Irritable bowel
In medicine, irritable bowel syndrome (also called functional bowel disorders) is a group of states of the colon and in some cases, the small intestine. It is an extremely common condition.
Diagnosis
Diagnostic criteria have been developed (called ROME III): recurrent abdominal pain at least three days per month for at least three months, the pain is relieved by defecation and accompanied by a change of pace stools and their consistency.
Many other symptoms may accompany gastrointestinal symptoms: headache, fatigue, irritability, urinary symptoms or difficult periods, depression ...
Clinical examination is substantially normal but must seek another cause described the pain.
Mechanism
The precise causes are unknown although stress, especially in childhood, may play a role.
Epidemiology
This disease affects nearly 10% of the global population, most often women between 20 and 40 years (two times more affected than men), distributed in a manner roughly equal between shapes constipation-predominant and diarrhea-predominant one (the transition between these forms is common).
Symptoms can appear in childhood.
In 10% of cases, the syndrome appears to result from gastro-enteritis.
It has a significant economic cost, the multiple necessary consultations, and sometimes, by misdiagnosis leading to inappropriate treatment.
Treatment
There is no cure, but taking probiotics can prevent potential crises.
The doctor-patient relationship is an important component of care and consultation can only be truly effective.
One approach, drawing on a component of Chinese medicine is to practice internal exercises to evacuate bloating, flatulence, stress and anxiety. The patient for whom it should become independent and can thus improve their quality of life without expensive medication or therapeutic intervention. Other types of behavioral psychotherapy can improve symptoms.
Pharmacologically, the doctor may prescribe antacids, prokinetics, antispasmodics, inhibitors of proton pumps, an antidiarrheal medication cons or constipation, or an antidepressant at low doses as the most bothersome symptoms.
The Tegasorod proved moderately effective for constipation, but its use has been limited due to the increase of cardiac events.
In diarrheal forms, alosetron, an inhibitor of 5-hydroxytryptamine3, seems to have some efficacy.
Peppermint seems to have a significant beneficial effect.
For simple forms of colitis
First, it is about restoring the digestive functions, some excerpts of his (wheat husk) are used for their fiber content. There may however be an exacerbation of pain at baseline. The actual action of these products is discussed and other fibers, such as more soluble espaghul, plantain extract of India, could have a better efficiency.
Prognosis
The discomfort is often extended up to several years, over 7 years in more than half of cases. It is unnecessary, as a rule, to move to other diseases. Spontaneous resolution of symptoms, however, is quite common with time.
See also Fibromyalgia
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