Good GI discussion

[Quinn1988]

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What is your take on IBS as a Dx? Purely speaking for myself and myself only, I think IBS is a crap Dx used as an easy out. Agree/Disagree? Why?

 

[shark2000]

A trash can.
A lot of entities in medicine are unknown to us. We make a name for them to look good.

 

[Quinn1988]

A trash can.
A lot of entities in medicine are unknown to us. We make a name for them to look good.

Entities such as?

 

[BlackNDecker]

I do believe in visceral hypersensitivity...why not? The GI system contains as many discrete neurons as the CNS, so why couldn't the receptor feedback loop fall into a tonically "excited" state.

I think trying to label all visceral hypersensitivity as IBS is part of the problem...whereas, if you think of it on a spectrum ranging from occasional episodic abdominal pain to chronic alternating diarrhea/constipation and pelvic floor dysfunction it becomes easier to understand. At least IMO.

Me thinks you just haven't had the concept presented to you in a logical manner. Citrucel and go in peace.

 

[BlackNDecker]

Entities such as?

Seriously, you can't think up any idiopathic, functional, or NOS disorders?

 

[Top Gun]

Entities such as?

Fibromyalgia and chronic fatigue syndrome come to mind.