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English Wikipedia
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Irritable bowel syndrome Strategy for the family physician Thompson WGCan Fam Physician 1994[Feb]; 40 (ä): 307-10, 313-6Irritable bowel syndrome is one of the most common reasons for disability and health care seeking. A sensible strategy for management incorporates a confident diagnosis based upon history, physical examination, and pertinent tests. The physician can then reassure the patient, offer dietary and stress management advice, and recommend bran to relieve constipation and to evoke the placebo response. Patients who do not respond could require supportive psychotherapy or a drug for the dominant symptom. A few require careful referral, but overall responsibility should remain with the primary physician.|*Family Practice[MESH]|Aftercare[MESH]|Barium Sulfate[MESH]|Chronic Disease[MESH]|Colonic Diseases, Functional/*diagnosis/physiopathology/psychology/*therapy[MESH]|Dietary Fiber[MESH]|Enema[MESH]|Humans[MESH]|Patient Education as Topic[MESH]|Psychotherapy[MESH]|Referral and Consultation[MESH] |
