title: Irritable bowel syndrome.
abstract: Irritable bowel syndrome is a biopsychosocial disorder characterized by dysregulation of intestinal motor, sensory, and central nervous system functions. It is associated with significant disability and health-care costs. The traditional diagnostic approach leads to excessive investigation for many patients. A reductionist approach of focusing on evaluation and treatment of a single mechanism is unlikely to prove effective. Identification of the characteristic symptom pattern is the key to cost-effective management. A strong patient-physician relationship is essential for a successful outcome. Optimal outcome is predicated on an individualized treatment plan that integrates pharmacologic and behavioral modalities.
authors.affiliation: St. Joseph's Regional Medical Center Locust Valley, New York, USA.
authors.forename: Richard B
authors.initials: RB
authors.lastname: Birrer
mesh_terms: D000328:Adult; D003109:Colonic Diseases, Functional / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans