Functional Disorders of the Colon: The Irritable Colon Syndrome

Abstract

The irritable colon syndrome is a neuromuscular disturbance of the intestine characterized by pressure or pain in the abdomen, constipation and diarrhea.

In diagnosing the cause of intestinal discomfort, the physician must distinguish each functional disorder of the intestine from organic intestinal disease. When organic and functional diseases coexist, the degree of each must be evaluated. Heredity, environment and psychic tension may be causative factors in functional disorders of the intestine.

Causes of the discomfort and suggestions as to how the patient can overcome them are emphasized in treatment. Dietary control, small doses of a mixture of sedatives and antispasmodics, and specific medicaments for diarrhea and constipation may be effective. Psychiatry and psychotherapy have a definite place in treating some colonic neuroses.