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IAH AC Gastrointestinal Disease

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Functional disturbances of motility<br />

• Irritable bowel syndrome<br />

• 10-20% of people<br />

• Starts in adolescence and symptoms are not constant<br />

• New evidence suggests a major influence of stress<br />

• This is mediated via the brain-gut axis<br />

© <strong>IAH</strong> 2007<br />

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Irritable bowel syndrome (IBS) is very common nowadays, and whereas before<br />

thought to be a psychosomatic disease, is now well recognized as including<br />

disturbances of the gut brain axis.<br />

This is compounded by stress, and we saw above, the stress have an influence<br />

on the gut lining.<br />

In IBS though there is also a disturbed communication between the gut and the<br />

brain, and there is a heightened sensory experience of pain in these patients.<br />

It is thus important to add medication which works on the emotions and the brain.<br />

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