Diarrhoea Flashcards
1
Q
Which laxative to use in IBS and why?
A
bulk-forming (ispaghula husk) before macrogols (e.g. polyethlene glycol)
- stimulant (senna) may worsen cramping
- lactulose can ferment
2
Q
What to use for bloating and abdominal discomfort in IBS?
A
antispasmodic e.g. mebeverine
3
Q
When should TCAs not be used in IBS?
A
if constipation predominates