Different dietary fibre formulations and the irritable bowel syndrome.
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Biomedical subjects
Publications and source records attributed to J F Fielding.
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This paper describes the preliminary stages of a further O.M.G.E. survey concerning patients with irritable bowel syndrome (IBS). The aims and methods were similar to those described earlier for other disease states and problems. By 1982, four centres had contributed 232 cases for study. The median age was just over 40 years, and females outnumbered males in three of the four centres. Overall, nearly half the patients had undergone previous appendicectomy; and most suffered from characteristic pain which was relieved by defaecation. Finally, the aims and prospects for this study during 1982-1986 are discussed.
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A detailed history and examination removes much of the vagueness from the symptoms of irritable bowel syndrome patients. The syndrome is much more homogeneous than suggested by the patient's complaints. Detailed questioning and examination contribute to further information in over two-thirds of patients. Examination reveals previously unrecognized abnormalities of bowel habit in over one-third of the patients. A proper history and examination remain foremost investigative weapons in the diagnosis of irritable bowel syndrome.