Irritable bowel syndrome

Abstract

Irritable bowel syndrome (IBS) is a prevalent chronic functional gastrointestinal disorder characterized by the presence of chronic or recurrent abdominal pain associated with altered bowel habits. It is a multifactorial condition that has been recently redefined as a disorder of gut-brain interaction. The diagnosis is based on symptom criteria and limited diagnostic testing. In recent years, there have been significant advances in developing efficacious dietary, pharmacologic and non-pharmacologic approaches in the treatment of IBS. Management should focus on a patient-centered approach, reducing cost, continuity of care, and improving patient satisfaction and health related quality of life. This review discusses the epidemiology, clinical symptoms, and evidence-based and practical approaches to diagnostic evaluation and treatment of IBS.