Irritable bowel syndrome - is a stable set of functional disorders of at least 12 weeks in the last 12 months, which is manifested by pain and / or discomfort in the abdomen, which take place after a bowel movement, are accompanied by changes in the frequency and stool consistency, and blend for 25% of the time disease is not less than than two persistent symptoms of intestinal problems - changes in stool frequency, stool consistency, the act of defecation (urgency, tenesmus, feeling of incomplete emptying of the bowel, further efforts at stool), mucus in the feces, flatulence.
The average age of manifestation of irritable bowel syndrome 26.3 years. In patients with premorbid IBS is dominated by the phenomenon of rigidity, stiffness of mental processes (exaggerated tendency to order, the settled way of life with a negative attitude to all its changes, lack of capacity for creativity), acting under the accentuation and anankastnogo schizoid type. In patients with IBS somatovegetativnye disorders overlap with symptoms of overvalued hypochondria.
Symptoms of irritable bowel syndrome, are formed out of a distinct connection with somatopaticheskoy accentuation on the digestive system.
The manifestations of irritable bowel syndrome (abdominal pain, constant localization, diarrhea, wind) frequently become overvalued symptom of hypochondria and completely define the content (the idea of restoring health and function of the colon, dietary restrictions, with a gradual exclusion from the diet of more and more food) .
Usually the symptoms of irritable bowel syndrome are persistently over the years, usually with only minor fluctuations in the severity of abdominal pain and gastrointestinal motor function disorders. And these involve not so much aggravation with psychogenic, but with somatogenic factors - deviations from the stereotype supply, as well as changes in the familiar pattern of pharmacotherapy.
Indicators of clinical and social prognosis of irritable bowel syndrome is not very favorable: patients with the syndrome often receive disability SRK II group on mental illness.