Djatioetomo Anastasia K, Maharani Andi Rk, Djatioetomo Yovita Ced, Nurrochmawati Zidny, Anandita Faizal A
Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Kebonsari Health Center, Surabaya, Indonesia.
Narra J. 2024 Aug;4(2):e759. doi: 10.52225/narra.v4i2.759. Epub 2024 May 24.
Functional dyspepsia is a complex collection of symptoms from the gastroduodenal, while irritable bowel syndrome (IBS) is a disease that chronically weakens gastrointestinal. The occurrences of both of these diseases are common; however, the new approach therapy introducing the low-FODMAP diet (low fructose, oligosaccharides, disaccharides, monosaccharides, and polyols) is rarely discussed. The aim of this case report was to present a case of functional dyspepsia with IBS mixed type treated with a low-FODMAP diet. A female 37 years old reported complaints of heartburn worsening over the last seven months. Based on IBS-symptom severity scale (IBS-SSS) assessment, the patient had 75% scale on belly pain and 50% abdominal distention, which interfered the daily activity significantly. The patient was diagnosed with functional dyspepsia subtype postprandial distress syndrome with IBS mixed type. In addition, the low-FODMAP diet was started immediately, together with pharmacological therapy (oral omeprazole and domperidone), and followed up each week. On the first week of evaluation, the patient was feeling much better as IBS-SSS assessment scores decreased, and the pharmacological therapy was stopped. On the second week of evaluation, the patient had no more complaints with IB-SSS assessment markedly decreased. This case highlights that low-FODMAP diet could be a new approach therapy for IBS that could improve the IBS symptoms.
功能性消化不良是一组源于胃十二指肠的复杂症状，而肠易激综合征（IBS）是一种使胃肠道长期衰弱的疾病。这两种疾病都很常见；然而，引入低FODMAP饮食（低果糖、寡糖、双糖、单糖和多元醇）的新治疗方法却很少被讨论。本病例报告的目的是介绍一例采用低FODMAP饮食治疗的混合型功能性消化不良伴肠易激综合征病例。一名37岁女性报告称，在过去七个月里烧心症状不断加重。根据肠易激综合征症状严重程度量表（IBS-SSS）评估，该患者腹痛症状严重程度为75%，腹胀为50%，严重影响了日常活动。该患者被诊断为功能性消化不良亚型餐后不适综合征伴混合型肠易激综合征。此外，立即开始低FODMAP饮食，并结合药物治疗（口服奥美拉唑和多潘立酮），每周进行随访。在评估的第一周，随着IBS-SSS评估分数下降，患者感觉好多了，于是停止了药物治疗。在评估的第二周，患者不再有任何不适，IBS-SSS评估分数显著下降。本病例突出表明，低FODMAP饮食可能是一种治疗肠易激综合征的新方法，可改善肠易激综合征症状。
