Prognosis in the Irritable-Bowel Syndrome

Stress Management for Irritable Bowel Syndrome: A Controlled Trial

“…The long-term clinical course of IBS in volves frequent recurrence of symptoms [5,19] leading in many patients to surgical in tervention [20]: appendicectomy, hysterec tomy, cholecystectomy, ovariectomy and di vision of abdominal adhesions are common additions to the patient's clinical file, but do little to prevent the recurrent symptoms over many years. In the early stages of clinical consultation, it is worth spending time with patients to give reassurance and some expla nation of the nature of their symptoms which are likely to recur.…”

Laxatives and the Special Role of Senna

“…Waller and Misiewicz [5] found that the sennosides abolish the hypersegmentation of patients suffering from severe irritable bowel syndrome. Mountjoy et al [6] have shown that senna glycosides, in therapeutic dosage, do not disrupt the usual pattern of defaecation times.…”

Psychophysiological Disorders of the Gastrointestinal Tract

“…The inclusion of non physical findings as part of the diagnostic criteria for IBS may also be useful as this disorder is often initially misdiagnose (Waller & Misiewicz, 1969). Although the incidence of organic disease in patients diagnosed with IBS is reported as being only 3%-6% (Kruis et al, 1984;McHardy, Browne, McHardy, Welch, & Ward, 1962), as many as 30% of patients eventually diagnosed as having IBS present with abdomianl scars (Chaudhary & Truelove, 1962;Waller, 1971).…”