Functional bowel disorders and functional abdominal pain.
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TLDR
A committee consensus approach, including criticism from multinational expert reviewers, was used to revise the diagnostic criteria and update diagnosis and treatment recommendations, based on research results.Abstract:
The Rome diagnostic criteria for the functional bowel disorders and functional abdominal pain are used widely in research and practice. A committee consensus approach, including criticism from multinational expert reviewers, was used to revise the diagnostic criteria and update diagnosis and treatment recommendations, based on research results. The terminology was clarified and the diagnostic criteria and management recommendations were revised. A functional bowel disorder (FBD) is diagnosed by characteristic symptoms for at least 12 weeks during the preceding 12 months in the absence of a structural or biochemical explanation. The irritable bowel syndrome, functional abdominal bloating, functional constipation, and functional diarrhea are distinguished by symptom-based diagnostic criteria. Unspecified FBD lacks criteria for the other FBDs. Diagnostic testing is individualized, depending on patient age, primary symptom characteristics, and other clinical and laboratory features. Functional abdominal pain (FAP) is defined as either the FAP syndrome, which requires at least six months of pain with poor relation to gut function and loss of daily activities, or unspecified FAP, which lacks criteria for the FAP syndrome. An organic cause for the pain must be excluded, but aspects of the patient's pain behavior are of primary importance. Treatment of the FBDs relies upon confident diagnosis, explanation, and reassurance. Diet alteration, drug treatment, and psychotherapy may be beneficial, depending on the symptoms and psychological features.read more
Citations
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Prevalence of irritable bowel syndrome and its relationship with psychological stress status in Chinese university students
Lei Shen,Hao Kong,Xiaohua Hou +2 more
TL;DR: The aims of the present study were to investigate the prevalence and pattern of symptoms of IBS and its relationship with psychological stress status in Chinese university students.
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Restless legs syndrome is associated with irritable bowel syndrome and small intestinal bacterial overgrowth.
TL;DR: Three hypotheses developed are (a) RLS patients are selectively immunocompromised or genetically predisposed and thus more subject to SIBO; (b) SIBO leads to autoimmune changes, and subsequent auto-antibodies attack brain and/or peripheral nerves and (c)SIBO inflammation leads to increased hepcidin and CNS iron deficiency which, in turn, leads to RLS.
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Depression, Anxiety and Anger in Subtypes of Irritable Bowel Syndrome Patients
Maria Rosaria Anna Muscatello,Antonio Bruno,Gianluca Pandolfo,Umberto Micò,Simona Stilo,M.G. Scaffidi,Pierluigi Consolo,Andrea Tortora,Socrate Pallio,Giacobbe G,Luigi Familiari,Rocco Antonio Zoccali +11 more
TL;DR: IBS subtypes showed different symptomatic profiles in depression, anxiety and anger, with C-IBS patients more psychologically distressed than D-Ibs subjects.
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Colonic propulsive impairment in intractable slow-transit constipation
TL;DR: Patients with severe constipation that is refractory to medical treatment may display an important reduction of colonic forceful propulsive activity, which could justify a surgical approach, which may offer the best results in such patients.
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Functional bowel symptoms in a general Dutch population and associations with common stimulants
TL;DR: The prevalence of dyspepsia and of IBS in a general Dutch adult population appears to be lower than are reported in other countries, and use of alcohol and coffee was not associated with functional bowel symptoms.
References
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Journal ArticleDOI
U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact.
Douglas A. Drossman,Zhiming Li,E Andruzzi,R D Temple,Nicholas J. Talley,W G Thompson,William E. Whitehead,J Janssens,Peter Funch-Jensen,E Corazziari +9 more
TL;DR: Symptom reporting, except for incontinence, declines with age, and low income is associated with greater symptom reporting, and the rate of work/school absenteeism and physician visits is increased for those having a functional gastrointestinal disorder.
Journal ArticleDOI
Towards positive diagnosis of the irritable bowel
TL;DR: It is concluded that a careful history can increase diagnostic confidence and reduce the amount of investigation in many patients with chronic abdominal pain.
Journal ArticleDOI
Defecation frequency and timing, and stool form in the general population: a prospective study.
TL;DR: It is concluded that conventionally normal bowel function is enjoyed by less than half the population and that, in this aspect of human physiology, younger women are especially disadvantaged.
Journal ArticleDOI
Towards positive diagnosis of the irritable bowel.
S Pearson,P Openshaw +1 more
TL;DR: The prevention of cot deaths is dependent firstly on the recognition by parents of the significance of certain non-specific symptoms and on their decision to involve the primary care services, and secondly on the efficacy of medical intervention at this stage.