The Curbsiders Internal Medicine Podcast Unlocked: Patreon #23 DGBI - IBS and Functional Dyspepsia
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Jul 24, 2024 Exploring the relationship between IBS and functional dyspepsia, the podcast covers treatment approaches, natural remedies, and medication options. They discuss management strategies for fatigue, the TV show 'Yellow Jackets,' and Stoic philosophy. The episode wraps up with insights on a Stoicism book for self-improvement.
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Early Satiation Means Accommodation Not Transit Delay
- Postprandial distress syndrome is a stomach accommodation problem causing early satiation, distinct from gastroparesis which is a transit delay causing prolonged fullness.
- Accommodation prevents stomach stretch; gastroparesis leaves a meal sitting in the stomach.
Recommend Pharmaceutical Peppermint And Caraway Preparations
- For patients preferring nonpharmacologic options try pharmaceutical-grade peppermint oil for IBS and FD Guard (caraway oil plus L-menthol) for dyspepsia.
- Advise only pharmaceutical formulations and warn against essential oils which are toxic.
Use Buspirone For Gastric Accommodation Carefully
- Use buspirone for postprandial distress to improve gastric accommodation due to its smooth muscle relaxation properties.
- Start low (eg 5 mg at night) and titrate slowly up; do not begin at 15 mg three times daily.