Diamant N E
Can Med Assoc J. 1977 Apr 9;116(7):745-6.
The irritable colon syndrome comprises two predominant symptom patterns -- "spastic colon" with pain and constipation, and painless "nervous diarrhea". The two patterns frequently overlap. Low intake of dietary fibre is common to patients in both groups. Diagnosis of the irritable colon as a cause of diarrhea requires the characteristic symptom pattern and exclusion of organic disease. Management is based on common sense, careful reassurance of the patient, detailed explanation of the symptom pattern and explicit dietary advice. Increasing fibre in the diet is of prime importance in most patients.
肠易激综合征包括两种主要症状模式——伴有疼痛和便秘的“痉挛性结肠”，以及无痛的“神经性腹泻”。这两种模式常常重叠。两组患者膳食纤维摄入量普遍较低。将肠易激综合征诊断为腹泻病因需要具备特征性症状模式并排除器质性疾病。治疗基于常识，要仔细安抚患者，详细解释症状模式并给予明确的饮食建议。对大多数患者而言，增加饮食中的纤维至关重要。
