Irritable Bowel Syndrome (IBS) Flashcards
1
Q
irritable bowel syndrome
A
most common GI disorder that affects the large intestine and its motor and sensory Fx in the gut
2
Q
etiology
A
- unclear w/ proposed links to: FODMAPs, emotional stress, and cigarette smoking
3
Q
FODMAPs
A
carbohydrates that the small intestine poorly absorbs and causes digestive distress when consumed
4
Q
pathology theories
A
1) FODMAPs causes gas build-up in the large intestine (relates to symptoms of IBS)
2) serotonin not signaling properly –> inc peristalsis causing pain
5
Q
serotonin
A
a neurotransmitter that mediates perfusion, motility, secretion, and sensation of pain in the gut
6
Q
mnfts
A
- dyspepsia (abd pain)
- alternating pattern of diarrhea and constipation
- mucus in stools
- flatulence (gas trapped)
7
Q
dx
A
- process by exclusion (testing)
- labs: Abs, CBC, stool exam, protozoan parasites
- gastroscopy, colonoscopy
- clinical presentation
8
Q
tx
A
- avoid/eliminate offending foods in diet
- dec stress levels
- drugs prn
9
Q
drugs used for tx
A
- antispasmodics
- antidiarrheals, laxatives
- Abx*
10
Q
why Abx for IBS
A
keeps normal flora in check to see if there is any alleviation in symptoms
11
Q
caution with use of Abx
A
it eliminates normal flora which allows pathogenic flora to cause inc harm
