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Flashcards in IBS Deck (15)
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1
Q

What is IBS?

A

Denotes a mixed group of abdominal symptoms for which no organic cause can be found.

2
Q

What are the 3 types of IBS?

A
  • IBS-C : with constipation
  • IBS-D : with diarrhoea
  • IBS-M : with constipation and diarrhoea
3
Q

What are the risk factors of IBS?

A
  • Age of onset under 40
  • Females > males
  • Stress
  • Menstruation
  • Depression and anxiety
  • Psychological stress and trauma
  • GI infection
  • Sexual, physical or verbal abuse
  • Eating disorders
4
Q

What are the symptoms of IBS?

A
  • Abdominal pain or discomfort (relieved by defecation)
  • Bloating
  • Change in bowel habit
  • Painful period
  • Back pain
  • Fatigue
  • Nausea
  • Symptoms worsen after food
5
Q

What are the main differences between IBS and IBD?

A
  • IBS has normal investigation results whereas IBD doesn’t

- IBS no blood in stool and, no mcleans, no weight loss and no mouth ulcers

6
Q

What are the similarities between IBS and IBD?

A
  • Persistant and fluctuating symptoms

- Triggered by food

7
Q

What investigations would you do for IBS?

A

As there is nothing physical to be found, the diagnosis is mainly made by ruling out the differentials

8
Q

What is the treatment for mild IBS?

A
  • Education,
  • Reassurance
  • Dietary modification
9
Q

What is the treatment for moderate IBS?

A
  • Pharmacotherapy

- Psychological treatment

10
Q

What is the treatment for severe IBS?

A

Referral to pain treatment centre

11
Q

What is the non-pharmalogical treatment for IBS?

A
  • Low FODMAP diet
  • Regular or small frequent meals
  • Plenty of fluid
  • IBD - insoluble fibre
  • For wind and bloating - soluble fibre
  • Reduce caffeine, alcohol, fizzy drinks etc.
12
Q

What is the pharmacological treatment for Pain and bloating?

A

Antispasmodics e.g buscopan

13
Q

What is the treatment for constipation?

A

Laxitives e.g movicol

14
Q

What is the treatment for Diarrhoea?

A

Anti-motility agents

15
Q

What condition is associated with IBS and could therefore be treated?

A

Anxiety and depression so SSRI’s could be used.