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
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2
Q

What to use for bloating and abdominal discomfort in IBS?

A

antispasmodic e.g. mebeverine

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3
Q

When should TCAs not be used in IBS?

A

if constipation predominates

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