Anand Khushi, Khatib Mahalaqua Nazli
Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Apr 22;16(4):e58728. doi: 10.7759/cureus.58728. eCollection 2024 Apr.
Abdominal distress and irregular bowel movements are the hallmarks of irritable bowel syndrome (IBS), a chronic functional gastrointestinal illness (FGID). It is typified by recurring abdominal discomfort brought on by bowel movements or changes in pattern. Mind-body treatments have gained popularity recently as a way to manage IBS because of the role of the brain-gut axis. In addition to offering a helpful guide for identifying alternate diagnoses in patients exhibiting symptoms similar to IBS, this review attempts to offer an evidence-based solution to these perplexing problems. The etiology, diagnostic standards, and treatments for IBS will be summed up in this review, along with a summary of the available data supporting innovative digital medicines for these two illnesses. This brief study will give an overview of the pathophysiology, clinical characteristics, and treatment strategies of post-infectious irritable bowel syndrome (PI-IBS). In this study, we offer thorough methods for therapeutic therapy and talk about the possible contribution of psychological stress to pathophysiology. Additionally, to help with the introduction and suitability of these patient therapies, we offer a comprehensive review and meta-analysis of randomised controlled trials (RCTs) investigating the effectiveness of exclusion diets (low FODMAP and gluten-free diets, etc.) in IBS.
腹部不适和排便习惯不规律是肠易激综合征(IBS)的典型特征,这是一种慢性功能性胃肠疾病(FGID)。其特点是排便或排便模式改变引发反复出现的腹部不适。由于脑-肠轴的作用,身心治疗最近作为一种管理IBS的方法而受到欢迎。除了为识别表现出与IBS相似症状的患者的其他诊断提供有用指导外,本综述还试图为这些令人困惑的问题提供基于证据的解决方案。本综述将总结IBS的病因、诊断标准和治疗方法,以及支持用于这两种疾病的创新数字药物的现有数据摘要。本简短研究将概述感染后肠易激综合征(PI-IBS)的病理生理学、临床特征和治疗策略。在本研究中,我们提供了全面的治疗方法,并探讨了心理压力对病理生理学的可能影响。此外,为了帮助介绍和评估这些患者治疗方法,我们对调查排除饮食(低FODMAP饮食和无麸质饮食等)在IBS中的有效性的随机对照试验(RCT)进行了全面综述和荟萃分析。