irratible bowel syndomrome Flashcards
(27 cards)
what are the common synptoms of irritable bowel syndrome
abdominal pain
Diarrhoea
Constipation
Fluctuating bowel habit
Bloating
Worse after eating
Improved by opening bowels
Passing mucus
what can make ibs syndomre worse
Anxiety
Depression
Stress
Sleep disturbance
Illness
Medications
Certain foods
Caffeine
Alcohol
definstial terms for ibs
viceral hypersensitivigy, altered mucosal and immune fuction, alterned gut microbiota, alterd cns processing
who is mainly effected by ibs
young women and those who have had previous dihoreen
what is the diagnonsi criat udner rome 4 for ibs
1 day per weekn in the last 3 months of recurrent abdoal pain with
- related to dedication
onset assoicaed with change in frequcy of stool
asoced with chan in form of stool
ibs- c
contipation realed
ibs - d
dihoreadr realed
ibs m
mixed ibs, both condsipa dn dirhaoe that changes
what is the physiolgy issues seen in ibs
motiliy, sensationalterned duodenal microbiopme , gut pereablty , secreation, immune cell inflation, inflammatory cytokines
what brain physiology factso efect ibs
pysilical co morbilidy
cognitive afective processing
health anxiety and somatisiation
gi speifc anxiety
coping mechanism
stress
what cns stucre and fuciton facors effect ibs
stucutal brain abnoralmatiles
fuctioal netowrk connectivty
viceral hypersensitivity
emotaion arousal ad cognitive modulation
conditiend respoesn
neurotroansmiers
what kind of changes in singlas is seen in ibs
too many singal from gut and hte brian sends out inaproapre signals
what are the perial factos that effect ibs
food, acute gi infecoin, mucosal infaltion, abdo or perlivs surgery menses
what are the central facots that effect ibs
life stresses , somatisation, anxiety , poor social skills, poor coping skills, malabdavie cognitions, abuse
what blood tests shoul dbe done for ibs
fbc for anemia
inflatory markers such as esr and crp
colica seroilgy (anti ttg antibody)
ca1225 for ovarica cancer
thydore tests
what stool test should be done for ibs
faecal calcproin for ibd
blood
pathenognes
what are the simptosn ofr colorecal cancer
over 40 with weight loans ab abdoal ain
over 50 with unexpalin recetl being
over 60 with iron dfic anea an chang in bowl happit
how to mangage ibs symptons iwth diet
3 reguarl meals
no skipping emals
smaller meal sizers
limit alhcol
reduce caffeine
reduce fizz drinks
at least 8 drijs per day
cut down on fatty foods
limit fresh fotu to 3 port per day
what is the low fodma dite
reintroductio of food slowlry that are likely to cause symtp sucha s furcots, lacose, furgan , goals, and polyols
what is the treatmetn for constipation firs and second line
bulk forming lacatives
linaclotide
what is the first and secon liine treatment for dihrea
loperamide
and obetreic acid and ondrasetrone and enterestorne
what is the treament for pain in ibs
antispasmodic such as mebeverine, alverin or pepermental
what pyscololical agents are used for ibs
tricyclic antibdpers e.g. amitriline
ssri antidepresnat
cbt
specialst referall
are probotic of benift
no, they are not clicnaly proven yet to show benfiti, can be tried for 1 mothns
