Philly Leader

Holly S. Greenwald, MD, an Assistant Professor of Clinical Medicine at the Lewis Katz School of Medicine at Temple University, recently shared her insights on ReachMD about the significant role primary care providers (PCPs) play in diagnosing irritable bowel syndrome with diarrhea (IBS-D). During her discussion, Dr. Greenwald addressed common misconceptions surrounding IBS-D and elaborated on various diagnostic and treatment options.

Dr. Greenwald emphasized that PCPs are often the frontline in diagnosing IBS-D due to their ongoing relationship with patients, stating that they are "uniquely positioned to identify symptoms early." She explained that while IBS-D is frequently misdiagnosed because its symptoms can overlap with other gastrointestinal disorders, PCPs have the advantage of comprehensive knowledge about their patients' health history, which aids in accurate diagnosis.

"The first step in the diagnosis of IBS-D is a thorough review of the patient's medical history and symptoms," Dr. Greenwald noted. She highlighted the importance of ruling out other conditions, such as infections or inflammatory diseases, to confirm an IBS-D diagnosis.

Additionally, Dr. Greenwald discussed available treatments and emphasized the need for personalized management strategies, as the condition can affect individuals differently. She also underscored the necessity of addressing lifestyle and dietary factors to alleviate symptoms, stating that, "management often involves a combination of dietary modifications, medications, and sometimes psychological therapies."

Dr. Greenwald's participation in ReachMD aims to equip primary care providers with the necessary tools and information to improve patient outcomes, ensuring that those suffering from IBS-D receive timely and effective care.