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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

160
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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Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives01:22

Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives

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Laxatives enhance bowel movements and alleviate constipation. They augment the stool's bulk, stimulate intestinal muscle contractions, draw water into the intestines, or soften the stool. There are five key types of laxatives: bulk laxatives, stimulant laxatives, osmotic laxatives, stool softeners, and lubricant laxatives.
Bulk-forming laxatives, such as psyllium, methylcellulose, and polycarbophil, absorb water in the intestine, increasing stool bulk and promoting bowel movement. This...
204
Drugs Affecting GI Tract Motility: Other Laxatives01:20

Drugs Affecting GI Tract Motility: Other Laxatives

200
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...
200
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

161
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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

77
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
77
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

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A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
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Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
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功能性便秘患者的药断奶方案:一个试点研究

Shruthi Srinivas1, Casey Trimble1, Sarah Driesbach1

  • 1Department of Colorectal and Pelvic Reconstructive Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.

Journal of pediatric surgery
|May 17, 2024
PubMed
概括

在功能性便秘的儿童中,用于断奶刺激性药的标准化方案显示出早期的成功. 超过一半的患者成功地减少或停止使用药,特别是那些服用更高剂量的患者.

关键词:
肠道管理计划 肠道管理计划肠道治疗方案 肠道治疗方案结肠直肠外科手术是什么意思功能性便秘是一种功能性便秘.塞纳 塞纳 塞纳 塞纳

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科学领域:

  • 儿科胃肠病学 儿科胃肠病学
  • 药理学 药理学是指药理学的学科.
  • 临床试验方法论 临床试验方法论

背景情况:

  • 功能性便秘在儿童中很常见,通常需要长期的药治疗.
  • 在实现改善肠道功能后,奶松剂的潜力在很大程度上仍未被探索.
  • 这项研究介绍了儿童患者刺激性松断奶的方案.

研究的目的:

  • 描述一种标准化的方案,用于功能性便秘的儿童的刺激性药断奶.
  • 为了评估这个断奶协议的早期结果.

主要方法:

  • 患者在稳定的药剂剂量六个月有资格.
  • 药剂量每两周减少10-25%,根据症状复发进行调整.
  • 成功的定义是持续的每日肠道排便,没有便秘症状.

主要成果:

  • 评估了16名儿童,平均年龄为12.7岁,有8年的药使用史.
  • 56.3%的患者在平均3.7个月内成功戒掉了药.
  • 服用较高初始剂量的患者在断奶方面表现出更高的成功率.

结论:

  • 对断奶刺激性药的结构化方法在儿科功能性便秘中是有效的.
  • 该方案取得了成功,特别是在需要更高剂量的药的儿童中.
  • 需要进一步的研究来验证这些发现在前性研究中.