Patel Sarah, Doerfler Bethany, Boutros Katerine, Ng Samson, Manuel Machelle, DeSimone Elayne
Department of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USA.
Rutgers University, Piscataway, NJ, USA.
Int J Gen Med. 2021 Apr 21;14:1457-1468. doi: 10.2147/IJGM.S274568. eCollection 2021.
Irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) are two common disorders of gut-brain interaction. Affected patients often first present to their primary care providers seeking care for symptoms of constipation, abdominal pain, and bloating, which have a significant impact on their health-related quality of life. These patients often require extensive counseling and reassurance, and knowledge of reliable diagnostic criteria and treatment options is imperative to managing their conditions. Family medicine practitioners, including nurse practitioners and physician assistants, are uniquely qualified to provide a diagnosis and safe, effective management of these disorders. This article reviews the latest evidence and provides practical advice related to diagnosis and management of IBS-C and CIC.
便秘型肠易激综合征（IBS-C）和慢性特发性便秘（CIC）是两种常见的肠脑互动障碍。受影响的患者通常首先会去找他们的初级保健提供者，寻求针对便秘、腹痛和腹胀症状的治疗，这些症状对他们的健康相关生活质量有重大影响。这些患者通常需要大量的咨询和安慰，了解可靠的诊断标准和治疗选择对于管理他们的病情至关重要。包括执业护士和医师助理在内的家庭医学从业者具备独特的资质来对这些疾病进行诊断并提供安全、有效的管理。本文回顾了最新证据，并提供了与IBS-C和CIC的诊断及管理相关的实用建议。
