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Is it diverticular disease or is it irritable bowel syndrome?
Dig Dis 2012; 30(1):64-9DD

Abstract

Symptomatic diverticular disease (SYMP-DD) and irritable bowel syndrome (IBS) share many features. Both are characterised by recurrent episodes of abdominal pain which may be slightly more frequent in IBS than SYMP-DD. They may also both exhibit an erratic bowel habit with diarrhoea, constipation and alternating types. It is important to assess anxiety, depression and somatisation since this can be increased in both types of patients and may be associated with visceral hypersensitivity. There are also significant differences between IBS and SYMP-DD. In particular, SYMP-DD patients are older, lack the female predominance seen in IBS and may often have fever with prolonged episodes of pain. For them, abnormalities of the gut are probably more important than cerebral factors, while for IBS the reverse is true. Treatments should be directed at the predominant abnormality which will vary in every patient.

Authors+Show Affiliations

NIHR Biomedical Research Unit, Nottingham Digestive Diseases Centre, Nottingham, UK. robin.spiller@nottingham.ac.uk

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22572688

Citation

Spiller, Robin. "Is It Diverticular Disease or Is It Irritable Bowel Syndrome?" Digestive Diseases (Basel, Switzerland), vol. 30, no. 1, 2012, pp. 64-9.
Spiller R. Is it diverticular disease or is it irritable bowel syndrome? Dig Dis. 2012;30(1):64-9.
Spiller, R. (2012). Is it diverticular disease or is it irritable bowel syndrome? Digestive Diseases (Basel, Switzerland), 30(1), pp. 64-9. doi:10.1159/000335721.
Spiller R. Is It Diverticular Disease or Is It Irritable Bowel Syndrome. Dig Dis. 2012;30(1):64-9. PubMed PMID: 22572688.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is it diverticular disease or is it irritable bowel syndrome? A1 - Spiller,Robin, Y1 - 2012/05/03/ PY - 2012/5/11/entrez PY - 2012/5/11/pubmed PY - 2012/9/15/medline SP - 64 EP - 9 JF - Digestive diseases (Basel, Switzerland) JO - Dig Dis VL - 30 IS - 1 N2 - Symptomatic diverticular disease (SYMP-DD) and irritable bowel syndrome (IBS) share many features. Both are characterised by recurrent episodes of abdominal pain which may be slightly more frequent in IBS than SYMP-DD. They may also both exhibit an erratic bowel habit with diarrhoea, constipation and alternating types. It is important to assess anxiety, depression and somatisation since this can be increased in both types of patients and may be associated with visceral hypersensitivity. There are also significant differences between IBS and SYMP-DD. In particular, SYMP-DD patients are older, lack the female predominance seen in IBS and may often have fever with prolonged episodes of pain. For them, abnormalities of the gut are probably more important than cerebral factors, while for IBS the reverse is true. Treatments should be directed at the predominant abnormality which will vary in every patient. SN - 1421-9875 UR - https://www.unboundmedicine.com/medline/citation/22572688/Is_it_diverticular_disease_or_is_it_irritable_bowel_syndrome L2 - https://www.karger.com?DOI=10.1159/000335721 DB - PRIME DP - Unbound Medicine ER -