GI Psychiatry - Week 8 Flashcards
What is meant by globus sensation?
Sensation of a lump in the throat
Give some causes of globus sensation.
Foreign body GORD Inflammation of pharynx Pharyngeal pouch Cancers Psychiatric conditions
Which psychiatric condition may cause globus?
Anxiety
What is meant by functional dysphagia?
the sensation of solid and/or liquid foods sticking, lodging, or passing abnormally through the esophagus
Give some psychotic GI symptoms.
Stopping eating as believe they’re being poisoned, believe gut is dead
Give some causes of psychosis.
Depression Mania Bipolar Schizophrenia Drug-induced Dementia Delirium Brain tumours
What kind of drug is alcohol?
Depressant
NICE guidelines for IBS require symptoms to be present for…
6 months
Rome Criteria requires IBS symptoms to be present for…
3 months
Around a third of patients with IBS have a history of…
Physical or sexual abuse
How is IBS managed using diet?
fibre, caffeine, regular meals, probiotics
Name some medications which may be used for treating IBS.
Antispasmodics
Laxatives
Antimotility medicines
Low-dose antidepressants
Which drugs should be stopped in IBS?
Opiods
Medically Unexplained Symptoms sometimes are due to…
Underlying Psychiatric conditions
What is meant by Malingering disorder?
Making up or exaggerating symptoms for external gain. For example, to influence an upcoming court case, avoid work/claim benefits, access drugs.
