Which doctor treats intestinal dysbiosis: who to contact?

Gastrointestinal disorders are examined by a gastroenterologist. Such a doctor has a lot to do: ulcers, gastritis, dysbiosis in patients. The situation is clear when the patient does not understand which doctor is treating intestinal dysbiosis. The classifier of diseases does not contain diseases, doctors use section K59.9 (or K63.8), which is notable for vague wording.

The term is not used outside of Russia, although it was proposed by Nissle in the first quarter of the 20th century. Over the past half century, 290 international scientific works devoted to dysbiosis have been published, the overwhelming majority of which are in the USSR and the Russian Federation. The remaining six... were written by Russian-speaking scientists. Foreigners prefer to use the terms redundancy and insufficiency of the intestinal microflora.

Where to go?

If you experience discomfort in the intestines, make an appointment with a therapist or pediatrician. Doctors have sufficient authority to issue test referrals. Later, the attending physician will send the patient to a narrow-profile specialist. At the reception, complain about suspicions of dysbiosis.

What are the analyzes

In clinics, they mainly use bacteriological analysis. It consists in determining the flora of feces for the presence of obligate and facultative strains. The investigated strain is sown on a nutrient medium. Rapid reproduction of pests indicates health problems. There is no need to get an accurate picture, a qualitative analysis is performed.

The following techniques are used:

• Express method.
• Determination of the content of substances based on electrophoresis.
• Chromatography, mass spectrometry.
• Study of the microflora of the jejunum obtained by endoscopy.

It is unprofitable to get sick with dysbiosis. You have to pay for the research, it is extremely difficult to get sick leave, the results of sowing are waiting for a week.

Microflora and diagnosis

Microflora is present everywhere, even on the surface of the skin. In an infant, a biocenosis is formed when passing through the birth canal; later, breastfeeding makes a contribution to the formation of cultures. This area affects many medical professionals. Opinion about the formation of microflora is expressed by:

1. Immunologist.
2. Pediatrician.
3. Microbiologist.
4. Infectionist.
5. ENT.
6. Allergist.

Nissle's definition for Escherichia coli. Dysbacteriosis affects many strains that inhabit the intestine. A host of reasons change the established relationships. The incubation period of infectious diseases ranges from a few seconds to a year. Likewise, an imbalance in the gastrointestinal tract develops almost instantly or over a long period of time.

The population of the large intestine is of interest exclusively to domestic scientists. Western scientists prefer to operate with a long and thin section of the gastrointestinal tract. It is curious that the first medicines and dietary supplements were produced in the West. For example, Enterol. Our doctors are of the opinion that this state of affairs is due to the reluctance of foreign insurance companies to pay for the work of a doctor in the field of study and the lack of benefits. But in France, for example, dysbiosis treatment covered by government deductions.

One cannot reject Russian practice, which has accumulated considerable experience over the past period. The documentation already exists, document number 231 Intestinal Dysbiosis. According to the text, a unified procedure for the diagnosis and treatment of patients is approved. The document came out in the form of an industry standard, defining a unified procedure for the territory of the Russian Federation.

History of the issue

Mechnikov was a biologist and worked in several industries. In our case, of interest are:

• Immunology.
• Pathology.
• Microbiology.

It was Mechnikov who proposed the first to suppress cholera bacteria with other strains, laying the foundations of the treatment method used to this day. By 1900, it was known about the predominance of bifidobacteria in feces. This information provided a starting point for diagnosis by examining the culture and faecal flora.

Indicative data

According to research data, from 1 to 1.5 kg of bacteria, including 500 species, live in the intestines. The main part falls on the lower sections, where a favorable pH factor, low speed of movement of the chyme can be traced. The industry standard clearly defines the content of the biocenosis. For example, in a healthy person, the concentration of bacteria in the duodenum reaches one hundred thousand units per milliliter. When moving to the iliac region, the figure triples.

The low concentration in the first case is explained by the action of bile acids and immunoglobulins. Peristalsis works as an additional factor. To the large intestine, the indicated number of bacteria increases three times with the absolute dominance of bifidobacteria (up to 95%). The calculated number includes bacteroids, veilonella, clostridia, lactobacilli. The rest is occupied by aerobic forms (and E. coli).

OST completely deciphers the composition of a normal biocenosis, doctors have something to focus on. According to the accepted terms, the inhabitants of the intestines are divided into three parts:

1. Obligate, or basic, flora. Important representatives of the inner world of a person.
2. The optional one is represented by saprophytes, a conditionally pathogenic lobe.
3. Transient - bacteria that do not settle for a long time, are fleeting.

The standard describes in detail each part, when analyzing the results, the doctor is prepared. The pages of the document disclose areas of risk, or groups of people at risk. OST is available for free download, the provisions list the symptoms accompanying dysbiosis. Readers will find this document entertaining, as it is almost the only information available about the disease.

The disease is not registered in the registry, it is indicated by auxiliary codes.