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相关概念视频

Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

188
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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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

173
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:
173
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

250
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,...
250
Irritable Bowel Syndrome III: Medical and Nursing Management01:30

Irritable Bowel Syndrome III: Medical and Nursing Management

217
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
217
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

192
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...
192
Drugs Affecting GI Tract Motility: Other Laxatives01:20

Drugs Affecting GI Tract Motility: Other Laxatives

248
Laxatives are primarily used to alleviate constipation, a common gastrointestinal disorder characterized by infrequent bowel movements and difficulty passing stools. They work by various mechanisms to increase the volume or frequency of bowel movements. The primary modes of action of laxatives include increasing stool bulk, softening the stool, stimulating intestinal motility, and osmotically drawing water into the intestines.
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
248

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相关实验视频

Updated: Jul 14, 2025

Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
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偶尔便秘的感知,定义和治疗干预措施:罗马工作组的共识文件

Darren M Brenner1, Maura Corsetti2, Douglas Drossman3

  • 1Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
|October 5, 2023
PubMed
概括
此摘要是机器生成的。

偶尔性便秘,与慢性便秘不同的疾病,是由不常见的,令人烦的症状定义的. 第一线治疗包括聚乙烯甘醇和兴奋剂药,而化合物作为第二种选择.

关键词:
便秘 便秘 便秘 便秘纤维纤维是一种纤维.功能性便秘是一种功能性便秘.松剂是一种松剂.有时便秘 偶尔便秘

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科学领域:

  • 胃肠病学 胃肠病学
  • 肠-大脑相互作用的障碍

背景情况:

  • 功能性便秘是一种常见的肠-大脑相互作用障碍,影响全球12%.
  • 偶尔性便秘是一种新归类的实体,其特点是短暂,重复性便秘发作.
  • 本文档提供了基于当前研究的偶尔便秘的工作定义和治疗算法.

研究的目的:

  • 为偶尔便秘制定一个工作定义.
  • 根据目前的证据,开发偶尔便秘的治疗算法.
  • 为了解决文献上的差距和便秘管理的国际差异.

主要方法:

  • 一个全面的科学文献综述,重点关注偶尔便秘.
  • 使用"罗马四号"标准,为定义建立框架.
  • 采用了德尔菲方法,在建议上达成100%的作者共识.

主要成果:

  • 定义偶尔便秘是烦人的,不常见的症状没有警报信号,促使医疗管理.
  • 建议用聚乙烯甘醇和刺激性药作为一线治疗.
  • 建议用于耐火病例的含化合物;对于纤维或便软化剂的数据不足.

结论:

  • 偶尔性便秘是一种独特的临床实体,需要标准化的定义和治疗.
  • 目前的建议为未来研究流行病学和基于症状的结果提供了框架.
  • 需要进一步的研究来验证和完善治疗指南.