functional GI disorders

Question 1

IBS diagnosis

Answer 1

NO tests needed! Abdominal pain >3days/month over 3 months or 2 of following: improvement w/ defectation, change in frequency, change in form of stool

Question 2

Are genetics or environment more imporatnt in IBS

Answer 2

both. concordance higher in twins but also seen more often in children of hypochondriac parents

Question 3

motility problems in IBS

Answer 3

faster, stronger peristalsis. cramps and spasms.

Question 4

signs a patient has moderate symptoms

Answer 4

avoiding social fxns, absence from school/work

Question 5

signs a patient has severe symptoms

Answer 5

doctor shopping, frustration at lack of diagnosis, unrealistic goals for cure

Question 6

therapy for IBS

Answer 6

antispasmodics, psychological therapy, probiotics, Anti-depressants, not fiber

Question 7

key component to treating IBS

Answer 7

good pt-dr relationship. Also, communicate to patient that trial and error in treatment may be necessary

Question 8

Are most FGIDs diagnoses of exclusion? how about IBS

Answer 8

yes; no