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Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Laxatives enhance bowel movements and alleviate constipation. They augment the stool's bulk, stimulate intestinal muscle contractions, draw water into the intestines, or soften the stool. There are five key types of laxatives: bulk laxatives, stimulant laxatives, osmotic laxatives, stool softeners, and lubricant laxatives.
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Drugs Affecting GI Tract Motility: Other Laxatives01:20

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Diarrhea is characterized by the occurrence of frequent, watery bowel movements. Various factors can trigger diarrhea, including viral or bacterial infections, foodborne illnesses, side effects from certain medications, and underlying digestive disorders. If not adequately managed, diarrhea can lead to complications such as dehydration, electrolyte imbalances, and nutrient deficiencies. Severe diarrhea can lead to significant weight loss, malnutrition, and weakened immune function.
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In vitro Functional Characterization of Mouse Colorectal Afferent Endings
14:09

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Published on: January 21, 2015

Neuromodulation for constipation: sacral and transcutaneous stimulation.

B P W van Wunnik1, C G M I Baeten, B R Southwell

  • 1Department of Surgery, Maastricht University Medical Centre, 6200 AZ Maastricht, The Netherlands. b.van.wunnik@mumc.nl

Best Practice & Research. Clinical Gastroenterology
|March 9, 2011
PubMed
Summary
This summary is machine-generated.

Sacral neuromodulation (SNM) shows promise for treating chronic constipation unresponsive to conservative methods. This technique modulates neural activity, offering a potential therapeutic option for specific patient groups.

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Area of Science:

  • Gastroenterology
  • Neurology
  • Medical Devices

Background:

  • Constipation is a common digestive disorder often managed conservatively.
  • Neuromodulation, altering neural activity, is an emerging treatment approach.
  • Sacral neuromodulation (SNM) is a developed method for modulating neural pathways.

Purpose of the Study:

  • To review neuromodulation techniques for constipation treatment.
  • To detail the methods and outcomes of sacral neuromodulation (SNM).
  • To explore transcutaneous electrical stimulation for constipation relief.

Main Methods:

  • Review of sacral neuromodulation (SNM) techniques.
  • Percutaneous electrode placement in the third sacral foramen.
  • Implantation of a subcutaneous stimulating device.
  • Assessment of transcutaneous stimulation via electrodes.

Main Results:

  • SNM mechanism involves modulating neural pathways controlling the large bowel.
  • Medium-term results for SNM in selected constipation patients appear promising.
  • Adverse events for SNM include electrode migration and infection.
  • Transcutaneous stimulation shows potential but with low evidence levels.

Conclusions:

  • SNM is a viable option for refractory idiopathic slow and normal transit constipation.
  • A testing phase can predict SNM treatment outcomes.
  • Further research is required to validate transcutaneous stimulation efficacy.