Allergic intestinal lesions: treatment
Last reviewed: 23.04.2024
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Recommended diet, medication, physical factors, medicinal plants, mineral water. Depending on the prevalence of clinical symptoms (abdominal pain, diarrhea, constipation), diet and pharmacotherapy are differentiated.
In case of constipation, a relevant diet is of primary importance, containing a sufficient amount of plant fiber and other products that enhance peristalsis. Usually, diet no 3 is prescribed for Pevzner. In the diet can include a variety of drinks, carbonated, in the cold; bread rye or containing bran, crispy bread with bran; lactic acid products, one-day (kefir, acidophilus milk, curdled milk), sour cream, cottage cheese, cream; butter, vegetable oil; meat and fish in any form; soups in large quantities, vegetable and fruit, preferably in a cold form, you can meat, fish. Cereals and flour products: buckwheat, barley, pearl barley, crumbly porridge, lentils. Hard boiled eggs. Vegetables and fruits in large quantities are raw, especially carrots, prunes, sauerkraut, apricots.
Sweet dishes: in a lot of honey, compotes, jam. Snacks and sauces are varied.
Excluded jelly, strong tea, cocoa, chocolate, mucous soups, mashed cereals, buttery dough, limited to dishes and drinks in hot form.
With diarrhea, food substances should minimize irritation of the intestinal mucosa. From the diet exclude all products that stimulate the emptying of the intestines, inject substances that reduce peristalsis. These requirements are met by diet No. 4. When prescribed, patients should comply with bed rest, take food 5-6 times a day in small portions. The chemical composition of the diet: protein 75 g, fat 50 g, carbohydrates 250-300 g, 8374-9211 J (calories - 2000-2200). Concentrated salt is limited.
In the diet can include strong hot tea, coffee, cocoa on the water, a decoction of blueberries, white rusks, dry, uncomfortable cookies; dairy products: kefir and curdled milk three-day, fresh curd in a grated form; butter in small amount; eggs and egg dishes in limited quantities; non-strong chicken broth, slimy soups on the water with a little oil, rice or oat broth.
Meat can be consumed in limited quantities in the form of steam cutlets, knels and meatballs, in which instead of bread it is recommended to add rice with mashed garlic, chicken and fish of low-fat varieties in boiled chopped form.
Cereals and flour dishes: mashed porridge on the water, steam pudding from grated cereals.
Sweet: jelly or jelly, you can from dried fruit, sugar and sugary substances in limited quantities.
From the diet exclude spices, spicy and salty seasonings and dishes, vegetables, fruits, black bread, milk and fresh sour dairy products, fatty meats and fish, cold drinks and dishes, dough and pies.
Along with these general principles of diet therapy, when preparing the diet of patients, it is necessary to exclude allergen products. To do this, based on the data of an allergological history, skin tests and serological reactions, identify products that may be allergens in this patient. Often there is a polyvalent allergy, therefore it is necessary, if possible, to completely stop contact with appropriate medicines, plants, dust, epidermal or other antigens.
Of great importance is the exclusion of parasitic invasion as an allergic factor, for which it is necessary to investigate duodenal contents and stool for protozoa and eggs of the worm. Nonspecific sensitization is carried out with the help of antihistamines (dimedrol 0,03-0,05 g, tavegil 0.01 g 2 times a day, fenkarol or bikarfen 0,025 g 3-4 times a day, peritol 0.04 g or diazolin at 0.05-0.1-0.2 g 1-2 times per day). In more severe cases, glucocorticosteroid preparations may be administered orally, intramuscularly, intravenously or rectally.
When a combination of allergic enteropathy and allergic colitis, specific microbial hyposensitization with rising doses of E. Coli allergens, protea, streptococcus, and staphylococcus is appropriate, depending on the nature of the sensitization revealed.
The duration of the main course of treatment is 2-3 months, maintenance therapy - 3-6 months.
Of great importance are sedative and psychotherapy, enzyme preparations (festal, panzinorm, mexaz, pancreatin, panferment, cholenzym, etc.), limiting, as a rule, antibiotics and other antibacterial agents.
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