Functional GI disorders Flashcards
What are functional GI disorders?
No detectable pathology
Good long term prognosis
Large impact of QOL etc
What is non-ulcer dyspepsia?
Dyspeptic type pain with no ulcer on endoscopy
What are the investigations for non-ulcer dyspepsia?
History and examination
H pylori status
How is non- ulcer dyspepsia treated?
Negative tests-symptomatic treatment
H pylori positive-eradication therapy
What is nausea?
The sensation of feeling sick
What can cause nausea and vomiting?
Drugs Pregnancy Migraine Alcohol Cyclical vomiting syndrome
What is psychogenic vomiting?
No preceding nausea, can be self induced, usually young women
What is used to asses a patient’s stool?
Bristol stool chart
What are the alarm symptoms in functional GI disorders?
Unintentional weight loss Anaemia Rectal bleeding Family history Male and >50 yrs
What are the common investigations used for functional GI disorders?
FBC U and E Blood glucose Thyroid status Coeliac serology Colonoscopy FOB
What are the causes of constipation?
Strictures Tumours Diverticular disease Anal fissure Diabetes Hypothyroidism Hypercalcaemia Parkinson's disease Multiple sclerosis Spina bifida
What are the symptoms of IBS?
Abdominal pain
Altered bowel habit
Abdominal bloating
Belching wind and flatus
What are the investigations for IBS?
Blood analysis
Stool culture
Rectal examination and FOB
Calprotectin (normal is <50)
What causes IBS?
Altered motility
Visceral hypersensitivity
Stress, anxiety, depression
What drugs are used to treat constipation?
Laxatives
Linaclotide
