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Correspondence
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Volume 330:1390-1391 May 12, 1994 Number 19
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Irritable Bowel Syndrome

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 by Lynn, R. B.
To the Editor: In the review of irritable bowel syndrome by Lynn and Friedman (Dec. 23 issue),1 much is made of the pathophysiology of the symptoms and somatization, but little is made of environmental causes such as food intolerance. The literature now supports the concept that an elimination diet relieves the symptoms of the disease in approximately 50 percent of patients2,3. Interestingly, when such patients start elimination diets, many of the "soft" symptoms that suggest neuroticism also clear4.

The concept of somatization is not disprovable, whereas the concept of food intolerance is. It seems a shame to blame . . . [Full Text of this Article]

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