The Irritable Bowel Syndrome

2019 ◽  
pp. 435-458
Author(s):  
Nuha Alammar ◽  
Gerard Mullin
Keyword(s):  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Primary Care Physicians ◽  
Gastrointestinal Disorder ◽  
Therapeutic Strategies ◽  
Organic Disease ◽  
Bowel Movements ◽  
Disease Subtypes ◽  
Irritable Bowel ◽  
Rome Iv

The irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder characterized by chronic nonspecific abdominal pain with altered bowel movements in the absence of known organic disease. IBS is diagnosed by the Rome IV criteria for functional GI disorders. Although research has shown several factors that might be contributing to IBS pathophysiology, there is no specific cause for this disorder identified yet. There are four disease subtypes found in equal proportions: diarrhea, constipation, mixed, and undefined (IBS-U). IBS is a prevalent disorder that primary care physicians evaluate in the clinic. In this chapter, the authors review the epidemiology and updated research regarding its pathophysiology, diagnostics, and integrative therapeutic strategies.

Beliefs about management of irritable bowel syndrome in primary care: cross-sectional survey in one locality

2014 ◽  
Vol 16 (03) ◽  
pp. 263-269 ◽  
Author(s):  
Uday N. Shivaji ◽  
Alexander C. Ford
Keyword(s):  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Primary Care Physicians ◽  
Evidence Synthesis ◽  
Peppermint Oil ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Soluble Fibre ◽  
Psychological Therapies ◽  
Irritable Bowel

AimTo examine beliefs about irritable bowel syndrome (IBS) management among primary care physicians.BackgroundThere have been considerable advances in evidence synthesis concerning management of IBS in the last five years, with guidelines for its management in primary care published by the National Institute for Health and Care Excellence (NICE).MethodsThis was a cross-sectional web-based questionnaire survey of 275 primary care physicians. We emailed a link to a SurveyMonkey questionnaire, containing 18 items, to all eligible primary care physicians registered with three clinical commissioning groups in Leeds, UK. Participants were given one month to respond, with a reminder sent out after two weeks.FindingsOne-hundred and two (37.1%) primary care physicians responded. Among responders, 70% believed IBS was a diagnosis of exclusion, and >80% checked coeliac serology often or always in suspected IBS. Between >50% and >70% believed soluble fibre, antispasmodics, peppermint oil, and psychological therapies were potentially efficacious therapies. The respondents were less convinced that antidepressants or probiotics were effective. Despite perceived efficacy of psychological therapies, 80% stated these were not easily available. Levels of use of soluble fibre, antispasmodics, and peppermint oil were in the range of 40% to >50%. Most primary care physicians obtained up-to-date evidence about IBS management from NICE guidelines. Most primary care physicians still believe IBS is a diagnosis of exclusion, and many are reluctant to use antidepressants or probiotics to treat IBS. More research studies addressing diagnosis and treatment of IBS based in primary are required.

scholarly journals A REVIEW ON THE AYURVEDIC APPROACH OF IRRITABLE BOWEL SYN-DROME WSR TO GRAHANI

2020 ◽  
Vol 08 (11) ◽  
pp. 5100-5104
Author(s):  
Laveena T P
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Factors ◽  
Gastrointestinal Disorder ◽  
Outpatient Clinics ◽  
Structural Abnormality ◽  
Lifestyle Modifications ◽  
Added Benefit ◽  
Irritable Bowel ◽  
Diet And Lifestyle ◽  
Rome Iv

Irritable bowel syndrome is a common functional gastrointestinal disorder with no identifiable structural abnormality. It is characterized by abdominal pain or discomfort and altered bowel habits as major symp-toms. IBS accounts for more than 40% of new referrals to gastroenterology outpatient clinics. Diagnosis is done by Rome IV criteria. Etiology and pathogenesis is not clearly understood. In Ayurveda it can be man-aged with the concept of Grahani. The basic Samprapthi is at the level of Grahani and Pakwasaya which is as a result of Agnidushti. The symptoms of IBS are Tridoshaja with a Vatha predominance. Vatha has Sthanika importance also as Pakwasaya is the seat of Vatha. So, medicines with Deepana, Pachana, Anu-lomana and Grahi properties are ideal. Satwavajaya Chikitsa (psychotherapy) is helpful because of the involvement of psychological factors. Diet and lifestyle modifications with exercises and relaxation tech-niques have added benefit in the management since it has a chronic and relapsing nature.

scholarly journals Evaluation of irritable bowel syndrome prevalence in medical students

2021 ◽  
Vol 6 (2) ◽  
pp. e21-e21
Author(s):  
Samin Maghsoudi ◽  
Azam Teimouri
Keyword(s):  
Irritable Bowel Syndrome ◽  
Medical Students ◽  
Gastrointestinal Disorder ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Lifestyle Pattern ◽  
Negative Impacts ◽  
Irritable Bowel ◽  
Rome Iv

Introduction: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder and requires early diagnosis due to its negative impacts on the quality of life. According to the lifestyle pattern of medical students, IBS has a significant prevalence in these individuals. Objectives: The present study aims to investigate the prevalence and factors associated with IBS in medical students. Patients and Methods: This cross-sectional study has been conducted on 100 medical students studying at Isfahan University of Medical Sciences in 2019-2020. The Rome IV diagnostic criteria were administered to diagnose IBS and individuals were divided into four groups of constipation-dominant (IBS-C), diarrhea-dominant (IBS-D), mixed type (IBS-M) and unspecified (IBS-U). The association of studying grade, gender and residence with IBS was evaluated. Results: The mean age of the students was 23.2±4.8 years, including 68 (68%) women. According to Rome -IV criteria, 24 (24%) ones were diagnosed with IBS. The IBS cases were dominantly in IBS-C group (54.16%). IBS was not associated with gender (P=0.498), educational grade (P=0.661) and type of residence (P=0.562) in the studied medical students. Conclusion: According to the present study, the prevalence of IBS was 24% among medical students, which was higher among women. Most patients had IBS-C, but IBS did not show a statistically significant relationship with gender, educational grade and type of residence.

scholarly journals How much bloating in the irritable bowel syndrome?

2018 ◽  
Vol 56 (4) ◽  
pp. 221-226 ◽  
Author(s):  
Lucian Liviu Pop ◽  
Iulia Antonia Mureşan ◽  
Dan Lucian Dumitraşcu
Keyword(s):  
Irritable Bowel Syndrome ◽  
General Population ◽  
Abdominal Distension ◽  
Gastrointestinal Disorder ◽  
Comprehensive Review ◽  
Bothersome Symptom ◽  
Working Groups ◽  
Irritable Bowel ◽  
Subjective Sensation ◽  
Rome Iv

Abstract The irritable bowel syndrome (IBS) is the most common chronic gastrointestinal disorder referred to gastroenterologists. One of the most common manifestations of IBS is bloating. Abdominal bloating is defined as subjective sensation of abdominal distension associated with girth increment. Therefore, it is described in the Rome IV criteria as bloating/abdominal distension. Bloating symptoms are reported by 10-30% of the general population and it was rated as the most bothersome symptom by 60% of IBS patients; the lack of specificity of this complaint prevented bloating to be included between the diagnostic criteria for IBS. Indeed, bloating may be reported also in healthy people or in other functional conditions. This paper looks to the evolutions of the concepts on bloating according to the Rome working groups from the beginning until now and it represents a comprehensive review on the prevalence and pathogenesis of bloating.

scholarly journals Irritable Bowel Syndrome Prevalence among Participants of Woodstock Rock Festival in Poland Based on Rome IV Criteria Questionnaire

2021 ◽  
Vol 18 (21) ◽  
pp. 11464
Author(s):  
Joanna Palma ◽  
Justyna Antoniewicz ◽  
Krzysztof Borecki ◽  
Karol Tejchman ◽  
Karolina Skonieczna-Żydecka ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Cohort Studies ◽  
Previous Investigation ◽  
Population Studies ◽  
Gastrointestinal Disorder ◽  
Or Education ◽  
Global Epidemiology ◽  
Gender Education ◽  
Irritable Bowel ◽  
Rome Iv

Background: Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disorder (FGID), in which etiology and pathogenesis are not fully explored. There is an ongoing need for more population studies adhering to new ROME IV criteria. In the current study, which follows our previous investigation among participants of the Woodstock Rock Festival in Poland, we aimed to evaluate the prevalence of IBS and its relation to age, gender, education, and IBS type. Methods: Rome IV criteria questionnaire was used to assess abdominal complaints of 386 participants of the Woodstock Rock festival 2018. Results: Analyzed data revealed that Rome IV criteria were met by 42 participants (11.41%), 11 men and 31 women (p = 0.0028), with following types of IBS: IBS-M (mixed form) 55%, IBS-D (with diarrhea) 33%, IBS-U (unclassified) 10%, IBS-C (with constipation) 2%. No statistically significant correlation between IBS prevalence and age, gender, or education (p > 0.05) was found. Conclusions: The prevalence of IBS among major rock festival participants in Poland was high. Women met the criteria more often than men, which is consistent with global epidemiology for many years. Among participants of the Woodstock Rock Festival, the most frequent subtype was IBS-M, the rarest—IBS-C. There is a need of conducting cohort studies in bigger groups in our population.

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