Irritable Bowel Syndrome

Autor: Marsh, T. Donald
Zdroj: Journal of Pharmacy Practice; December 1999, Vol. 12 Issue: 6 p462-471, 10p
Abstrakt: Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder. Abdominal pain or discomfort relieved by bowel movements and worsened by stress suggest a brain/gut disorder. Associated factors include a history of affective disorders, sexual or physical abuse, low fiber intake, certain foods, and drugs. Diagnosis is one of exclusion and is based on the Rome Criteria. Symptom control is a reasonable treatment goal using fiber-containing foods, bulk laxatives, antidiarrheals, and antispasmodics. Tricyclic antidepressants may relieve unremitting pain and improve daily functioning. Other measures include patient education and reassurance, behavioral therapy, reduction of stress, and inclusion of the patient and family in the treatment plan.
Databáze: Supplemental Index