topicPeppermint Nausea Healthy Adults Meta-Analysis
claimAbdominal pain must be associated with two or more of the following: defecation, change in stool frequency, or change in stool form (Rome [Foundation] IV criteria;).
evidence level4
citationLadewski Amy M. (2026)
sourceDiagnosis and treatment of irritable bowel syndrome with diarrhea: Key clinical considerations
topicPeppermint Nausea Healthy Adults Meta-Analysis
claimThe emphasis that NPs and PAs place on holistic, patient-centered care provides increased opportunities for education and counseling, and patients with disorders of gut–brain interaction, such as IBS, would benefit from a collaborative treatment approach that validates their experiences and addresses their most bothersome symptoms (;;).
evidence level4
citationLadewski Amy M. (2026)
sourceDiagnosis and treatment of irritable bowel syndrome with diarrhea: Key clinical considerations
topicPeppermint Nausea Healthy Adults Meta-Analysis
claimHe reported no evidence of rectal bleeding or unintentional weight loss and had no known family history of colorectal cancer, inflammatory bowel disease (IBD), or other GI conditions.
evidence level4
citationLadewski Amy M. (2026)
sourceDiagnosis and treatment of irritable bowel syndrome with diarrhea: Key clinical considerations
topicPeppermint Nausea Healthy Adults Meta-Analysis
claimThis condition is characterized by recurrent abdominal pain occurring at least 1 day per week, on average, during the previous 3 months, with symptom onset at least 6 months before diagnosis.
evidence level4
citationLadewski Amy M. (2026)
sourceDiagnosis and treatment of irritable bowel syndrome with diarrhea: Key clinical considerations
topicPeppermint Nausea Healthy Adults Meta-Analysis
claimTables 1 2 In the current literature, different results were obtained in meta-analyzes related to the efficacy of antispasmodics, and we found that the studies evaluated in the meta-analyzes were different, and the results were variable(and) because each meta-analysis covers different studies with different inclusion and exclusion criteria.
evidence level4
citationBor Serhat (2025)
sourceExpert Opinion on the Efficacy and Safety of Antispasmodics with a Focus on Irritable Bowel Syndrome
topicPeppermint Nausea Healthy Adults Meta-Analysis
claimAs a result of evaluating the studies on the efficacy of the drugs, the quality of evidence for each drug was determined, and the drugs were subsequently classified into four categories.
evidence level4
citationBor Serhat (2025)
sourceExpert Opinion on the Efficacy and Safety of Antispasmodics with a Focus on Irritable Bowel Syndrome
topicPeppermint Nausea Healthy Adults Meta-Analysis
claimWhile Grade A shows high quality evidence, Grade D has been evaluated as very low quality of evidence ().
evidence level4
citationBor Serhat (2025)
sourceExpert Opinion on the Efficacy and Safety of Antispasmodics with a Focus on Irritable Bowel Syndrome
topicPeppermint Nausea Healthy Adults Meta-Analysis
claimAntispasmodics constitute the drug group with different mechanisms of action, some known like direct relaxation of smooth muscles (mebeverine, peppermint oil (PO)), blocking cholinergic receptors (hyoscine butyl bromide (HBB), hyoscyamine, pirenzepine), blocking calcium (Ca2+) channels (alverine citrate (AC), pinaverium bromide (PB), otilonium bromide (OB) and some unknown or mixed action mechanisms.
evidence level4
citationBor Serhat (2025)
sourceExpert Opinion on the Efficacy and Safety of Antispasmodics with a Focus on Irritable Bowel Syndrome