Understanding Gastrointestinal Distress: A Framework for Clinical Practice

  title={Understanding Gastrointestinal Distress: A Framework for Clinical Practice},
  author={Brennan M. R. Spiegel and Dinesh Khanna and Roger Bolus and Nikhil Agarwal and Puja Vora Khanna and Lin Chang},
  journal={The American Journal of Gastroenterology},
We describe a framework to help clinicians think about health-related quality of life in their gastrointestinal (GI) patients. We introduce “GI distress” as a clinically relevant concept and explain how it may result from physical symptoms, cognitions, and emotions. The GI distress framework suggests that providers should divide GI physical symptoms into four categories: pain, gas/bloat, altered defecation, and foregut symptoms. We describe how these physical symptoms can be amplified by… CONTINUE READING