Clinical Features of Ischemic Colitis: Related to Age, Constipation, Irritable Bowel Syndrome

Grahani Roga described in classical text books of Ayurveda represents a group of disorders of digestive system caused by impairment of Agni. Grahani is such a disorder, where in its significance is emphasized by its inclusion among Ashtamaha Gadas. The cardinal features of Grahani explained in the clasical text books of Ayurveda, have at most similarities with the clinical features of Irritable Bowel Syndrome (IBS) explained in western medicine. A total of 15 patients were selected and treated with Erandamooladi Niruha Basti and Changeryadi Ghrita Anuvasana Basti, was given in Yoga Basti pattern according to inclusive and exclusive criteria. Special case proforma was designed and parameters were assessed. It showed highly significant results in all the parameters at the level of p less than 0.01.

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Clinical features of post-infectious irritable bowel syndrome in children

SOVREMENNAYA PEDIATRIYA ◽

10.15574/sp.2015.65.98 ◽

2015 ◽

pp. 98-101

Author(s):

T.V. Zimnytska ◽

Keyword(s):

Irritable Bowel Syndrome ◽

Clinical Features ◽

Irritable Bowel ◽

Post Infectious

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Clinical features of the irritable bowel syndrome

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(80)73334-5 ◽

1980 ◽

Vol 26 ◽

pp. 24S-25S ◽

Cited By ~ 2

Author(s):

William S. Haubrich

Keyword(s):

Irritable Bowel Syndrome ◽

Clinical Features ◽

Irritable Bowel

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Epidemiology, Clinical Features, and Prescribing Patterns of Irritable Bowel Syndrome in Taiwan

Frontiers in Pharmacology ◽

10.3389/fphar.2021.788795 ◽

2021 ◽

Vol 12 ◽

Author(s):

Yu-Tung Lai ◽

Chung-Yu Chen ◽

Ming-Jong Bair

Keyword(s):

Irritable Bowel Syndrome ◽

Peptic Ulcer ◽

Clinical Features ◽

Annual Incidence ◽

Prescribing Patterns ◽

Symptom Duration ◽

Research Database ◽

Prescribing Pattern ◽

Gi Endoscopy ◽

Irritable Bowel

Background: Understanding the prescribing patterns could better inform irritable bowel syndrome (IBS) management and health policy. However, there is no study on prescribing patterns of IBS in Taiwan. This study was conducted to evaluate the epidemiology, clinical features, and prescribing patterns of IBS in Taiwan.Methods: This population-based cross-sectional study was performed by retrieving claim data from National Health Insurance Research Database (NHIRD) between 2011 and 2018 in Taiwan. Patients who were diagnosed with IBS during 2012–2018 and more than 20 years old were included. The annual incidence and prevalence of IBS were estimated. The characteristics and prescribing pattern were evaluated among IBS population. The population with IBS were followed from index date until 1 year after or death.Results: A total of 1691596 patients diagnosed with IBS were identified from 2012 to 2018. The average annual incidence and prevalence of IBS in Taiwan were calculated as 106.54 and 181.75 per 10,000 population. The incidence and prevalence showed a decreasing trend from 2012 to 2018. Hypertension, dyslipidemia, chronic liver disease, peptic ulcer, gastroesophageal reflux disease (GERD), anxiety, and sleep disorder were the prevalent comorbidities in IBS population. At 1 year after IBS diagnosis, the rates of peptic ulcer and GERD; the utilizations of abdominal ultrasonography, upper gastrointestinal (GI) endoscopy, and lower GI endoscopy; the prescribing rate of propulsives, simethicone, antacids, H2-blockers, and proton pump inhibitors significantly increased. Approximately 70% of participants received IBS-related treatment. Antispasmodics was the most frequently prescribed medication class, followed by laxatives and antidiarrheals. Only 48.58% of patients made return visit for IBS at 1 year after IBS diagnosis. Consequently, the proportion of consultation for IBS and the prescribing rates of all medications were decreased considerably after IBS diagnosis.Conclusion: The incidence and prevalence of IBS showed a decreasing trend from 2012 to 2018. More than two-third of patients received treatment for IBS. Antispasmodics was widely used for IBS management. However, patients may have a short symptom duration or receive a short course of IBS-related treatment in Taiwan. These findings provided the whole picture of the epidemiology and prescribing pattern of the IBS population in Taiwan.

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Diarrhea syndrome: new accents of patient curation during COVID-19 pandemic

Russian Medical Inquiry ◽

10.32364/2587-6821-2021-5-6-446-452 ◽

2021 ◽

Vol 5 (6) ◽

pp. 446-452

Author(s):

O.V. Gaus ◽

◽

M.A. Livzan ◽

Keyword(s):

Irritable Bowel Syndrome ◽

Ischemic Colitis ◽

Clinical Manifestations ◽

Gastrointestinal Symptoms ◽

Gastrointestinal Disorder ◽

Infected People ◽

Antibiotic Associated Diarrhea ◽

Irritable Bowel ◽

Diarrhea Syndrome ◽

Post Infectious

The digestive tract, like the respiratory organs, is the entrance gate for SARS-CoV-2. At the same time, diarrhea is one of the most common gastrointestinal symptoms among infected people. As the debut of COVID-19 clinical manifestations, diarrhea can be associated both with the direct cytopathic effect of the virus on the intestinal mucosal epithelium and with the gut microbiota modulation. During the period of the expanded clinical picture of COVID-19, diarrhea syndrome is commonly associated with the adverse event of drug therapy, primarily antibiotics, nonsteroidal anti-inflammatory drugs, antiviral agents, antiplatelet agents and anticoagulants, as well as with possible involvement in the pathological process of the liver and pancreas with a violation of their functional activity. Finally, after the infection, the repeated occurrence of diarrhea requires the exclusion of antibiotic-associated diarrhea, including those caused by Clostridium difficile, as well as ischemic colitis and post-infectious irritable bowel syndrome. Besides, despite the pandemic, it should not be forgotten about the possible debut of gastrointestinal disorder or an exacerbation of already existing chronic pathology. The article presents a brief algorithm for the differential diagnosis of diarrhea in the conditions of the COVID-19 pandemic. KEYWORDS: diarrhea, COVID-19 pandemic, antibiotic-associated diarrhea, ischemic colitis, post-infectious irritable bowel syndrome. FOR CITATION: Gaus O.V., Livzan M.A. Diarrhea syndrome: new accents of patient curation during COVID-19 pandemic. Russian Medical Inquiry. 2021;5(6):446–452 (in Russ.). DOI: 10.32364/2587-6821-2021-5-6-446-452.

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