A 70-year-old man is evaluated for a 5-month history of bloating and nonbloody diarrhea. Diarrhea occurs three times daily. Following a physical exam, lab tests, colonoscopy, and abdominal CT, what is the most appropriate management?
13 Jun 2023
Irritable bowel syndrome (IBS) is not a new disorder, but physicians' understanding of its pathophysiology and treatment has greatly progressed over the years.
1 Jan 2023
An industry-funded analysis of four randomized trials of linaclotide for irritable bowel syndrome (IBS) with constipation found that improvement in abdominal and bowel symptoms occurred after four weeks of treatment in 1 in 6 and 1 in 10 patients, respectively.
22 Nov 2022
A pilot study may have found a new use for an established treatment. Expressive writing, used for other illnesses with a known psychological component, is now being studied to control the symptoms of irritable bowel syndrome.
1 Oct 2010
A 57-year-old man is evaluated for recurrent diarrhea and abdominal pain over the past 2 months. He was diagnosed with celiac disease 10 years ago when he presented with similar symptoms; at that time, symptoms resolved within 1 month of starting a gluten-free diet, which he has maintained since then. He has unintentionally lost 2 kg (5 lb) in the past 2 months. What condition should he be assessed for?
6 Sep 2022
This month's issue addresses irritable bowel syndrome (IBS), bereavement among patients, and transgender care.
1 Jan 2023
Celiac disease should be part of the differential diagnosis for several classic clinical presentations, but atypical symptoms, including constipation, can cause doctors to overlook some patients.
1 Feb 2023
A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
23 Apr 2019
An expert offers evidence-based approaches to diagnosing and treating five rare disorders of the GI system at Internal Medicine Meeting 2022.
1 Jul 2022
A 35-year-old woman is evaluated for constipation. She reports passage of hard stool every 3 to 4 days and associated bloating. Her symptoms have been present for more than 10 years and have progressed gradually. On physical examination, vital signs and other findings are normal. What is the most appropriate treatment?
15 Jan 2019