Management of Irritable Bowel Syndrome - Flowchart
Management of Irritable Bowel Syndrome - Flowchart Irritable Bowel Syndrome Irritable Bowel Syndrome
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Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis

Environmental factors

Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis Environmental factors

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency

Gut physiology

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency Gut physiology

IBS


Symptoms
Behavior
HRQOL

IBS

IBS


Symptoms
Behavior
HRQOL


Symptoms
Behavior
HRQOL IBS

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education

Psychosocial factors

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education Psychosocial factors

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education

Psychosocial factors

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education Psychosocial factors

IBS


Symptoms
Behavior
HRQOL

IBS

IBS


Symptoms
Behavior
HRQOL


Symptoms
Behavior
HRQOL IBS

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency

Gut physiology

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency Gut physiology

cGMP, Cyclic guanosine monophosphate; FODMAP, fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; GI, gastrointestinal; H2O, water; HRQOL, health-related quality of life.

cGMP, Cyclic guanosine monophosphate; FODMAP, fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; GI, gastrointestinal; H2O, water; HRQOL, health-related quality of life.

cGMP, Cyclic guanosine monophosphate; FODMAP, fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; GI, gastrointestinal; H2O, water; HRQOL, health-related quality of life.

cGMP FODMAP GI H2O HRQOL

Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis

Environmental factors

Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis Environmental factors

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency

Gut physiology

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency Gut physiology

IBS


Symptoms
Behavior
HRQOL

IBS

IBS


Symptoms
Behavior
HRQOL


Symptoms
Behavior
HRQOL IBS

Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis

Environmental factors

Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis Environmental factors

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education

Psychosocial factors

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education Psychosocial factors

IBS


Symptoms
Behavior
HRQOL

IBS

IBS


Symptoms
Behavior
HRQOL


Symptoms
Behavior
HRQOL IBS

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education

Psychosocial factors

Psychosocial factors


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education


Life stress
Abuse history
Mood disorders (depression, anxiety)
Somatization
Personality (neuroticism)
Maladaptive coping
Social support
Education Psychosocial factors

Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis

Environmental factors

Environmental factors


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis


Genetics
Early life (breastfeeding)
Diet (FODMAPs, gluten, disaccharide intolerance)
Fiber/H2O intake
GI infection/enteritis Environmental factors

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency

Gut physiology

Gut physiology


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency


GI motility (5-HT3, 5-HT4)
Sensation (cGMP)
Inflammation
Intestinal permeability
Brain response to afferent pain signals
Altered intestinal flora
Bile acid malabsorption
Pancreatic insufficiency Gut physiology