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The concept of an "irritable bowel" was introduced by P. W. Brown, first in The Journal of the Kansas Medical Society in 1947 [183] and later in the Rocky Mountain Medical Journal in 1950. [184] The term was used to categorize people who developed symptoms of diarrhea, abdominal pain, and constipation, but where no well-recognized infective ...
Most people with previous ileal resection and chronic diarrhea will have abnormal SeHCAT tests and can benefit from bile acid sequestrants. [4] People with primary bile acid diarrhea are frequently misdiagnosed as having irritable bowel syndrome. [17] When SeHCAT testing is performed, the diagnosis of primary bile acid diarrhea is commonly made.
Chronic diarrhea can be the part of the presentations of a number of chronic medical conditions affecting the intestine. Common causes include ulcerative colitis, Crohn's disease, microscopic colitis, celiac disease, irritable bowel syndrome, and bile acid malabsorption. [28]
Irritable bowel syndrome, or IBS, is among the most common gastrointestinal conditions today.It affects some 10% to 15% of people in the U.S., per the American College of Gastroenterology.A ...
For subjects with irritable bowel syndrome with constipation: Nausea: ~ 8%; 1% severe nausea and 1% discontinued treatment due to nausea. Diarrhea: ~ 7%; <1% of patients had severe diarrhea and <1% of patients discontinued treatment due to diarrhea. Less common adverse reactions: <1% [3]
The primary, idiopathic form of bile acid diarrhea is a common cause of chronic functional diarrhea, often misdiagnosed as diarrhea-predominant irritable bowel syndrome (IBS-D), and most of these patients respond to colestyramine. [4] It is beneficial in the treatment of postcholecystectomy syndrome chronic diarrhea.
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