IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICE
Irritable bowel syndrome (IBS) is one of the most common diseases of gastro-enterology, associating abdominal pain, transit disorders and changes in the consistency of the stools. Material and method. The study included 200 patients suffering from IBS, selected from a total of 2,300 patients of a...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2018-06-01
|
| Series: | Romanian Journal of Medical Practice |
| Subjects: | |
| Online Access: | https://revistemedicale.amaltea.ro/Romanian_Journal_of_MEDICAL_PRACTICE/Practica_medicala-2018-Nr.2/RJMP_2018_2_Art-02.pdf |
| _version_ | 1819013970637357056 |
|---|---|
| author | Ana-Maria Slănină Adriana Cosmescu Liliana Barbacariu Otilia Novac Antoneta Petroaie Agnes Bacusca Mihaela Manole Irina Macovei Adorata Elena Coman |
| author_facet | Ana-Maria Slănină Adriana Cosmescu Liliana Barbacariu Otilia Novac Antoneta Petroaie Agnes Bacusca Mihaela Manole Irina Macovei Adorata Elena Coman |
| author_sort | Ana-Maria Slănină |
| collection | DOAJ |
| description | Irritable bowel syndrome (IBS) is one of the most common diseases of gastro-enterology, associating
abdominal pain, transit disorders and changes in the consistency of the stools.
Material and method. The study included 200 patients suffering from IBS, selected from a total of 2,300
patients of a family medicine practice in urban area. For diagnosis and classification, Rome III criteria and Bristol scale were used. For a subgroup was applied a questionnaire for the evaluation of quality of life, QoL.
Treatment was initiated on three levels.
Results. The incidence of the disease during the 3 years of study (2013-2016) was 2.9%. The type of IBS
most often encountered was the one with dominance of constipation (IBS-C 32.5%), followed by the
alternating form (IBS-A 26%), mixed (IBS-M-24%) and the dominance of diarrhea (IBS-D 18.5%). Form
with more severe impact on the quality of life is IBS-C – 52.24 score, and most easily tolerated IBS-A – 69
score. Treatment was initiated at the on level I at 33% of the patients at the on level II to 36 %, and on level
III to 31% of the patients. Maximum efficiency of treatment scores were obtained from patients on treatment
level III. Complete remission of symptoms is obtained only in 9.5% of total patients.
Conclusions. SII is a common condition in family medicine practice, due to changes in the modern diet.
The diagnosis can be facilitated by the application of questionnaires, and treatment is based on changes in
lifestyle and on pharmacological agents. |
| first_indexed | 2024-12-21T02:08:24Z |
| format | Article |
| id | doaj.art-3afe94ae87b64ead893d61109a42e55f |
| institution | Directory Open Access Journal |
| issn | 1842-8258 2069-6108 |
| language | English |
| last_indexed | 2024-12-21T02:08:24Z |
| publishDate | 2018-06-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Medical Practice |
| spelling | doaj.art-3afe94ae87b64ead893d61109a42e55f2022-12-21T19:19:25ZengAmaltea Medical Publishing HouseRomanian Journal of Medical Practice1842-82582069-61082018-06-01132939910.37897/RJMP.2018.2.2IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICEAna-Maria Slănină0Adriana Cosmescu1Liliana Barbacariu2Otilia Novac3Antoneta Petroaie4Agnes Bacusca5Mihaela Manole6Irina Macovei7Adorata Elena Coman8Disciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiDisciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiDisciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiDisciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiDisciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiDisciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiDisciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiDisciplina de Farmacognozie, UMF „Gr.T. Popa“, IaşiDisciplina de Medicina Familiei, UMF „Gr.T. Popa“, IaşiIrritable bowel syndrome (IBS) is one of the most common diseases of gastro-enterology, associating abdominal pain, transit disorders and changes in the consistency of the stools. Material and method. The study included 200 patients suffering from IBS, selected from a total of 2,300 patients of a family medicine practice in urban area. For diagnosis and classification, Rome III criteria and Bristol scale were used. For a subgroup was applied a questionnaire for the evaluation of quality of life, QoL. Treatment was initiated on three levels. Results. The incidence of the disease during the 3 years of study (2013-2016) was 2.9%. The type of IBS most often encountered was the one with dominance of constipation (IBS-C 32.5%), followed by the alternating form (IBS-A 26%), mixed (IBS-M-24%) and the dominance of diarrhea (IBS-D 18.5%). Form with more severe impact on the quality of life is IBS-C – 52.24 score, and most easily tolerated IBS-A – 69 score. Treatment was initiated at the on level I at 33% of the patients at the on level II to 36 %, and on level III to 31% of the patients. Maximum efficiency of treatment scores were obtained from patients on treatment level III. Complete remission of symptoms is obtained only in 9.5% of total patients. Conclusions. SII is a common condition in family medicine practice, due to changes in the modern diet. The diagnosis can be facilitated by the application of questionnaires, and treatment is based on changes in lifestyle and on pharmacological agents.https://revistemedicale.amaltea.ro/Romanian_Journal_of_MEDICAL_PRACTICE/Practica_medicala-2018-Nr.2/RJMP_2018_2_Art-02.pdfirritable bowel syndromefamily medicineguided therapy |
| spellingShingle | Ana-Maria Slănină Adriana Cosmescu Liliana Barbacariu Otilia Novac Antoneta Petroaie Agnes Bacusca Mihaela Manole Irina Macovei Adorata Elena Coman IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICE Romanian Journal of Medical Practice irritable bowel syndrome family medicine guided therapy |
| title | IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICE |
| title_full | IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICE |
| title_fullStr | IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICE |
| title_full_unstemmed | IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICE |
| title_short | IRRITABLE BOWEL SYNDROME – DIAGNOSIS AND TREATMENT IN FAMILY MEDICINE PRACTICE |
| title_sort | irritable bowel syndrome diagnosis and treatment in family medicine practice |
| topic | irritable bowel syndrome family medicine guided therapy |
| url | https://revistemedicale.amaltea.ro/Romanian_Journal_of_MEDICAL_PRACTICE/Practica_medicala-2018-Nr.2/RJMP_2018_2_Art-02.pdf |
| work_keys_str_mv | AT anamariaslanina irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT adrianacosmescu irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT lilianabarbacariu irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT otilianovac irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT antonetapetroaie irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT agnesbacusca irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT mihaelamanole irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT irinamacovei irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice AT adorataelenacoman irritablebowelsyndromediagnosisandtreatmentinfamilymedicinepractice |