A systematic review of alternative therapies in the irritable bowel syndrome.

Abstract

The irritable bowel syndrome is a common disorder associated with a significant burden of illness, poor quality of life, high rates of absenteeism, and high health care utilization. Management can be difficult and treatment unrewarding; these facts have led physicians and patients toward alternative therapies. We explored a variety of treatments that exist beyond the scope of commonly used therapies for irritable bowel syndrome. Guarded optimism exists for traditional Chinese medicine and psychological therapies, but further well-designed trials are needed. Oral cromolyn sodium may be useful in chronic unexplained diarrhea and appears as effective as and safer than elimination diets. The roles of lactose and fructose intolerance remain poorly understood. Alterations of enteric flora may play a role in irritable bowel syndrome, but supporting evidence for bacterial overgrowth or probiotic therapy is lacking.

• Authors: Jennifer A Spanier, Colin W Howden, Michael P Jones
• Journal: Archives of internal medicine (Arch Intern Med) Vol. 163 Issue 3 Pg. 265-74 (Feb 10 2003) ISSN: 0003-9926 [Print] United States
• PMID: 12578506 (Publication Type: Journal Article, Review, Systematic Review)

Chemical References

• Plant Preparations
• Cromolyn Sodium

Topics

• Behavior Therapy
• Colonic Diseases, Functional (diet therapy, etiology, microbiology, psychology, therapy)
• Combined Modality Therapy
• Complementary Therapies
• Cromolyn Sodium (therapeutic use)
• Dietary Supplements
• Food Hypersensitivity (complications, diet therapy)
• Humans
• Hypnosis
• Meta-Analysis as Topic
• Plant Preparations (therapeutic use)
• Psychotherapy