One of the most unpleasant bowel disease is considered Payra syndrome accompanied by constipation and abdominal pain. The disease gets its name from the German name of the surgeon, who described the first complex of its symptoms.
Peripheral transverse colon syndrome when Payra fixed in splenic flexure too high, due to which the deflection is formed, thereby preventing the intestine. Stagnant feces, flatulence increased, in some parts of the intestine inflammatory processes begin, and all this leads to pain.
A feature of this disease are the problems associated with the diagnosis. After abdominal pain may indicate a variety of pathologies. diagnosing errors, in turn, lead to incorrect treatment. As a result, he missed the time allotted to conservative therapy, and there is a need for surgical intervention, which is always undesirable, if there (were) other features.
Payra syndrome is congenital. To it also leads:
- excess weight;
- increased gas formation in the intestine;
- various kinds of poisoning;
- tumors;
- as well as an excess in the diet of foods that provoke fermentation, flatulence.
symptoms
The most striking symptom Payra syndrome is severe pain at the top of the stomach, which lasts only a few minutes, but appeared regularly for quite a long period of time. This pain radiating into the arm and chest, worse after eating, physical activity. It is accompanied by a feeling of compression at the location, palpitations, nausea, vomiting, shortness of breath.
Later joined constipation pain (from 2 to 5 days), decreased appetite, headache, nervousness.
Diagnostics
Diagnosis "Payra syndrome" begins with a detailed survey addressed the patient. The doctor needs to know what is the nature of his pain, where it is localized, which gives, what is accompanied by, etc.
After the survey is carried out with an X-ray barium examination. Rectum laxative previously cleaned, then it is introduced into a mixture of barium suspension and saline (1/3). The pictures determined the shape and position of the colon. When the syndrome Payra transverse colon characteristic kinked in the hepatic and splenic angles.
Treatment
Treatment of the syndrome Payra always carried out in complex and involves the following steps:
1. Diet products without provoking flatulence containing high-calorie, but easily digestible food. To prevent constipation in the diet of added vegetable juices, fruit drinks, teas.
2. Normalization of stool using a specially appointed laxatives.
3. Preventing air ingestion (refusal gum, carbonated water, etc.).
4. Strict adherence to prescribed drug therapy (acceptance of painkillers and anti-bloating and cramps).
5. Passage of physiotherapy course, reduce pain.
6. Providing the body the proper physical activity with the help of physical therapy.
If the above methods do not lead coupled to the relief condition, surgery is required. It allows you to stop chronic pain, intoxication, bowel obstruction. Experts with the syndrome Payra spend a resection of the transverse colon bypass or laparoscopic prolapse splenic angle.
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