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Irritable Bowel Syndrome

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Abstract

Irritable bowel syndrome (IBS) is the most common functional bowel disease affecting up to 20 % of the population. IBS is a chronic, relapsing disease with a clinical diagnosis characterized with abdominal pain with alteration in bowel habits. IBS can be diagnosed by symptom-based criteria such as the Rome Criteria in the absence of red flag symptoms such as anemia, severe nighttime symptoms, family history of bowel disease, bleeding, fever, weight loss, onset after age 50, mass on exam, and elevated inflammatory markers. An extensive workup such as imaging and endoscopy should not be pursued in the absence of red flag symptoms. Treatment of IBS varies on the individual and their symptoms. Treatment encompasses a combination of lifestyle and diet modifications, medications, and behavioral interventions. This chapter discusses diagnosis and management of IBS.

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References

  1. Sayuk GS, Gyawali CP. Irritable bowel syndrome: modern concepts and management options. Am J Med. 2015;128:817–27.

    Article  PubMed  Google Scholar 

  2. Burbige EJ. Irritable bowel syndrome: diagnostic approaches in clinical practice. Clin Exp Gastroenterol. 2010;3:127–37.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Chey WD, Kurlander J, Eswaran S. Irritable bowel syndrome a clinical review. JAMA. 2015;313(9):949–58.

    Article  CAS  PubMed  Google Scholar 

  4. Ford AC, Moayyedi P, Lacy BE, et al. American College of Gastroenterology Monograph on the management of irritable bowel syndrome and chronic idiopathic constipation. Am J Gastroenterol. 2014;109:s2–S26c.

    Article  PubMed  Google Scholar 

  5. National Institute for Health and Care Excellence. Irritable bowel syndrome in adults: diagnosis and management (online). 2015. Available from http://guidance.nice.org.uk/CG61.

  6. Chira A, Dumitrascu DL. Serum biomarker for irritable bowel syndrome. Chijul Med. 2015;88(3):258–64.

    Google Scholar 

  7. Wilkins T, Pepitone C, Biju A, Schade R. Diagnosis and management of IBS in adults. Am Fam Physician. 2012;86(5):419–26.

    PubMed  Google Scholar 

  8. Hadley SK, Gaarder SM. Treatment of irritable bowel syndrome. Am Fam Physician. 2005;72(12):2501–8.

    PubMed  Google Scholar 

  9. Viera AJ, Hoag S, Shaughnessy J. Management of irritable bowel syndrome. Am Fam Physician. 2002;66(10):1867–75.

    PubMed  Google Scholar 

  10. Graham L. ACG releases recommendations on the management of irritable bowel syndrome. Am Fam Physician. 2009;79(12):1108–17.

    Google Scholar 

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Correspondence to Elvira Mercado MD .

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© 2017 Springer International Publishing Switzerland

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Mercado, E. (2017). Irritable Bowel Syndrome. In: Desai, B., Desai, A. (eds) Primary Care for Emergency Physicians. Springer, Cham. https://doi.org/10.1007/978-3-319-44360-7_15

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  • DOI: https://doi.org/10.1007/978-3-319-44360-7_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44358-4

  • Online ISBN: 978-3-319-44360-7

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