Navigation Links
Experts Issue Guidelines for Treating Irritable Bowel Syndrome
Date:8/8/2014

By
HealthDay Reporter

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Newly released guidelines for the treatment of irritable bowel syndrome and a type of constipation known as chronic idiopathic constipation reveal a number of proven treatments for these two common conditions.

"There's a greater variety of approaches which reflect a greater understanding of the disorders," said guidelines co-author Dr. Eamonn Quigley, chief of the division of gastroenterology and hepatology at Houston Methodist Hospital.

"We now have a better opportunity to improve the lives of our patients," Quigley said.

The guidelines are published in the August issue of the American Journal of Gastroenterology.

An estimated 5 percent to 15 percent of the world's population has irritable bowel syndrome, a condition that can cause symptoms such as abdominal pain, diarrhea or constipation, cramping and bloating, and gas. It can affect people at any age but is especially common when people are in their 20s and 30s, Quigley said.

The condition can be difficult to diagnose because other conditions share the same symptoms. Unlike other conditions, however, there's no specific diagnostic test for irritable bowel syndrome, he noted. Physicians must rely purely on symptoms to make the diagnosis.

The new guidelines, released this week by the American College of Gastroenterology, say there's evidence to support the following treatments for irritable bowel syndrome:

  • Fiber (psyllium especially when compared to bran)
  • Probiotics
  • An antibiotic called rifaximin (Rifagut)
  • Medications known as linaclotide (Linzess) and lubiprostone (Amitiza)

The irritable bowel syndrome guidelines also say that research has boosted the case for using antidepressant medications and psychological therapy.

Probiotics are a hot topic in medicine. Quigley said research supports their use, but it's not clear which ones are best. "We need more studies comparing doses and preparations, and there hasn't been a lot of that done," he said. Still, probiotics are safe and patients tolerate them well, he noted.

"In regards to specifics, patients have to talk to their doctor," Quigley said.

Dr. William Chey, a gastroenterologist and professor of medicine at the University of Michigan, agreed that it's difficult to decide which probiotic product to recommend. He said one possibility is the product known as Align, which is widely available.

However, the guidelines indicate that there's not enough evidence to support the use of prebiotics (components of food that can't be digested and promote healthy bacteria) and synbiotics (products that combine probiotics and prebiotics).

As for diet, Quigley said there's some evidence that gluten-free diets and so-called "FODMAP" diets can help reduce symptoms of irritable bowel syndrome. FODMAP diets cut out potentially troublesome foods, such as certain added sugars, and then reintroduce them to the diets of patients to help figure out which ones cause symptoms.

Chey said the guidelines slightly understate the value of treatments that involve changing diet since there's evidence that "diet plays a role in the development of the condition and has a role in treatment."

For patients with chronic idiopathic constipation, Quigley said, "there are a lot of relatively simple and relatively inexpensive treatments that work for constipation, and most of them are pretty safe."

Chronic idiopathic constipation is long-term constipation that doesn't have a known cause. Approximately 10 percent to 15 percent of the general population suffers from this condition.

The guidelines for chronic idiopathic constipation strongly recommend the use of fiber supplements plus laxatives such as polyethylene glycol (MiraLax), lactulose (Generlac), sodium picosulfate and bisacodyl (Dulcolax).

The guidelines also strongly recommend linaclotide (Linzess) and lubiprostone (Amitiza), which also appear in the recommendations to treat irritable bowel syndrome, and prucalopride (Resolor).

Some of these drugs are available over the counter, Quigley said. Prescription drugs are available for people with more severe cases of constipation, he said.

More information

For more about irritable bowel syndrome, try the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.

SOURCES: Eamonn Quigley, M.D., chief, division of gastroenterology and hepatology, and professor of medicine, Weill Cornell Medical College, Houston Methodist Hospital; William Chey, M.D., gastroenterologist and professor of medicine, University of Michigan, Ann Arbor, Mich.; August 2014, American Journal of Gastroenterology


'/>"/>
Copyright©2014 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Experts Offer Advice After Yankee Pitchers Trampoline Injury
2. NYU Langone experts present research, clinical advances at neurosurgeons meeting
3. Red Tide Likely in New England This Season, Experts Warn
4. No Proof That Gum Disease Causes Heart Disease, Experts Say
5. Leading experts on congenital muscular dystrophy convene at University of Nevada, Reno
6. Glaucoma Need Not Steal Sight, Experts Say
7. Healthy Behaviors Extend Life After Cancer, Experts Say
8. Routine Kidney Disease Screening Not Worthwhile, Experts Say
9. Columbia University Medical Center and NY-Presbyterian experts at APA meeting
10. Aim Skin Cancer Warnings at the Young, Too, Experts Say
11. Experts call for clinical trials to test non-skeletal benefits of vitamin D
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Experts Issue Guidelines for Treating Irritable Bowel Syndrome
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the American ... Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. ... including advance care planning, healthcare costs and patient and family engagement. , AIR ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe ... from the David Geffen School of Medicine at UCLA. He trained in Internal Medicine ... his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set ... drug or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, ... traumatic event. , Trauma sufferers tend to feel a range of emotions, from depression, ...
(Date:6/24/2016)... ... 24, 2016 , ... Dr. Amanda Cheng, an orthodontist ... has extensive experience with all areas of orthodontics, including robotic Suresmile technology, ... , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can be used ...
(Date:6/24/2016)... NY (PRWEB) , ... June 24, 2016 , ... ... Haute Living, is proud to recognize Dr. Barry M. Weintraub as a prominent ... “the most beautiful women in the world, and the most handsome men, look ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 Dublin ... addition of the " Global Markets for Spectroscopy ... This report focuses on the ... review, including its applications in various applications. The report ... includes three main industries: pharmaceutical and biotechnology, food and ...
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016 /PRNewswire/ ... pulmonary function testing company, is now able to perform sophisticated lung ... ndd Medical Technologies , Inc. Patients are ... labs.  Thanks to ndd,s EasyOne PRO ® , ARL patients like ... any needed testing done in the comfort of her own home. ...
(Date:6/24/2016)... Belgium , June 24, 2016 ... the appointment of Dr. Edward Futcher ... Non-Executive Director, effective June 23, 2016.Dr. Futcher was ... Nominations and Governance Committees.  As a non-executive member ... independent expertise and strategic counsel to VolitionRx in ...
Breaking Medicine Technology: