Irritable bowel syndrome (IBS) is a functional GI disorder (FGID) characterized by abdominal pain in association with altered bowel habits in the absence of any identifiable structural or biochemical abnormalities. It is a very common disorder that can have a profound negative impact on a patient’s quality of life and constitutes a considerable social and economic burden on society. Extensive research over the last few decades has led to a better understanding of this complex syndrome and improvements in treatment. After a brief review of the clinical manifestations and diagnosis of IBS, the current understanding of the complex physiological mechanisms contributing to the syndrome will be addressed. The remainder of this paper will focus on a number of important topics at the interface of IBS and psychiatry, including psychiatric comorbidity in IBS, the complex role of psychosocial stressors in the onset and perpetuation of symptoms in IBS, and various considerations in the management of IBS from the perspective of psychiatry. IBS is a functional GI disorder, meaning it cannot be explained by any specific structural or biochemical abnormality. The disorder is subdivided into three different types, which are named on the basis of the predominant symptom – IBS-D (diarrhea-predominant), IBS-C (constipation-predominant), IBS-M (mixed diarrhea and constipation). Clinical presentation varies considerably with regard to the quality of the predominant feature and the overall severity of symptoms. Formal diagnosis is based on the most recent Rome III criteria, which require that a patient experience recurrent abdominal discomfort of at least 3 days per month over the previous 3 months, with a total symptom duration of at least 6 months, in... ... middle of paper ... ...of IBS. A final important consideration in the management of IBS patients from a psychiatric perspective revolves around the use of psychopharmacologic agents in treatment. The rationale for use of anti-depressant medications in IBS patients is based not only the observed psychiatric comorbidity in this population, but also on the role of these medications in improving central pain perception and physiologic response of the gut to descending signals. The evidence-based position statement of the American College of Gastroenterology (2008) affirms that both low-dose TCAs and SSRIs are more effective than placebo at reducing global IBS symptoms and abdominal pain. More evidence exists for the benefit of TCAs in IBS treatment, and they have been shown to decrease global symptoms and abdominal pain at lower doses than those required for the treatment of depression (2).
(What is....2016). The first documented case of Crohn’s disease suspected was King Alfred in 850 A.D. This disease is named after a Jewish man named Dr. Burrill Bernard Crohn (1884-1983) who became interested in the condition as his father, also a Dr, suffered from a disorder of the bowel. He devoted his career to “regional enteritis” the disease that now bares his name. It is necessary to understand the disease to be able to provide care for people who are afflicted by it (de Campos and Kotze 2013). Especially since Crohn’s is a chronic disease or a lifelong affliction it’s important to understand etiology, it’s symptoms, treatments, and to maintain the disease and the psychological well being of the patient managed (Crohn’s...2015).
Irritable Bowel Syndrome (IBS) is a gastrointestinal syndrome characterized by chronic pain and irregular bowl movement with the absence of organ cause. IBS could be diarrhea-predominate or constipation-predominate. One of the pathophysiology that thought to cause IBS diarrhea-predominate (IBS-D) is a high level of serotonin especially after the meals. There are two type of serotonin that involve in the gastrointestinal system, type 3 (HT3) and type 4 (HT4). The purpose of this study is to evaluate the efficacy of ondansetron, which is a selective 5-HT3-receptor antagonist that have been used as antiemitc agent, in the treatment IBS-D.
Irregular bowel movements or constipation is quite a major and common concern in adults and babies as well. The condition becomes more challenging when it comes to babies. Parents of infants worry when their infant’s bowel movement is not regular and clear as that causes formation of gas and stomach pain.
The Diagnostic and Statistical Manuel of Mental Disorders, Fifth Edition (DSM-V), describes somatoform disorders as a group of related mental health symptoms that are characterized by a patient’s presentation of multiple, current somatic symptoms that are distressing or result in significant impairment of daily functioning. A somatic symptom is the presentation of physical illness or distress that would appear to have a medical basis but which cannot be explained by either a general medical condition, direct effect of a substance, or any other mental health disorder. Patients who suffer from somatoform disorders firmly believe that the pain they are experiencing stems from a physical problem rather than a mental one; indeed, that is a fundamental aspect of the disorder. Somatoform disorders range from a simple and persistent pain disorder to hypochondriasis, which involves persistent anxiety over the existence of a serious illness, to conversion disorder, which involves the actual loss of a bodily function from excessive anxiety over the perceived ailment. (DSM-V, 2013)
Depression is one of the most prevalent mental health conditions in the U.S. that affects, men, women, teens and even the elderly. Most of the time depression goes unrecognized or even untreated. It may be normal for people to experience feelings of sadness or anger for short periods of time. Usually this may last a few days due to temporary circumstances that may happen in an individual’s life, but if these feelings occur for an extended period of time, it may be a sign of major depression. Bipolar disorder may be confused with major depression. An individual having recurring depression and mania for an extended period differentiates bipolar disorder. As a healthcare professional, it is important to educate individuals and their families who have a mental health illness so that they can pay attention to important cues so that they can be addressed properly. This case study refers to a female patient diagnosed with bipolar disorder. The Diagnostic and Statistical Manual of Mental Disorder (DSM-V) is a publication/diagnostic tool, used by healthcare professionals to diagnose mental disorders (Psychiatry Online, n.d) Bipolar disorder may be confused with major depression. Bipolar disorder is differentiated by an individual having reoccurring depression and mania for an extended period of time. These episodic mood shifts can lead to excessively elevated or irritable mood. Many believe that this disorder can lightly stem from a combination of genetic and non-genetic factors (WebMD, 2014). According to statistics, the average onset for bipolar disorder is in the mid-to late 20s, but over the years the average age has been decreasing. The prevalence of bipolar is approximately 2.6% in the population at large with 82.9% of these cases cl...
Bipolar Disorder can be classified by the occurrence of manic episodes followed by hypomanic or major depressive episodes. A manic episode is a distinct period of abnormally and persistently elevated, extensive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day. During the specific period of mood disturbance and increased energy or activity, many symptoms are present. Some examples of these symptoms can include: -Inflated self-esteem or grandiosity, decreased need for sleep, and are more talkative than usual (“Bipolar and Related Disorders, “n.d.). There is a 10- 15% risk of completed suicide associated with Bipolar Disorder (“Bipolar Depression”, 2)
The severe mood fluctuations of bipolar or manic-depressive disorders have been around since the 16-century and affect little more than 2% of the population in both sexes, all races, and all parts of the world (Harmon 3). Researchers think that the cause is genetic, but it is still unknown. The one fact of which we are painfully aware of is that bipolar disorder severely undermines its victims ability to obtain and maintain social and occupational success. Because the symptoms of bipolar disorder are so debilitation, it is crucial that we search for possible treatments and cures.
Irritable bowel syndrome (IBS) is a common disorder of the intestines that leads to crampy pain, gassiness, Bloating, and changes in bowel habits. Some people with IBS have constipation. Others have diarrhea or frequent loose stools, often with an urgent need to move the bowels and some people experience both. Sometimes the person with IBS has a crampy urge to move the bowels but cannot do so.
In life we all go through experiences that cause our moods to change for better or for worse. There are times that we experience degrees of great joy and happiness just as other times we experience great sadness and despair. These polar emotional opposites can be brought about by a cornucopia of circumstances such as the joy and excitement of getting married or the birth of a child to the deep sadness and grief over the loss of a loved one or one’s employment. Feelings of joy and feelings of sadness are normal parts of human life. Some however are unfortunate enough to be force to cope with these emotions to the extreme and on a regular basis. Some individuals must further cope with an ever present emotion rollercoaster, switching from one emotional extreme to the next with regularity. This personality disorder is known as bipolar disorder.
Mr. A is a 45-years old Ethiopian man who lives in a Supportive living seniors apartment in Calgary, Sundial. He was approachable and engaging in conversation, and/or answering questions. Upon assessing his values, beliefs and understanding of ageing, he defines ageing as “a destiny”. Mr. A stated that “when mother gives birth, baby cry, and it is a destiny. It is genetics and we do not control it”. In 2006, Mr. A had problem with digestion and in 2014, he was diagnosed with Irritable Bowel Syndrome (IBS). It became a “turning point” in his life when he had to get a feeding tube in 2015, that impacted his mental health as well. The psychosocial assessment was completed and he reported that he used to feel that “life was not worth living” but now he feels good about life and “it’s God
Most people can control the symptoms of IBS by using stress relief techniques. The condition can also be managed by avoiding foods that trigger IBS symptoms. In addition to managing stress and dietary changes, you should stay hydrated and exercise on a regular basis.
Inflammatory bowel disease is a life long disease, and it particularly targets the gastrointestinal tract (GI tract), which consists of the mouth, esophagus, stomach small intestine, large intestine (appendix, cecum, colon (ascending, transverse, descending, and sigmoid), and rectum), and anus. The gastrointestinal tract is very important to the human body; some of its functions include mechanical and chemical digestion of food, the movement of food and waste from mouth to anus, secretion of enzymes and mucus, and the absorption of nutrients. These are some reason why it’s so destructive when this part of the body becomes impaired or even damaged.
Food is the most common trigger, be it a food allergy or a food intolerance. “A wide range of foods has been implicated — chocolate, spices, fats, fruits, beans, cabbage, cauliflower, broccoli, milk, carbonated beverages and alcohol to name a few.” Stress can also be a factor. When an individuals is under a high amount of stress their sympathetic nervous system may result in not fully absorbing foods once they have been digested. Majority of IBS is seen in females, indicating that hormonal changes may effect food digestion. Lastly any bacteria in the intestines will certainly trigger Irritable Bowel Syndrome. While majority of individuals have experienced some form of acute gastrointestinal problems those who truly have IBS are typically under
When deciding on a topic to write my paper over, I chose Irritable Bowel Syndrome. The disorder has always intrigued me because I feel it is the most commonly known. Each time I have discussed IBS with someone I often find myself wondering more in depth about what the disorder actually is, and other pertinent information about the disorder. For starters, I found out there are more than 200,000 cases per year in the United States and the disorder is a chronic affecting the intestines.
Irritable Bowel Syndrome. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.