CAM Use by Patients with Irritable Bowel Syndrome

September 5, 2009

Chang FY, Lu CL. Treatment of irritable bowel syndrome using complementary and alternative medicine. J Chin Med Assoc. 2009 Jun;72(6):294-300. PMID: 19541564

A thoughtful and enlightened review of CAM practices used by patients with irritable bowel syndrome, by researchers at Taipei Veterans General Hospital and National Yang-Ming University School of Medicine in Taipei.

From the abstract:

"Unfortunately, none of the currently available drugs … are globally effective in treating all IBS symptoms, and the advanced receptor-targeted drugs are not always successfully and safely marketed. Consequently, more than half of patients may seek complementary and alternative medicine (CAM) to treat the annoying bowel symptoms. Physicians have considered these CAM measures to have an "enhanced placebo effect". For example, many herbal medicine and plant products are globally used to treat IBS, whereas their efficacies are often inconclusive because of small sample sizes, inadequate data analyses and lack of standardized preparations. Meta-analyses do not establish their true efficacy. Acupuncture has long been employed by patients themselves to treat functional gastrointestinal disorders with satisfactory response, but its effect on IBS does not seem to be promising. Peppermint oil, melatonin and clay-like materials are effective in treating some IBS symptoms, while their true pharmacology remains enigmatic."

CAMWatch: Posts about free-access, peer-reviewed articles on aspects of complementary medicine theory, practice and policy (about the blogger).This blog is not a source for medical advice.

technorati tags: complementary and alternative medicine integrative medicine irritable bowel syndrome

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