Efficacy of cognitive - behavioral stress management f training on symptoms severity and psychological well-being of patients with irritable bowel syndrome

Irritable bowel syndrome [IBS] was one of the most common functional gastrointestinal disorders. Psychological treatments have been effective in reducing symptoms severity and increasing mental health and well-being of these patients to some extent. The aim of this study was to determine the effectiveness of cognitive - behavioral stress management training on symptoms severity and psychological well-being of patients with IBS. The study was an experimental clinical trial with pretest - posttest design with control group. The subjects were 30 patients with IBS who were selected based on convenience sampling and were randomly divided into one experimental [N=15] and one control [N=15] group. there was a significant relation between symptoms severity and psychological wellbeing in two groups [p<0.001]. Cognitive - behavioral stress management training can be effective in reducing symptoms severity and improvement of mental health in patients with IBS and attention to the psychological situation of these patients is necessary

Menetrier's disease presenting with ulcerative colitis: a case report and review of the literature

Menetrier's disease or hypertrophic gastritis is a premalignant rare disease that often presents with hypertrophy in the gastric folds, hypoalbuminemia and decreased acid secretion. There are a few papers worldwide that report concomitant Menetrier's disease and ulcerative colitis [U. C], however none are from Iran. This is the first case reported in Iranian literature. The pathogenesis of this coexistence is unknown. We report the case of a 28-year-old woman with intermittent bilateral edema of the lower extremities, weight loss and epigastric pain associated with chronic intermittent diarrhea and one episode of nocturnal dysentery. Paraclinical evaluations showed hypoalbuminemia, low serum protein level, severe 25 OH vitamin D deficiency, a positive Helicobacter pylori urea breath test and negative cytomegalovirus [CMV] IgM antibody. Histologic, radiologic and endoscopic findings were consistent with Menetrier's disease associated with U. C. The patient was prescribed mesalazine, asacol suppositories and pantoprazole. During a follow up visit the patient noted improvement in her symptoms. She was referred to a surgeon to discuss additional possible therapeutic treatments