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Primary Care Education Consortium

Patient-Centric Care of Diarrhea-Predominant Irritable Bowel Syndrome

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Overview / Abstract:

Patient-Centric Care of Diarrhea-Predominant Irritable Bowel Syndrome
LEARNING OBJECTIVES
After reading the review article on diarrheapredominant
irritable bowel syndrome
(IBS-D), participants should be able to:
• Describe the evidence indicating that
irritable bowel syndrome (IBS) is both a
brain-gut and a gut-brain disorder
• Describe the role of the Rome IV criteria,
colonoscopy, and other tests used
to diagnose IBS
• Implement strategies to facilitate provider
understanding of patient concerns
and disease burden
• Individualize treatment for IBS-D based
on current evidence-based guidelines
to address patient concerns and improve
quality of life
TARGET AUDIENCE
Family physicians and clinicians who wish
to gain increased knowledge and greater
competency regarding primary care management
of irritable bowel syndrome –
diarrhea predominant.
“With IBS-D, there’s always that sense of
dread. I know it’s going to happen again, but
I don’t really know when or where it’s going
to happen again. When it does, I could end
up in the bathroom for a good long while
doubled over in agony. And after a flare, I
suffer from extreme lethargy. It leaves my
body so drained that I literally can’t do anything.
If I’m at work, I have to go home. If I’m
at home, I go straight to bed.”
JO C. (IBS-D SUFFERER)

PATIENT BURDEN RELATED TO IBS
The quote from Jo, a patient with irritable bowel syndrome
(IBS) and diarrhea symptoms, nicely illustrates the
often-overlooked fact that health-related quality of life is diminished in patients with IBS. Patients with diarrheapredominant
irritable bowel syndrome (IBS-D) have significantly
lower self-esteem compared to both healthy controls and patients with constipation-predominant IBS (IBS-C).
Although surprising to many health care providers, patients
with IBS-C, IBS-D, or IBS-mixed (IBS-M) report significantly
greater symptom severity than patients with inflammatory
bowel disease. A survey involving 1102 people with IBS-D
showed that one-third experience mild symptoms, 50%
moderate symptoms, and 13% severe symptoms. Approximately
one-quarter experience daily or near daily symptoms,
while more than one-quarter report their symptoms as very
or extremely bothersome.

PHYSICIANS: To receive CME credit,
please read the journal article and, on
completion, go to www.pceconsortium.
org/IBSD to complete the online post-test
and receive your certificate of credit.
PHYSICIAN ASSISTANTS: AAPA accepts
certificates of participation of educational
activities certified for AMA PRA Category
1 Credit™ from organizations accredited
by ACCME or a recognized state medical
society.

Expiration

Sep 30, 2020

Discipline(s)

Nurse Practitioner , Physician CME, Physician Assistant CME

Format

Journal, Monograph, Online

Credits / Hours

1

Accreditation

ACCME, AMA PRA Category 1

Presenters / Authors / Faculty

Brian E. Lacy, MD, PhD, FACG
Co-Editor in Chief, American Journal of Gastroenterology,
Senior Associate Consultant, Mayo
Clinic, Jacksonville, FL

Sponsors / Supporters / Grant Providers

This activity is sponsored by Primary Care Education Consortium.
This article is supported by an educational
grant from Salix Pharmaceuticals, Inc.

Keywords / Search Terms

Primary Care Education Consortium Patient-Centric Care of Diarrhea-Predominant Irritable Bowel Syndrome Free CE CME

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