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Irritable Bowel Syndrome, Pediatric

Laurie N. Fishman, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Irritable bowel syndrome (IBS) is a common functional GI tract disorder where defecation is disordered and associated with abdominal discomfort.

  • IBS is characterized by abdominal pain...

DIAGNOSIS

  • IBS is not a diagnosis of exclusion.

  • Diagnosis is based on careful history with particular attention to characteristics of pain, precipitating factors, and defecation pattern.

HISTORY

  • Symptoms ...

TREATMENT

GENERAL MEASURES

  • The aims of IBS treatment are to:

    • Improve a global sense of well-being.

    • Reduce specific symptoms.

  • It is important to remind patients that treatment will not cure their IBS.

  • Compr...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • The provider–patient relationship is an important component of therapy, and ongoing visits can help monitor symptoms.

  • Planned medical follow-up a...

ADDITIONAL READING

  • Bijkerk CJ, de Wit NJ, Muris JW, et al. Soluble or insoluble fibre in irritable bowel syndrome in primary care? Randomised placebo controlled trial. BMJ.  2009;339:b3154. [View...

CODES

ICD9

564.1 Irritable bowel syndrome 

ICD10

  • K58.9 Irritable bowel syndrome without diarrhea

  • K58.0 Irritable bowel syndrome with diarrhea

SNOMED

  • 10743008 Irritable bowel syndrome (disorder)

  • 197125005 Irr...

FAQ

  • What is the low-FODMAP diet?

  • The low-FODMAP diet involves the exclusion of foods that are more likely to be “fermentable” by bacteria in the colon, including those with “oligosaccharides, disacchar...

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