Antidepressants in Irritable Bowel Syndrome. Alan Chiemprabha, M.D. Case Presentation. Mrs X is a 44 y.o.w.f with a PMHx significant for htn, tobacco abuse, anxiety, hyperlipidemia who presented to the OPD Medicine Clinic to establish a new PCP.
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Alan Chiemprabha, M.D.
More strict definitions include:
Manning Criteria Rome Criteria
Mild IBS (70%) - cared for by pcp; little or no functional impairment
Moderate IBS (25%) - exacerbations disrupt daily activities
Severe IBS (5%) - severe, unrelenting pain associated withIrritable Bowel Syndrome
affects 13-19% women
U.S. incidence rate in non-whites unclear
half present between the ages of 30 and 50
decreasing prevalence with increasing age (>60)
symptoms wax and wane
accounts for 3 million physician visits per year in the U.S.
accounts for 12 percent of primary care visits and 25-50 percent of gastroenterology referrals
IBS patients miss more work, utilize health care services more frequently, and incur higher healthcare costs on a yearly basis (primarily around the index year)Epidemiology/Health Care Burden