the patient took AMV at a temperature of 36-38 ° C for 18 minutes 30 minutes before a meal, slowly, without rushing in large sips 3 times a day, 50-80 ml for the first two days. A single dose of AMV for 3-4 days of treatment was 100 ml, for 5-6 days - 150 ml.

Starting from day 7, a single dose of water taken is increased to one glass - 200 ml. The treatment included 3 AMB duodenal drainage procedures (200 ml) at a temperature of 37-39 ° C, 5 AMB intestinal irrigation procedures at a temperature of 39-40 ° C after a cleansing enema, followed by an increase in a single dose of AMV from 500 ml to 800 ml. Intestinal irrigation alternated with brine baths with a temperature of 36-37 ° C. In the course of treatment 10 bath procedures lasting 12-15 minutes. At the end of a three-week course of treatment, the patient had an independent stool 1 time per day.

Example 2. Patient A., 35 years old, medical record No. 55, was treated with a diagnosis of irritable bowel syndrome with constipation. Examination revealed normal acid-forming function of the stomach. Complaints of bloating, a feeling of heaviness in the epigastrium, constipation for 4-5 days.

The treatment was carried out in accordance with the claimed method. After the examination, the patient was prescribed drinking treatment of AMV for 18 days, with a temperature of 36-38 ° C. A 3-time intake of AMB is recommended 45 minutes before meals in large sips, slowly, slowly 50-80 ml for the first two days. A single dose of AMV for 3-4 days of treatment was 100 ml, for 5-6 days - 150 ml. Starting from day 7, a single dose of water taken is increased to one glass - 200 ml. Duodenal drainage with warm (37-39 ° С) mineral water “Abalakhskaya” (200 ml), 3 treatments per course of treatment. Coniferous baths 10 procedures every other day, with a temperature of 36-37 ° C, lasting 12-15 minutes. Intestinal intestinal irrigation AMB from 500 to 800 ml, temperature 39-40 ° C, 5 procedures after a cleansing enema in alternation with baths. The course of treatment is 21 days.

The patient tolerated the treatment well, the clinical manifestations of balneoreaction were not identified. After the course of treatment, the patient's well-being improved significantly, dyspeptic syndromes were completely stopped, and the time for delaying bowel movement was reduced to two days.

Thus, the therapeutic properties of AMV can be used in gastroenterology and balneology, in particular, in the treatment of irritable bowel syndrome with constipation. In addition, the invention is aimed at expanding the range of medicinal mineral waters through the use of local mineral waters in the immediate vicinity of the source.

Claims (1)

A method of treating irritable bowel syndrome with constipation using low-mineralized bicarbonate sodium mineral water “Abalakhskaya” (АМВ) with a slightly alkaline reaction of the aquatic environment, including daily three-time drinking intake of АМВ, duodenal drainage using АМВ, intestinal irrigation procedure using АМВ after cleansing enema, procedures tonic coniferous or brine baths; while the course of complex treatment is 21 days, including drinking treatment -18 days, a single drinking dose of AMB with a temperature of 36-38 ° C is gradually increasing from 50-80 ml to 200 ml, for the procedures of duodenal drainage, AMB with a temperature of 37-39 ° C in a volume of 200 ml of a single dose, for intestinal irrigation procedures, AMB is preheated to 39-40 ° C, and a single dose is 500 ml with a subsequent increase to 800 ml, intestinal irrigation procedures are alternated with bathtubs.