Gastroenterology

Question 1

what are red flags for abdominal pain?

Answer 1

collapse at toilet, light-headedness, ischaemic heart disease, progressive pain- vomiting- pain, distension, menstrual abnormalities, malignancy, pallor and sweating, hypotension, atrial fibrillation/ tachycardia, fever, prostration, rebound tenderness and guarding, decreased urine output

Question 2

What are red flags for organic disease?

Answer 2

older patient, nocturnal pain or diarrhoea, progressive symptoms, rectal bleeding, fever, anaemia, weight loss, abdominal mass, recent onset faecal incontinence or urgency

Question 3

What are red flags for diarrhoea?

Answer 3

Unexpected weight loss
Persistent/ unresolved
Fever
Overseas travel
Severe abdominal pain
Family history: bowel cancer, Crohn disease

Question 4

what are red flags for non ibs disease?

Answer 4

age > 40

history