IBS

Question 1

Define IBS

Answer 1

Relapsing bowel disorder consisting of abdo pain/discomfort assoc w/ defecation or change in bowel habit

Question 2

Aetiology of IBS (3)

Answer 2

Abnorm SM activity
Visceral hypersensitivity
Abnormal processing of painful stimuli

Question 3

Presenting Sx IBS (3)

Answer 3

6 month Hx of:

• Abdo pain/discomfort
• Bloating - can worsen throughout day
• Change in bowel habit

Question 4

How is abdo pain relieved in IBS?

Answer 4

By defecation

Question 5

To have IBS, you must have at least 2 of:

Answer 5

Alterations in passage of stool
Abdo bloating, distention, hardness
Sx aggravated by eating
Passage of rectal mucous

Question 6

When is tenesmus worst for IBS patients?

Answer 6

In the morning

Also worsens throughout day

Question 7

What other, non-specific Sx may someone w/ IBS have? (5)

Answer 7

Lethargy 
Headache 
Nausea
Backache 
Bladder Sx

Question 8

What 2 things may chronic Sx be precipitated by?

Answer 8

Stress

ABX

Question 9

Signs IBS

Answer 9

Tender Palpable colon

Question 10

Mx IBS

Answer 10

Diet + Exercise

Question 11

Dietary Mx IBS (6)

Answer 11

Regular meals 
Lots of fl 
Limit alcohol, coffee + fizzy drinks 
Limit high fibre foods + resistant starches 
Decr FODMAPs 
Probiotics

Question 12

e.g.s of FODMAPs food

Answer 12

Apples, sweetners, green veg