7: Irritable bowel syndrome Flashcards Preview

Gastrointestinal Week 4 2016/17 > 7: Irritable bowel syndrome > Flashcards

Flashcards in 7: Irritable bowel syndrome Deck (21):
1

Irritable bowel syndrome is very ___.

common

2

Do IBS sufferers have any functional problem with their bowels?

No

3

IBS is a chronic, relapsing syndrome characterised by which symptoms?

Abdominal pain

Constipation and/or Diarrhoea

Bloating

4

Is IBS more common in men or women?

Women

related to hormones

5

An aspect of IBS is exaggerated ___ responses (e.g gastrocolic reflex).

nerve

6

Are there pain receptors in the bowel?

No

7

Are bowel biopsies painful?

No

8

Which receptors are responsible for bowel-related abdominal pain?

Stretch receptors

9

visceral/somatic hypersensitivity

10

GI tract ___ can cause hypersensitivity related to IBS.

infections

e.g Camplyobacter

11

What are the Rome III criteria for diagnosing IBS?

Recurrent abdominal pain 3 days a month for 3 months

plus 2 or more of:

Improvement on defecation

Change in stool frequency

Change in stool consistency

12

If a patient is woken up by the urge to defecate, do they have IBS?

No, probably something more worrying

13

Patients with IBS can have underyling ____ problems.

psychological

14

history is vital for diagnosing IBS, learn questions

15

Which analgesic drug exacerbates the symptoms of IBS?

Codeine

16

alarm features suggest it isn't ibs and should be further investigated

17

fbc for anaemia

crp for inflammation

ttg for coeliac disease

18

removing gluten, dairy can help symptoms

19

buscopan, mebeverine, hysoscine are anti-spasmodics for ibs

20

explanation of amitryptiline prescription really important

i don't think you're depressed

the dose is many times smaller

resets the nerves in your bowels

take it at night

side effects (drowsiness) at first

patient will go away happy

21