• Title/Summary/Keyword: Diarrhea Score

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Two Case Reports of Patients with Diarrhea-predominant Irritable Bowel Syndrome Treated with Jeoreongchajeonja-tang (설사형 과민성대장증후군 환자에 대한 저령차전자탕의 효과 2례)

  • Kim, Ki-tae
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.948-956
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    • 2019
  • Objectives: The purpose of this study was to describe the effectiveness of Jeoreongchajeonja-tang as a treatment for patients with diarrhea-predominant irritable bowel syndrome (IBS-D). Methods: Two irritable bowel syndrome patients who had visited Semyung University Korean Medical Hospital were enrolled. The patients were diagnosed according to the Rome III criteria, and the treatment effect was assessed using the Gastrointestinal Symptom Rating Scale (GSRS) and the colon transit time. Results: After treatment with Jeoreongchajeonja-tang for 4 weeks, the GSRS score was improved and colon transit time was delayed. Conclusions: This study suggests that Jeoreongchajeonja-tang is effective for improving diarrhea-predominant irritable bowel syndrome. More extensive study is needed in the future.

A Case Study of a Soyangin Patient with Crohn's Disease who Reported Symptomatic Improvement after Being Treated with Dojeokgangki-tang (도적강기탕(導赤降氣湯)으로 호전된 크론병 환자 1례)

  • Lee, Mi-Suk;Hwang, Mim-Woo;Kim, Yun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.2
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    • pp.61-70
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    • 2012
  • 1. Objectives : The aim of this study was to report significant improvement of chronic diarrhea and hematochezia after treatment with Dojeokgangki-tang in a Soyangin Patient with Crohn's Disease. 2. Methods : The patient's subjective and objective symptoms were observed daily throughout the hospitalization period, and the Crohn's disease activity index(CDAI) was calculated to gauge the progress or lack of progress. 3. Results : The symptoms of diarrhea and hematochezia disappeared by the end of the hospitalization period without recurrence, and the CDAI score dropped from 92.5 to 47. 4. Conclusions : A patient with Crohn's disease, who was in the state of repetitive relapse and remission after long term clinical courses was treated with Dojeokgangki-tang in a short period and the the symptoms of diarrhea and hematochezia disappeared without recurrence. Then the patient could stop taking corticosteriods and taper off immune-suppressing drugs.

What is the 'objective' differential factor of diarrhea in infancy?: Normal state versus diarrheal illness in infants with chronic frequent and loose stool

  • Hwang, Jin-Bok;Kang, Kyung-Ji;Lee, Jung-Jeung;Kim, Ae-Suk
    • Clinical and Experimental Pediatrics
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    • v.53 no.12
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    • pp.1006-1011
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    • 2010
  • Purpose: This study aimed to identify 'objective' differential factors for normal frequent loose stool (NFLS) and diarrheal illness with dehydration and nutritional deficiency (DIDN) among infants with chronic frequent loose stool (CFLS). Methods: Data were analyzed from infants under 2 years of age with CFLS who had been transferred from general pediatricians. These 46 patients were divided into 2 groups (NFLS versus DIDN). Nocturnal stool was defined as evacuation between 10 pm and 6 am. Maximal stool amount/day (measured using the mother's hand) was specified as the highest score during the period of CFLS obtained by adding up each evacuation's score (range, 0-2 points). Results: There were 36 cases of NFLS and 10 of DIDN. A failure to gain weight ($P$=0.0001), fever ($P$=0.0079), colic/abdominal pain ($P$=0.0014), gross blood in stool (except allergic proctocolitis) ($P$=0.0113), nocturnal stool ($P$=0.0001), and the score of stool amount ($P$=0.0001) were found to significantly differentiate the groups. A failure to gain weight was observed in 39% of even NFLS. The frequency, mucus content, and microbiological findings of stools, as well as diaper dermatitis were not found to significantly differentiate the groups. Conclusion: NFLS was more common than DIDN in infants with CFLS. The most 'objective' differential factors were nocturnal stool and the score of stool amount (${\geq}7$ points/day).

Effects of microencapsulated organic acids on growth performance, nutrient digestibility, fecal microbial counts, and blood profiles in weaning pigs

  • Lee, Jun Soeng;Kim, Tae Heon;Song, Min Ho;Oh, Han Jin;Yun, Won;Lee, Ji Hwan;Kim, Yong Ju;Lee, Byong Kon;Kim, Hyeun Bum;Cho, Jin Ho
    • Journal of Animal Science and Technology
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    • v.63 no.1
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    • pp.104-113
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    • 2021
  • This study was conducted to investigate the efficiency of a microencapsulated mixture of organic acids (MOA) with low protein in piglet feed on growth performance, diarrhea score, nutrient digestibility, fecal microbial counts, and blood profiles in weaning pigs. A total of 80 pigs [(Landrace × Yorkshire) × Duroc; 6.8 ± 0.48 kg] were randomly assigned to four dietary treatment groups: high protein (HP); low protein (LP); MOA1, LP + 0.2% MOA; and MOA2, LP + 0.3% MOA. The MOA2 group had higher average daily weight gains (during days 0-14 and days 0-28), diarrhea score (during days 0-14, during days 14-28 and days 0-28) and greater digestibility of dry matter (days 14 and 28) compared to the LP group (p < 0.05). However, there were no significant differences (p > 0.05) between the pigs fed diets with the MOA1 and MOA2 in blood profiles and fecal microflora. In conclusion, this study indicates that piglets fed 0.3% MOA in low protein diets maintained similar growth performance and nutrient digestibility, but alleviated the incidence of diarrhea compared to piglets fed high protein diets.

Clinical Spectrum of Norovirus Gastroenteritis Compared to Rotavirus Gastroenteritis at a Single Center in Gwangju, Korea during 2005-2006 (2005-2006년 광주 지역에서 소아 Norovirus 장염의 임상적 고찰; Rotavirus 장염과 비교)

  • Lee, Yang Jin;Jeong, Seong Nam;Yoo, Ju Hee;Cho, Hyoung Min;Yoo, Eun Jung;Kim, Eun Young;Kim, Yong Wook;Kim, Kyoung Sim;Kim, Sun Hee
    • Pediatric Infection and Vaccine
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    • v.16 no.1
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    • pp.61-72
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    • 2009
  • Purpose : We evaluated the clinical features of Norovirus gastroenteritis compared with Rotavirus gastroenteritis in hospitalized children. Methods : We detected causative agents in 3,261 samples of children hospitalized with gastroenteritis symptoms at a single center of pediatrics between 2005 and 2006. Among 266 and 303 samples which tested positive for Norovirus and Rotavirus, we selected 73 and 182 samples of children with relatively pure gastroenteritis symptoms and retrospectively analyzed the corresponding medical records. Results : The male-to-female ratio of the Norovirus (+) and Rotavirus (+) groupswas 1.43:1 and 1.56:1 both groups were predominantly in males. The mean age of the Norovirus (+) and Rotavirus (+) groups was 36.7 and 24.4 months, respectively the children in the former group were older than the children in the latter group. The incidence in the Norovirus (+) group was more concentrated in the winter. The symptoms in the Norovirus (+), in decreasing order, included vomiting, diarrhea, and fever. The duration of vomiting, diarrhea, and fever was 2.1, 1.2, and 1.2 days. The maximum number of episodes of vomiting and diarrhea per day was 3.5 and 4.5, respectively. The severity score was 10.16. The symptoms inthe Rotavirus (+) group, in decreasing order, included diarrhea, vomiting, and fever. The duration of diarrhea, vomiting, and fever was 2.2, 4.3, and 2.2 days, respectively. The maximum number of episodes of vomiting and diarrhea per day was 3.3 and 6.5, respectively. The severity score was 11.9. The severity in the Norovirus (+) group was somewhat lower than the Rotavirus (+) group. The younger the child, the more severe the symptoms in the Norovirus (+) group. There was no difference between mono-and co-infection in severity and between the two groups regarding the hematologic findings. Conclusion : Based on the findings reported herein, additional studies about prophylaxis, as well as the epidemiology and clinical features of pediatric Norovirus gastroenteritis, are required.

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Sasang Constitutional Treatment in a Taeeumin Patient with Irritable Bowel Syndrome(IBS) accompanied by Allergic Reaction to Antibiotics : A case study (항생제 과민반응으로 인한 태음인 과민성대장증후군 환자 치험례)

  • Han, Suzy;Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.1
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    • pp.50-57
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    • 2020
  • Objectives Allergic reaction to antibiotics is associated with increased use. And rate of Irritable Bowel Syndrome(IBS) is on the increase associated with stress, depression, anxiety, or previous intestinal problem. This case study reports significant improvement of patients with diarrhea accompanied by IBS who had suffered from allergic reaction to antibiotics after treatment with Sasang constitutional medicine. Methods This patient was diagnosed as Taeeumin type. Sasang constitutional medicine was taken by the patient, almost three times per day during treatment periods. We measured the degree of the main symptoms such as diarrhea, abdominal discomfort, insomnia, itching etc, using Visual Analogue Scale(VAS). Results The symptoms of diarrhea, abdominal discomfort, and insomnia were improved. VAS score was decreased from 4~5 to 0~1 for about two weeks. Conclusions This case shows that Sasang constitutional medicine treatment can contribute to improve main symptoms accompanied by IBS.

Effect of supplementation oreganum aetheroleum essential oil on growth performance in sows and growth performance, fecal score in weanling pigs

  • Park, Jae Won;Yun, Hyeok Min;Park, Jae Hong;Lee, Il Seok;Kim, In Ho
    • Korean Journal of Agricultural Science
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    • v.43 no.5
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    • pp.794-801
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    • 2016
  • This study was conducted to evaluate the effect of supplementation Oreganum aetheroleum essential oil on reproductive performance in sows and growth performance of their offspring of weaning pig. 12 sows ($Landrace{\times}Yorkshire$) were randomly assigned within parities to 1 of 3 dietary treatments to give 4 replicates per treatment. Dietary treatments were as follows: 1) CON (basal diet) 2) ANT (basal diet + Efrotomycin 0.08%) and 3) ORE (basal diet + Oreganum aetheroleum essential oil 0.05%), EXP. 1, diets were fed from d 107 of gestation to weanling. EXP. 2, diets were fed from after weaning to 3 weeks. In the Exp.1, no significant difference (p > 0.05) was observed in sow's average parity, sow backfat thickness, the number of piglets, feed intake of sows, the average of piglet weight, and piglet survival ratio between CON, ANT, and ORE treatments. Besides, in the Exp. 2, the inclusion of efrotomycin and Oreganum aetheroleum essential oil in the diets significantly (p < 0.05) increased final body weight, ADG, ADFI, and G/F in weanling pigs. In addition, weanling pigs fed ANT and ORE diets led to decrease the number of weanling pigs with diarrhea as well as fecal score. In conclusion, supplementation of efrotomycin and Oreganum aetheroleum essential oil enhanced growth performance, and decreased the number of weanling pigs with diarrhea and fecal score. However, no significant effect on grow performance was observed in sow and piglet.

The Effect of Oriental Medical Treatment on Crohn's disease; 1 Case Report (항통을 주소로 내원(來院)한 크론병(Chron's disease) 호전 1례)

  • Park, Jong-Min;Kim, Ho-Jun;Keum, Dong-Ho;Park, Young-Hoi;Lee, Myeong-Jong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.57-66
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    • 2010
  • Objective: This study evaluated the effects of Oriental treatments on one patient who was diagnosed to Crohn's disease. Methods: One patient was diagnosed as Crohn's disease by physician. We used acupuncture and moxibustion at 曲池(LI11), 天樞(S25), 足三里(ST36), 合谷(LI4) and (GL25), 2 times per week about one month. We analyzed the change symptom by Crohn's disease activity index(Harvey-Bradshaw index) before and after treatment. Results: After treating acupuncture and moxibustion in the case, We found out that the Crohn's disease activity index score was significantly improved after treatment. First the number of liquid or very soft stool was decreased to 2 times a day and the stools became more solid condition. The abdominal pain and use of anti-diarrhea medication score came to none. The well being score set slightly below poor condition. Conclusions: These result suggest acupuncture, moxibustion were effective to Crohn's disease clinical symptom. These could help patient ordinary life by reducing abdominal pain and diarrhea.

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Effects of Extruded and Extruded-Pelleted Corn Products Partially Substituted for Unprocessed Corn of the Starter Diet on Growth Performance and Incidence of Diarrhea in Weanling Pigs

  • Park, Byung-Chul;Han, Jeong-Cheol;Ko, Young-Hyun;Ha, Duck-Min;Kim, Doo-Hwan;Jang, Insurk;Lee, C. Young
    • Journal of Animal Science and Technology
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    • v.55 no.2
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    • pp.109-113
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    • 2013
  • The aim of the present study was to investigate the effects of partial substitution of an extruded or extruded-pelleted corn product for unprocessed corn of the starter diet on growth performance and incidence of diarrhea in weanling pigs. Seventy-two 21-day-old weanling pigs were allotted to 24 pens and provided ad libitum with one of the four experimental diets for 3 wk in two serial feeding trials during summer beginning from late June. The treatments were a milk product-soy-corn-based control diet containing 25% unprocessed corn and the other three diets only substituted with 12.5% extruded corn Suprex$^{(R)}$, Optigrain$^{(R)}$, an extruded mixture of wheat, rye and durum, or extruded-pelleted corn for an equal percentage of unprocessed corn of the control diet. All diets were supplemented with 100 ppm sulfathiazone, 50 ppm penicillin, and 100 ppm chlortetracycline for preventive medication. The initial and final weights as well as gain : feed were less in the second trial than in the first one (P<0.05). However, effects of the dietary treatments were not detected in any of the performance variables including final weight, ADG, ADFI, and gain : feed, nor were there any interactions between the trial and dietary treatment. In addition, almost all pigs exhibited normal firm feces in both trials and therefore there was no main effect in the fecal consistency score. Results suggest that partial substitution of the thermally processed corn for unprocessed corn of the milk product-corn-soy-based and medicated starter diet has no effect on growth performance or incidence of diarrhea in weanling pigs.

Medicinal herb extracts ameliorate impaired growth performance and intestinal lesion of newborn piglets challenged with the virulent porcine epidemic diarrhea virus

  • Kim, Hyeun Bum;Lee, Chul Young;Kim, Sung Jae;Han, Jeong Hee;Choi, Keum Hwa
    • Journal of Animal Science and Technology
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    • v.57 no.10
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    • pp.33.1-33.7
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    • 2015
  • The objective of this study was to evaluate effects of a combined use of extracts of medicinal herbs Taraxaumi mongolicum, Viola yedoensis Makino, Rhizoma coptidis, and Radix isatidis (MYCI) on porcine epidemic diarrhea (PED). Twenty-two 3-day-old piglets received an oral challenge with $3{\times}10^{3.5}$ $TCID_{50}$ of the virulent PED virus (PEDV) in PBS or PBS only and daily oral administration of 60 mg of the MYCI mixture suspended in milk replacer or the vehicle for 7 days in a $2{\times}2$ factorial arrangement of treatments. Average daily gain (ADG) increased (p < 0.05) in response to the MYCI treatment in the PEDV-challenged piglets (-18 vs. 7 g for the vehicle- vs. MYCI-administered group), but not in unchallenged animals (27 vs. 28 g). Diarrhea score and fecal PEDV shedding, however, were not influenced by the MYCI treatment. The PEDV challenge caused severe intestinal villus atrophy and crypt hyperplasia, both of which were alleviated by administration of the MYCI mixture as indicated by an increase in the villus height and a decrease in the crypt depth due to the treatment. Overall, medicinal herb extracts used in this study ameliorated impaired growth performance and intestinal lesion of newborn piglets challenged with the virulent PEDV. Therefore, our results suggest that the MYCI mixture could be used as a prophylactic or therapeutic agent against PED.