1/7. Hypnotherapy and refractory irritable bowel syndrome: a single case study.The current study describes the successful administration of hypnotherapy with a subject suffering from refractory irritable bowel syndrome (IBS) and Generalized Anxiety Disorder (GAD). The subject had suffered from IBS for 30 years and had unsuccessfully pursued multiple psychological treatments, both traditional and non-traditional. He was referred to the Center for Stress and anxiety disorders and commenced hypnotherapy directed primarily at the IBS symptoms. After 6 treatment sessions, his IBS symptomatology had improved 53%. He stopped treatment at that point and continued autohypnosis with the aid of treatment audiotapes provided by his therapist. Follow-up at 6 months indicated continued improvement (70%). A 2-year follow-up revealed an improvement of 38% in IBS symptomatology. Concurrent levels of depression and anxiety had also substantially decreased. Hypnotherapy is shown to be a viable, palatable, and enduring treatment option for an individual who had been refractory to many previous therapies.- - - - - - - - - - ranking = 1keywords = suffering (Clic here for more details about this article) |
2/7. Geriatric constipation: brief update on a common problem.constipation occurs frequently in the elderly and is often multifactorial in origin. A search for an underlying cause is necessary, and can often be found by taking an adequate history and performing a thorough physical examination. A minority of patients require further investigation, guided by the clinical setting. Management should be directed at correcting the underlying cause and providing dietary advice and, less commonly, medication to allow restoration of a normal bowel habit.- - - - - - - - - - ranking = 0.1080723187809keywords = physical (Clic here for more details about this article) |
3/7. Instability in the faecal flora of a patient suffering from food-related irritable bowel syndrome.The faecal microbial flora of a patient with severe irritable bowel syndrome related to multiple food intolerances was very variable and contained a high proportion of facultative bacteria and an unusual incidence of clostridium species.- - - - - - - - - - ranking = 4keywords = suffering (Clic here for more details about this article) |
4/7. Towards a better understanding of patients with irritable bowel syndrome.This study was undertaken by sending a questionnaire to 148 people suffering from irritable bowel syndrome (IBS). The respondents all were members of the IBS Network, a national independent organization formed to help alleviate the suffering and distress of people diagnosed as having irritable bowel. They were asked about their symptoms, the medical tests they had undergone, how they felt about the treatment they received, and how IBS affected their lives. The study found that IBS affected all aspects of their lives: work, leisure, travel and relationships. Sufferers indicated that they felt they would have coped better if they had been provided with more information about IBS, its possible causes and treatment, and greater sensitivity from members of the medical profession in dealing with them.- - - - - - - - - - ranking = 2keywords = suffering (Clic here for more details about this article) |
5/7. Pseudo-obstruction of the colon."Pseudo-obstruction of the colon" refers to a condition in which physical and radiological findings identical to those associated with mechanical obstruction of the large bowel are found but in which no organic cause for the colonic distention is present. These cases may involve progressive proximal large bowel dilatation to the point of cecal perforation or necrosis. We have collected eight cases of our own which will be presented. The various etiologic factors reported in the literature will be discussed and analyzed and we will offer an anatomicophysiologic explanation of a possible mechanism, based on sympathetic-parasympathetic neurostimulatory imbalance.- - - - - - - - - - ranking = 0.1080723187809keywords = physical (Clic here for more details about this article) |
6/7. colonic pseudo-obstruction following termination of pregnancy and uterine operation.colonic pseudo-obstruction refers to a condition in which physical and radiologic findings identical to those associated with mechanical obstruction of the large bowel are found but in which no organic cause of the colonic distention is present. Cases of this condition have been reported in the world literature, of which 40 per cent have followed the termination of pregnancy or uterine operation. Three cases of this syndrome are presented. One followed normal vaginal delivery; one followed cesarean section, and the third followed elective abdominal hysterectomy. The literature on the subject is reviewed, and a possible anatomicophysiologic explanation, based upon a sympathetic-parasympathetic neurostimulatory imbalance, is put forward.- - - - - - - - - - ranking = 0.1080723187809keywords = physical (Clic here for more details about this article) |
7/7. A psychological perspective of irritable bowel syndrome.irritable bowel syndrome (IBS) is a common and often intractable disorder. Although the causes of this syndrome are not clear, psychological factors do play a major role in determining whether a patient seeks medical care. patients who have IBS tend to suffer from a psychiatric disorder, most notably anxiety and depression. Traditional medical care with its emphasis on pharmacological interventions and dietary changes has not been effective. psychotherapy has been shown to be an important, yet underutilized, approach in the treatment of IBS. A clinical example of a young man suffering from IBS illustrates how traditional medical care and psychotherapy enhance the treatment of this disorder.- - - - - - - - - - ranking = 1keywords = suffering (Clic here for more details about this article) |