关键词: been bowel clinical gastrointestinal ibs illness patients psychological symptoms treatment

来  源:   DOI:10.7759/cureus.58728   PDF(Pubmed)

Abstract:
Abdominal distress and irregular bowel movements are the hallmarks of irritable bowel syndrome (IBS), a chronic functional gastrointestinal illness (FGID). It is typified by recurring abdominal discomfort brought on by bowel movements or changes in pattern. Mind-body treatments have gained popularity recently as a way to manage IBS because of the role of the brain-gut axis. In addition to offering a helpful guide for identifying alternate diagnoses in patients exhibiting symptoms similar to IBS, this review attempts to offer an evidence-based solution to these perplexing problems. The etiology, diagnostic standards, and treatments for IBS will be summed up in this review, along with a summary of the available data supporting innovative digital medicines for these two illnesses. This brief study will give an overview of the pathophysiology, clinical characteristics, and treatment strategies of post-infectious irritable bowel syndrome (PI-IBS). In this study, we offer thorough methods for therapeutic therapy and talk about the possible contribution of psychological stress to pathophysiology. Additionally, to help with the introduction and suitability of these patient therapies, we offer a comprehensive review and meta-analysis of randomised controlled trials (RCTs) investigating the effectiveness of exclusion diets (low FODMAP and gluten-free diets, etc.) in IBS.
摘要:
腹部不适和不规则排便是肠易激综合征(IBS)的标志,慢性功能性胃肠病(FGID)。典型的是由排便或模式改变引起的反复腹部不适。由于脑-肠轴的作用,身心疗法最近已成为管理IBS的一种方法。除了提供有用的指导,以确定表现出类似于IBS症状的患者的替代诊断,这篇综述试图为这些令人困惑的问题提供一个基于证据的解决方案.病因,诊断标准,IBS的治疗方法将在这篇综述中进行总结,以及支持这两种疾病的创新数字药物的可用数据摘要。这项简短的研究将概述病理生理学,临床特征,感染后肠易激综合征(PI-IBS)的治疗策略。在这项研究中,我们提供全面的治疗方法,并讨论心理压力对病理生理学的可能贡献。此外,为了帮助这些患者治疗的引入和适用性,我们对随机对照试验(RCTs)进行了全面的综述和荟萃分析,研究排除饮食(低FODMAP和无麸质饮食,等。)在IBS中。
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