Irritable Bowel Syndrome Flashcards Preview

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Flashcards in Irritable Bowel Syndrome Deck (13)
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1

Irritable Bowel Syndrome

Common chronic functional disorder
Symptoms may occur for years
More frequent diagnosis in women

2

Characterized by...

Intermittent abdominal pain or discomfort and stool pattern irregularities

3

Clinical Manifestations

Abdominal pain
Diarrhea or constipation
Abdominal distention
Excessive flatulence
Bloating
Heartburn, nausea, vomiting
Urgency and frequency
Sensation of incomplete evacuation

4

Psychosocial Factors

Psychologic stressors associated w/ development and exacerbation of IBS
Common in pts:
-Anxiety, panic disorder
-Depression
-PTSD
-Abuse history

5

Problems NOT associated with IBS
*HE SPECIFICALLY POINTED OUT THIS SLIDE

Anemia
Fever
Persistent Diarrhea
Rectal Bleeding
Severe Constipation
Weight Loss

6

Etiology and Patho

No organic cause known
Pts often report hx of GI infections and food intolerances
*role of food allergies is unclear
*other dietary factors such as fermentable saccharides and polyols may contribute to symptoms

7

Differential Diagnoses

Malabsorption
Dietary factors
Infection
Colorectal cancer
Inflammatory bowel disease
Endometriosis
Psychologic disorders
Gynecologic disorders
Peptic ulcer disease
Celiac disease

8

Diagnostic Studies

No specific physical findings
Diagnosis is determined by:
-Symptoms
-Ruling out other conditions

9

Treatment is directed at

Psychologic factors
Dietary factors
Medications that:
-Regulate output
-Reduce pain/discomfort

10

Psychologic Therapies

Cognitive-behavioral therapy
Stress management techniques
Acupuncture
Hypnosis

11

Nutritional Therapy

Eliminate gas-producing foods
Gradually increase fiber intake or use stool bulking agent
Eliminate fructose and sorbitol
Yogurt tolerated more than milk products
Probiotics are helpful
Keep a diary/journal

12

Drug Therapy

Imodium
Atropine/Diphenoxylate
Lotronex
Amitiza & Linzess
Tricyclic Antidepressants

13

Nonpharmacologic Treatments

Teaching and reassurance
Relaxation
Stress management techniques
Complementary and alternative therapies