IBS Flashcards
what does IBS stand for?
Irritable Bowel Syndrome
how long must you have symptoms of IBS before we can say it is IBS?
6 months
what makes abdo pain better in IBS?
- this is a requirement for it to be diagnosed as IBS
pain relieved by defecating
which age group is most at risk?
20-30
which gender is most at risk?
female
what happens to prevalence with age?
decreases
what foods/drinks can increase risk?
-give 4
alcohol
caffeine
spicy
fatty foods
which drug group commonly causes IBS?
antibiotics
what are the risk factors for IBS?
-7
GI infection GI inflammation diet psychosocial factors drugs younger age group female
how many people have their symptoms triggered by foods?
% wise
90%
what psychosocial factors can increase risk?
stress
anxiety
depression
what are the differentials?
- give 4
crohn’s
coeliac
cancer
UC
complications of IBS?
-2
depression, anxiety
does acupuncture help IBS?
no
pt has typical IBS Hx, but also has rectal bleeding.
what should be a differential now?
-2
cancer
UC
pt has typical IBS Hx, but also has weight loss.
what should be a differential now?
-3
crohn’s
coeliac
cancer
pt has typical IBS Hx, but these symptoms have started now at 68 years of age.
what should be a differential now?
cancer
pt has typical IBS Hx, but also has a FHx of cancer.
what should be a differential now?
cancer
what are the ABC symptoms of IBS?
Abdo pain
Bloating
Change in bowel habit (diarrhoea/constipation)
how long you do need the ABC symptoms of IBS before we can consider a diagnosis?
6 months
can you get mucus in stool in IBS?
yes
can you get blood in stool in IBS?
no
must be a different condition then
what type of diagnosis is IBS?
diagnosis of exclusion
what blood tests did NICE say you can use to exclude differentials?
-4
FBC
ESR, CRP
Coeliac serology
