Dysbacteriosis oral rarely occurs in isolation. Most often it is the result of long flowing intestinal dysbiosis Intestinal dysbiosis - how dangerous it is? . Nevertheless, dysbacteriosis may develop only in the oral cavity after prolonged uncontrolled use local antiseptics.

Dysbacteriosis mouth - causes of

Dysbacteriosis mouth - it is not a disease, and a number of symptoms that develop as a result of violations of the right balance of microflora inhabiting in the mouth. In the mouth normally inhabit certain types of streptococci and staphylococci, lactobacilli, fungi of the genus Candida and some other microorganisms. The composition of the microflora of the mouth is an individual characteristic of each person.

The most common oral bacteria overgrowth develops in the intestinal dysbiosis, which in turn is a consequence of a chronic disease of the digestive system. Very often, intestinal dysbiosis develops against the background of frequent uncontrolled use of antibiotics.

Natural intestinal microflora contributes not only to the splitting and assimilation of nutrients. It produces B vitamins, as well as promotes the absorption of fat-soluble vitamins - A, E, and D. Dysbacteriosis leads to a deficiency of these vitamins, which affects the condition of the oral mucosa and the vermilion border.

Dysbacteriosis oral cavity may also be the result of uncontrolled use of frequent local antiseptics, including various lozenges, mouthwashes and toothpastes.

Symptoms of oral dysbiosis

The symptoms of dysbiosis oral depend on its degree. Dysbacteriosis is compensated and decompensated subcompensated.

Compensated dysbacteriosis or dysbiotic shift occurs, usually asymptomatic and can only be detected by laboratory methods. Diagnosis of oral dysbiosis reveals the high content of one of the types of opportunistic pathogens. Displacement normal microflora unaffected.

Subcompensated dysbiosis manifested in the form of bad breath, metallic taste, burning sensation in the mouth. In the study found an increase in the microflora of conditionally pathogenic microflora, the emergence of pathogens and reduction of lactic acid bacteria.

As a result, patients begin stomatitis, periodontitis and periodontal disease (inflammatory and metabolic-degenerative diseases of periodontal tissues), and if left untreated, there is a loosening and loss of teeth. It is also possible accession of throat infections. Opportunistic and pathogenic microflora in that period drastically increased in volume, and normal practically disappears.

Treatment of oral dysbiosis

Treatment of dysbiosis mouth will be ineffective if you do not lead a full examination of the patient, do not reveal the presence of intestinal dysbiosis, and chronic diseases of the digestive system.

To suppress pathogenic and conditionally pathogenic oral antibacterials applied topically, for example, spray Tantum Verde. In severe dysbacteriosis prescribe oral antibiotics for systemic effects, such as Trichopolum Trichopolum - he treats?   and various antibiotics.

Thereafter administered pre- and probiotics. Prebiotics - drugs, contributing to improving the living conditions of beneficial microflora, are preparations based on lactulose - Duphalac, Normase, portalak. They are taken orally.

Inside also prescribe probiotics, which contain colonies of bacteria that are part of the normal microflora. It bifidumbakterin Bifidumbacterin - restores normal intestinal microflora , Bififor, Probifor, laktobakterin, Atsipol Atsipol - normalizes the intestinal microflora . Locally administered topical probiotic atsilakt, which consists of lactobacilli.

Restoring local immunity carried out using Imudon - lozenge in the mouth, which include a mixture of lysates (contents of the destroyed cells) of bacteria that most commonly cause inflammation in the oral cavity and pharynx. Under the influence of Imudon activates cellular immunity, increases the formation of biologically active substances that suppress infectious processes.

Dysbacteriosis oral requires careful pre-screening and treatment of identified diseases of the digestive system.

Galina Romanenko

Biliary dyskinesia - a fairly common disease of the gallbladder, which is a disorder of the tone of the bile ducts, leading to a breach of the outflow of bile from the liver and gallbladder to the duodenum.

In the liver, bile is formed continuously, which flows into the gallbladder, where falls during digestion into the duodenum. This gall bladder performs vigorous rhythmic and tonic contractions. It helps to reduce the output of bile of the gallbladder wall and the simultaneous relaxation of the sphincter of Oddi - set of three muscles that cover the entry into the common bile duct. The relaxation phase bladder sphincter closes and stops the secretion of bile.

The regulation of bile flow is carried out of the autonomic nervous system and the enteric neuropeptides. The enzyme cholecystokinin (pancreozymin) receptors causes activation of muscles of the gallbladder and sphincter of Oddi, which leads to a reduction of the gall bladder, sphincter of Oddi relaxation and flow of bile into the duodenum. In case of violation of rhythm or frequency of contraction of the gallbladder and sphincter of Oddi occurs biliary dyskinesia.

Causes and symptoms of biliary dyskinesia

Biliary dyskinesia is often a symptom, not the disease itself. Dyskinesia may indicate the presence of gallstones Gall bladder: structure and function , Be a sign of acute or chronic pancreatitis Chronic pancreatitis - why you need a strict diet   and other digestive disorders. However, the symptoms of dyskinesia may be caused by the consumption of certain foods. Chronic inflammation may also be the cause of biliary dyskinesia.

According to some reports, biliary dyskinesia may occur under stress How to beat stress? Create an oasis . Some scientists believe that the dysfunction of the dopamine receptors may contribute to biliary dyskinesia. The most characteristic feature of the disease are recurrent attacks of pain in the right upper quadrant and right abdomen. Nevertheless, many people have biliary dyskinesia symptoms. Some patients feel only a slight discomfort or dull pain in the right upper quadrant. In most cases, pain occurs after about forty minutes after ingestion, especially with high fat content. In rare cases, the pain is accompanied by nausea and vomiting.

Diagnosis of biliary dyskinesia

In biliary dyskinesia symptoms similar to the majority of gallbladder disease. An extensive differential diagnosis must rule out other diseases, such as cancer and cholelithiasis. For the diagnosis is usually prescribed blood tests Blood tests: a mirror of health   and ultrasound. If the results of tests and ultrasound are negative, a number of other studies (eg, x-ray) to assess the function of the gallbladder.

If you need a thorough study carried out duodenal intubation, cholecystography (injection into the blood contrast agent entering the cells of the liver and gallbladder, to produce an image visible on x-ray) and intravenous cholegraphy.

Risk factors

There are several risk factors that contribute to the development of gallbladder disease. The main factors - obesity, age and gender. Older women who are overweight often suffer from biliary dyskinesia than men.

Treatment of biliary dyskinesia

When biliary dyskinesia is a diet with the exception of fried, spicy dishes, sauces, condiments, smoked meat and alcohol. Meals should be frequent, but fractional (four to five times a day). The diet should prevail dishes rich in magnesium (millet, wheat and buckwheat, bread, vegetables). In some cases the administration of drugs that stimulate the motor activity of the biliary tract (xylitol, sorbitol, magnesium sulfate). The beneficial effects of having duodenal intubation with the release of bile from the gallbladder. Also, treatment of biliary dyskinesia often involves laparoscopic cholecystectomy (complete removal of the gallbladder).

Other recommendations:

• Since biliary dyskinesia may be caused by abnormalities in the nervous system, try to remain calm and avoid stressful situations.
• Stop smoking and try to lead an active life, move more.
• For proper drainage of bile it is recommended after a meal for thirty minutes to lie on his right side.