Gwee Kok-Ann
Glenealges Hospital, Annexe Block Suite 05-37, 6A Napier Road, Singapore 258 500. E-mail:
Curr Treat Options Gastroenterol. 2001 Aug;4(4):287-291. doi: 10.1007/s11938-001-0053-z.
Postinfectious irritable bowel syndrome (PI-IBS) should be considered in patients who present with a change in bowel habits or an onset of new abdominal pain or discomfort following a recent confirmed or presumed exposure to infectious organisms, or in those who have recently returned from a tropical or developing country. In patients who are greatly distressed by their symptoms, an extended workup early in the course of their illness may give physician and patient confidence in focusing on IBS. The author favors a proactive, multicomponent approach to management, as it gives the physician and patient a sense of control. Treatment should include stress management, dietary advice to minimize exposure to trigger foods, and pharmacotherapy to alleviate anxiety and target disturbed physiology.
对于近期确诊或疑似接触过感染源后出现排便习惯改变、新发腹痛或不适的患者，或近期从热带或发展中国家归来的患者，应考虑感染后肠易激综合征（PI-IBS）。对于症状严重困扰的患者，在疾病早期进行全面检查可能会让医生和患者更有信心专注于肠易激综合征的诊断。作者倾向于采取积极主动的多方面管理方法，因为这能让医生和患者有掌控感。治疗应包括压力管理、饮食建议以尽量减少接触诱发食物，以及药物治疗以缓解焦虑并针对紊乱的生理状况。
