Irritable Bowel Syndrome

Question 1

how common is IBS?

Answer 1

20% of population, affecting more women

Question 2

symptoms of IBS?

Answer 2

constipation, abdominal pain, diarrhoea, fluctuating bowel habit, worse after eating, improved by opening bowels, bloating

Question 3

Advice for IBS?

Answer 3

regular small mals
reduced processed food,
limit caffeine and alcohol
adequate fluid intake
low FODMAP
probiotic supplements for 4 weeks

Question 4

first line medication for IBS?

Answer 4

loperamide- diarrhoea
laxatives- constipation. avoid lactulose due to bloating
linaclotide- those not responding to first line laxatives
antispasmodics- buscopan

Question 5

second line meds for IBS?

Answer 5

tricyclic antidepressant amitrptyline

Question 6

3rd line meds for IBS?

Answer 6

SSRIs

Question 7

diagnosis of IBS considered if patient has these 3 for 6 months?

Answer 7

abdominal pain
bloating
change in bowel habit

Question 8

RISK FACTORS OF IBS?

Answer 8

gastroenteritis, stress