2: Functional GI Disorders (IBS)

Question 1

What is a type of functional GI disorder

Answer 1

IBS

Question 2

What is IBS

Answer 2

Collection of abdominal symptoms with no organic underlying pathology

Question 3

In which age is IBS more common

Answer 3

<40

Question 4

In which gender is IBS more common

Answer 4

Females (2:1)

Question 5

What are two contributory factors for IBS

Answer 5

Stress

Gastroenteritis

Question 6

How does IBS present

Answer 6

Chronic:

• Pain relieved by defecation
• Change bowel habit
• Bloating
• Flatulence
• Urgency

Question 7

What are the three types of IBS

Answer 7

IBS-D = diarrhoea
IBS-C = constipation 
IBS-M = mixed

Question 8

What criteria is used to diagnose IBS

Answer 8

Rome-IV

Question 9

What is the aim of investigations in IBS

Answer 9

exclude other causes

Question 10

Why is an anti-TTG done in IBS

Answer 10

exclude coeliac disease

Question 11

Why is a faecal calprotectic done in IBS

Answer 11

exclude IBD

Question 12

Why is a colonoscopy done in over-60’s with IBS symptoms

Answer 12

exclude colorectal cancer

Question 13

What is first-line for IBS

Answer 13

FODMAP diet

Question 14

If pain in IBS, what is offered

Answer 14

Mebeverine (anti-spasmodic)

Question 15

If constipation in IBS, what is offered

Answer 15

laxatives (not lactulose)

Question 16

If diarrhoea in IBS, what is offered

Answer 16

loperamide

Question 17

What is second-line for IBS

Answer 17

amitryptiline

Question 18

If symptoms do not improve in 12m of pharmacological treatment what is offered for IBS

Answer 18

CBT