Functional bowel disorders and the irritable bowel syndrome (IBS)

SICS Editore
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The diagnosis of a functional bowel disorder is based on typical symptom picture, i.e. on carefully taken patient history.Typical of the irritable bowel syndrome (IBS) is abdominal pain or discomfort together with a change in the frequency of defecation and in the consistency of stool (diarrhoea or constipation). In diarrhoea-predominant symptoms, the exclusion of coeliac disease, microscopic colitis and lactose malabsorption is advisable.Severe functional bowel symptoms may worsen the quality of life in the same extent as organic diseases. Colonoscopy is necessary if the patient has alarming symptoms or clinical findings. A supportive patient–physician relationship is essential in the treatment. Symptom-relieving medications that can be used as needed include amitriptyline and other antidepressants, for diarrhoea loperamide and for constipation soluble fibres.
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Additional Information

Publisher
SICS Editore
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Published on
Oct 1, 2014
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Pages
60
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ISBN
9788869301841
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Language
English
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Genres
Medical / Gastroenterology
Medical / Internal Medicine
Medical / Surgery / General
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Content Protection
This content is DRM protected.
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Sics Editore
Eye drops should not be used whilst contact lenses are in the eye (with the exception of preservative-free sodium cromoglycate or preparations indicated for moistening the eye). Many ophthalmic preparations and their preservatives (e.g. benzalkonium chloride) are absorbed by contact lenses, resulting in toxic or allergic reactions. Furthermore, contact lenses, being a foreign body, delay healing. Corneal lesions can be prevented by early treatment. Users who are allergic to pollen should avoid using contact lenses when they have eye symptoms. The use of contact lenses should also be avoided during other allergic ocular manifestations. Dry eyes are a relative contraindication to the use of contact lenses when the condition is mild; in severe cases dry eyes are an absolute contraindication. Contact lenses should not be used in a very dusty environment, or when the air is particularly dry or hot. Intensive computer work is also a relative contraindication. When swimming or diving in unclean water (e.g. swimming pool) contact lenses should not be worn (if single-use lenses are used, they should be removed immediately after swimming and replaced with a new fresh pair). Contact lenses should not be used during coughs and colds. All people using contact lenses should see an ophthalmologist regularly: young (< 20 years) patients with allergies twice a year, other users once a year. An ophthalmologist should individually ensure the suitability of continuously worn contact lenses and the regular controls during the use. Daily-wear contact lenses (interval for replacement 1–3 months) are worn for e.g. 5–6 days a week. As for continuous wear contact lenses, it is safest to wear them only for a limited number of hours per day, and they should be replaced at one-month intervals. If they are worn for longer times uninterrupted, follow-up should take place at an ophthalmologist. Regular ophthalmologic controls are needed 2 times a years in persons using continuous wear lenses.Regular use of contact lenses after refractive surgery is not recommended.Proper hand hygiene
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