How is colonic dyskinesia treated?

Treatment of colon dyskinesia

Events	Hypertonic dyskinesia	Hypotonic dyskinesia
Diet	Elimination of coarse fiber, eating warm food	Shown are coarse fiber, raw vegetables and fruits, cold dishes and drinks
Effect on intestinal motility	1) Antispasmodics (no-shpa, papaverine, dicetel); 2) anticholinergics (belloid, bellataminal, suppositories with belladonna)	1) Anticholinesterase (proserin, ubretide); 2) indirect-acting cholinomimetics (cisapride, coordinax)
Phytotherapy	Linden blossom, chamomile, calendula, yarrow, oregano, mint, hop cones, fennel fruits	Verbena herb, knotweed, celandine, toadflax
Physiotherapy	Electrophoresis with novocaine, platyphylline, diathermy, application of ozokerite or paraffin	Diadynamic currents, "Amplipulse", electrophoresis with calcium
Physical therapy	Relaxation exercises	Exercises to train the abdominal and pelvic floor muscles
Mineral waters	Low mineralization (Essentuki No. 4, Slavyanovskaya) warm without gas 1 hour before meals	High mineralization (Essentuki No. 17, Batalinskaya) cold 1 - 1.5 hours before meals
Rectal methods	Rectal mud tampons	Enemas and bowel lavage with mineral water at a water temperature of 20-25 °C
Hydrotherapy	Radon, carbon dioxide baths with water temperature of 37 °C	Underwater shower massage, circular shower. Swimming
Massage	Point, segmental	Belly and general
Laxatives	Oil (olive or vaseline oil 10-15 ml in the morning on an empty stomach)	1) Califagus, kafiol, regulax; 2) increasing the volume of feces (seaweed, laminarid, duphalac)

Treatment of colon dyskinesia is carried out taking into account the etiological factor and the type of dyskinesia.

All patients with dyskinesia of the colon are shown an optimal work and rest regime, combating physical inactivity, walking; eliminating neuropsychic overstrain. Diet is important. In case of constipation, it is recommended to consume fresh kefir, coarse-grained porridge (buckwheat, barley), "Health" bread, baked apples, prunes or dried apricots, vegetable oil (6-10 ml/day) daily. In case of hypotonic dyskinesia, it is additionally recommended to drink half a glass of water or juice from the refrigerator every morning after sleep, eat at least 200 g of fresh vegetables and fruits daily, eat black rye bread. If this diet is ineffective, bran is additionally prescribed, adding it to soup or porridge, the dose is selected individually from 5 to 20 g per day.

Patients with dyskinesia of the colon need psychotherapy, regimen and diet. If these measures are insufficiently effective and there are obvious neurotic disorders, sedatives or antidepressants are prescribed.

Laxatives are an auxiliary method of treating colon dyskinesia. They do not affect the essence of the process and can cause addiction.

Outpatient observation is carried out for 1 year. As an anti-relapse therapy, repeated courses of herbal medicine, eubiotics, mineral waters, and vitamins are carried out.

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