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The irritable bowel syndrome.

S M Collins1

  • 1Intestinal Diseases Research Unit, McMaster University, Hamilton, Ont.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|February 15, 1988
PubMed
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Irritable bowel syndrome (IBS) is a common disorder often linked to stress and diet. Diagnosis relies on patient history and examination, with dietary fiber and symptom-targeted drug therapy aiding management.

Area of Science:

  • Gastroenterology
  • Internal Medicine

Background:

  • Irritable bowel syndrome (IBS) is a highly prevalent functional gastrointestinal disorder.
  • Its etiology is multifactorial, potentially involving emotional stress, behavioral patterns, and dietary influences.
  • Despite evidence of altered gastrointestinal function, a definitive diagnostic biomarker for IBS is still lacking.

Purpose of the Study:

  • To review the current understanding and management strategies for Irritable Bowel Syndrome (IBS).
  • To highlight the diagnostic approach and therapeutic considerations for IBS patients.

Main Methods:

  • Review of existing literature and clinical guidelines for IBS diagnosis and management.
  • Emphasis on patient history, physical examination, and minimal investigations for diagnosis.

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  • Discussion of therapeutic interventions, including dietary modifications and pharmacotherapy.

    • Main Results:

    • Diagnosis of IBS is primarily based on clinical presentation and exclusion of other conditions.
    • Dietary fiber supplements and stool-bulking agents show potential for long-term benefit.
    • Pharmacological treatments are challenging to evaluate due to the placebo effect and should target specific symptoms.

    Conclusions:

    • The physician-patient relationship is paramount in managing IBS effectively.
    • Management strategies should incorporate dietary adjustments and judicious use of symptom-specific medications.
    • Further research is needed to identify reliable diagnostic markers for IBS.