NHG-Standaard
M71
3.0
november 2022
november 2022
D. Spijsverteringsorganen

Richtlijnen diagnostiek

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Lichamelijk onderzoek

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Aanvullend onderzoek

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Richtlijnen beleid

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Voorlichting en advies

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Zelfzorg en niet-medicamenteuze behandeling

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Medicamenteuze behandeling

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Consultatie en verwijzing

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Belangrijkste wijzigingen

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Kernboodschappen

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Richtlijnen diagnostiek

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Klachten en verschijnselen die passen bij PDS

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Lichamelijk onderzoek

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Aanvullend onderzoek

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Fecaal immunochemische test (FIT)

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Aanvullend onderzoek naar coeliakie

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Aanvullend onderzoek naar inflammatoire darmziekten

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Rectaal bloedverlies

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Fecesonderzoek

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Richtlijnen beleid

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Voorlichting en advies

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Zelfzorg en niet-medicamenteuze behandeling

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Vermijdingsgedrag verminderen

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Factoren die spanningen veroorzaken en de rol van omgeving

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Richtlijnen Goede Voeding
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Psylliumvezels
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Voedingsadvies van de diëtist
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Glutenvrij dieet
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Lichaamsbeweging

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Psychologische behandeling

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Medicamenteuze behandeling

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Algemene uitgangspunten

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Medicamenteuze behandeling bij PDS-C

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Linaclotide
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Praktische toepassing
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Medicamenteus beleid bij PDS-D

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Medicamenteus beleid bij PDS met pijnklachten op de voorgrond

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Pepermuntolie
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Praktische toepassing
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Parasympathicolytica
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Antidepressiva

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Praktische toepassing
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Consultatie en verwijzing

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Psychologische therapie

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Bedrijfsarts

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Organisatie van de zorg

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NHG-werkgroep:
De Wit NJ, Masclee A, Minnaard MC, Muris JWM, Quartero AO, Schep-Akkerman AE, Van Balen J
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