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When to reconsider the diagnosis of irritable bowel syndrome.
MedLine Citation:
PMID:  21601781     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Irritable bowel syndrome (IBS) is a highly prevalent disorder characterized by nonspecific symptoms that can mimic other common medical conditions. A careful history and physical examination may reveal clues that suggest a coexisting or alternative diagnosis, such as small intestinal bacterial overgrowth or celiac disease (CD). Testing for bacterial overgrowth has limitations, but emerging data suggest that antibiotics may be of some benefit in patients with IBS with diarrhea and bloating. CD seems to have a higher prevalence in patients with IBS. Some patients with IBS may have symptomatic improvement on gluten-restricted diets, without histologic or serologic evidence of CD.
Authors:
Christopher W Hammerle; Sheila E Crowe
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastroenterology clinics of North America     Volume:  40     ISSN:  1558-1942     ISO Abbreviation:  Gastroenterol. Clin. North Am.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706257     Medline TA:  Gastroenterol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291-307     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Division of Gastroenterology and Hepatology, University of Virginia, PO Box 800708, Charlottesville, VA 22908-0708, USA.
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