[Proper patient counseling, recommended nutrition, specific medication. The basics of irritable bowel syndrome therapy].
In the treatment of the irritable bowel syndrome, it is important to qualify unrealistic expectations with regard to treatment, at an early stage. The therapeutic spectrum encompasses establishment of good rapport between physician and patient, modification of life style, provision of good patient information, reassurance, coping strategies, and temporal restraints on medication. Depending on the leading symptoms, the latter may range from laxatives to probiotics, anticholinergics or spasmolytics, prokinetic and anti-diarrheal agents, to 5-HT3/HT4 receptor antagonists. In individual patients with frequently recurrent or permanent pain, the use of tricyclic antidepressants may be considered. Painkillers should be reserved for patients in whom other therapeutic strategies have failed.
Fliegner-Baia
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Med. Klinik, Stadtspital Triemli, Birmensdorferstr. 497, CH-8063 Zürich.
Keller
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J
Layer
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D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D003109:Colonic Diseases, Functional / Q000209:etiology / Q000628:therapy*; D003131:Combined Modality Therapy; D005247:Feeding Behavior; D005765:Gastrointestinal Agents / Q000627:therapeutic use*; D006801:Humans; D010353:Patient Education as Topic
D000929:Antidepressive Agents, Tricyclic; D005765:Gastrointestinal Agents