IBS

Question 1

Which tests can rule out IBS?

Answer 1

FBC, CRP, anti-TTG, faecal calprotectin

Question 2

Symptoms of IBS?

Answer 2

 Abdo discomfort / pain for ≥ 12wks which has 2 of:
 Relieved by defecation
 Change in stool frequency (D or C)
 Change in stool form: pellets, mucus

\+ 2 of: 
  Urgency 
  Incomplete evacuation 
  Abdo bloating / distension 
  Mucous PR 
  Worsening symptoms after food

Question 3

Which criteria is used to diagnose IBS?

Answer 3

ROME criteria

Question 4

What is the exclusion criteria for IBS?

Answer 4

  >40yrs 
  Bloody stool 
  Anorexia 
  Wt. loss 
  Diarrhoea at night

Question 5

Investigations for IBS?

Answer 5

Bloods: FBC, CRP, LFTs, coeliac serology, TSH, faecal calprotectin

Colonoscopy is >60yrs or any features of organic disease

Question 6

Treatment for IBS?

Answer 6

Exclusion diets
Constipation and diarrhoea medication
Antispasmodics for colic/bloating