Medical history (history of illness) represents an important component in the diagnosis of irritable bowel syndrome (IBS). Family history Are there frequent gastrointestinal diseases in your family (inflammatory bowel disease; colon cancer)? Social history Is there any evidence of psychosocial stress or strain due to. Of your occupation? Of your family situation? Current medical history/systemic … Irritable Bowel Syndrome: Medical History
The irritable bowel syndrome leading symptoms are highlighted as shown below: 1Diarrhea (diarrhea). 2Pain 3Obstipation (constipation) 4Flatulence, distension (feeling of overstretching in the intestine). DiseasesInfectious and parasitic diseases (A00-B99). Diarrhea1 (wg infectious enterocolitis). Endocrine, nutritional, and metabolic diseases (E00-E90). C1 esterase inhibitor deficiency2 – deficiency of this protein is called hereditary angioedema (or hereditary angioneurotic … Irritable Bowel Syndrome: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by irritable bowel syndrome: Musculoskeletal system and connective tissue (M00-M99). Osteoporosis (bone loss) Psyche – nervous system (F00-F99; G00-G99) Depression Somatoform and mental disorders [these are associated disorders].
Diagnostic criteria for irritable bowel syndrome (IBS) [S3 guideline]. The following three criteria must be met: There are chronic complaints, that is, lasting longer than three months (for example, abdominal pain, flatulence), which are referred by the patient and physician to the intestine and are usually accompanied by changes in bowel movements. The complaints should … Irritable Bowel Syndrome: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? … Irritable Bowel Syndrome: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count* Differential blood count* Inflammatory parameters – C-reactive protein* (CRP) or erythrocyte sedimentation rate* (ESR). Urine status (rapid test for: Nitrite, protein, hemoglobin, erythrocytes, leukocytes, urobilinogen) incl. sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing of suitable antibiotics for sensitivity / … Irritable Bowel Syndrome: Test and Diagnosis
Therapy target Improvement of the IBS symptomatology Therapy recommendations Improvement of IBS symptoms is best done with counseling of the patient and a change in diet including intake of probiotics (according to S3 guideline: level of evidence A, strength of recommendation ↑, strong consensus). Drug therapy should be symptom-oriented and used only for a short … Irritable Bowel Syndrome: Drug Therapy
Obligatory medical device diagnostics. H2 breath tests (lactose H2 breath test, fructose H2 breath test, and sorbitol H2 breath test, if applicable) – to rule out lactose, fructose, or sorbitol tolerance. In this test procedure, a baseline determination of the hydrogen concentration in the exhaled air is made before the examination begins; then the affected … Irritable Bowel Syndrome: Diagnostic Tests
Within the framework of micronutrient medicine (vital substances), the following vital substances are used for supportive therapy: Probiotics The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical studies with the highest levels of … Irritable Bowel Syndrome: Micronutrient Therapy
To prevent irritable bowel syndrome (IBS), attention must be paid to reducing individual risk factors.Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Psycho-social situation Acute and chronic stress Psychological stress Disease-related risk factors Food allergy Food intolerances (50-70% of cases vs normal population: 20-25%): Fructose intolerance (fruit sugar intolerance). Lactose … Irritable Bowel Syndrome: Prevention
The following symptoms and complaints may occur together with irritable bowel syndrome (IBS): Leading symptoms Recurrent (recurring) pain in the lower abdomen* . Altered bowel habits* such as alternating constipation (constipation) and diarrhea* * (diarrhea) (one can distinguish an obstipation-dominant type, a diarrhea-dominant type, and a mixed type) Attention: if diarrhea exists as a leading … Irritable Bowel Syndrome: Symptoms, Complaints, Signs
Pathogenesis (development of disease) To date, no definitive cause for irritable bowel syndrome (IBS) has been found. Until now, it has held that most patients have a lower-than-normal pain threshold in the bowel, which is referred to as hyperalgesia (excessive sensitivity to pain and response to a usually painful stimulus). Hyperalgesia had been consistently demonstrated … Irritable Bowel Syndrome: Causes
