Defecation disorders – irritable bowel and constipation
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irritable bowel and functional constipation are among
the most common functional digestive disorders, affecting a significant
percentage of the population in developed countries (reported to be as high as
30%). The clinical presentation of irritable bowel syndrome is dominated by
colicky abdominal (lower abdominal) pain and/or abdominal discomfort
(flatulence, flatulence), relieved by defecation and/or associated with a
change in stool form or frequency
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the pathogenesis of both diseases is not
completely clear despite extensive research. Neurohumoral dysregulation of
colonic function is assumed to occur in genetically predisposed individuals due
to adverse external factors. The dysregulation leads to changes in motility, secretion
and visceral sensitivity of the gut, resulting in the development of
characteristic symptoms
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the disease has a chronic pattern, often
significantly reducing the patient's quality of life
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in the absence of alarming symptoms, the
diagnosis can be made directly, based on the presence of characteristic
symptoms and normal physical findings. Further investigations are not
necessary, except to differentiate between different types of severe functional
constipation
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therapy is complex, targeted at the predominant
symptom, the basis for its success is the establishment of mutual trust between
doctor and patient