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
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 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
Despite a recommendation to screen for intimate partner violence and the many tools available to physicians, barriers to implementation remain.
1 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 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
While psychotherapies are effective treatments for some digestive disorders, stigma around both functional gut disorders and mental health diagnoses limits uptake, both for physicians and patients.
1 Sep 2019
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
One major finding is that irritable bowel syndrome and functional dyspepsia are connected.
1 Jan 2019
The October issue of ACP Internist highlights continuous glucose monitoring, house calls and managing irritable bowel syndrome.
5 Oct 2010