At a meeting this week of the World Congress of Psychosomatic Medicine, gastroenterologist Peter Whorwell, MD, will discuss more than 20 years of research showing that hypnosis can not only improve symptoms of irritable bowel syndromeor IBSbut can even alter the underlying physical problems that cause the symptoms. The movie version of hypnosis is not much like the real thing. Instead, says Whorwell, in his practice it is more like meditationyogaor guided imagery.
Irritable Bowel Syndrome I. What every physician needs to know. Irritable bowel syndrome IBS is the most common functional gastrointestinal disorder. It is a disorder that may cause abdominal bloating, gassiness, crampy abdominal pain, diarrhea IBS-Dconstipation IBS-Calternating Psychosomatic disorder and irritable bowel syndrome and diarrhea, mucousy stools, and fecal urgency.
Individuals feel the need to defecate immediately following a bowel movement. Although many patients experience a great deal of pain and distress from their symptoms IBS is considered a functional disorder because there are no specific signs of physical disease when the colon is examined.
IBS is also referred to as functional bowel syndrome, irritable colon, spastic bowel, and spastic colon. IBS is believed to at least partially be a disorder of colon motility.
The dysmotility results in an aberration in the digestion and propulsion of solids and fluids within the colon.
Patients with IBS have colonic over-sensitivity and over-reactivity to the neuromuscular stimuli and events that occur within the GI tract. When propulsion of the intestinal contents is impaired it can lead to abdominal pain and spasms. There are many triggers that cause IBS symptoms including eating, abdominal distension from gas or colon contents, certain medications, certain foods typically spicy, processed, or fatty foodsand menses for females.
Emotional stress is also felt to play a role in IBS. It is hypothesized that stress stimulates colonic spasm which results in the various IBS symptoms. In general, women are more commonly affected with IBS than males.
Are you sure your patient has Irritable Bowel Syndrome? IBS is a diagnosis of exclusion. The key to establishing the diagnosis is to perform a thorough history and physical exam as well as to obtain both screening laboratory and radiological studies. Patients with IBS typically present with abdominal pain and cramping.
Patients often have a difficult time describing the pain quality. The timing of the pain is often telling in that it frequently occurs after eating. Fecal content may include undigested food in this scenario. Patients may also present with a history of constipation, diarrhea, or alternating constipation and diarrhea.
The stools may be mixed with mucous. If the patient has diarrhea it is not accompanied by bloody stools, fever, weight loss, or persistent abdominal pain. The patient is not awakened from their sleep to have a bowel movement.
This pearl will help distinguish organic diarrhea e. IBS may cause abdominal bloating and gassiness. These symptoms may occur after eating and may be confused with gallbladder disease if the patient complains about right upper quadrant abdominal pain as well.
Eliciting the quality of the pain may distinguish between these two entities as cholestatic pain is typically more sharp and intense. Many IBS patients will describe their abdominal pain as a pressure or band reaching across the right and left upper abdominal quadrants.
Red flag considerations should include weight loss, gastrointestinal bleeding, anemia, and nocturnal symptoms. Females are between 2- 3. Patients between the ages of years were most affected. The typical patient tends to be white, female, educated, approximately 44 years of age, married, employed, and has had symptoms for greater than 1 year.
The incidence of IBS is higher in individuals who have chronic fatigue syndrome, depression, fibromyalgia, and those individual who are under significant stress in their lives.
Competing diagnoses that can mimic Irritable Bowel Syndrome. A variety of diseases and symptom complexes can mimic IBS. For example, patients who have lactose intolerance, celiac sprue disease, IBD, thyroid disorders hypo and hyperand infections of the colon Giardia, bacterial, viral can all feature abnormal defecation and abdominal pain.The most common theory is that IBS is a disorder of the interaction between the brain and the gastrointestinal tract, constipation, but where no well-recognized infective cause could be found.
Early theories suggested that the Irritable Bowel was caused by a psychosomatic, or mental disorder. Irritable bowel syndrome solution. Irritable bowel syndrome (IBS) is a group of symptoms—including abdominal pain and changes in the pattern of bowel movements without any evidence of underlying damage.
These symptoms occur over a long time, often years. . Psychosomatic medicine is an interdisciplinary medical field exploring the relationships among social, psychological, and behavioral factors on bodily processes and quality of life in humans and animals. What are psychosomatic disorders?
Irritable bowel syndrome; Types of Psychosomatic Disorders. Pain disorder. The individual reports severe pain in one or more areas of the body. However, there are no identifiable causes for this pain such as an injury or a wound.
This can cause the individual to take unnecessary painkillers and it . But it’s a very real problem for the 60 million people — that’s 20 percent of Americans — who have irritable bowel syndrome (IBS). These people are plagued by uncomfortable and often disabling symptoms like bloating, cramps, diarrhea, constipation, and pain.
Does Depression Influence Symptom Severity in Irritable Bowel Syndrome? Case Study of a Patient With Irritable Bowel Syndrome and Bipolar Disorder.