IBS: Howden

Question 1

Describe the Rome III criteria for Dxing IBS.

Answer 1

1) Recurrent abdominal pain or discomfort occuring at least 3 days per month in the last 3 months associated w/ 2 or more of the following:
a) Improvement in pain/discomfort w/ defecation
b) Onset of pain/discomfort associated w/ change in stool frequency
c) Onset of pain/discomfort associated w/ change in stool consistency

Question 2

Talk about the treatment for IBS.

Answer 2

No cure all drug, bc IBS is a spectrum disorder comprising many different symptoms.
Can treat individual symptoms, but don’t be surprised when disorder is refractory to tx.
Can treat w/ tricyclic antideppressants (not in constipation) and SSRIs (not in diarrhea) to lessen perceived pain at doses less than those used to tx depression.

Question 3

When treating IBS, it is paramount that you maintain a good _____-_______ relationship to ensure trust and cooperation.

Answer 3

patient-doctor relationship