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Related Concept Videos

Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

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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...
354
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

447
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
447
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

548
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
548
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

410
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

325
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
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Complete Currarino Triad Presenting With Chronic Constipation.

Habib Y Aldabbab1, Hussain A Al Ghadeer2, Ashraf A Alnosair3

  • 1Orthopedic Surgery, King Faisal University, AlAhsa, SAU.

Cureus
|May 5, 2022
PubMed
Summary

Currarino syndrome, a congenital disorder, presents with anorectal malformation, sacrococcygeal anomalies, and a presacral mass. Early diagnosis via MRI and surgical intervention are key for managing this autosomal dominant condition.

Keywords:
anorectal malformationchronic constipationcurrarino syndromesacral defectsaudi arabia

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Area of Science:

  • Pediatric Surgery
  • Medical Imaging
  • Genetics

Background:

  • Currarino syndrome (CS) is a rare autosomal dominant congenital disorder.
  • It is defined by a characteristic triad: anorectal malformation, sacrococcygeal anomalies, and a presacral mass.
  • Chronic constipation is the most frequent clinical manifestation.

Observation:

  • An eight-month-old female infant presented with persistent chronic constipation.
  • Physical examination revealed abdominal distension and anal stenosis.
  • Radiographic imaging, including MRI, identified sacrococcygeal abnormalities and a presacral mass.

Findings:

  • The diagnostic findings confirmed Currarino syndrome in the infant.
  • Magnetic Resonance Imaging (MRI) demonstrated high sensitivity in diagnosing the condition.
  • Surgical management involved the excision of the presacral mass and anorectoplasty.

Implications:

  • This case highlights the importance of recognizing the clinical triad of Currarino syndrome.
  • MRI is crucial for accurate diagnosis of CS.
  • Surgical intervention, including mass excision and anorectoplasty, is effective for managing CS patients.