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The etiologies of irritable bowel syndrome (IBS) and the mechanisms by which symptoms are produced vary but include disorders of gut motility, secretion, and sensation. In addition, small-intestinal motility disorders can result in small-intestinal bacterial overgrowth (SIBO), which can lead to abdominal pain, distension, and diarrhea — all cardinal symptoms of IBS. IBS patients have a high prevalence of SIBO, and a few studies have indicated that some IBS symptoms improve with antibiotic therapy, albeit with side effects. In this study, investigators sought to determine whether treatment with a new nonabsorbable and well-tolerated antibiotic, rifaximin (Xifaxan), would improve symptoms in patients with IBS.
Researchers enrolled 87 patients …