Initial Approach to a Patient with Severe Chronic Abdominal Pain:

● Post-infection IBS

● Opioid-induced constipation

● Narcotic Bowel Syndrome

● Centrally mediated abdominal pain

● Psychosocial difficulties including

     - History of abuse and trauma

     - Somatic symptom disorder

     - Visceral anxiety

     - Depression

     - Opioid seeking behavior

This module is designed to help the provider understand these disorders, engage with the patient in an effective patient-provider relationship, and use good communication skills to recommend effective treatments. This module contains the following educational materials.

    - An opening statement by Dr. Drossman and Ms. Ruddy to introduce the clinic visit

    - Ms. Byers initial presentation to Dr. Drossman

    - Discussion of the key aspects of this first visit by Dr. Drossman and Ms. Ruddy

    - Simulated interview of Ms. Byers and Dr. Drossman after the physical examination. Dr. Drossman provides a clear diagnosis and education on their 

       pathophysiology and treatment. The information is presented using effective communication skills that engage the patient in the learning.

    - Post interview discussion by Dr. Drossman and Ms. Ruddy

You will note that the video has labels at the bottom of the screen to describe the content being discussed for easy reference as follows (note time codes):

● The key publications that address the content of the interview:

     ● Post-infection IBS

     ● Opioid-induced constipation

     ● Narcotic bowel syndrome

     ● Centrally Mediated Abdominal Pain

     ● Abuse Trauma and GI Illness

     ● Brain Imaging in patients with abuse history

     ● Neuromodulators to treat DBGI

     ● Brain-Gut Behavioral Treatments

     ● Communication Skills to Improve the Patient-Provider Relationship

We hope that this learning tool will help you apply this information in your care of patients having complex Disorders of Gut-Brain Interaction and be able to provide proper treatment.