Unconventional but effective: breaking through IBS-D clinical practice guidelines - correspondence
Omer Ahmed Shaikh, Gulrukh Shaikh, Rameel Muhammad Aftab, Haisum Baktashi, Irfan Ullah, Muhammad Sohaib Asghar, Omer Ahmed Shaikh, Gulrukh Shaikh, Rameel Muhammad Aftab, Haisum Baktashi, Irfan Ullah, Muhammad Sohaib Asghar
Abstract
Irritable Bowel Syndrome (IBS) is a chronic, one of the commonest and persistent gastrointestinal (GI) disorder. Previously, the management plan for IBS-D included enhancing awareness; first line treatment included an increased dietary fiber intake, opioids for diarrhea and antispasmodics for pain management. A recent treatment guideline by the American Gastroenterology Association (AGA) suggests a modified approach to treating patients with IBS-D. Eight drug recommendations were made, and a set of instructions on when to employ which medication was devised. With the incorporation of these structured guidelines, a more tailored and focused approach to IBS management may become plausible.
Keywords: IBS; constipation; diarrhea; dyspepsia; gastroenterology.
Conflict of interest statement
The authors declare no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.
Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.
References
- Saha L. Irritable bowel syndrome: pathogenesis, diagnosis, treatment, and evidence-based medicine. World J Gastroenterol 2014;20:6759–6773.
- Occhipinti K, Smith JW. Irritable bowel syndrome: a review and update. Clin Colon Rectal Surg 2012;25:46–52.
- Yeh HW, Chien WC, Chung CH, et al. . Risk of psychiatric disorders in irritable bowel syndrome – a nationwide, population-based, cohort study. Int J Clin Pract 2018;72:e13212.
- Lacy B, Patel N. Rome criteria and a diagnostic approach to irritable bowel syndrome. J Clin Med 2017;6:99.
- Camilleri M. Diagnosis and treatment of irritable bowel syndrome: a review. JAMA 2021;325:865–877.
- Lembo A, Sultan S, Chang L, et al. . AGA clinical practice guideline on the pharmacological management of irritable bowel syndrome with diarrhea. Gastroenterology 2022;163:137–151.
- Chang L, Sultan S, Lembo A, et al. . AGA clinical practice guideline on the pharmacological management of irritable bowel syndrome with constipation. Gastroenterology 2022;163:118–136.
Source: PubMed