Treatment of dolichosigma: surgery, nutrition and diet, alternative means, massage

Dolihosigma is a serious pathology of the intestine, in which there is a violation of its motor activity and contractile activity. As a result, constipation develops. The intestines are not emptied, stool masses accumulate in it. This is facilitated by the abnormal length of the sigmoid colon. With prolonged constipation, it can also expand. Constipation is dangerous for its complications: it can develop intoxication of the body by the calves, their hardening, inflammation. The most dangerous complication is atony of the intestine, and its fibrosis. Sometimes the pathology can proceed against the background of other diseases.

If using a diet to restore normal defecation is impossible, prescribed medication. Apply laxatives, cleansing and laxative enemas. You can use homeopathic remedies, alternative recipes. If necessary, physiotherapeutic procedures can additionally be prescribed. Symptomatic therapy is performed: with severe pain, pain medications are prescribed, spasmodics are used for spasms.

With the inefficiency of conservative medicine and the development of complications, pain, radical methods are used - surgical intervention.

Medications

If the diet does not have a positive effect on the state of the intestine, you need to take medications. Admission is allowed only after a preliminary consultation with the doctor, because you can cause various complications and only aggravate the situation. Excess dosage can lead to side effects: irritation of the intestine, increased contractile activity.

With prolonged constipation, more than 3-4 days, apply dyufalak. Recommended 1-2 tablespoons of the drug at a time. In a day you can take 3-4 times.

To eliminate constipation, also apply mukofalk - 1 package is dissolved in a glass of water, drink before eating. The maximum daily dose is 4 sachets.

Duspatalin is taken 1 tablet twice a day, 20 minutes before meals. The drug is released in capsules that need to be swallowed without chewing. It should be washed down with plenty of water.

Normalization of the intestine promotes festal. It is taken 1 tablet 3-4 times a day. Increases the tone of smooth muscles, contractile muscle activity.

Laxatives for dolichosigma

First you need to normalize the food, include in the diet as much as possible products that have a laxative effect. You need to add as much vegetables, fruits, juices. You need to drink at least 1.5-2 liters of clean water a day. If such a diet does not relieve the condition, then only laxatives can be taken. Well-proven drugs such as mukofalk, dyufak, duspatalin, festal, extract of buckthorn. Preparations should be started with a minimum dosage. Only in the absence of effect, the dose can be increased. Otherwise, habituation can develop very quickly, and the drugs will cease to have a therapeutic effect. Also, with prolonged and uncontrolled administration of laxatives, complications can develop: disappearance of the reflex to defecation, stool incontinence, irritation of the intestine.

It is recommended to take folk, herbal and homeopathic remedies. They are highly effective, not addictive, have fewer side effects. Long since used as laxatives, various oils were used: linseed oil, sunflower oil, olive oil and others. In the absence of a positive effect, an enema is put.

Forlaks with dolichosigme

As a laxative, you can take forlaks. It has proved itself well, since it has no side effects, gently acts on the stomach and intestines, does not cause irritation. Take 1 tablespoon 3-4 times a day.

Duphalac treatment with dolichosigma

Dufalac is a mild laxative that has virtually no side effects and contraindications. It can be taken even during pregnancy. It is recommended to take 1-2 tablespoons at a time. You can take 3-4 times a day.

[1]

Probiotics on dolichosigme

Constipation is often accompanied by a disturbance of the microflora. The species and quantitative composition of the bacterial flora changes. This also negatively affects the body's condition, can aggravate constipation, cause additional inflammation. If the normal ratio is violated, the predominance of pathogenic flora may begin. Or free niches can occupy the fungus, which leads to the development of candidiasis. Inflammatory-infectious processes are transmitted to other organs and systems. Often, intestinal dysbiosis is accompanied by a violation of the microflora of the urinary organs, respiratory tract. Long-term impairment may lead to a decrease in immunity, or the development of autoimmune processes. Probiotics are used to normalize the microbiocenosis. They are used strictly according to the scheme that the doctor appointed. It is necessary to take a complete course. To finish the treatment without consulting the doctor in any case it is impossible, because the microflora can be broken even more. Well-proven drugs such as lactobacterin, bifidum, symbiote, various yogurt with bacterial leaven.

Enema with dolichosigma

The enemas are prescribed only if the constipation can not be eliminated with diet and laxatives. For enema, clean water, salt solutions, vegetable decoctions are used. It is impossible to abuse enemas, as this may lead to a decrease in defecation reflexes. With the continued use of enemas, the urge to defecate or develop incontinence may disappear. Also, the effect of prolonged use of enemas can be irritation of the intestinal walls, their inflammation. As a result, irritable bowel syndrome develops, colitis.

[2], [3]

Vitamins

To eliminate constipation requires not only adequate nutrition, but also a sufficient amount of vitamin in the body. With dolichosigma it is recommended to take vitamins in the following daily concentrations:

• Vitamin PP - 60 mg
• Vitamin H - 150 μg
• Vitamin C - 500-1000 mg
• Vitamin A - 2400 μg
• Vitamin D - 45 mcg.

Physiotherapeutic treatment

In the therapy of dolichosigma, physiotherapeutic procedures are often used. Usually they are used if traditional therapy is ineffective. Also, physiotherapy is used at the stage of rehabilitation after the illness, in the postoperative period. They are widely used in sanatorium, spa and rehabilitation treatment.

The most effective methods are considered to be anterior abdominal wall massage, visceral massage, physiotherapy exercises and yoga therapy. Also, electrostimulation of the colon, hydrocolonotherapy, acupuncture. In addition, laser therapy can be prescribed. To administer drugs directly into tissues, electrophoresis and galvanization are used.

Massage of the abdomen with dolichosigma

With dolichosigma, you have to daily massage your abdomen. It helps to relax the tense areas, leads to a toned sluggish, atonic zone. As a result, the blood flow increases, the blood supply of internal organs, including the intestine, improves. Massage eliminates stagnant phenomena, improves peristalsis and motility, increases the contractile activity of smooth muscles. This promotes the progress of feces, reduces its density, hardness. Puffy phenomena, hyperemia are eliminated.

When carrying out a stomach massage, one should remember the basic rule: it must be clockwise. If movements are made counter-clockwise, diarrhea will develop.

Massage is carried out in several stages. First, gentle stroking is performed. Movement superficial, easy, is carried out by a grinding of a skin surface. Significantly improves blood circulation, the skin is rubbed up with light movements. Thus, we warm up the top layer, prepare the skin for further, deeper effects.

Then we turn to squeezing. Movements are made deeper, with pressure. Increases the intensity of exposure. The skin is rubbed, the effect is on a deeper layer. Primarily affected by subcutaneous tissue, the lower layers of the dermis, which are on the border between internal organs and skin. It makes it possible to prepare for the mechanical action deeper, inner layers.

Then go to the next stage - rubbing. Intensive action is carried out, the skin and subcutaneous muscle layer should be fully heated. Rubbing is carried out by long, intense movements in both directions. Blood circulation should increase, on the skin red spots should appear.

Then we proceed to kneading. This is the main stage, during which the full development of the muscle layer occurs, the main effect of the massage is achieved. All previous stages are essentially preparatory stages for kneading. You can not start immediately with kneading. Skin and upper muscle layers should be prepared to be applied gradually. Otherwise, you can get complications in the form of bruises, mechanical damage to tissues. In addition, if the site is not well prepared, it will be impossible to reach the desired layer and it will not be possible to eliminate stagnant phenomena. The procedure carried out without prior preparation will be painful.

We try to penetrate the fingertips deep into the abdomen, into the muscle layer. We pass along the intestine, along the bowels. We try to maximally grasp the muscle layer, stretch it, work, moving forward, in the direction in the rectum and anus.

The duration of such kneading should not exceed 15 minutes, after which we begin to reduce the intensity and depth of impact. Gradually move on to lighter, shallow movements. We perform several superficial strokes, then - intermittent vibratory movements, tapping, light pats. Then performs a long vibration reception - with the tips of your fingers create a vibration, oscillation along the entire digestive tract.

Of course, you can try this procedure yourself. But it is better to entrust it to the professional masseur who owns the skills of visceral massage. He will do everything right, with the necessary pace, rhythm, duration and depth of impact. The risk of complications with this procedure is significantly reduced.

Massage of the abdomen in waves with dolichosigma

It is better to perform usual massage by waves. You need to perform in a calm rhythm, clockwise. We perform light, wavy movements. First we try to go deeper into the skin with the tips of our fingers, then we give the main impact to the skin with the center of the palm. From the center of the palm we make a roll to the base of the palm, and we exert influence on this area. Then do the movements in reverse order.

If you look at the movement from the side, you should get a light wave, which deepens more and more inside the abdomen. First, the movements are light and superficial, then more in-depth. In the end, you need to try to touch as deep as possible layers, to squeeze, carefully work out each muscle and intestine, while moving the contents towards the rectum, the anus. The duration of the procedure is no more than 15-20 minutes.

We finish the procedure slowly. Gradually, we begin to slow down the movement, reduce the intensity of exposure, the depth of the muscle layer. We finish the procedure with light, superficial movements. You can make an easy vibration at the end, a few pats.

Acupressure with dolichosigme

Acupressure involves exposure to biologically active points, which are located not only in the intestinal region, but also throughout the body. With the help of receptors and nerve endings, these points are associated with the corresponding areas of the intestine. If you carefully study the main points, you can significantly improve blood flow, metabolic processes in the relevant areas of the intestine, reduce the severity of stagnation and pain.

It is on the point effect that almost all eastern medicine is based, su-jok therapy. You can perform the procedure yourself at home, but the quality and effectiveness of it is significantly reduced compared to professional performance. Influence on the points can be various ways - by pressing, patting, scrolling. Apply even a point thermal and cold effect. But the traditional method of influence is pressure.

Massage is performed on the feet. First, the skin is pre-prepared for action. Perform a classic stroking. Calm smooth movements of the skin stroked on the surface. Then the depth and intensity of the impact increases, we turn to squeezing. Gradually we go deeper into the skin, the movements become more intense and pressing. After this, we proceed to rubbing - the skin is intensively rubbed into various sides. A burning sensation should appear. With good grinding, blood circulation improves, and the skin becomes more red.

Now go directly to point massage. Apply pressure to pressure. Find the desired point and apply pressure to it with your thumb. The intensity of exposure should be moderate: it is important to feel sufficient pressure and deepening deep into the tissue, but there should be no painful sensations.

In order to have an effect on the sigmoid colon, it is necessary first of all to find on the foot a point that corresponds to this gut. It is located in the central part of the foot, in the area of the protuberance of the thumb. We work through this zone, then we move on to working the entire zone from the thumb to the little finger. Slowly we pass to each finger and we work point pads of fingers.

We pass to the Achilles tendon and forcefully start massaging this zone. Then we work through the soft pressing movements of the entire foot. We begin rubbing the entire foot, then slowly go to stroking. We finish the movement with light vibration techniques.

Exercise therapy for dolichosigma

The therapeutic physical culture is very useful for dolichosigma, since it is the low level of mobility and sedentary lifestyle that causes it to develop. Lessons are better spent in the conditions of a polyclinic or special health centers, under the guidance of experienced instructors. They will tell you what exercises are suitable in each particular case, control the intensity and dosage of the load.

With chronic constipation and dolichosigma, exercises that are associated with both intensive exercise and moving exercises are suitable. It is recommended to perform jumps. At the same time, one should strive to perform as many jumps as possible in one minute. Begin with a slow rhythm: no more than 30 jumps per minute. After that, gradually increase the load: weekly add no more than 10 jumps. After 2 months it is necessary to reach the speed of 100-150 jumps per minute. It is useful to alternate jumps on two legs with jumps on one leg. Also useful are jumping rope, both forward and reverse.

Squats are also useful. We must crouch according to a certain pattern: first we stand exactly. We start to slowly go down. When we are down, we try to relax the body, we stretch the back exactly, try to straighten the spine as much as possible, relax the muscles along it. We sit in this position for another 10 seconds. After that, we start to slowly rise up. We reach a position where the legs are parallel to the floor. We linger in this position, after we begin to squat again. They sat down, completely relaxed below. Particular attention is paid to the spine and muscles located along it. We rest in this position for 10 seconds, then start slowly to rise upwards for the next 10 seconds. They rose, then completely relaxed their arms, legs, shook hands. We have a rest for 10 seconds and continue to squat again. In total, it is necessary to perform 10 such squats. After fully mastered squats in such a rhythm, you can increase the load. The duration of each of the stages of squats is increased first to 20 seconds, then to 30, 40, 50 and 1 minute.

After each such squatting in a slow rhythm, it is necessary to perform squats in a fast rhythm. To do this, we squat at a speed of 50 squats per minute. If you can not do it completely - you can not do deep squats, just sit down a bit, setting the amplitude. It is enough to bend the legs slightly in the knees, but the main thing is to perform at the right speed. After that, you can increase the depth of squats, gradually reaching hollow, deep squats with a speed of 50 per minute.

After performing squats, it is advisable to perform exercises aimed at developing the press. For the development of the lower press we lay down on the back, hands behind the head. Legs need to be clamped between any object, so that they do not move and do not come off the floor during the exercise. You can ask someone from the relatives to hold their feet. Slowly we rise upwards, we lower a head on knees, then we fall in a starting position. We perform 10 times, gradually increasing the load up to 100 times.

For pumping the lower press you need to lie down on the floor, lying on your back, relax. Then we lift the even legs up, bend them in the knees, try to bring them as close as possible to the stomach. At the same time, raise your head and touch your knees with your forehead. Begin with 10 times, gradually increasing the load to 100 times.

It is also useful to perform the exercise "Boat". For this we lay down on the stomach, hands behind the head, legs straight. We tear off the head together in hands with the floor. We raise as high as possible, try to tear off the chest and shoulders from the floor. After that, raise your legs up, as wide as possible. We keep our arms and legs in elevated position, try to tear off as much as possible from the floor. After that we start to swing like a boat on waves. We try to raise our hands, head to the chest as high as possible. We also raise our legs as high as possible. We alternate the lifting of the hands and head with the lifting of the legs, creating as much as possible the amplitude of the swing.

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Exercises and gymnastics with dolichosigme

Any physical exercises, including gymnastics, have a positive effect on the treatment of dolichosigma. When performing physical exercises, blood flow increases, the contractile activity of muscles, including smooth ones, increases, as a result of which the peristalsis and motility of the intestine improve substantially.

From gymnastic exercises the most useful are exercises aimed at relaxing and stretching muscles. At the same time, the set of stretching exercises given below is well proven.

Relax before starting the exercises. You can cover your eyes, lie down for a few minutes. Then take a few slow breaths and exhalations, begin to rise in the sitting position.

Sit flat, legs stretch forward, knees even. Also keep your back as flat as possible. Take the heel of your right foot in your arms, pull it toward you. Keep your foot on the heel and calf muscle, try to tighten as close as possible to the hip joint. Hold and try to relax. The knee of the raised leg should be lowered as low as possible to the floor. You can help yourself with your free foot, dropping your knee to the floor, pressing it down as low as possible. You can begin the exercise with 2-3 minutes, gradually increasing the duration. Then change your legs and repeat the exercise for the second leg.

The starting position is not changed. We take a deep breath and exhale. On inhalation slowly lowered down to the even legs. Hands, chest and head are trying to lower as low as possible, put on their knees. We try to relax as much as possible in this position. Sit for a few minutes, then slowly bend your knees. The head remains in the same position. We try to rest our knees in the stomach. We try to perform small amplitude movements with our legs, while passaging the knees with the stomach. We perform as long as possible, at least 3-4 minutes. Then we return to the starting position. After this exercise, you can lie on your back, relax, rest for 2-3 minutes. We do 2-3 deep breaths and exhale, we proceed to the next exercise.

Sit down on the floor, the back is even. We bend the legs in the knees, we connect the soles of the feet together. We try to lower our knees as low as possible on the floor (so that they touch the floor). If it does not work, we try to squeeze our knees. We are in this position for 2-3 minutes. After that, we leave the legs in the same position, hands go forward. We make a slope forward, we try to descend as low as possible, to lie with our chest on the floor. We are in this position for 4-5 minutes, then we return to the starting position.

Then we sit on our knees. Buttocks sit on the heels, or on the floor between the heels. We straighten our back. Then start slowly to deviate back. She puts her back on the floor, leaving her legs in the starting position. We try to relax as much as possible in this position. After that, we take our legs out in front of us. Slowly we pull them to the stomach, and we roll out into the position, squatting, with a roll.

After doing a set of exercises, you can relax, lying on your back, covering your eyes.

Yoga with dolichosigme

Classical Hatha Yoga offers a whole complex of exercises aimed specifically at cleaning the stomach and intestines.

Good for cleaning the intestines of Mayurasana, or the pose of a peacock. To perform this asana, you need to stand on your knees, slightly push them apart. Hands fall to the floor. At the same time, turn your palms to yourself. Gradually we fall even lower. Elbows bend, we fall on the forearm. We try to put the stomach on the elbows. The head is lowered to the floor, hands rest on the stomach and intestines. We try to take all the weight of the body to the head and arms, while with the elbows we push harder on the abdomen. This makes it possible to massage the outer and inner walls of the abdomen.

If the exercise is hard, you need to stay in that position. It is necessary to perform the exercise for at least 5 minutes. We perform the exercise daily, preferably in the morning, on an empty stomach. Gradually increase the duration of the exercise. Every day we try to do it as long as possible, in the end we need to bring up to 30-40 minutes for one approach.

If the exercise is obtained, we begin to complicate it. From the described situation, slowly raise your head up. Pull the head, chest and torso forward. We gradually take our legs back, try to lift them up. The emphasis should be on your hands. Hands press into the abdomen. The whole body is held exactly, parallel to the floor.

For an exit we lower our legs downwards, we bend them in knees, we sit on heels. Slowly lift our head up, straighten the spine. We sit straight, straighten our back, relax. You can make a few deep breaths.

After this, it is recommended to perform a complex of mula-sadhas, intended for purification of the rectum. Promotes the removal of gases and the release of stool from the intestine, by stimulating intestinal motility.

Sit down in a special position - Vatayanasanu. For this, we sit on our knees. Buttocks lowered on the heels. You can connect socks, heels apart separately and the buttocks sit in the area between the heels. We straighten our back, relax the muscles. We try to stretch the spine upward. The eyes are covered, we perform several cycles of full, deep breathing.

Then we start to stimulate the large intestine. To do this, we perform a lower abdominal massage. We perform light, pressing movements. Pressing is done with four fingers of the right hand. Mass the iliac region, press the cecum to the pelvic area. Keep it until we feel a slight vibration. After that, perform a circular massage of the abdomen. Observe the direction of movements - counter-clockwise, spirally, starting from the navel. We perform from 5 to 20 minutes. Usually, after such a procedure, there are desires for defecation, and actually defecation. After the end of the procedure, it is recommended to drink a glass of warm water.

Alternative treatment

Various alternative agents are effective in treating constipation and dolichosigma. The most effective they are in the complex therapy. Despite the fact that alternative means are relatively safe, they should be used after a doctor's prior consultation. The funds are quite simple, nevertheless, they are effective.

To eliminate constipation, castor oil is recommended. It is taken on an empty stomach, as a part of coffee. Brew ordinary coffee, to taste, allow to cool slightly. When the coffee becomes warm, add 1 tablespoon of castor oil. The drug is contraindicated in pregnancy, because it has abortive properties (causes miscarriages and premature births).

The second way - add a tablespoon of castor oil in a glass of hot beer. Drink at night, before going to bed. In the morning usually empties.

It is also recommended to drink a glass of kefir before bedtime with 1 tablespoon of vegetable oil added. Mix thoroughly and drink with small sips. This drug is especially effective for spastic constipation.

To treat constipation, well-proven pickled cucumber. In this case, there should not be spices and seasonings in the brine. Drink 4 glasses a day for a month. Normalizes the work of the intestines, promotes regular emptying and removal of spasms, pain.

[5], [6], [7], [8]

Herbal Treatment

Herbs are the best help in the treatment of constipation. They have virtually no side effects, are allowed for any age. But at the same time before using, you need to consult a doctor, since many can have individual contraindications or do not combine with drug therapy.

The most famous laxative is the grass of the buckthorn. One tablespoon of fruit is poured a glass of water, give the opportunity to brew for 2 hours, after which I drink at night half a glass. Drink better in warm clothes.

The senna herb also has a strong laxative effect. One tablespoon of chopped leaves pour a glass of boiling water, insist all night. In the morning, filter, drink 1 tablespoon 3-4 times a day.

Fennel grass is recommended to eliminate constipation. One tablespoon of seeds pour a glass of boiling water, insist for an hour. After that they drink. For a day you need to drink half a glass.

Homeopathy

Homeopathic preparations are effective in dolichosigma and have virtually no side effects. The main precaution is consulting with a doctor, since homeopathy can be incompatible with other means and procedures, it can not immediately effect, and after some time after the end of treatment.

Well-proven mixture of fresh juice of aloe and honey. Mix in a ratio of 1: 1, drink 2 times a day. Helps not only in the treatment of constipation, but also for the removal of irritation and inflammation, recovery processes.

Propolis is also effective in treating constipation. It is recommended to chew a piece of fresh propolis as a cud. Apply approximately 3 times a day.

It is recommended to collect against constipation. You need to take 1 teaspoon of dill seeds, mix with 1 tablespoon licorice root. Blend a glass of water, insist for an hour, drink half the glass after each meal.

Seeds of wild carrots are brewed with a glass of boiling water, insisted for an hour, drink half the glass twice a day.

Surgery

If conservative treatment is ineffective, surgical methods are used. The main method is excision of the part of the sigmoid colon, in case it is excessively elongated and there are extra segments. In rare cases, the sigmoid colon is completely removed. With intestinal obstruction, the operation is mandatory and performed in an emergency. Can be performed by the traditional method with open access, as well as laparoscopic. Operate under general anesthesia. The operation lasts an average of 1.5 hours, heavy does not count. With the correct postoperative recovery and compliance with all the recommendations of the doctor, the prognosis is favorable.

Indications for operation dolichosigma

The main indication is the ineffectiveness of conservative therapy, as well as signs of intestinal obstruction. It is carried out with the progression of the disease, the prolonged absence of defecation and the growth of signs of intestinal intoxication. Also mandatory indications are a large number of additional loops, twists and bends of the intestine.

Resection of dolichosism

Under the resection is meant complete or partial removal of the sigmoid colon. Partial removal is used when excess segments of the intestine appear (excessive elongation), as well as in bends and twists. Complete resection is carried out mainly with intestinal obstruction.

Trimedate with dolichosigma

Trimedate is an effective pharmaceutical agent that regulates the activity of the gastrointestinal tract and stimulates receptors of the rectum, which cause desires for defecation and timely evacuation of the intestine. Reduces spasms and pain. Applied for recovery in the postoperative period, after resection of the sigmoid colon. The daily dose is 300 mg, with rectal administration - 100-200 mg. Not recommended for pregnancy. Use with caution to children.

Food and diet with dolichosigme

It is recommended to exclude from the menu products that have a fixing effect that irritates the intestinal wall and is poorly digested. Include in the diet a large number of products that have a laxative effect: raw vegetables, fruits, salads, kefir, beets.

It is necessary to use only boiled and steam dishes, completely to exclude the fried and smoked dishes, and also marinades, spices and condiments. You need to drink more fresh water, or mineral still water. In food add more vegetable oil.

The diet menu for dolichosigma

The menu is displayed like this:

• Breakfast

Vegetable salad with vegetable oil, toast, juice or compote.

• Dinner

Chicken broth, toast or breadcrumbs, mashed potatoes, steam cutlet, boiled beet salad. Tea with sugar.

• Dinner

Omelette curd, a glass of yogurt with vegetable oil.

• What can you eat with dolichosigma?

You can eat boiled and steam dishes. The diet includes a large number of fresh fruits and vegetables, kefir, sour-milk products, cottage cheese, a variety of dishes from beets. Salads are seasoned with vegetable oil.

• Bran with dolichosigme

Bran has not only a laxative effect, but also contributes to the removal of toxins and toxins from the body. They act as sorbents. It is recommended to add bran in the composition of various dishes, eat with milk or kefir. Bread from bran is useful.

• Olive oil with dolichosigme

You can add oil to the various dishes, vegetable salads. At night, it is recommended to drink a glass of kefir with the addition of one tablespoon of oil. There are many recipes for alternative medicine, based on the use of vegetable oil. You can drink on an empty stomach 1 tablespoon of oil. Has a laxative effect, cleanses the body, relieves inflammation of the intestine.