SMJ articles in the category "irritable bowel syndrome"

Original Article

Water Load Test in Children with Chronic Abdominal Pain or Obesity Compared with Nonobese Controls

Objective: Satiety is the perception of satisfied fullness and represents a summation of neural and hormonal influences. Satiety can be assessed by drink tests, including water load. The objective of our study was to confirm the difference in water load volume between nonobese control children and children with functional dyspepsia…

Posted in: irritable bowel syndrome 7 pediatrics 33

Original Article

Does Carbohydrate Challenge Testing Predict Clinical Response in Small Intestinal Bacterial Overgrowth?

Objectives: Small intestinal bacterial overgrowth (SIBO) is considered a frequent cause of abdominal symptoms in patients with surgically altered intestinal anatomy or dysmotility conditions and is recognized as a contributing factor in the exacerbation of irritable bowel syndrome symptoms. Diagnostic testing can be used to detect the condition. Methods: The…

Posted in: irritable bowel syndrome 7

Review

Diagnosing Irritable Bowel Syndrome: A Changing Clinical Paradigm

Rather than being a diagnosis of exclusion, irritable bowel syndrome (IBS) is a diagnosis that can be identified by symptom-based criteria. The collection of these criteria by a meticulous history can be enhanced by using various tools. Once a positive diagnosis is made, using clinical criteria for diagnosis, one should…

Posted in: constipation 5 diarrhea 10 irritable bowel syndrome 7

Original Article

Racial Differences in General Health, Suicidal Thoughts, Physical and Sexual Abuse in African-Americans and Caucasians with Irritable Bowel Syndrome

Objectives: Knowledge of the contribution of race to irritable bowel syndrome (IBS) -associated morbidity helps not only with health care policy decisions but also may provide important clues to the pathophysiologic interactions involved. Methods: We conducted a survey at 9 different sites in our metro area. Subjects filled a questionnaire…

Posted in: irritable bowel syndrome 7

Original Article

Clinical Impact of Identifying Lactose Maldigestion or Fructose Malabsorption in Irritable Bowel Syndrome or Other Conditions

Background:The role of carbohydrate maldigestion or malabsorption remains unclear in patients with irritable bowel syndrome (IBS). The purpose of this study was to examine the impact of identifying lactose maldigestion (LM) and fructose malabsorption (FM) on patients with and without IBS.Methods:Patients who received lactose and fructose challenge testing formed the…

Posted in: irritable bowel syndrome 7

Case Report

An Unusual Case of Colonic Ischemia

Abstract:Sumatriptan is widely prescribed for the treatment of migraine headaches. Its actions are mediated via agonist action on the vascular 5-hydroxytryptamine 1 receptor which results in vasoconstriction. We report a case of a 46-year-old woman who developed ischemic colitis while taking increasing doses of sumatriptan for a migraine headache. Her…

Posted in: estrogen 3 irritable bowel syndrome 7 ischemic colitis 4

Expired CME Article

Irritable Bowel Syndrome: A Practical Review

The epidemiology and current understanding of the pathophysiology of irritable bowel syndrome is reviewed, beginning with a historical perspective. The roles of genetics, environment, allergy, infection and inflammation, bacterial overgrowth, hormones and motility abnormalities are discussed. Using the current evidence-based literature, the practical approach of diagnosis and treatment is outlined,…

Posted in: constipation 5 diarrhea 10 irritable bowel syndrome 7
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