Irritable bowel syndrome: Doctor`s and patient`s trauma
Introduction: Irritable bowel syndrome represents chronic, functional bowel disorder, without organic substrate, which manifests with abdominal pain, bloating and diarrhea and/or constipation. Diagnosing irritable bowel syndrome includes anamnesis, physical examination and depending on indications,...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Serbian Medical Society, Belgrade
2019-01-01
|
| Series: | Opšta Medicina |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/0354-7132/2019/0354-71321901037J.pdf |
| _version_ | 1811218939862056960 |
|---|---|
| author | Jandric-Kočić Marijana C. |
| author_facet | Jandric-Kočić Marijana C. |
| author_sort | Jandric-Kočić Marijana C. |
| collection | DOAJ |
| description | Introduction: Irritable bowel syndrome represents chronic, functional bowel disorder, without organic substrate, which manifests with abdominal pain, bloating and diarrhea and/or constipation. Diagnosing irritable bowel syndrome includes anamnesis, physical examination and depending on indications, endo-scopic exam as well. Therapy includes medications and psychotherapy, during exacerbations. Case report: Female patient 26 year old, pays a visit to outpatient clinic, due to frequent stools in last couple of weeks. She has 2-4 stools a day, without mucilage or blood in the stool. She feels bloated and experiences abdominal discomfort , which subsides after emptying stool contents. She denies other symptoms and has been perfectly healthy up till now. After the examination we came up with working diagnosis-IBS and the patient was presented with the treatment plan. She disagrees with it and asks for specialist referral. From the first referral, to hospitalization, to making final diagnosis, a year has passed and the final diagnosis has been the same as the diagnosis made by the family medicine specialist. Conclusion: In order for primary care doctors to be health system gate keepers , it takes sufficient time for them to spend with a patient (reduce the number of patients seen daily), greater work autonomy and adequate health legislations, which is possible through systemic changes, as a result of a dialogue of all relevant participants in the health care system. |
| first_indexed | 2024-04-12T07:17:36Z |
| format | Article |
| id | doaj.art-c655de47de504b28b8d83daffdffb279 |
| institution | Directory Open Access Journal |
| issn | 0354-7132 2217-3994 |
| language | English |
| last_indexed | 2024-04-12T07:17:36Z |
| publishDate | 2019-01-01 |
| publisher | Serbian Medical Society, Belgrade |
| record_format | Article |
| series | Opšta Medicina |
| spelling | doaj.art-c655de47de504b28b8d83daffdffb2792022-12-22T03:42:25ZengSerbian Medical Society, BelgradeOpšta Medicina0354-71322217-39942019-01-01241-237410354-71321901037JIrritable bowel syndrome: Doctor`s and patient`s traumaJandric-Kočić Marijana C.0Health Center, Health Center, Krupa na Uni, Bosnia and Hercegovina Introduction: Irritable bowel syndrome represents chronic, functional bowel disorder, without organic substrate, which manifests with abdominal pain, bloating and diarrhea and/or constipation. Diagnosing irritable bowel syndrome includes anamnesis, physical examination and depending on indications, endo-scopic exam as well. Therapy includes medications and psychotherapy, during exacerbations. Case report: Female patient 26 year old, pays a visit to outpatient clinic, due to frequent stools in last couple of weeks. She has 2-4 stools a day, without mucilage or blood in the stool. She feels bloated and experiences abdominal discomfort , which subsides after emptying stool contents. She denies other symptoms and has been perfectly healthy up till now. After the examination we came up with working diagnosis-IBS and the patient was presented with the treatment plan. She disagrees with it and asks for specialist referral. From the first referral, to hospitalization, to making final diagnosis, a year has passed and the final diagnosis has been the same as the diagnosis made by the family medicine specialist. Conclusion: In order for primary care doctors to be health system gate keepers , it takes sufficient time for them to spend with a patient (reduce the number of patients seen daily), greater work autonomy and adequate health legislations, which is possible through systemic changes, as a result of a dialogue of all relevant participants in the health care system.https://scindeks-clanci.ceon.rs/data/pdf/0354-7132/2019/0354-71321901037J.pdfirritable bowel syndromedoctorpatient |
| spellingShingle | Jandric-Kočić Marijana C. Irritable bowel syndrome: Doctor`s and patient`s trauma Opšta Medicina irritable bowel syndrome doctor patient |
| title | Irritable bowel syndrome: Doctor`s and patient`s trauma |
| title_full | Irritable bowel syndrome: Doctor`s and patient`s trauma |
| title_fullStr | Irritable bowel syndrome: Doctor`s and patient`s trauma |
| title_full_unstemmed | Irritable bowel syndrome: Doctor`s and patient`s trauma |
| title_short | Irritable bowel syndrome: Doctor`s and patient`s trauma |
| title_sort | irritable bowel syndrome doctor s and patient s trauma |
| topic | irritable bowel syndrome doctor patient |
| url | https://scindeks-clanci.ceon.rs/data/pdf/0354-7132/2019/0354-71321901037J.pdf |
| work_keys_str_mv | AT jandrickocicmarijanac irritablebowelsyndromedoctorsandpatientstrauma |