IBS Flashcards
1
Q
acute or chronic?
A
chronic
2
Q
which criteria is used to diagnose?
A
Rome 3
3
Q
what age and sex of patients get this?
A
females, 30s-40s
4
Q
need recurrent abdo pain /discomfort for at least 3 days/month for 3 months + 2 of?
A
improvement with defamation
onset associated with change in stool frequency
onset associated with change in stool form
5
Q
50% of patients are?
A
depressed/anxious/hypochondrial
6
Q
investigations?
A
FBC/ESR/CRP/TTG/lower GI if over 50 or strong fx of crc
7
Q
treatment?
A
reduce fibre, stop opiates
anti diarrhoeals
anti spasmodics
anti depressants
8
Q
symptoms? dex
A
altered stool passage (straining, urgency, incomplete evacuation) abdominal bloating (more common in women than men), distension, tension or hardness symptoms made worse by eating passage of mucus
9
Q
food list used in IBS?
A
FODMAP
10
Q
onset after 60 years is considered?
A
a red flag
