IBS Flashcards
1
Q
IBS should be considered if
A
abdo pain
bloating
change bowel habit
≥6mo
2
Q
diagnosis should be made if
A
pain relieved by defacation, or assoc with altered bowel frequency stool form plus 2/4 of -alt stool passage -abdo bloating - symptoms made worse eating -mucus
3
Q
suggested primary care Ix
A
FBC
ESR/CRP
coeliac disease screen
4
Q
first line Mx
A
pain - antispasmodic agents
constipation - laxatives
diarrhoea - loperamide
5
Q
which laxative to avoid
A
lactulose
6
Q
2nd line Mx
A
low dose tricyclic antidepressant e.g. amitryptiline
