Functional Bowel Disorder Management in Routine Practice with Tips for Hot Topics: Expert Opinion Review
Turkish gastroenterology expert panel · 2024 · Türkiye
Source and licence
- Authors
- Filiz Akyüz, Altay Çelebi, İbrahim Doğan et al.
- Title
- Functional Bowel Disorder Management in Routine Practice with Tips for Hot Topics: Expert Opinion Review
- Journal
- The Turkish Journal of Gastroenterology, 2024
- Licence
- CC BY 4.0
- Changes
- Verbatim excerpts; formatting adapted
Full text retrieved 2026-10-27 from Europe PMC · PMC11232060
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Abstract
Functional gastrointestinal system disorders are common problems in practice. The most common symptoms are abdominal pain, gas, bloating, diarrhea, constipation, and a mixture of these, and similar symptoms can be seen in conditions such as inflammatory bowel disease, colorectal cancer, and celiac disease depending on the age of the patient, indicating the importance of differential diagnosis. The importance of patient management is shown by making a symptom-based diagnosis and making cost-effective, that is, limited advanced examinations. The pathophysiology of irritable bowel syndrome (IBS) is multifactorial, and stress is one of the leading triggers of IBS symptoms. Therefore, terminology will change to gut–brain interaction disorders in the future, and the patient–physician relationship has a special place in the treatment of functional bowel disorder. Dietary recommendation and medical treatment in IBS should be determined according to the predominant symptom and symptom severity. In addition to diet, some lifestyle changes can also be helpful in reducing IBS symptoms. Antispasmodics and antidepressants are not fast-acting. These drugs should be used for at least 2-4 weeks to see the efficacy of treatment. Drugs should be used according to the standard recommended duration and dose in intermittent treatments.
Contents of the original publication
The section headings of the original.
- Introduction
- Diagnostic Criteria and Differential Diagnosis in Functional Bowel Disorders
- How Common Are Functional Gastrointestinal Disorders?
- What ARE the Underlying Pathophysiology of the Disorder?
- What Are the Usual Symptoms in Functional Bowel Disorders?
- Why Is It Important to Take a Good History?
- How ARE Functional Bowel Disorders Classified?
- Which Tests Should Be Considered in the Differential Diagnosis of Functional Bowel Disorders?
- What Is Bristol Stool Form Scale?
- Overall Clinical Approach, Initial Evaluation
- What Is Functional Bowel Disorder?
- In Which Patient Group Is It More Common?
- How Should the First Clinical Course Communication with the Patient Be?
- Is Functional Bowel Disorder a Psychiatric Disease?
- What Is the Natural Course of the Disease?
- What are the Diagnostic Criteria in Functional Bowel Disorders?
- Which Tests Should Be Requested in the Initial Evaluation?
- Should Celiac Tests Be Done Routinely?
- Which Patients Should Undergo Endoscopic Procedures?
- Informing On Treatment Goals
- A Pinch of Empathy
- What Do Patients Know? What Do They Expect from the Doctor?
- What are the Factors in Patient–Physician Relationship that May Positively Impact the Success of Treatment?
- How Should the Treatment Goals be Explained to the Patient?
- Diet and Treatment in Irritable Bowel Syndrome
- Which Factors Play a Role in Treatment Decisions in Irritable Bowel Syndrome?
- For Which Type of Irritable Bowel Syndrome Should the Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet Be Recommended?
- How Should Fiber Be Supplemented?
- What Are the Drug Treatments in Irritable Bowel Syndrome and How Are They Used?
- Is Pscycotherapy Effective in Irritable Bowel Syndrome?
- How Should Treatment Be Managed in Resistant Irritable Bowel Syndrome?
- Diet and Treatment in Functional Constipation
- What Is Functional Constipation?
- What Are the Risks and Complications of Constipation?
- How Should Pre-Treatment Evaluation Be Performed?
- What Are the Alarm Symptoms?
- How Long Should Constipation Treatment Continue?
- Facts About Constipation
- What Should Be the Goal of Constipation Treatment?
- Treatment: General Precautions and Lifestyle Changes
- Treatment: Examples of Fiber Ratios in Food
- Drug Treatment
- Stimulant Laxatives
- Diet and Treatment in Functional Diarrhea
- What Is the Definition of Low in Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet?
- Fermentable
- Should Food or Lactose Intolerance Be Tested?
- What Kind of Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet Should be Recommended in Functional Diarrhea?
- Should a Fat-Free Diet be Recommended?
- Should a Gluten-Free Diet Be Recommended?
- What Are the Drug Treatments in Functional Diarrhea and How Should They Be Administered?
- Diet and Treatment in Functional Abdominal Bloating/Distension
- Lifestyle Changes
- Follow-Up and Monitoring in Functional Bowel Disorders
- How Often Should the Patient Be Followed Up?
- How Is the Duration of Treatment Determined?
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