Chronic abdominal pain in irritable bowel syndrome - current and future therapies

被引:12
|
作者
Zielinska, Anna [1 ]
Salaga, Maciej [1 ]
Wlodarczyk, Marcin [1 ,2 ]
Fichna, Jakub [1 ]
机构
[1] Med Univ Lodz, Dept Biochem, Fac Med, Mazowiecka 6-8, PL-92215 Lodz, Poland
[2] Med Univ Lodz, Fac Mil Med, Dept Gen & Colorectal Surg, Lodz, Poland
关键词
Irritable bowel syndrome; visceral pain; chronic pain; pharmacotherapy; pain management; microbiota; PLACEBO-CONTROLLED TRIAL; GUT-BRAIN AXIS; LOW FODMAP DIET; CLINICAL-TRIAL; DOUBLE-BLIND; OTILONIUM BROMIDE; RECTAL COMPLIANCE; RANDOMIZED-TRIAL; MAST-CELLS; ROME IV;
D O I
10.1080/17512433.2018.1494571
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction: Irritable bowel syndrome (IBS) is a functional gut disorder that typically manifests in early adult years. One of the two major symptoms of the disease is chronic, visceral pain. The patients report pain as the most distressing symptom with the greatest impact on quality of life, challenging both to patients and healthcare providers. Areas covered: This review focuses on the pathophysiology of abdominal pain in IBS and describes current treatment possibilities. It also covers latest findings that may lead to novel pharmacological options in IBS pain management. Expert commentary: Pain is the main contributor to severity in IBS. Seeking pain alleviation is the most common reason that IBS sufferers consult with their physicians. Not all patients report being satisfied with available treatments for pain in IBS and there is a pressing need to find new, more efficient therapies for this syndrome.
引用
收藏
页码:729 / 739
页数:11
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