THE COMPLEXITY OF THE DIAGNOSTIC SEARCH AND TREATMENT OF A PATIENT WITH IRRITABLE BOWEL SYNDROME ON THE BACKGROUND OF SENESTO-HYPOCHONDRIACAL DISORDER (CLINICAL CASE)
This article is devoted to a review of a clinical case of a young patient with a newly diagnosed Irritable Bowel Syndrome (IBS), the presence of other chronic diseases of the gastrointestinal tract, and concomitant senesto-hypochondriacal disorder. The article contains information about the main links of the pathogenesis of the disease according to the latest scientific research. Particular attention is focused on the careful collection of anamnesis, objective examination of the patient, characterization of personality traits, diagnostic measures are presented, and the results of laboratory and instrumental research methods are presented. The exclusivity of this clinical case is due to describing one's own condition of a patient, the phenomenon of aggravation took place, which is directly connected with the concomitant disease. This fact to some extent influenced the further diagnostic search, up to the need for a surgical intervention. Also, the formulation of the final clinical diagnosis is original, because the “unclassifiable form of IBS” is a rather rare variant of the disease. In addition, the article describes therapeutic measures, identifies the reasons for the patient's lack of commitment to therapy. Formulated prognosis of the underlying disease in relation to a particular patient. Recommendations for further observation by narrow specialists are given.