Irritable Bowel Syndrome Flashcards

1
Q

Define irritable bowel syndrome as per Rome III criteria

A

Recurrent abdo pain for 3 days/month for 3 months
+ at least 2 of
Improvement with defecation
Change in stool frequency
Change in stool appearance

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2
Q

Is IBS an acute or chronic presentation?

A

Chronic - has been going on for months

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3
Q

Who is more commonly affected by IBS - males or females?

A

Females 2:1 Males
Oestrogen-driven disease

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4
Q

List some symptoms of IBS

A

Bloating
Abdo pain/discomfort
Increased frequency of toilet visits
Mucus stool
Incomplete emptying

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5
Q

What are the most common trigger factors of IBS?

A

Diet (bread, low-fibre)
Infection
Menstruation
Drugs (opiates e.g. codeine)
Psychological factors

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6
Q

What are some alarm features of IBS symptoms that warrant deeper investigation?

A

Age > 50
More recent onset
Woken up from sleep needing toilet
Rectal bleeding
Weight loss
Anaemia
Family history of CRC

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7
Q

List some general investigations done for IBS

A

FBC
CRP
Antibody test for coeliac disease
Lower GI test if age > 50

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8
Q

What is the initial, and often most effective, management of IBS?

A

Improve diet - reduce fibre and meal times
Stop opiates and analgesia

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9
Q

Name an anti-diarrhoeal agent

A

Loperamide

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10
Q

Name an anti-depressant agent that may be used for IBS

A

Amitryptiline

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