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Irritable bowel syndrome and dysphagia

Ohlsson, Bodil LU (2017) In Dysphagia p.149-155
Abstract

Functional gastrointestinal disorders constitute a set of gastrointestinal disorders with absence of obvious organic and physiological dysfunctions observed in clinical routine examinations. The functional disorders are divided into many subclasses, e.g., functional esophageal disorders and functional bowel disorders. The diagnoses are set when the patients fulfil the Rome IV criteria after a careful anamnestic history and exclusion of organic diseases in appropriate investigations. The disorders have a high prevalence in the population worldwide, but are of a benign nature. The etiology and pathophysiology are unknown, but environmental factors, genetics, and psychosocial factors seem to be of importance. Visceral hypersensitivity and... (More)

Functional gastrointestinal disorders constitute a set of gastrointestinal disorders with absence of obvious organic and physiological dysfunctions observed in clinical routine examinations. The functional disorders are divided into many subclasses, e.g., functional esophageal disorders and functional bowel disorders. The diagnoses are set when the patients fulfil the Rome IV criteria after a careful anamnestic history and exclusion of organic diseases in appropriate investigations. The disorders have a high prevalence in the population worldwide, but are of a benign nature. The etiology and pathophysiology are unknown, but environmental factors, genetics, and psychosocial factors seem to be of importance. Visceral hypersensitivity and hyperalgesia are found. There is a great comorbidity between different functional gastrointestinal disorders, and between these disorders and other chronic pain syndromes characterized by central hypersensitivity, which are all included in the term somatic symptom disorder. The most common of the functional bowel disorders is irritable bowel syndrome (IBS), characterized by abdominal pain in association with altered bowel habits. Functional esophageal disorders represent functional chest pain, functional heartburn, reflux hypersensitivity, globus, and functional dysphagia. The most important in the treatment of these conditions are confirmation and reassurance of the symptoms and their benign nature. Dietary advices and symptomatic drug treatment against specific symptoms are the first line of prescription. If these interventions do not improve symptoms, prescription of antidepressants and psychological and behavioral therapy are recommended.

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author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
in
Dysphagia
pages
7 pages
publisher
Springer Verlag
external identifiers
  • scopus:85052378887
ISSN
2197-4187
0942-5373
DOI
10.1007/174_2017_55
language
English
LU publication?
yes
id
bf484c41-ebb6-4bbf-8542-7a41666cd631
date added to LUP
2018-09-14 11:08:52
date last changed
2018-09-16 04:57:21
@inbook{bf484c41-ebb6-4bbf-8542-7a41666cd631,
  abstract     = {<p>Functional gastrointestinal disorders constitute a set of gastrointestinal disorders with absence of obvious organic and physiological dysfunctions observed in clinical routine examinations. The functional disorders are divided into many subclasses, e.g., functional esophageal disorders and functional bowel disorders. The diagnoses are set when the patients fulfil the Rome IV criteria after a careful anamnestic history and exclusion of organic diseases in appropriate investigations. The disorders have a high prevalence in the population worldwide, but are of a benign nature. The etiology and pathophysiology are unknown, but environmental factors, genetics, and psychosocial factors seem to be of importance. Visceral hypersensitivity and hyperalgesia are found. There is a great comorbidity between different functional gastrointestinal disorders, and between these disorders and other chronic pain syndromes characterized by central hypersensitivity, which are all included in the term somatic symptom disorder. The most common of the functional bowel disorders is irritable bowel syndrome (IBS), characterized by abdominal pain in association with altered bowel habits. Functional esophageal disorders represent functional chest pain, functional heartburn, reflux hypersensitivity, globus, and functional dysphagia. The most important in the treatment of these conditions are confirmation and reassurance of the symptoms and their benign nature. Dietary advices and symptomatic drug treatment against specific symptoms are the first line of prescription. If these interventions do not improve symptoms, prescription of antidepressants and psychological and behavioral therapy are recommended.</p>},
  author       = {Ohlsson, Bodil},
  issn         = {2197-4187},
  language     = {eng},
  month        = {05},
  pages        = {149--155},
  publisher    = {Springer Verlag},
  series       = {Dysphagia},
  title        = {Irritable bowel syndrome and dysphagia},
  url          = {http://dx.doi.org/10.1007/174_2017_55},
  year         = {2017},
}