Matinum

Taking Charge of Your Health


(gentle music) – [Narrator] Although
Irritable Bowel Syndrome, IBS, is the most common disease
diagnosed by gastroenterologists, it’s also one of the most misunderstood. That’s why updated guidelines addressing the management of the condition
are being released by the American College of Gastroenterology. – Irritable Bowel Syndrome
is a very common GI condition affecting somewhere between 10
and 20% of the US population. The last time the American
College of Gastroenterology put out or published guidelines for the management of IBS was in 2002. There’s been a remarkable explosion in knowledge that’s become available that’s helped us to
understand the cause of IBS and also the management of IBS. With that in mind, the
college actually commissioned an update of the IBS guideline. There will now be a firm recommendation to screen for Celiac disease in individuals with IBS symptoms, that have diarrhea or a mixture of diarrhea and constipation. In addition, we also
recommend that for individuals with diarrhea-related symptoms
in the setting of IBS, if they undergo colonoscopy, the endoscopist should obtain
biopsies from the colon to exclude a relatively unusual condition called microscopic colitis, which is a condition that
leads to inflammation in the lining of the colon, and subsequently, a development
of significant diarrhea. There’s a comprehensive set of guidelines that addresses the
various forms of therapy that have been critically
evaluated in clinical trials in patients with IBS, so some of the other changes from the previous guideline are that now, we feel that there’s
reasonably good evidence to support the use of
anti-depressants, tricyclic agents, and selective serotonin
reuptake inhibitors for selected patients with IBS. Antidepressant therapy at low doses offers benefits for GI symptoms even in individuals that don’t have comorbid anxiety or depression. There really are things
to do for these patients. It’s not a hopeless situation. In fact, most patients will benefit from a structured focus diagnostic evaluation and we can make most patients better by using a wide array of
different therapies now. (gentle music)

50 thoughts on “New recommendations released for treatment of IBS

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  33. I accidently discovered that having lentils in my diet (soups, mainly) has led to total control of my IBS. For 6 years I suffered needlessly. The trick is to have puy or red lentil soup every day. Within one week, all IBS symptoms will disappear. Food is medicine

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