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Dolichosigma in children and adults should be differentiated from ulcerative colitis, Crohn's disease, enterobiasis, chronic appendicitis, and Hirschsprung's disease. To exclude the listed diseases, it is necessary to consult a gastroenterologist, coloproctologist, or surgeon.

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Treatment of dolichosigma in children and adults. Dolisochygma of the intestine is not at all scary; surgery is prescribed only in extreme cases with major complications. First of all, it is necessary to establish nutrition. The diet consists of eating foods rich in fiber (vegetables, whole grain bread, buckwheat, corn grits, fruits, herbs), vegetable oils, and fermented milk products.

The following symptoms may occur with dolichosigma.

Abdominal massage will improve the passage of sleeping tablets without a prescription. In addition, laxatives and enemas are used to empty the intestines. Fine white wheat bran is an effective remedy. They should be taken, gradually increasing the volume until the dose that causes the desired effect is established. You need to start taking it with a teaspoon of dry bran 2-3 times a day 20 minutes before meals, be sure to drink this portion with 100 ml of liquid (water). Bran should not be pre-poured, boiled, or added to soup or kefir. After 3–5 days, the dose of bran and water is doubled and so on, bringing it to 1–2 tablespoons. Course duration is 6–8 months.

  • Detoxification therapy (removing harmful substances) is used for self-poisoning of the body (intoxication) with toxic substances formed in the intestines as a result of prolonged constipation.
  • Surgical treatment is recommended if there is no effect from the therapy.
  • The presence of a large number of kinks and loops of the sigmoid colon (in which feces can be retained and cause fecal obstruction), the development of intestinal obstruction are indications for removal of part of the large intestine.
  • Dolichosigma is a congenital condition, a pathological increase in the length of the sigmoid colon and its mesentery, which leads to buy sleeping tablets changes in motility and bowel movements.
  • It manifests itself as frequent constipation, chronic flatulence, and recurring pain in the abdominal area.

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Typically, many patients take laxatives regularly. It is worth noting that frequent use of laxatives will eventually lead to atony of the colon, megadolichosigma will develop, and then megacolon. Taking laxatives is indicated only occasionally, since these drugs are not intended for regular long-term use.

Major abnormalities of the large intestine, leading to the development of constipation and almost all types of colitis.

Stenosis and atresia (most often found in the rectum and sigmoid colon). Quite often, these basic anomalies are supplemented by adhesive disease, diverticulosis, diverticulitis, atony, hypertonicity, etc. All these types of pathology manifest themselves with the same symptoms. constipation, heaviness and pain in the abdomen, bloating, nausea, weakness, colon bleeding.

The main method for diagnosing intestinal dolichosigma is irrigography (irrigoscopy). Sometimes irrigography alone is not enough, and the patient is prescribed additional examinations. The extent of the operation is determined after a full examination of the large intestine, since additional left-sided hemicolectomy, subtotal resection of the large intestine and other manipulations are often required.

Dolichosigma itself without complaints is not a reason to undergo surgery. Constipation may be an indication for surgical intervention, but notgiven to conservative treatment.

If the severity of dolichosigma is great (megadolichosigma, etc.), especially if other anomalies of the colon are expressed, then conservative treatment is not effective at all. The problem can be solved exclusively by surgery - resection of the pathologically altered intestine. If the postoperative period proceeds without complications, then the patient can return to normal mode 2.5-4 weeks after the operation, and the sick leave period is up to 4 weeks. A correctly performed operation, following the doctor’s recommendations in the postoperative period, will allow the patient to play sports after 6 weeks.

Colon resection - two types of operations.

Resection of the intestinal dolichosigma does not involve the imposition of a colostomy or sigmostoma. Surgeries do not affect the likelihood of pregnancy. But in the postpartum period and during lactation, these operations are indicated only in the development of life-threatening conditions.

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If the operation is performed correctly, the patient can expect only one consequence - complete recovery. After surgery, disability status is not expected to be determined. If the operation is performed by an inexperienced doctor, then the most severe complications, such as the removal of a permanent colostomy, can lead to disability. But in our clinic such situations have never happened, since the operations are performed by the most experienced surgeon of the highest category A.V. Maksimov with more than 20 years of experience.

Dolichosigmoid intestine is an anomaly of the anatomical structure of sleeping pills online intestine, in which its sigmoid section is elongated (over 46 cm), but the diameter of the lumen and the thickness of the walls remain unchanged. The peculiarity of the disease is that the muscular part of the intestine is not affected. Dolichosigma has an ICD-10 code Q43.8. Patients with anatomical features are observed and treated by a gastroenterologist.

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