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Drugs for Treatment of Constipation-Predominant IBS01:21

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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...
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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.
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Chronic Bowel Disorders: Introduction01:17

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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.
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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Recognizing and Defining Occasional Constipation: Expert Consensus Recommendations.

Satish S C Rao1, Brian E Lacy2, Anton Emmanuel3

  • 1Division of Gastroenterology/Hepatology, Digestive Health Center, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.

The American Journal of Gastroenterology
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Summary
This summary is machine-generated.

Occasional constipation (OC) is a common subtype of constipation that requires a new definition. Experts propose a user-friendly definition for OC, focusing on intermittent bowel habit alterations without alarming symptoms.

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Area of Science:

  • Gastroenterology
  • Clinical Practice

Background:

  • Constipation affects 15% of the population and is often self-managed.
  • Chronic constipation understanding has advanced, yet occasional constipation (OC) remains unclassified.
  • OC is recognized as a distinct subtype requiring specific diagnostic criteria.

Approach:

  • Expert consensus developed a new definition for occasional constipation (OC).
  • The definition considers multifactorial aspects: bowel habit changes, symptom perception, duration, and treatment response.
  • Gastroenterologists from 5 countries collaborated virtually to establish a practical, user-friendly definition.

Key Points:

  • Proposed definition: Intermittent or occasional symptomatic alterations in bowel habit, including reduced stool frequency and/or difficult passage, without alarming features.
  • Symptoms may last days to weeks, often managed with lifestyle changes or over-the-counter (OTC) remedies.
  • This definition aims to improve understanding and management of this common condition.

Conclusions:

  • Prospective studies are needed to validate the proposed OC definition and assess its prevalence.
  • This review identifies knowledge gaps and encourages research for evidence-based OC management guidelines.
  • A clear definition for occasional constipation can facilitate improved patient care and research.