Patients get to see a psychologist if needed, as part of their treatment. Read more at straitstimes.com.
SINGAPORE – A weekly Tuesday clinic at the Singapore General Hospital offering an integrated approach to tackling hard-to-treat cases of irritable bowel syndrome has witnessed a steady uptick in the number of cases since it started in 2019.
Dr Ong said the holistic treatment approach with the psychologist addresses the close two-way interaction between the gut and the gastrointestinal system or what is called the gut-brain axis, which is often ignored in the treatment of IBS. This pathway is why some people may experience abdominal pain or diarrhoea before an important event.
Other institutions may provide a multi-disciplinary approach where doctors and psychologists see the patient independently, unlike the weekly clinic where the patient can see both in the same sitting, he said. There is also a smaller number of gastroenterologists here who have learnt it in detail as a sub-speciality, he added.
Dr Ong noticed she was an athlete in school, had a stressful job and a Type A personality, and discovered, after talking to her, that the whole act of sitting on a toilet bowl to poop was a performance to her. Meanwhile, the research on gut microbiome, the complex ecosystem of trillions of bacteria, viruses, fungi and other microbes in the gut, is advancing. “At this point, we’re not sure in terms of causality, whether it’s the irritable bowel syndrome causing a change in the way that bacteria population is or if it is the bacterial population that causes irritable bowel syndrome, and maybe it’s even a... two-way relationship,” said Dr Ong.
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