Gastroenterology 16 - IBS

Question 1

symptoms more suggestive of IBS x 6

Answer 1

relieved by opening bowels
assoc with change in bowel habit
abnormal stool passage
bloating
worse after eating
mucus with stools 

(can be constipated not diarrhoea)

Question 2

6 aspects in managing IBS

Answer 2

adequate fluids
regular small meals
reduce processed food
limit caffeine and alcohol
low FODMAPs by dietician 
probiotic supplements

Question 3

5 medications involved with IBS + one therapy

Answer 3

loperamide for diarrhoea
buscopan (antispasmodic - hyoscine butylbromide)
linaclotide (laxative for contstip)
amitriptyline 5-10mg PN
SSRIs

CBT

need to deal with the stressors!