Publications Library
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Fact Sheet: Visceral Sensations and Brain-Gut Mechanisms
127Over the past several years, different mechanisms located within the gut, or gut wall have been implicated as possible pathophysiologic mechanisms underlying the characteristic IBS symptoms of abdominal pain and discomfort. The list ranges from altered transit of intestinal gas, alterations in the colonic flora, immune cell activation in the gut mucosa, and alterations in serotonin containing enterochromaffin cells lining the gut. For those investigators with a good memory, these novel mechanisms can be added to an older list of proposed pathomechanisms, including altered gut motility ("spastic colitis") and alterations in mucus secretion.
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Fact Sheet: Functional Abdominal Bloating
128By: David Maxton, MD
Bloating is a common symptom in irritable bowel syndrome (IBS), particularly in women, although mostly it is a nuisance rather than the most severe aspect of the disease. However, bloating may be the only symptom for some people. A discussion of bloating and tips on managing the condition.
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Fact Sheet: Quality of Life Assessment
130In general, a quality of life assessment is one of the most important ways that a patient has to have his or her interest expressed in the design and selection of treatments. You should be aware of this and ask your doctor about what he or she knows about the qualitative, or quality of life, consequence of any new treatment you are being asked to take. In this way you can become a powerful force in keeping the quality of life issues as a visible part of medical practice
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Fact Sheet: What you can do after. (Anal discomfort and how to deal with it)
137By: W. Grant Thompson, MD, FRCPC
Symptoms related to this sensitive area can be very troubling, yet many people are reluctant to discuss them. Itching (pruritis ani), painful defecation, stained underwear, spotting of blood, and offensive odor add up to embarrassment, distress, social handicap and anguish. These complaints of anal discomfort are very common. Symptoms may coexist with the irritable bowel syndrome or other functional bowel disease. Diarrhea and constipation may aggravate them. Anal symptoms are not part of these conditions as they may occur independently. They may be due to or associated with many local diseases. Whatever the association, perianal irritation can be treated. Find out how to get help and what to do about it. Reviewed and updated 2009.
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Fact Sheet: Anal Fistulas-Symptoms and Treatment
138By: Andrew A. Shelton, MD; Robert D. Madoff, MD, FACS
A fistula is an abnormal connection between two organs or two tissue surfaces. An anal fistula (fistula-in-ano) is a connection between the anal canal and the skin. This fact sheet will help you to understand the cause, treatment, and complications of therapy for fistula-in-ano.
Topics: Rectal Pain -
Fact Sheet: Relationship of Diet to Functional GI Disorders
139The symptoms of functional GI disorders, such as abdominal pain, diarrhea, and constipation can by initiated or exacerbated by stress, hormones, drugs, and diet. Certain foods can induce symptoms that mimic certain functional GI disorders. Review of an individual's diet is important when dealing with functional GI symptoms.
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Fact Sheet: Understanding and Managing Chronic Pain
140Most of the time pain serves as a critical part of our sensory system, and is therefore a necessary though unpleasant function of a healthy body. However, it is becoming increasingly clear that chronic pain may be more like a disease or pathology of the nervous system associated with abnormal responses in the brain and spinal cord. Chronic pain has an impact on every facet of patients' lives. If you have chronic pain it is important to develop a pain management plan that works for you.
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Fact Sheet: An 8-Step Approach to Chronic Pain Management
140RFor those with a functional gastrointestinal/motility disorder, pain is often one of several overlapping unpleasant symptoms.
Topics: Pain Management -
Fact Sheet: Chronic Functional Abdominal Pain
141People with functional gastrointestinal (GI) disorders can have a variety of symptoms that range from painless diarrhea or constipation, to pain associated with diarrhea and/or constipation (usually called irritable bowel syndrome). There is another, less common condition of abdominal pain that is chronic or frequently recurring; it is not associated with changes in bowel pattern. This condition is called chronic functional abdominal pain (CFAP). Cause and treatment is discussed.
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Fact Sheet: How to Talk to Your Doctor-the Doctor's Perspective
142By: Patricia L. Raymond, MD, FACP, FACG
Functional gastrointestinal (GI) disorders, such as irritable bowel syndrome (IBS), have a wide variability in symptoms and activity and require a lot of patient help in the management of the disorder. However, most physicians have been forced by the economics of managed care to see more patients in less time than ever before. Patients with functional GI disorders often tend to require more time than the average patient because multiple factors may be involved - time to discuss things like diet, stress, or exercise, and their effects on this disorder. Here are a few suggestions which can help improve the worth of the time that you do have with your physician.
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