Tin, ril\am reng reng i nei bawk em? He 'Chronic Diarrhea' chungchang hi han sawi ila!

Kan dam chhung hian engtik lai pawhin diarrhea kan nei vek tawh a ni lawm ni? Stool loose neih leh bathroom-a kal nghal vat a, i pum chhunga cramp awm chu a nuam lo hle. A tlangpuiin ni khat emaw ni hnih emaw hnuah food poisoning, khawsik emaw, khawsik emaw i neih chuan a thleng thin. Mahse, kar li aia rei riltam i neih chuan , ‘chronic diarrhea’ emaw persistent diarrhea emaw kan ti thin.

He persistent diarrhea hi eng nge ni? A serious tak tak em?

A awlsam zawngin, persistent diarrhea chu kar li aia rei awm thei, tui hring hring, a ni. Survey thenkhatah chuan mipui 1% atanga 3% inkar velin he natna hi an nei tih an sawi. Mahse, he zat hi a tam zawk thei a, a chhan chu mi tam takin a natna lan chhuahna dang, pum na emaw thisen chhuah emaw an neih loh chuan enkawlna an zawng lo.

Tunah chuan, "Nitin chawl hi thil pangngai a ni em?" A tak tak lo. Hei hi thil pangngai a ni lo. I colon, stool siamna hmun hian thil danglam tak a dawng thei a ni. Mi thenkhat tan chuan he ril\am chi hi chu ril\am natna avanga lo awm thei a ni a, mahse a natna lan chhuah dan erawh chu control theih a ni. Amaherawhchu, a tam zawkah chuan a chhan dangte chu a enkawl dan tur dik tak hmanga enkawl theih a ni.

A tlangpuiin i small intestine atanga liquid food waste chu i intestine lian hian a hip zauh zauh a, solid stool ah a chantir thin. Mahse diarrhea i neih chuan eng emaw chhan vangin he process hi a titawp thin. Thil thleng chu stool liquid lutuk i pass thin. Hei hian i intestine lian tak hian a tlangpui angin tui a hip harsa tihna a ni a, a nih loh leh tui a chhuah tam lutuk tihna a ni a, a pahnih hian a hip lut thei lo tihna a ni. Hei hi i intestine lian tak takah pawh harsatna vang emaw, a chhunga thil danglam vang emaw pawh a ni thei.

Engvangin nge kan riltam zel? A chhan berte chu engte nge ni?

Natna tam tak hian persistent diarrhea a thlen thei. Mahse natna i ngaihtuah hmain doctor chuan i ei leh in leh i damdawi ei dan te a zawt ngei ang che. A chhan chu hengte hi kan hriat loh vanga keimahni ngeiin kan thlen fo thin, leh awlsam taka siamthat theih a nih vang a ni .

Ei leh in hian nghawng a neih dan

Ei leh in thenkhat hian riltam a thlen thei. I ei fo chuan, a tam lutuk emaw, i sensitive em em emaw chuan i riltamna a thlen thei a ni. Diarrhea thlentu ei leh in tur hriatchhuah a, tihtlem emaw, tihbo vek emaw hian a pui thei a ni. Hêng thilte hi han ngaihtuah teh:

• Coffee/Tea: Coffee in hian i ril a ti chak a, a nih loh leh ‘motility’ a ti chak bawk. Hei hian a awmzia chu, intestine lian chhunga ei tur bawlhhlawh chu a solid lutuk hmain a nawr chhuak nghal vat thin tihna a ni. Hei hi coffee-a caffeine awm vang nge chemical dang a awm vang tih erawh hriat a la ni lo. Mi thenkhat chuan caffeinated tea in hian decaffeinated coffee in ang bawkin nghawng an nei thei bawk. Chumi awmzia chu, .Mi hrang hrang hian chemical hrang hrang an sensitive (i coffee/tea-a i dah hnute emaw, sugar emaw pawh hi a factor a ni thei). Hengte hi i in fo chuan hun rei tak chhung atan side effect i nei thei a ni.
• Zu: Zu hian ril a ti chak bawk a, a bik takin pum ruak ah chuan. Mahse, zu i in tam chuan i chaw ei a ti hniam thei a, chu chuan dehydration leh constipation a thlen thei a ni. Amaherawhchu, zu i in tam lutuk chuan riltam hi a chhan dang - inflammation vang a ni thei. Zu avanga i colon a inflamed, a hring emaw, a hliam emaw a nih chuan tui leh minerals te chu a pangngaiin a absorb thei tawh lo. I colon lining a chhiat chuan tui pawh a leak thei.
• Sugar thenkhat: Sugar thenkhat chu ei harsa a ni a, ei tam lutuk chuan riltam a thlen thei. I intestine-ah hian enzyme mamawh chu a tlachham thei a, a nih loh leh i nei lo thei bawk. Artificial sweeteners sorbitol, mannitol, leh lactulose te hi mihring rilruin a ei theih loh sugar thenkhat an ni. Chuvang chuan calorie an belhchhah lo. Intestines hian heng sugars te hi a ti chhe thei lo a nih chuan tui tam zawk an la lut a, chu chuan taksa atanga chhuah tir turin a pui thin. Fructose hian a tlem berah hetiang effect hi a nei thei bawk. Chuvangin fructose tamna corn syrup hmanga siam ei tur hian riltam a thlen thei a ni. Mi thenkhat chuan sugar chi hrang hrang allergy, a nih loh leh intolerance an nei thei bawk. Chung zingah chuan Lactose intolerance (bawnghnute leh bawnghnute ei harsa) hi a tam ber a ni.
• Food intolerances: Chaw chi khat ei harsa i tih chuan chu chaw chu intolerance i nei thei a ni. Hei hian i chaw ei kawngah chu chaw ei tur atana enzyme mamawh chu a tlachham tihna a ni fo thin. Entirna tlangpui chu gluten intolerance (buhfai ang chi ei tur a awm protein), histamine intolerance, leh sugar (carbohydrate) intolerance thenkhat te hi a ni. Diarrhea hi ei leh in tha taka ei loh avanga lo awm a ni.

Damdawi kan ei hi a chhan a ni thei ang em?

Damdawi tam tak hian side effect angin persistent diarrhea a thlen thei a ni. Hetiang dinhmun hi kawng hrang hrangin an thlen thei a ni. I dawn leh dawn loh chu thil tam takah a innghat a, chu chu i damdawi ei zat, i ei leh in leh i damdawi lam harsatna dangte a ni. I doctor chuan i medical history kimchang chu a enfiah ang a, damdawi hian a thlen em tih a enfiah ang. Damdawi thenkhat, persistent diarrhea thlen thei chu:

• 'NSAIDs' `(nonsteroidal anti-inflammatory drugs)` - natna tidamtu, entirnan aspirin `(aspirin)`, ibuprofen `(ibuprofen)`.
• Proton pump inhibitors (PPIs) - Gastritis natna damdawi pek thin.
• Antibiotics - Entirnan, amoxicillin, cephalexin te.
• Herbal supplement leh tea thenkhatah chuan senna ang chi thil chi hrang hrang a awm a.
• Vitamin leh mineral thenkhat, vitamin C leh magnesium te dose sang tak ei.
• Magnesium awmna anticids.
• Antidepressant - a bik takin selective serotonin reuptake inhibitors (SSRIs) chi hrang hrang, e.g. fluoxetine (Prozac®), sertraline (Zoloft®) te a awm bawk.
• Beta-blockers - Thisen sang damdawi.
• Metformin - zunthlum damdawi a ni.
• Chemotherapy - Cancer enkawlna.
• Laxatives hman dik loh leh hman tam lutuk, a bik takin bulimia nervosa ang chi dinhmunah chuan.

Diarrhea chi hrang hrang a awm em? An chhante chu eng nge ni?

Doctor-te chuan a chhan zawn awlsam zawk nan chi thum emaw chi li emaw-ah an ṭhen ṭhin. Doctor-te chuan heng chi hrang hrang nena lo kal stool-te ziarang bikte chu an hre thei a ni. Chûngte chuan chhan awm thei chi hrang hrang zau tak takte an entîr a ni. A chi pathumte chu: inflammatory diarrhea, oily diarrhea, leh watery diarrhea te an ni. Mi thenkhat chuan watery diarrhea hi subtype pahnih dang (secretory leh osmotic) ah an then a, chi lian paliah an ngai thin.

Tui hmanga ril\am

Watery diarrhea hi i colon-in i bawlhhlawh atanga tui leh electrolyte a lakluh tlem vang emaw, a lakluh aia tam a paih chhuah emaw a awm thin.

• Osmotic constipation hi ei tur tha tak tak, ei leh in tha lo leh ei tur tha lo avanga lo awm a ni. Chungte chuan colon chhungah tui tam zawk an hruai lut thin. (Hetiang hian laxative thenkhat chuan hna an thawk thin.)
• Secretory diarrhea tih hian natna chi hrang hrang avanga tuia riltam tihna a ni.

Hei hi a thlen thei thil thenkhat chu:

• Bile acid diarrhea (hei hi intestine-a bile tam lutuk a lo awm hian a thleng thin; bile acid malabsorption (BAM) an ti bawk).
• 'Microscopic colitis' `(Microscopic colitis)` tih a ni a, a chhuahna tur hmun leh a hmanna tur hmun hi a inang lo hle.
• Zunthlum (diabetic neuropathy) avanga nerve tihchhiat.
• Vagotomy (surgery hmanga pum chhunga nerve lakchhuah).
• Hyperthyroidism (Thyroid gland chak lutuk) a awm.
• 'Adrenal gland lama harsatna' `(Adrenal natna)`.
• Neuroendocrine tumor a awm thin.
• ‘Irritable Bowel Syndrome’ (IBS) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk.

Fatty Diarrhea / Steatorrhea a awm thei

A châng chuan, i bawlhhlawh chu tui a ni thei a, oil tam lutuk vangin diarrhea angin a kal thei bawk. Hei hi i taksain thau a tihchhiat leh a lakluh that loh vang te, emaw, i intestines chhunga bacteria te hian fatty acid tam lutuk an siam hian a thleng thin. Oily diarrhea hi a thleng fo lo mai thei, mahse vawi khatah a tam thei hle. A tlangpui aia rim a nam lo thei a, toilet-ah hriak hring a hnutchhiah thei bawk. Tin, natna lanchhuahna te pawh a awm thei bawk a, chu chu rilru hahna, chaw ei chak lohna, leh taksa rihna tlahniam te pawh a ni.

A chhan awm thei te:

• Malabsorption disorders - Chumi awmzia chu nutrients te hi a absorb tha lo tihna a ni. Entirnan: pancreatic insufficiency (pancreas hnathawh tihtlem), celiac natna.
• Small intestinal bacteria lian lutuk (SIBO) a awm thin.
• Mesenteric ischemia (intestines supply tu thisen kalna kawng khar).
• Gastric bypass surgery (digestive tract-a surgery) tih a ni.

Inflammatory Diarrhea a awm thei

Hetiang diarrhea hi i colon inflammation i neih hian a lo awm a, chu chu colitis an ti a ni. Inflammation hian i colon lining a nghawng a ni. A hring a, chu chuan nutrients a hip thei lo. Inflammation nena lo kal diarrhea hi a awm fo a, mahse a lo thleng a, a kal zel bawk. Tin, pum na, khawsik emaw, i bawlhhlawh chhunga thisen awm emaw pawh a awm thei bawk. Inflammatory conditions, persistent diarrhea thlen thei te chu:

• Infection awm reng, entirnan parasites avanga infection, emaw bacteria C. diff avanga pseudomembranous colitis.
• Inflammatory bowel disease (IBD) - Hei hian inflammatory bowel natna a kawk a. Entirnan: ulcerative colitis, Crohn natna.
• Ischemic colitis (intestine lian lama thisen kal tlem avanga inflammation awm).
• Diverticulitis (intestine lian chhunga pouch te te a inflammation).
• Radiation colitis (radiation therapy avanga colon natna).
• Ngawt.

Chaw ei chhunzawm zel hian eng side effect nge a neih theih?

Ngaihtuah teh, bathroom-ah hmanhmawh taka i kal a ngai fo thin a, a nih loh leh i rilru hahna chu i vawn harsat phah fo thin. Hetiang dinhmun hian i nitin nunah eng chen nge nghawng a neih? Bathroom hnai ber ngaihtuah reng a ngai hi a thinrim hle.

Hetiang tih dan hi midang lakah rei tak thup reng a harsa khawp mai. Mahni inrintawkna leh nunphung a nghawng thei a ni. Hna i neih chuan, a bik takin mi tam tak telna hna i neih chuan chu chu a nghawng thei bawk.

Taksa lamah chuan persistent diarrhea hian dehydration leh a side effects te a thlen thei a ni. Diarrhea a chhunzawm zel chuan i taksa hian tui tam tak a hloh a, chubakah electrolytes, taksa tuiah mineral pawimawh tak tak a hloh bawk.

Electrolyte tlakchhamna hian nghawng na tak a nei thei a ni. I thinlung, lung, thluak leh nervous system te a nghawng thei a ni. Dehydration hian i kal (kidney) ah pressure a siam thei bawk a, kidney natna a thlen thei bawk.

Hemi atan hian in lamah eng nge i tih theih ang?

Hei hi tihtawp nan hian damdawi lam thurawn leh enkawlna i mamawh mai thei. Mahse, chumi hmaa i tih theih tur thil tlemte a awm a:

• I ei leh in tur hi ngun takin ngaihtuah rawh. I diarrhea hi i ei emaw, i in fo emaw avanga lo awm a ni em tih ngaihtuah rawh. Coffee, tea, zu emaw, artificial sweeteners (diet soda ang chi) nei thil eng pawh i in chuan chutiang chu cut hmasa phawt tum ang che. Oily diarrhea i neih chuan i ei leh in atanga oily foods te paih chhuah tum la, chu chuan a pui em tih en rawh. Lactose intolerance hi a hluar hle a, a bik takin African emaw Asian hnam chhuakte zingah hian a hluar hle. Dairy pawh cut out i tum thei bawk. I ei leh in allergy te chu eng nge ni tih chiang taka hriat theih nan strict elimination diet, low-FODMAP diet ang chi pawh i hmang thei bawk.
• Damdawi eng emaw i ei fo chuan i doctor hnenah zawt la, chu chu i riltamna thlentu a ni thei em tih zawt rawh. Chutiang a nih chuan, a dang i enchhin theih leh theih loh zawt la, rei vak lo ei kha i chawlhsan thei em tih zawt rawh.
• Diarrhea i neih hian hydrated reng tur a ni. Hydration solution emaw, sports drink emaw, electrolyte mix tui nena chawhpawlh emaw hmangin enchhin rawh. Tui chauh in hian electrolyte a pe lovang.

Engtin nge he pum na reng reng hi ka tihbo theih ang? Doctor hmuh ka ngai em?

I ei leh in leh damdawi tihdanglam awlsam tak i lo tum tawh a, i riltam a reh lo a nih chuan doctor i pan ngei ngei tur a ni. I doctor chuan i riltamna awm reng chhan awm thei te uluk takin a enfiah ang a, a enkawlna dik tak chu a ruat ang. A hnuaia dinhmun enkawl hian i ril\amna chu a tidam thei a, a bulpui ber chu direct-a enkawl theih a ni lo thei bawk. Chutiang a nih chuan i diarrhea hi enkawlna bik a ngai mai thei.

Enkawlna atan hian:

• Opiate antidiarrheals: Hengte hian i colon hnathawh a ti slow a, absorption a tipung bawk. Loperamide hi duhthlanna hmasa ber a ni fo. Addictive a ni lo va, over-the-counter (OTC)-in a lei theih bawk.
• Bile acid binders hi bile acid diarrhea nei tan a ni.
• Zunthlum vanga ril\am (diarrhea) tan Clonidine hman a ni.
• Eluxadoline hi IBS (irritable bowel syndrome) vanga ril\am natna tan a ni.
• Infection tan antibiotics emaw antiparasitics emaw a ni.
• Fiber supplement, psyllium ang chi hian bawlhhlawh a ti thim thei a, a kalna a ti slow thei bawk.

Engtikah nge doctor i hmuh ngei ang?

Persistent diarrhea i neih chuan doctor pan hi thil tha lo a ni ngai lo. I ei leh in atanga thil engemaw tihtlem hmanga siamthat theih i rin loh chuan enkawlna i mamawh ngei ang. Hun rei tak a lo awm tawh chuan harsatna dang i neih theihna a sang zawk a, chu pawh chu enkawl a ngai thei bawk. Heng ang symptom dang i neih chuan doctor pan nghal rawh:

• Khawsik
• Na
• Thisen chu stool ah a awm
• Tum loh vanga taksa rihna tihtlem
• Paleness a ni
• Chak lohna emaw, hah lutuk emaw

A tawp berah chuan ka sawi tur chu...

Diarrhea hi a tam viau nachungin, a tlangpuiin a reh thuai a, enkawl ngai lovin a bo thin. Mahse, thla khat emaw a aia rei emaw chhunga ril\am a awm chuan doctor nen sawiho ngei tur a ni. A châng chuan a chhan chu thil awlsam leh siam ṭhat awlsam tak a ni thei bawk. Thil dang dangah chuan, enkawlna buaithlâk tak mamawh damdawi lam dinhmun hnuaia awm i nei tih i hmu thei bawk. Mahse, he symptom hi ngaihthah suh. I doctor chuan a pui thei che a ni.

` Luak chhuak, Luak chhuak reng, Luak chhuak, Chaw ei leh in, Intestinal Diseases, Hriselna, Chronic Diarrhea