Irritable bowel syndrome – modern ways of treatment
Introduction Irritable bowel syndrome (IBS) is the most frequent functional disorder of the gastrointestinal tract. Main symptoms are recurring stomach ache connected with defecation, changes of frequency of defecation and/or stool’s consistency. Cause of IBS is still unknown unlike its pathome...
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2023-03-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/42952 |
| _version_ | 1797866404115906560 |
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| author | Jakub Kuciński Zuzanna Fryska Adam Wołejko Kacper Kulik Paweł Semeniuk Krystian Matusz Rafał Burczyk Natalie Górna |
| author_facet | Jakub Kuciński Zuzanna Fryska Adam Wołejko Kacper Kulik Paweł Semeniuk Krystian Matusz Rafał Burczyk Natalie Górna |
| author_sort | Jakub Kuciński |
| collection | DOAJ |
| description |
Introduction
Irritable bowel syndrome (IBS) is the most frequent functional disorder of the gastrointestinal tract. Main symptoms are recurring stomach ache connected with defecation, changes of frequency of defecation and/or stool’s consistency. Cause of IBS is still unknown unlike its pathomechanism. Continuous research allows doctors to understand and treat it better.
Discussion
Diagnosing IBS might be difficult even for the most experienced doctors due to its uncharacteristic symptoms. Therefore diagnosis should be made by using Rome IV Criteria. IBS is divided into 4 subtypes basing on clinical picture: IBS with predominant constipation, IBS with predominant diarrhea, IBS with mixed bowel habits and IBS unclassified. Classification is being performed with the use of Bristol Stool Chart. Choice of remedy should be made depending on the subtype of IBS. Pharmacological treatment is symptomatic and focuses on relieving pain, diarrhea, constipation and bloating. Drugs that can be used are: loperamide, rifaximin, antispasmodic (e.g. hyoscine), antidepressants or laxatives. Treatment should also contain nonpharmacological methods. Nonpharmacological techniques which are proved to help patients contain regular physical activity, body mass reduction, low-FODMAP diet, using probiotics, psychotherapy and supplementing soluble fibre.
Conclusions
IBS is a big issue for public health as it is lowering quality of life and is generating big indirect costs. Difficulties in diagnosing are increasing those costs. That’s why it is of high importance to find more effective therapy. Raising awareness among doctors is crucial as plenty of methods are available to treat the disease which allows to reduce symptoms and costs.
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| first_indexed | 2024-04-09T23:23:38Z |
| format | Article |
| id | doaj.art-feaab3025ad747f8abb4382ecee4c8fd |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-04-09T23:23:38Z |
| publishDate | 2023-03-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-feaab3025ad747f8abb4382ecee4c8fd2023-03-21T11:44:29ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-03-0116110.12775/JEHS.2023.16.01.005Irritable bowel syndrome – modern ways of treatmentJakub Kuciński0Zuzanna Fryska1Adam Wołejko2Kacper Kulik3Paweł Semeniuk4Krystian Matusz5Rafał Burczyk6Natalie GórnaMedical University of Warsaw Uniwersytecki Szpital Kliniczny in Poznań, Poznan University of Medical SciencesWielospecjalistyczny Szpital Miejski im. Józefa Strusia z Zakładem Opiekuńczo Leczniczym in PoznańWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ in LublinWojewódzki Szpital Chirurgii Urazowej św. Anny SPZOZ in WarszawaZakład Anatomii Prawidłowej Uniwersytetu Medycznego im. Karola Marcinkowskiego in Poznań Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz Introduction Irritable bowel syndrome (IBS) is the most frequent functional disorder of the gastrointestinal tract. Main symptoms are recurring stomach ache connected with defecation, changes of frequency of defecation and/or stool’s consistency. Cause of IBS is still unknown unlike its pathomechanism. Continuous research allows doctors to understand and treat it better. Discussion Diagnosing IBS might be difficult even for the most experienced doctors due to its uncharacteristic symptoms. Therefore diagnosis should be made by using Rome IV Criteria. IBS is divided into 4 subtypes basing on clinical picture: IBS with predominant constipation, IBS with predominant diarrhea, IBS with mixed bowel habits and IBS unclassified. Classification is being performed with the use of Bristol Stool Chart. Choice of remedy should be made depending on the subtype of IBS. Pharmacological treatment is symptomatic and focuses on relieving pain, diarrhea, constipation and bloating. Drugs that can be used are: loperamide, rifaximin, antispasmodic (e.g. hyoscine), antidepressants or laxatives. Treatment should also contain nonpharmacological methods. Nonpharmacological techniques which are proved to help patients contain regular physical activity, body mass reduction, low-FODMAP diet, using probiotics, psychotherapy and supplementing soluble fibre. Conclusions IBS is a big issue for public health as it is lowering quality of life and is generating big indirect costs. Difficulties in diagnosing are increasing those costs. That’s why it is of high importance to find more effective therapy. Raising awareness among doctors is crucial as plenty of methods are available to treat the disease which allows to reduce symptoms and costs. https://apcz.umk.pl/JEHS/article/view/42952Irritable bowel syndromeconstipationgastrointestinal motilitybrain-gut axisintestinal secretion |
| spellingShingle | Jakub Kuciński Zuzanna Fryska Adam Wołejko Kacper Kulik Paweł Semeniuk Krystian Matusz Rafał Burczyk Natalie Górna Irritable bowel syndrome – modern ways of treatment Journal of Education, Health and Sport Irritable bowel syndrome constipation gastrointestinal motility brain-gut axis intestinal secretion |
| title | Irritable bowel syndrome – modern ways of treatment |
| title_full | Irritable bowel syndrome – modern ways of treatment |
| title_fullStr | Irritable bowel syndrome – modern ways of treatment |
| title_full_unstemmed | Irritable bowel syndrome – modern ways of treatment |
| title_short | Irritable bowel syndrome – modern ways of treatment |
| title_sort | irritable bowel syndrome modern ways of treatment |
| topic | Irritable bowel syndrome constipation gastrointestinal motility brain-gut axis intestinal secretion |
| url | https://apcz.umk.pl/JEHS/article/view/42952 |
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