functional GI disorders Flashcards

1
Q

IBS diagnosis

A

NO tests needed! Abdominal pain >3days/month over 3 months or 2 of following: improvement w/ defectation, change in frequency, change in form of stool

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2
Q

Are genetics or environment more imporatnt in IBS

A

both. concordance higher in twins but also seen more often in children of hypochondriac parents

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3
Q

motility problems in IBS

A

faster, stronger peristalsis. cramps and spasms.

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4
Q

signs a patient has moderate symptoms

A

avoiding social fxns, absence from school/work

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5
Q

signs a patient has severe symptoms

A

doctor shopping, frustration at lack of diagnosis, unrealistic goals for cure

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6
Q

therapy for IBS

A

antispasmodics, psychological therapy, probiotics, Anti-depressants, not fiber

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7
Q

key component to treating IBS

A

good pt-dr relationship. Also, communicate to patient that trial and error in treatment may be necessary

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8
Q

Are most FGIDs diagnoses of exclusion? how about IBS

A

yes; no

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