RU2493859C1 - Method of treating irritable bowel syndrome with diarrhoea - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, and aims at treating irritable bowel syndrome with diarrhoea. What is used is a low-mineralised sodium hydrocarbonate Abalakhskaya mineral water (AMW) with an faintly alkaline reaction of aqueous medium. The complex therapeutic course makes 21 days including drinking therapy - 18 days, a single drinking dose of AMW of temperature 38-40°C is gradually increased from 50-80 ml to 180-200 ml; the procedures of duodenal drainage are performed with the use of AMW of temperature 37-38°C in the amount of 200 ml of a single dose; for the procedures of intestinal irrigations, AMW is pre-heated to 40-42°C, while a single dose makes 500 ml gradually increased to 800 ml; the procedures of intestinal irrigations are alternated with baths.

EFFECT: method provides higher clinical effectiveness in irritable bowel syndrome, normalised intestinal motility.

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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 diarrhea.

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; A. Kulikov // Physiotherapy and balneology. Book II. Chapter 5. M., Publishing house 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 diarrhea.

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 diarrhea using low-mineralized bicarbonate sodium mineral water “Abalakhskaya” (AMB) with a slightly alkaline reaction of the aqueous medium is built 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 drainages using AMB, intestinal irrigation procedures using AMB after a cleansing enema, toning procedures ruyuschih 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 40-42 ° C gradually increases from 50-80 ml to 200 ml, for procedures of duodenal drainage, AMB is used, preheated to a temperature of 37-38 ° C, in a volume of 300 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 signs of the distinctive part of the claims provide an increase in the effectiveness of treatment of irritable bowel syndrome with diarrhea, 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 diarrhea, the patient is prescribed a 21-day complex treatment, including daily 3-time drinking intake of AMB with a temperature of 40-42 ° C for 18 days, with a gradual increase in a single dose from 50-80 ml to 200 ml, 3 AMB duodenal drainage procedures (300 ml), temperature 37-38 ° 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. With reduced secretion, AMB is administered 15-30 minutes before meals, in small sips. With preserved secretion, AMB is administered 40-45 minutes before meals, in medium sips, with increased secretion, 1.0-1.5 hours before meals, in large sips.

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

The proposed method treated 10 patients with irritable bowel syndrome with diarrhea, of which 3 men and 7 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 in connection with the normalization of the frequency of stool and the consistency of feces.

The proposed method is illustrated by the following clinical examples.

Example 1. Patient A., 45 years old, medical record No. 25, was treated with a diagnosis of irritable bowel syndrome with diarrhea. It has been observed by a doctor since 1999. A comprehensive examination by the digestive system revealed no pathology. The results of fractional gastric sounding are the preserved secretory function of the stomach. Complaints of bloating, a feeling of heaviness in the epigastrium, loose stools 2 times a day.

The treatment was carried out in accordance with the claimed method. After the examination, the patient was prescribed drinking treatment with Abalakhskaya mineral water, at a temperature of 40-42 ° C. A three-time intake of AMV is recommended 45 minutes before a meal of 50-80 ml during 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 increases to one glass - 200 ml. The patient drank water in medium sips. The course of drinking treatment is 18 days. Patients underwent AMB duodenal drainage at a temperature of 37-38 ° C, No. 3 (300 ml), coniferous bath procedures at a temperature of 36-37 ° C for a duration of 12-15 minutes (No. 10), intestinal irrigation procedures of an AMB at a temperature of 39-40 ° C in alternating with baths after a cleansing enema (No. 5). A single dose of AMB during intestinal irrigation increased from 500 to 800 ml. The course of treatment is 21 days. The patient suffered well treatment, the clinical manifestations of balneoreaction were not identified. After the course of treatment, dyspeptic syndromes were completely stopped, stool returned to normal. Significantly improved well-being of the patient.

Example 2. Patient T., 33 years old, medical record No. 11, was treated with a diagnosis of irritable bowel syndrome with diarrhea. In the study of gastric secretion revealed hyposecretion. Complaints of bloating, increased stool frequency up to 3-4 times a day, abdominal discomfort.

Against the background of complex treatment, the patient received Abalakhskaya mineral water at a temperature of 40-42 ° C for 18 minutes 30 minutes before a meal, slowly, without rushing in small 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 AMV duodenal drainage 300 ml (No. 3), temperature 37-38 ° С, AMV intestinal irrigation procedures from 500 ml to 800 ml (No. 5), temperature 39-40 ° С, after a cleansing enema alternating with brine baths with a temperature of 36-37 ° C, lasting 12-15 minutes (No. 10). The course of treatment is 21 days. At the end of treatment, the patient did not show complaints, dyspeptic disorders were completely stopped and the stool consistency returned to normal.

Thus, the therapeutic properties of AMV can be used in gastroenterology and balneology, in particular, in the treatment of irritable bowel syndrome with diarrhea. 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 diarrhea 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 a cleansing enema, procedures tonic coniferous or brine baths; the course of complex treatment is 21 days, including drinking treatment - 18 days, a single drinking dose of AMB with a temperature of 40-42 ° C is gradually increasing from 50-80 ml to 200 ml, for the procedures of duodenal drainage AMB with a temperature of 37-38 ° is used C in a volume of 300 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 alternate with baths.