GI 10 - Irritable Bowel Syndrome Flashcards Preview

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Flashcards in GI 10 - Irritable Bowel Syndrome Deck (12)
1

__ is a diagnosis of exclusion. Once you've excluded everything else, it's this.

Irritable Bowel Syndrome

2

Combination of chronic (>3 months) lower abdominal symptoms and bowel complaints

IBS

3

Abdominal discomfort or pain that has 2 of these features:
(1) relieved with defecation or
(2) onset associated with a change in frequency of stool, or
(3) onset associated with a change in form (appearance) of stool

IBS

4

more sensitive to gas pressures. They’ll feel their rectum is full and need to go to the bathroom when there’s less than normal

Visceral Hypersensetivity

5

Psychosocial Abnormalities, Abnormal Motility, Visceral Hypersensetivity, Post enteric Infection, Altered Gut Flora
are Pathogenesis of:

IBS

6

The term for: Variety of abnormal myoelectrical and motor abnormalities have been identified in the colon and small intestine

Abnormal motility

7

Chronic condition
Typical onset: late teens to twenties
2/3 with IBS are women
Present for at least 3 months before the diagnosis can be considered

IBS

8

Irritable bowel shouldn’t bother them during the night, that’s more likely ___

Inflammatory bowel syndrome

9

Treatment of IBS

diet and lifestyle changes

10

Antispasmotics are also known as

Anticholinergics

11

If patients have IBS and don't respond to diet and lifestyle changes, use what type of medications? 3 actual examples.

Anticholinergics aka Antispasmotics
1. Hyoscyamine
2. Dicyclomine
3. Clindinium

12

Patient has tried diet, lifestyle changes, and antispasmotics and still doesn't feel better! What do you do now that everything else hasn't worked? Why is this used last?

Amitriptyline - it’s an antidepressant, but it helps the visceral sensitivity.