Shani-Zur Dana, Wolkomir Keren
Harefuah. 2015 Jan;154(1):52-5, 66.
Irritable Bowel Syndrome affects 9-23% of the general population. This diagnosis contributes to more frequent doctor visits and multiple consultations by patients. The current approach to treating IBS is symptomatic and consists of a regimen of first line pharmacological treatment options; the use of anti-depressant drugs is also common. The efficiency of complementary medicine in the treatment of IBS has been studied in the last few years. Qualitative multidisciplinary approach studies, using personalized medicines with complementary therapies are needed. We present the case of a 39-year-old woman with a diagnosis of IBS since 2009, who complained about gastrointestinal symptoms since the age of 13 and severe episodes of spasmodic stomach aches in the last year self-ranked as 10, on a 0-10 scale; 3-4 episodes a month, which last for 5 days, accompanied by severe flatulence and bloating. In addition, she has constipation (one bowel movement every 10 days), alternating with multiple diarrheic bowel movements (6 times a day). Using a multidisciplinary approach, including medicinal care, Chinese medicine, reflexology and naturopathy resulted in significant improvement in symptoms and quality of life, as well as gradual reduction of drugs, approved by her physician. Stomach ache self-ranked now as 1, on a 0-10 scale; and flatulence and bloating self-ranked as mild. Bowel movement frequency increased and is now every other day. She no longer has diarrheic and/or multiple bowel movements. This case report emphasizes the importance of integrative treatment in IBS and its benefit in improving patients' quality of life.
肠易激综合征影响着9%至23%的普通人群。这一诊断导致患者更频繁地就医和进行多次会诊。目前治疗肠易激综合征的方法是对症治疗,包括一线药物治疗方案;使用抗抑郁药物也很常见。近年来,人们对补充医学在治疗肠易激综合征方面的效果进行了研究。需要采用定性多学科方法进行研究,使用个性化药物并结合补充疗法。我们报告了一例自2009年起被诊断为肠易激综合征的39岁女性病例,她自13岁起就抱怨胃肠道症状,去年出现严重的痉挛性胃痛发作,自我评分在0至10分的量表上为10分;每月发作3至4次,每次持续5天,伴有严重的肠胃胀气和腹胀。此外,她有便秘(每10天排便一次),并与多次腹泻性排便(每天6次)交替出现。采用多学科方法,包括药物治疗、中医、反射疗法和自然疗法,使症状和生活质量得到了显著改善,同时在她的医生批准下逐渐减少了药物用量。现在胃痛自我评分在0至10分的量表上为1分;肠胃胀气和腹胀自我评为轻度。排便频率增加,现在每隔一天排便一次。她不再有腹泻性和/或多次排便的情况。本病例报告强调了综合治疗在肠易激综合征中的重要性及其对改善患者生活质量的益处。