IBS Flashcards
IBS symptoms
Lower abdominal pain / colic
Constipation and diarrhoea
Bloat
Causes
Stress anxiety , depression , lack of fibre
Common age group
Young adult women age 20 to 30
Drug tx classes for Gi spasm
Antispasmodics and antimuscarinic
Name antispasmodic
Mebeverine, alverine Peppermint oil(heart burn , local irritation of mouth and oesophag)
Name antimuscarinic
Hyoscinr butylbromide, atropine, dicycloverine , propanthekine bromide
Treatment of constipation
-lactulose; not recommend bloating
If not responding to diff laxative class and constipation 1 year = linoclotide
Treatment diarrhoea
Loperamide can be used
Antidepressant for abdominal pain
TCA
SSRI
Lifestyle
Homemade meals, food diary spot triggers, try relax , exercise, try probiotics for a month, don’t delay or skip meals, eat spicy processed foods, 3 portion fruit a day, no more than 3 cups of tea / coffeee, no alcohol fizzy drinks , don’t eat fast