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[Irritable colon and constipation]

C Meyenberger1

  • 1Departement für Innere Medizin, Universitätsspital Zürich.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|April 20, 1993
PubMed
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Irritable bowel syndrome (IBS) management involves symptom diagnosis and targeted therapies. Treatment focuses on symptom relief, lifestyle changes, and physician support for this common gastrointestinal disorder.

Area of Science:

  • Gastroenterology
  • Clinical Medicine

Context:

  • Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disorder with varied severity.
  • Diagnosis relies on identifying typical symptoms and ruling out other conditions.
  • Chronic constipation can be a primary IBS symptom requiring specific evaluation.

Purpose:

  • To outline the diagnostic and therapeutic strategies for managing irritable bowel syndrome (IBS).
  • To emphasize the importance of symptom-based management and physician support.
  • To detail approaches for IBS with predominant constipation.

Summary:

  • IBS management combines symptom diagnosis with limited investigations to exclude organic causes.
  • Therapeutic strategies focus on symptom relief, modifying exacerbating factors, behavioral techniques, and pharmacologic agents.

Related Experiment Videos

  • Psychological support from the physician is crucial for effective IBS treatment.
  • For IBS-predominant constipation, excluding organic disorders via clinical examination and endoscopy is vital.
  • Further investigation of colonic motility and defecation is necessary for severe cases.
  • Treatment options include high-fiber diets, osmotic laxatives, prokinetic agents, and rarely, surgery.

    • Impact:

    • Provides a comprehensive overview of IBS management, aiding clinicians in patient care.
    • Highlights the multifactorial approach to IBS, integrating medical and psychological interventions.
    • Offers guidance on managing IBS-predominant constipation, improving patient outcomes.