Functional GI disorders Flashcards
What is a functional GI disorder?
No detectable pathology
Related to gut function
Long term prognosis is good
What are some examples of functional GI disorders?
Oesophageal spasm Non-ulcer dyspepsia Biliary dyskinesia IBS Slow transit constipation Drug related
What are some causes of non-ulcer dyspepsia?
Reflux
Low grade duodenal ulceration
Delayed gastric emptying
IBS
What group are often more affected by psychogenic vomiting?
Young women
What are some good blood investigations for functional bowel disorder?
FBC
Blood Glc
U&Es
Thyroid status
What are some useful imaging investigations for functional bowel disorders?
Colonoscopy
Sigmoidoscopy
List some organic aetiologies forconstipation.
Strictures Tumours Diverticular disease Proctitis Anal fissure
What are some functional aetiologies for constipation?
Megacolon
Idiopathic
Depression
Psychosis
What are some systemic aetiologies for constipation?
DM
Hypothyroidism
Hypercalcaemia
Describe some neurogenic causes of constipation.
Autonomous neuropathies PD Stroke MS Spina bifida
What are the main typical symptoms of IBS?
Abdominal pain
Altered bowel habit
Abdominal bloating
Flatus
What is calprotectin?
Protein released by inflamed gut mucosa
What are some of the main aetiologies to consider in acute abdomen and abdominal pain?
Peritonitis
Intestinal obstruction
Ischaemia
Non-surgical abdominal pain
