RT Journal Article SR Electronic T1 The challenge of irritable bowel syndrome: Creating an alliance between patient and physician JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 224 OP 234 VO 68 IS 3 A1 Bo Shen A1 Edy Soffer YR 2001 UL http://www.ccjm.org/content/68/3/224.abstract AB The most important component of the treatment of irritable bowel syndrome (IBS) is to establish a therapeutic physician-patient relationship, coupled with patient education. We describe a stepwise approach to management, including judicious use of invasive tests, and setting realistic treatment goals that address the dominant symptoms, their seventy, and psychosocial factors.