IBS

Question 1

What is the epidemiology of IBs?

Answer 1

most prevalent GI dz
more female,
develop less than 45 yrs
associated with psychosocial stress

Question 2

What do we consider the main culprits of IBS

Answer 2

colonic motility, increased sensitivity to pressure and pain, intestinal inflammation, microbial alterations,

Question 3

What is IBS-C

Answer 3

hard stool greater than 25%

Question 4

What is IBSD

Answer 4

loose-watery stool greater than 25%

Question 5

Diarrhea in IBS will/won’t wake the patient?

Answer 5

Will not awaken patient, they will sleep through evening

Question 6

What is the ddx of IBS?

Answer 6

lactose intolerance, infxs diarrhea, colorectal cancer, diverticulitis, IBD (cd or uc), antibiotic associated, hypo/hyperthyroidism, rx, endometriosis, celiac sprue

Question 7

What are various red flags for IBS?

Answer 7

weight loss, severe chronic diarrhea, rectal bleeding, onset of sx over 50 yo, recent travel or rx use, family hx of gi cancer, arthritis, lymphadenopathy, abd mass, anemia, abnormal thyroid, abnormal calcium

Question 8

is a pt with ibs has constipation, what tests should you run?

Answer 8

tsh, calcium, colonoscopy if over fifty

Question 9

What psychological illness have people linked to ibs?

Answer 9

anxiety and depression