IBS Flashcards
1
Q
Symptoms of IBS
A
Bloating Urgency Tenesmus Nocturia Aggravated by stress
2
Q
What is the Rome criteria used to identify?
A
Degree of constipation
3
Q
What are the symptoms of the Rome criteria?
A
Straining for > 25% of BMs Lumpy or hard stools in > 25% of BMs Tenesmus in > 25% of BMs Manila manoeuvres to support > 25% of BMs Fewer than 3 BMs a week
4
Q
How is constipation defined using the Rome criteria?
A
Presence of > 2 symptoms during bowel movements
5
Q
What other illness is IBS associated with?
A
Fibromyalgia Chronic fatigue syndrome TMJ dysfunction Chronic pelvic pain Psychological conditions
6
Q
Alarm features of GI history
A
Age > 50 Short duration of symptoms Woken from sleep by altered bowel habit Rectal bleeding Weight loss FH of colorectal cancer Recent antibiotics
7
Q
Investigations for IBS
A
FBC ESR/ plasma viscosity CRP Antibody testing for coeliac (TTG) Lower GI tests of aged >50 or strong FH of colorectal cancer
8
Q
First line treatment of IBS
A
Reduce fibre
Stop opiate analgesia
9
Q
Drug treatment of IBS
A
Anti-spasmodics
Laxatives
Anti-diarrhoeals
Anti-depressants (amitriptyline)
10
Q
What is the pathogenesis of IBS?
A
Visceral hypersensitivity
