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Wednesday, June 3, 2009

DDW: Beyond drugs for IBS

Given all the high-tech and traditional drug therapy sessions available, why did some attendees at Digestive Disease Week attend a session on "Non-pharmacologic Treatments for Functional GI?" Here were some of their answers:

"I see a lot of IBS and I'm finding drugs don't seem to work well."

"I'm looking for pathways other than drugs."

"I'm interested in multidisciplinary approaches."

During the session they found out the pros and cons of acupuncture, hypnotherapy, and herbal therapies such as peppermint oil from presenter Kirsten Tillisch, MD.

She said physicians need to know how to approach their IBS patients who are going to health stores and picking up products saying they address IBS, or try eliminating foods on their own, she said. "It's becoming really hip to eliminate gluten," she said. She said she doesn't use elimination diets without the help of a nutritionist.

She also talked about the benefits of referring patients for psychological therapy--when they're willing--as well as working closely with a few psychologists to best coordinate care.

--By Paula Katz, special to ACP Internist

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