IBS Flashcards
What do sufferers of IBS tend to over-react with?
Fructose, gluten
What are the symptoms of IBS?
Pain/Spasms
Bloating
urgency
Constipation and diarrhea
Mucous in stool
> 6 months
What is the most common symptom of IBS?
Abdominal pain, less severe after a bowel movement
What is the three types IBS?
IBSC
IBSD
IBS Mixed
How often do people with IBS avoid certain foods?
all the time
What are the BMs of IBS-D on bristol stool chart?
6-7
What are the BMs of IBS-C on bristol stool chart
1-2
What is Ovol?
This is an anti-flatulent agent, will not work for IBS
What will fiber do?
Helps with BM habits
What are dietary ways of managing IBS?
Fiber
Reducing fatty foods
Avoid offending foods
Most fermentable fibers are?
soluble
What often co-exists with IBS?
Anxiety or depression
What is psyllium recommended for?
IBS-C
Does miralax help with IBS-C?
It improves symptoms of constipation, but it does nothing to help with the spasms associated with IBS
What are the smooth muscle relaxants used for?
IBS-D or IBS-C
What are the smooth muscle relaxants
Pinaverium
Trimebutine
What is pinaverium
CC antagonists in the smooth intestine, used for both C/D
What is trimebutine?
Opiate receptor agonist 5HT3 antagonist
What is loperamide used for?
IBS-d
What is loperamide?
Imodium
What does loperamide do?
decrease diarrhea not much jelp with pain though
What is the dosing of loperamide?
2-4mg up to QID
What is psyllium used for?
IBS-C
What is the dose of psyllium (Metamucil)?
2-4 tablespoons daily with fluids