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[Management of functional bowel disorders]

Philippe Ducrotté1, Chloé Melchior1

  • 1Service d'hépato-gastroentérologie et de nutrition, UMR 1073, hôpital Charles-Nicolle, Rouen, France.

La Revue Du Praticien
|March 7, 2019
PubMed

Management of functional bowel disorders. The better knowledge of irritable bowel syndrome (IBS) and functional bloating pathogenic mechanisms led to an increase of the possible therapeutic options, which are somewhat different, in IBS, between IBS-D and IBS-C Besides routine options (antispasmodics, alverine, laxatives, loperamide), low-dose antidepressants and non-pharmaceutical options are now recognized as validated and effective therapeutic choices. In addition, dietary advices (particularly indication of a low FODMAPs diet) and treatments acting on gut microbiota (probiotics, antibiotics) are more and more discussed and indicated. In functional bloating, treatment remains empirical. Dietary modifications, simeticone, prokinetics, low-dose antidepressants and microbiome modulation can be proposed.

Keywords:
colonic diseases, functionaltherapeutics

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