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CLINICAL DIAGNOSIS OF THE IRRITABLE COLON SYNDROME
Author(s) -
Goulston Kerry
Publication year - 1972
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1972.tb116603.x
Subject(s) - irritable bowel syndrome , medicine , abdominal pain , spastic , gastroenterology , diarrhea , nervous system , physical therapy , psychiatry , cerebral palsy
Sixty patients with the irritable colon syndrome were reviewed and subdivided into two categories. Those with pain as the dominant symptom (43 patients) were placed in the spastic colon group, those with diarrhœa as the dominant symptom (17 patients), whether pain was present or not, were placed in the nervous diarrhœa group. Clinical features of these two groups are compared. Abdominal pain and significant weight loss were not uncommon symptoms in nervous diarrhœa, and in some patients symptoms were worsened by emotional upsets. A plan of investigation of patients with colonic symptoms is described, and current thoughts on treatment of patients with spastic colon and nervous diarrhœa are detailed.