Curbside Consultation in IBS: 49 Clinical Questions

Brian E. Lacy, PhD, MD

Question 10: What Distinguishes a Patient with Mild IBS from a Patient with Severe IBS? (continued)

Filippo Cremonini, MD, MSc, PhD

Intrinsic to the definition of irritable bowel syndrome (IBS) is the fact that this chronic condition does not convey a grim prognosis. Conversely, an enormous amount of literature attests to the tremendous impact of IBS on patients’ quality of life and also to society as a whole, with regard to the negative effects on work productivity and healthcare resource utilization. This chapter will address IBS severity, how it affects patients, and how physicians can effectively treat these patients. The majority of referrals to a gastroenterology practice are for complaints compatible with a…