Symptoms of intestinal tuberculosis?

summary

Intestinal tuberculosis, one of the most common extrapulmonary tuberculosis, is a chronic intestinal specific infection disease caused by Mycobacterium tuberculosis. It is mainly caused by Mycobacterium tuberculosis. In a few areas, intestinal tuberculosis caused by Mycobacterium bovis occurred because of drinking non sterilized milk or dairy products. The disease is commonly seen in young and middle-aged people, women slightly more than men. Symptoms of intestinal tuberculosis? Let's talk about it.

Symptoms of intestinal tuberculosis?

1、 Abdominal pain often involves the ileocecal region, so the pain is most common in the right lower abdomen. The pain can also be located around the umbilicus, which is caused by traction of ileocecal lesions. The pain is generally mild, showing dull or dull pain, and also intermittent pain, which is often induced at meal or after meal. This is caused by gastroileal reflex or gastrocolic reflex caused by eating; Postprandial pain is the spasm or peristalsis of intestinal flexure, so the pain is often accompanied by defecation, which can relieve the pain. When proliferative intestinal tuberculosis complicated with intestinal obstruction, abdominal pain is mainly colic, with corresponding symptoms of intestinal obstruction.

2、 Diarrhea and constipation diarrhea is one of the main symptoms of ulcerative intestinal tuberculosis, which is caused by intestinal flexure inflammation and stimulation of ulcer, resulting in accelerated intestinal peristalsis, rapid emptying and secondary malabsorption. Defecation generally 2-4 times a day, mostly pasty stool, light only contains a small amount of mucus, severe diarrhea can be as many as 10 times a day, there is mucus and pus in the stool, bloody stool is rare. In addition, there can be constipation, feces are sheep feces, or diarrhea and constipation alternately.

3、 Abdominal mass was mainly seen in proliferative intestinal tuberculosis with local thickening of intestinal wall. When ulcerative intestinal tuberculosis and surrounding tissue adhesion, or with mesenteric lymph node tuberculosis, can form a mass and be palpable. The abdominal mass is usually located in the right lower abdomen, with moderate hardness, mild tenderness, sometimes uneven surface and small mobility.

matters needing attention

(1) rest and nutrition: rest and nutrition can strengthen the patient's resistance, which is the basis of treatment. Patients with active intestinal tuberculosis should rest in bed and actively improve their nutrition. For those who are emaciated, malnourished and have gastrointestinal symptoms that hinder their eating, they should be given intravenous hypernutrition treatment. (2) anti tuberculosis treatment: early, combined, moderate, regular and whole course medication should be done. In order to make the patient recover as soon as possible and prevent the emergence of drug resistance, we can consider Miao medicine Sancao Sanhe prescription. (3) surgical treatment: it is suitable for the patients with complete intestinal obstruction, fecal fistula caused by acute or chronic intestinal perforation and massive intestinal bleeding. In addition, some surgical treatment can be considered for proliferative tuberculosis.