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Irritable Bowel Syndrome

1993; Massachusetts Medical Society; Volume: 329; Issue: 26 Linguagem: Inglês

10.1056/nejm199312233292608

1533-4406

Richard B. Lynn, Lawrence S. Friedman,

Therapeutic Uses of Natural Elements

Irritable bowel syndrome is one of a group of disorders that includes chest pain of unexplained origin, nonulcer dyspepsia, and biliary dyskinesia. These chronic disorders are frequently considered functional, because no specific structural or biochemical cause has been found1. In all likelihood, the pathogenesis involves disordered motility or altered visceral sensation, although no consistent abnormality has been identified. In addition, psychosocial factors affect the clinical expression of these disorders.Definition and Clinical PresentationPatients with irritable bowel syndrome have a broad range of symptoms well known to most clinicians. The symptoms may be continuous or intermittent but should be . . .