Irritable Bowel Syndrome: Easing the Patient Burden
Family care clinicians are the first line of defense for patients suffering from IBS, a common disorder that causes substantial reduction in health-related quality of life. The diagnosis of IBS, whether it is IBS-D, IBS-M, or IBS-C, is generally made clinically, which is impacted by recent changes in the Rome criteria. Now recognized as both a brain-gut and a gut-brain disorder, the treatment of patients with IBS has evolved significantly in the past year. Understanding the patient burden of disease, particularly symptoms that are most troublesome, is helpful in individualizing therapy. The 2018 American College of Gastroenterology IBS guidelines lends clarity to treatments found effective, including soluble fiber and several medications, while finding little evidence to support the use of therapies such as a gluten-free diet, prebiotics/probiotics/synbiotics, and antispasmodics.
At the end of the activity, participants will be able to:
- Describe IBS as both a brain-gut and a gut-brain disorder
- Describe the role of Rome IV criteria and further testing for the diagnostic evaluation of possible IBS
- Differentiate subtypes of IBS
- Implement strategies to facilitate patient-provider communication and collaboration
- Individualize treatment based on current evidence-based guidelines to address concerns of patients with IBS
Stephen Brunton, MD, FAAFP
Dr. Brunton is Executive Vice President for Primary Care Education Consortium. He works in a group practice in suburban Los Angeles and holds the faculty rank of Associate Clinical Professor in the Department of Family Medicine at Touro University in Vallejo, California. He currently serves as the Editor-in-Chief for ‘Clinical Diabetes’, the ADA’s primary care journal, and as the Executive Director of the Primary Care Metabolic Group. Previously, he served as the Director of Education for the American Academy of Family Physicians.
Dr. Brunton earned his medical degree at Monash University Medical School in Melbourne, Australia, and completed his residency in family practice at Long Beach Memorial Medical Center in California. He is a board-certified family physician, with a certificate of added qualifications in geriatrics.
Continuing education credits are provided by Primary Care Education Consortium (PCEC).
PCEC designates this enduring material for 1.00 Prescribed credit(s) by the American Academy of Family Physicians. Other clinicians may receive CE credit from the respective organizations.
Course and educational credits are provided by Primary Care Education Consortium (PCEC) and is supported by an educational grant from Salix Pharmaceuticals Inc.
Course Expiration Date: August 31, 2020