Irritable Bowel Syndrome: Pocketbook (Pocketbooks) by Roger Jones

Irritable Bowel Syndrome: Pocketbook (Pocketbooks) by Roger Jones

By Roger Jones

Irritable bowel syndrome has emerged from relative obscurity to develop into largely regarded because the explanation for enormous morbidity, relief in caliber of existence and prices to sufferers and wellbeing and fitness providers. This evaluation of the present country of data of the will act as a prepared resource of connection with either generalists and experts and also will widen the reader's knowing of a few of the patient's event of useful somatic problems.

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Modified from Krumholz S et al. Gut 1999;45:(Suppl5). 30 25 20 15 10 5 0 % of days with hard or very hard stools * * Month 1 Month 2 Tegaserod 4 mg/day Tegaserod 12 mg/day Placebo * Month 3 Figure 15 Effect of tegaserod on bowel function (stool consistency). 05 vs. placebo. Modified from Lefkowitz et al. Am J Gastroenterol 1999;94:2676. 49 evidence that dicyclomine is effective, although when diarrhoea coexists with pain, opiate-related analgesics such as codeine phosphate and dextropropoxyphene may be considered.

Hypnotherapy in severe irritable bowel syndrome: further experience. Gut 1987;28:423–5. Bensoussan A, Talley NJ, Hing M et al. Treatment of irritable bowel syndrome with Chinese herbal medicine: a randomised controlled trial. JAMA 1998;280:1585–9.

There is, however, some recent evidence from functional PET (positron emission tomography) scanning of the brains of patients with IBS that low doses of both classes of antidepressants have a direct central effect on the processing of visceral sensations, which may be beneficial in IBS. Over-the-counter drugs Although the arrangements for obtaining prescribed and over-the-counter (OTC) drugs vary from country to country, it is important to realize that many IBS patients who do not seek formal medical advice will obtain information and drug treatment from community pharmacists.

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