Functional GIT Symptom Management

Question 1

Diarrhoea Management

Answer 1

• Increase dietary fibre to increase stool consistency
  
  • Loperamide PO - 1-3/d PRN
  • Cholestyramine PO - 1-2/d PRN

Question 2

Constipation Management

Answer 2

• Exercise and adequate fluid intake
  
  • Increase fibre intake
  • Laxative
    
    • Bulk-forming (PO)
    • Osmotic
    • Stimulant (PO)
    • Stimulant plus stool softener (PO)

Question 3

Types of Bulk-forming Laxatives

Answer 3

• Bulk-forming (PO)
  * Psyllium/ispagula (eg Agiolax, Fybogel, Metamucil)
  * sterculia (eg Normafibe)

Question 4

Types of Osmotic Laxatives

Answer 4

• Osmotic
  * PO
  * Mg sulfate
  * Movicol
  * Lactulose syrup
  * Sorbitol liquid

     * PR
        * Microlax

Question 5

Types of Stimulant Laxatives

Answer 5

• Stimulant (PO)
  * Senna
  * Bisacodyl
  * Cascara

Question 6

Types of Stimulant plus stool softener Laxatives

Answer 6

• Stimulant plus stool softener (PO)

* Coloxyl with Senna