From Big Medical Encyclopedia

COLIC MUCOUS (colica mucosa; grech, kolike [nosos] intestinal disease; synonym: mucous intestinal colic, colica mucosa pseudomembranacea, colitis mucosa, enteritis membranacea chronica) — the strong pristupoobrazny abdominal pains which are followed by department of a large amount of slime. There is no uniform view of an etiology and a pathogeny of this syndrome. One authors consider that in a basis To. the page lies an inflammation of a mucous membrane of intestines, others believe that hypersecretion of slime and enterospasms have funkts. the nature (the so-called angry large intestine) are also one of displays of vegetative neurosis or a psychoneurosis. Detection during an attack To. page of an eosinophilia in blood, a large number of eosinophils and Sharko's crystals — Leyden in excrements, and also a combination at some patients of bronchial asthma with To. the village allowed to consider To. page as display of an allergic disease. Patomorfol. researches showed that at so-called pure forms K. the page is observed increase in number of scyphoid cells of a mucous membrane of a large intestine and superficial leukocytic, and sometimes and eosinophilic infiltration.

As a rule, patients long before attacks To. villages note hyperkinetic locks. During an attack of pain are localized preferential in the left part of a stomach. They can be very intensive, painful and are followed by desires on defecation. At the same time slime in the form of light bodies, films, tyazhy or tubular educations is emitted. Duration of attacks fluctuates of several minutes till several o'clock or days. They can repeat in several days and months. It is important to note that even at heavy attacks To. the page a protective reflex (a muscle tension of a stomach) is absent or is very poorly expressed thanks to what the stomach happens available to a deep palpation. At the same time usually descending colon and sigmoid colonic are sharply reduced — in the form of a cord.

The general condition of patients during an attack usually changes a little, the collapse with sharp pallor of integuments, the small, speeded-up pulse sometimes develops; temperature is sometimes increased. At often repeating attacks To. pages can appear signs colitis (see), accepting very persistent current at such patients.

At rentgenol, a research, a cut seldom it is possible to carry out to time of an attack, the resistant spasm is found, it is preferential in the descending and sigmoid colon.

At rektoromanoskopiya (see) at the beginning of an attack To. pages are visible the small hyperemia and puffiness of a mucous membrane disappearing upon termination of an attack. In certain cases in a sigmoid colon and in a straight line also the inflammatory changes characteristic of colitis are observed.

At microscopic examination of intestinal allocations at patients with a so-called pure form K. pages find slime, eosinophils and Sharko's crystals — Leyden; lack of pathogenic microbes and the expressed inflammatory changes is characteristic.

Diagnosis in typical cases comes easy. To. the page should be differentiated with other gripes, with local peritonitis, appendicitis, colitis, with ginekol, diseases.

During an attack To. the page is recommended a bed rest, heat on a stomach, hypodermic administration of atropine, a papaverine. At a delay of slime in intestines — small oil enemas or enemas from a camomile, fiziol, solution. A diet mechanically and chemically sparing. After an attack the food containing a large amount of oil, and also cream, the wiped vegetables and fruit is recommended. Gradually the diet is expanded. Out of an attack are appointed balneo l. procedures — sedentary bathtubs, irrigation of a large intestine (see. Intestinal washings ), diathermy. The psychotherapy, treatment of locks, ginekol is of great importance. and other inflammatory diseases of abdominal organs. In certain cases treatment by glucocorticoid hormones has favorable effect.

Prevention consists in strengthening of the general condition of the patient and in particular his nervous system, in an exception of food of possible allergens.

Forecast favorable.

See also Intestines .

Bibliography: The reference book on gastroenterology, under the editorship of V. of X. Vasilenko, page 121, M., 1976; X e of of l and N of River. Differential diagnosis of internal diseases, the lane with it. M, 1965; S 1 e i s e n-g e of M. H. a. F o of d t of n J. S. Gastrointestinal disease, p. 1278, Philadelphia, 1973, bibliogr.

B. G. Hlystov.