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New Guidelines for Treatment of Irritable Bowel Syndrome in Adults

IBS is a heterogeneous condition with a wide spectrum of treatments including dietary modifications and psychological and pharmacologic therapies. Diagnosis is made by history of abdominal pain or discomfort typically relieved by defecation and associated with change in stool form (usually looser) and in stool frequency. Primary care physician should refer the patient with suspected IBS to a specialist for rectal bleeding (for flexible sigmoidoscopy), uncertainty concerning the diagnosis, failure to respond to initial management strategies, disabling health-related anxiety and longstanding symptoms with impaired quality of life. Treatment of associated anxiety and depression often improves bowel and other symptoms.

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