Le syndrome de l’intestin irritable : diagnostic et traitement
(2025) Louvain médical — Vol. 144, n° 1, p. 36-41 (2025)
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- Abstract
- (en) Irritable bowel syndrome: diagnosis and treatment IBS symptoms include abdominal pain associated with defecation and changes in bowel habits. The pathophysiology of this disorder is complex and combines various organic and psychosocial factors. The impact on quality of life is significant, affecting morbidity, work productivity, and social integration. We emphasize the importance of a positive diagnosis based on clinical history, physical examination, and, in some cases, limited diagnostic tests. Initial management includes providing patients with a clear diagnosis and explaining the pathophysiology of their condition. Lifestyle modifications, fiber supplementation, and pharmacological treatments such as antispasmodics are discussed. We also cover pain, diarrhea, and constipation management, the role of diet, microbiome modulation, and non-pharmacological interventions like cognitive-behavioral therapy and hypnotherapy. In conclusion, the paper provides a detailed guide for clinicians on the recognition, diagnosis, and treatment of IBS, with a focus on the Belgian healthcare system.
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Citations
Piessevaux, H. (2025). Le syndrome de l’intestin irritable : diagnostic et traitement. Louvain médical, 144(1), 36-41. https://hdl.handle.net/2078.5/244576 (Original work published 2025)