Quality of life and sleep in individuals with irritable bowel syndrome according to different diagnostic criteria and inflammatory bowel diseases: A comparison using data from a population-based survey

[Podcasts for psychoeducation in irritable bowel syndrome: A mixed-methods analysis]

Irritable bowel syndrome (IBS) constitutes a significant proportion of gastroenterological consultations. Psychoeducation for IBS can improve clinical outcomes. Podcasts might be a valuable medium for psychoeducation. The aim of this study was therefore to evaluate German-language podcasts on IBS with regard to their suitability for patient education and to identify both podcast recommendations and practice-oriented formulation examples for practitioners.In a key date survey, podcasts produced by specialists on explanatory models of IBS were identified and a mixed methods analysis conducted. Content was evaluated quantitatively using a guideline-based checklist and qualitatively using a thematic analysis for an in-depth analysis of the contained explanatory models.From a total of 132 identified podcast episodes, 53 (duration M = 31 minutes, SD = 15.5) were included in the analysis. On average, the podcast episodes scored 16 out of a possible 60 points, with the best-rated episode scoring 37 points. Alongside helpful formulation examples, the qualitative analysis revealed stigmatizing to misleading statements.Podcasts comprise high-quality explanatory models for IBS. Practitioners can use a combination of podcast episodes as a valuable resource to facilitate psychoeducation.

The Relationship between Gastrointestinal Health, Micronutrient Concentrations, and Autoimmunity: A Focus on the Thyroid

Currently, there is a lack of understanding of why many patients with thyroid dysfunction remain symptomatic despite being biochemically euthyroid. Gastrointestinal (GI) health is imperative for absorption of thyroid-specific nutrients as well as thyroid function directly. This comprehensive narrative review describes the impact of what the authors have conceptualized as the “nutrient–GI–thyroid axis”. Compelling evidence reveals how gastrointestinal health could be seen as the epicenter of thyroid-related care given that: (1) GI conditions can lower thyroid-specific nutrients; (2) GI care can improve status of thyroid-specific nutrients; (3) GI conditions are at least 45 times more common than hypothyroidism; (4) GI care can resolve symptoms thought to be from thyroid dysfunction; and (5) GI health can affect thyroid autoimmunity. A new appreciation for GI health could be the missing link to better nutrient status, thyroid status, and clinical care for those with thyroid dysfunction.

Irritable bowel syndrome: current aspects of etiology, pathogenesis, clinic and treatment: A review

Among functional gastrointestinal disorders, Irritable bowel syndrome (IBS) rightfully continues to maintain its leading position. IBS is a kind of standard for understanding the pathogenetic essence of functional diseases of the digestive system, since it is the most common, studied and studied pathology. So, for the query "Irritable Bowel Syndrome" in the electronic database PubMed as of July 30, 2022, 16 599 sources were found, and for the query "Irritable Bowel Syndrome" in the scientific electronic library eLIBRARY.RU 6316. The first part of the review deals with topical aspects of the etiology, pathogenesis and clinical presentation of IBS. The urgency of the problem of IBS is associated with a significant decrease in the quality of life of patients. The review focuses on the role of psycho-emotional disorders, changes localized at the level of the intestinal wall; and a new coronavirus infection COVID-19 in the development of IBS. Abdominal pain as the leading manifestation of IBS is associated primarily with spasm. In this context, antispasmodic drugs can be considered not only as symptomatic agents, but also as pathogenetic therapy for IBS. In the second part of the review, the possibilities of one of the myotropic antispasmodics, mebeverine hydrochloride, in the treatment of IBS are considered in detail.