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问:我年近花甲,患慢性腹泻已有4～5年的历史,中西药吃了不少,至今未见痊愈,不知应当如何诊治?广东广州米君碧答:所谓慢性腹泻,是指每日排便次数增加,粪便呈稀薄状或含有脓血粘液,反复发生迁延数月以上者。引起慢性腹泻的原因很多,较为常见的有感染性肠炎(如慢性菌痢、阿米巴痢疾、病毒性肠炎、肠结核等)、非感染性肠炎(又称肠道免疫性疾病,如非特异性溃疡性结肠炎等)、吸收不良与结肠过敏、憩室炎、菌群紊乱以及结肠肿瘤等。感染性肠炎是引起慢性腹泻最常见的原因,中老年人临床表现与年轻人无多大区别,但是由于年龄的增长,机体的抗病能力与免疫功能降低,更易发生感染;尤其是长时间应用广谱抗生素后,又容易发生菌群失调或二重感染。慢性腹泻中最值得中老年人注意的是结肠肿瘤,如结肠直肠癌,其引起腹泻较为多见,尤其40岁以后发病率明显提高。结肠直肠癌主要表现为血便或脓血
Q: I am nearly annual, suffering from chronic diarrhea has been 4 to 5 years of history, eat a lot of Chinese and Western medicine, so far no cure, I do not know how to diagnose and treatment? Guangzhou, Guangdong Province, Miu Junbi A: The so-called chronic diarrhea, refers to each The number of bowel movements increased day after day, stool was thin or containing pus and blood mucus, repeatedly delayed for more than a few months. Chronic diarrhea caused by many reasons, the more common are infectious enteritis (such as chronic dysentery, amoebic dysentery, viral enteritis, intestinal tuberculosis, etc.), non-infectious enteritis (also known as intestinal immune diseases, such as non-specific Ulcerative colitis, etc.), malabsorption and colonic allergies, diverticulitis, flora disorders and colon tumors. Infectious enteritis is the most common cause of chronic diarrhea, the clinical manifestations of young people in the elderly with little difference, but because of age, the body’s resistance to diseases and immune function is reduced, more susceptible to infection; especially for a long time Spectrum antibiotics, but also prone to flora or double infection. Chronic diarrhea most noteworthy in the elderly are colon tumors, such as colorectal cancer, which causes diarrhea is more common, especially after 40 years of age the incidence was significantly improved. Colorectal cancer is mainly manifested as bloody stool or purulent blood