IBS

Question 1

IBS symptoms, aggravators, affects who most?

Answer 1

• Lower abdominal spasms
• Bloating
• Constipation + Diarrhoea
• Aggravated by stress, depression, lack of fibre
• Commonly affects young adult women

Question 2

When to refer sus IBS

Answer 2

• Children
• 1st time 45 years +
• Blood in stools (IBD, gastric ulcer, carcinoma)
• Bowel obstruction (severe abdo bloat, colic, vomit, constipation)
• Unexplained weight loss, appetite loss (colorectal cancer)
• Fever, nausea, vomiting + severe abdo pain (IBD?)
• Pregnant (OTC products no good)
• Sus depression

Question 3

Which drug types to treat IBS?

Answer 3

Antispasmodics
Antimuscarinics
Bulk forming lax
Loperamide

Question 4

What’s Mebeverine (Colofac IBS)? Age limit?

Answer 4

Antispasmodic for IBS, 18+

Question 5

What’s Alverine (Spasmonal)? Age limit?

Answer 5

Antispasmodic for IBS, 12+

Question 6

What’s Peppermint oil (Colpermin IBS relief? Age limit? How to take? Side effect?

Answer 6

Antispasmodic for IBS, 15+
Swallow capsules whoe; irritates mouth and oesophagus

Common side effect: heartburn

Question 7

Antispasmodics for IBS? How does it work?

Answer 7

Mebeverine 18+
Alverine 12+
Peppermint 15+

Relaxes gut smooth muscle to reduce abdo spasms

Question 8

What’s hyoscine (Buscopan IBS relief)? Age?

Answer 8

Anti-muscarinic for IBS, 12+

Question 9

Whats Dicycloverine (Kolanticon gel)? Age limit?

Answer 9

Anti-muscarinic for IBS, 12 +

Question 10

Anti-muscarinic for IBS? How work? Interaction? Avoid in which ailments?

Answer 10

Hyoscine 12+
Dicycloverine 12+

Anticholinergic effect relaxes gut smooth muscle

Interaction: additive anticholinergic effect
(Antihistamines, TCAs, antipsychotics)
(Avoid in glaucoma and prostatic enlargement)