Management of Irritable Bowel Syndrome in the Elderly

Irritable bowel syndrome (IBS) is one of the most commonly encountered functional gastrointestinal disorders in the elderly. IBS is characterized by abdominal pain and altered bowel habits in the absence of specific organic pathology. The diagnosis of IBS usually depends primarily on established cl...

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Main Authors: Indra Kurniawan, Marcellus S Kolopaking
Format: Article
Language:English
Published: Interna Publishing 2016-05-01
Series:Acta Medica Indonesiana
Online Access:https://actamedindones.org/index.php/ijim/article/view/81
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author Indra Kurniawan
Marcellus S Kolopaking
author_facet Indra Kurniawan
Marcellus S Kolopaking
author_sort Indra Kurniawan
collection DOAJ
description Irritable bowel syndrome (IBS) is one of the most commonly encountered functional gastrointestinal disorders in the elderly. IBS is characterized by abdominal pain and altered bowel habits in the absence of specific organic pathology. The diagnosis of IBS usually depends primarily on established clinical criteria. Currently, Rome III criteria are the criteria of choice for defining IBS. However, aging itself is categorized as one of the alarm symptoms in the diagnosis of IBS that may warrant further investigation. Therefore, exclusion of organic diseases, using several investigations, is of paramount important in the older patients. In general, the treatment of IBS in the elderly is not different from the younger populations. However, greater caution needs to be considered before treating with drugs because of the altered risk-benefit profile in the elderly. Several studies have shown a strong relationship of IBS with psychiatric conditions. Thus, psychological treatments should also be considered in the management of IBS in the elderly. Key words: irritabel bowel syndrome, elderly, management.
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institution Kabale University
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publishDate 2016-05-01
publisher Interna Publishing
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series Acta Medica Indonesiana
spelling doaj-art-44854e2772d0411a88f01eedfb29b97e2025-08-20T03:32:36ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322016-05-01462Management of Irritable Bowel Syndrome in the ElderlyIndra Kurniawan0Marcellus S Kolopaking1Pangkalbalam Public Health Centre, Pangkalpinang, Bangka Belitung Archipelago, Indonesia.Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia Irritable bowel syndrome (IBS) is one of the most commonly encountered functional gastrointestinal disorders in the elderly. IBS is characterized by abdominal pain and altered bowel habits in the absence of specific organic pathology. The diagnosis of IBS usually depends primarily on established clinical criteria. Currently, Rome III criteria are the criteria of choice for defining IBS. However, aging itself is categorized as one of the alarm symptoms in the diagnosis of IBS that may warrant further investigation. Therefore, exclusion of organic diseases, using several investigations, is of paramount important in the older patients. In general, the treatment of IBS in the elderly is not different from the younger populations. However, greater caution needs to be considered before treating with drugs because of the altered risk-benefit profile in the elderly. Several studies have shown a strong relationship of IBS with psychiatric conditions. Thus, psychological treatments should also be considered in the management of IBS in the elderly. Key words: irritabel bowel syndrome, elderly, management. https://actamedindones.org/index.php/ijim/article/view/81
spellingShingle Indra Kurniawan
Marcellus S Kolopaking
Management of Irritable Bowel Syndrome in the Elderly
Acta Medica Indonesiana
title Management of Irritable Bowel Syndrome in the Elderly
title_full Management of Irritable Bowel Syndrome in the Elderly
title_fullStr Management of Irritable Bowel Syndrome in the Elderly
title_full_unstemmed Management of Irritable Bowel Syndrome in the Elderly
title_short Management of Irritable Bowel Syndrome in the Elderly
title_sort management of irritable bowel syndrome in the elderly
url https://actamedindones.org/index.php/ijim/article/view/81
work_keys_str_mv AT indrakurniawan managementofirritablebowelsyndromeintheelderly
AT marcellusskolopaking managementofirritablebowelsyndromeintheelderly