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Irritable Bowel Syndrome
Treatment designed to eliminate concerns of patients, improve symptoms and improve quality of life. Treatment principle is to establish a good doctor-patient relationship based on the type of main symptoms and symptomatic treatment were graded according to severity of symptoms of irritable bowel syndrome treatment. Note that the individual treatment and comprehensive use.
(A) general treatment tell patients the diagnosis of irritable bowel syndrome and explain in detail the nature of the disease, to relieve the concerns of patients and improve confidence in treatment is the treatment of the most important step. Through detailed history taking, understanding the reasons patients seek medical attention (such as fear of cancer, psychological), targeted explanations; to attempt to identify predisposing factors (such as dietary factors, some of the stress event, etc.) and seek to eliminate. Dietary and lifestyle adjustments to provide guidance suggested, may help relieve symptoms. For insomnia, anxiety due to sedatives. Throughout the treatment process to establish a good doctor-patient relationship, get treatment in patients with IBS based on trust, rather than mild patients may therefore need more further treatment.
(B) of the main symptoms of the drug for the treatment of symptoms, could appropriate use of drugs to control symptoms, commonly used drugs, including:
1. Antispasmodic agent abdominal pain can be used anticholinergic drugs su


ch as atropine, Propantheline, Lang henbane base, etc., but should pay attention to adverse reactions. You can also use the relative specificity of intestinal smooth muscle calcium channel antagonists such as pinaverium bromide, Australia for the bromide.
2. Antidiarrheal drug loperamide diarrhea can choose or diphenoxylate compound, but pay attention to constipation, bloating side effects. May use mild adsorbent, such as double-octahedral smectite.
3. Conductance laxative laxative constipation can use the guide in general advocate the use of a mild laxative effect to reduce adverse reactions and drug dependence. Commonly used drugs such as the volume of the formation of the European front, or methyl cellulose preparations, such as polyethylene glycol laxative permeability (PEG4000), lactulose or sorbitol.
4. Intestinal motility sensory modulation drugs recently reported 5-HT4 receptor partial agonist, tegaserod to improve constipation, abdominal pain, bloating and effective for patients with constipation-predominant IBS.
5. Antidepressants symptoms of abdominal pain, weight and the treatment fails, especially with psychotic symptoms were more obvious to try. Tricyclic antidepressants such as amitriptyline proved by the comparative study of abdominal pain effective, but adverse reactions. Selective 5 - HT reuptake inhibitor (SSRI) fluoxetine and other adverse reactions, such as relatively small, but the slow onset (approximately 2 weeks), treatment length (3 to 4 months). IBS dose of antidepressants in the treatment than when a small amount of antidepressant treatment.(C) psychological and behavioral treatment of irritable bowel syndrome
Severe and persistent symptoms, the general treatment and medical therapy should be considered to be psychological and behavioral therapy. These therapies include psychotherapy, cognitive therapy, hypnosis, biofeedback and so on.Treatment of IBS with probiotics in recent years reports of its efficacy and mechanism to be studied further.
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Location: Xunyiwe Irritable Bowel Syndrome [Disease Forum has been transferred to the gastrointestinal tract] irritable bowel syndrome [gastrointestinal tract disease has been transferred to Forum]
Article Posted by: Xunyiwenyao net collections this patient sex: male age: 21
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