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Flashcards in Functional GI disorders Deck (18):
1

What are functional GI disorders?

No detectable pathology
Good long term prognosis
Large impact of QOL etc

2

What is non-ulcer dyspepsia?

Dyspeptic type pain with no ulcer on endoscopy

3

What are the investigations for non-ulcer dyspepsia?

History and examination
H pylori status

4

How is non- ulcer dyspepsia treated?

Negative tests-symptomatic treatment
H pylori positive-eradication therapy

5

What is nausea?

The sensation of feeling sick

6

What can cause nausea and vomiting?

Drugs
Pregnancy
Migraine
Alcohol
Cyclical vomiting syndrome

7

What is psychogenic vomiting?

No preceding nausea, can be self induced, usually young women

8

What is used to asses a patient's stool?

Bristol stool chart

9

What are the alarm symptoms in functional GI disorders?

Unintentional weight loss
Anaemia
Rectal bleeding
Family history
Male and >50 yrs

10

What are the common investigations used for functional GI disorders?

FBC
U and E
Blood glucose
Thyroid status
Coeliac serology
Colonoscopy
FOB

11

What are the causes of constipation?

Strictures
Tumours
Diverticular disease
Anal fissure
Diabetes
Hypothyroidism
Hypercalcaemia
Parkinson's disease
Multiple sclerosis
Spina bifida

12

What are the symptoms of IBS?

Abdominal pain
Altered bowel habit
Abdominal bloating
Belching wind and flatus

13

What are the investigations for IBS?

Blood analysis
Stool culture
Rectal examination and FOB
Calprotectin (normal is <50)

14

What causes IBS?

Altered motility
Visceral hypersensitivity
Stress, anxiety, depression

15

What drugs are used to treat constipation?

Laxatives
Linaclotide

16

What drugs are used to treat diarrhoea?

Anti motility agents
FODMAP

17

What drugs are used to treat bloating?

Linaclotide
Some probiotics

18

What drugs are used to treat pain?

Antispasmodics
Linaclotide
Antidepressants