Criteria of a dysbacteriosis. Short-term proktalgija

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(1965) and others explain to M.B.Barkan occurrence of a pain by spasms of muscles of a diaphragm of a basin at patients with a neuralgia pudentalnogo textures and emotionally labile nervous system.

In the literature it is described also so-called short-term proktalgija (prctalgia fugax) which is characterised short-term, but rather painful morfinnoj by a pain arising usually on night.

It is supposed that disease can be caused a spasm internal sfinktera ilianorektalnogo rings, vascular stazom by analogy to a migraine, allergic reaction, nasledstvenno the caused infringement innervatsii sfinkterov, etc. (M.B.Brakan, 1966; 3. Marzhatka, 1967).

In the course of diagnostics it is necessary to exclude secondary proktalgiju, using consultations of the gynecologist, the urologist, the neuropathologist. To an exception of malignant new growths apply rektoromanoskopiju and irrigo-skopiju. It is used also biopsija a rectum mucous membrane (proktit), sfinkterometrija and ballonoki-mografija guts (a spasm analnogo zhoma and pathological type of an intestinal motility), rentgenografija kresttsa and kopchika.

It is necessary to exclude koktsigodiniju. Though some authors consider proktalgiju and koktsigodiniju as one nozologicheskuju the form - analno-kopchikovyj a painful syndrome (V X. Vasilenko, 1976), at koktsigodinii, unlike proktalgii, the pain basically arises in area kopchika at long sitting, in the anamnesis is available a trauma kopchikovoj areas, a difficult confinement, etc., at rentgenografii crises, dislocations kopchikovyh segments or an osteochondrosis kresttsovo-kopchikovogo joints (G.S.Yumashev with soavt come to light., 1970).