Treatment of functional bowel disorders in an integrative medicine clinic resulting in improved digestive tract symptoms

Abstract

Abstract Background and Aim Functional bowel disorders (FBDs), including irritable bowel syndrome (IBS) and others, are conditions without a physically identifiable etiology that, as a result, are difficult to treat. Alternatives to traditional medical interventions are needed because IBS patients require more of physician time and higher healthcare spending. The goal of this study was to determine the efficacy of alternative lifestyle interventions for patients with FBDs seen in an integrative medicine (IM) clinic at an academic medical center. Methods We performed a retrospective chart review to determine whether patients with FBDs had improvement in symptoms following predominantly nutrition‐based IM interventions that included recommendations for dietary supplements and elimination diets. We measured symptoms before and after intervention (average time between measurements 8.75 months) using a medical symptoms questionnaire (MSQ) commonly used to quantify symptom change in IM clinics. Results Digestive tract symptoms, as measured by the MSQ, improved significantly in patients (n = 57) with FBDs following IM intervention. The MSQ Digestive Tract subtotal for FBD patients decreased from 10.2 (SD, 5.4) to 7.2 (SD, 5.2) (P < 0.001) after IM intervention. Conclusions Patients in an IM clinic had improved digestive tract symptoms scores following IM intervention. Because nutrition‐based interventions were the primary intervention recommended by IM providers, primary care physicians and gastroenterologists may wish to consider referring FBD patients to registered dietitian‐nutritionists (RDNs) skilled in implementing elimination diets.

Keywords

• functional bowel disorders
• functional gastrointestinal disorders
• gluten‐free diet
• integrative medicine
• irritable bowel syndrome
• low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols diet