Flashcards in Functional Bowel Disorders Deck (30):
What is the basic feature of functional bowel disorders?
Pain or discomfort referred to the GI tract with altered bowel function
When does bowel function become abnormal?
When it is abnormal for the specific patient and is causing symptoms
Why can functional bowel disorders be difficult to detect and diagnose?
They have no/very little detectable pathology
Give 4 examples of functional bowel disorders
Irritable bowel syndrome
Slow transit constipation
If vomiting occurs immediately after eating, what is the cause likely to be?
If vomiting occurs 1 hour or more after eating, what is the cause likely to be?
Pyloric obstruction or motility disorders
If vomiting occurs 12 or more hours after eating what is the cause likely to be?
Give the causes of functional bowel disorders
Cyclical vomiting syndrome
What lab investigations might be done in functional bowel disorders?
What imaging investigations might be done in functional bowel disorders?
How should non-ulcer dyspepsia be treated if H. pylori and other investigations are negative?
What are the classes of causes constipation?
Give an example of a systemic cause of constipation
Give an example of a neurogenic cause of constipation
Give an example of an organic cause of constipation
Give an example of a functional cause of constipation
Institutionalisation/Admission (due to decreased mobility)
Give an example of how functional bowel disorders can cause psychological factors
Huge impact on quality of life
Major cause of work absences
Affects ability to do normal day-to-day tasks
Can cause incontinence
What do alarm symptoms suggest?
Severe disease and need for further investigation
Give examples of alarm symptoms
Loss of weight
Recent onset of progressive symptoms
Age > 50
What is nausea?
The sensation of feeling sick
When should treatment for functional bowel disorders be started?
After a firm diagnosis has been reached
What drug therapy can be given for pain in functional bowel disorders?
What drug therapy can be given for bloating in functional bowel disorders?
What drug therapy can be given for constipation in functional bowel disorders?
What drug therapy can be given for diarrhoea in functional bowel disorders?
Anti motility agents
What psychological intervention can be given in functional bowel disorders?
Cognitive behavioural therapy
Psychodynamic interpersonal therapy
For what patients is relaxation training most effective?
Patients with diarrhoea or psychological co-morbidity
For what patients is hypnotherapy most effective?
For what patients is cognitive behavioural therapy not effective?
Patients with depression or patients who believe that the cause of their symptoms is physical