title: Irritable bowel syndrome. Strategy for the family physician.
abstract: Irritable bowel syndrome is one of the most common reasons for disability and health care seeking. A sensible strategy for management incorporates a confident diagnosis based upon history, physical examination, and pertinent tests. The physician can then reassure the patient, offer dietary and stress management advice, and recommend bran to relieve constipation and to evoke the placebo response. Patients who do not respond could require supportive psychotherapy or a drug for the dominant symptom. A few require careful referral, but overall responsibility should remain with the primary physician.
authors.affiliation: University of Ottawa.
authors.forename: W G
authors.initials: WG
authors.lastname: Thompson
mesh_terms: D000359:Aftercare; D001466:Barium Sulfate; D002908:Chronic Disease; D003109:Colonic Diseases, Functional / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D004043:Dietary Fiber; D004733:Enema; D005194:Family Practice; D006801:Humans; D010353:Patient Education as Topic; D011613:Psychotherapy; D012017:Referral and Consultation
chemical_list: D004043:Dietary Fiber; D001466:Barium Sulfate