ABC of colorectal diseases. The irritable bowel syndrome.

Gastrointestinal symptoms and disordersoin the irritable bowel Patients with the irritable bowel syndrome can be subdivided into those syndrome with spastic constipation, who have abdominal pain related to disturbances Halitosis; unpleasanttaste; dry mouth; of bowel action, and those with painless diarrhoea, who complain of ptyalism; furredtongue; burning tongue; increased stool frequency not associated with abdominal pain.lump in the throat; globus sensation; chronic or recurrent nausea; psychogenic vomiting; Most patients with the syndrome have "functional abdominal pain."As rumination; heartburn; water brash; this may arise at any, site from the oesophagus to the rectum the expression postprandial epigastric fullness; early "irritable gut" may be more appropriate.The expression "functional pain" satiety; butterflies in the abdomen; sinking is sometimes used inappropriately to suggest that the pain does not really feeling in the pit of the abdomen; tachygastria; gas: aerophagia, burping, exist or "is in the patient's mind."Functional pain can, however, be just as belching, borborygmus (gurgling), wind, severe and disabling as organic pain.distension, excessive flatus; abdominal About 30% of people with functional gastrointestinal symptoms such as proptosis (bloating); proctalgia fugax; abdominal pain, erratic bowel habit, and abdominal distension have the dyschezia; tenesmus; incomplete irritable bowel syndrome diagnosed.