• Terapevt Arkh · Apr 2020

    [Multidisciplinary treatment of the patient with a severe irritable bowel syndrome].

    • I N Ruchkina, A A Vyaznikova, L K Indeykina, D A Degterev, and A I Parfenov.
    • Loginov Moscow Clinical Scientific Practical Center.
    • Terapevt Arkh. 2020 Apr 27; 92 (2): 81-84.

    AbstractThe patient E., aged 39, was described with a severe form of the irritable bowel syndrome that developed after the stress. In addition to the clinical manifestations of IBS, the patient got the somatoform disorders, which manifested itself with a large number of extraintestinal symptoms and led to a disability. According to the recommendations of the Rome Criteria IV 2016, the main medicines for the treatment of biopsychosocial model of IBS are antidepressants. The remission of the disease with a complete recovery of the patients disability was achieved by duloxetine, an antidepressant from the group of serotonin and noradrenaline reuptake inhibitors.

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