GI 10 - Irritable Bowel Syndrome

Question 1

__ is a diagnosis of exclusion. Once you’ve excluded everything else, it’s this.

Answer 1

Irritable Bowel Syndrome

Question 2

Combination of chronic (>3 months) lower abdominal symptoms and bowel complaints

Answer 2

IBS

Question 3

Abdominal discomfort or pain that has 2 of these features:

(1) relieved with defecation or
(2) onset associated with a change in frequency of stool, or
(3) onset associated with a change in form (appearance) of stool

Answer 3

IBS

Question 4

more sensitive to gas pressures. They’ll feel their rectum is full and need to go to the bathroom when there’s less than normal

Answer 4

Visceral Hypersensetivity

Question 5

Psychosocial Abnormalities, Abnormal Motility, Visceral Hypersensetivity, Post enteric Infection, Altered Gut Flora
are Pathogenesis of:

Answer 5

IBS

Question 6

The term for: Variety of abnormal myoelectrical and motor abnormalities have been identified in the colon and small intestine

Answer 6

Abnormal motility

Question 7

Chronic condition
Typical onset: late teens to twenties
2/3 with IBS are women
Present for at least 3 months before the diagnosis can be considered

Answer 7

IBS

Question 8

Irritable bowel shouldn’t bother them during the night, that’s more likely ___

Answer 8

Inflammatory bowel syndrome

Question 9

Treatment of IBS

Answer 9

diet and lifestyle changes

Question 10

Antispasmotics are also known as

Answer 10

Anticholinergics

Question 11

If patients have IBS and don’t respond to diet and lifestyle changes, use what type of medications? 3 actual examples.

Answer 11

Anticholinergics aka Antispasmotics

1. Hyoscyamine
2. Dicyclomine
3. Clindinium

Question 12

Patient has tried diet, lifestyle changes, and antispasmotics and still doesn’t feel better! What do you do now that everything else hasn’t worked? Why is this used last?

Answer 12

Amitriptyline - it’s an antidepressant, but it helps the visceral sensitivity.