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2a Liver and GI > IBS > Flashcards

IBS Flashcards

1
Q

Irritable bowel syndrome is a “________” chronic bowel disorder

A

functional

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1
Q

What is IBS defined as?

A

3+ months of GI symptoms with no underlying cause (everything ruled out)

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2
Q

What are the 3 types of IBS?

A

IBS-C = mostly constipation
IBS-D = mostly diarrhoea
IBS-M = mostly mixed; alternating C/D

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3
Q

What are symptoms of IBS?

A

Abdominal pain
Bloating
Relieved by defaecation
Altered stool form/ frequency

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4
Q

How is IBS diagnosed?

A

Exclusions of Coeliac, IBD and infections by:
Serology
Faecal calprotectin
ESR/CRP/ blood cultures

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5
Q

What is treatment for conservative IBS?

A

Education and reassurance
eg for IBS-C suggest eating more fibre

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6
Q

What is treatment for moderate IBS?

A

Laxatives for IBS-C like Senna
Antimotility drug for IBS-D like loperamide

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7
Q

What is treatment for severe IBS?

A

TCA (like amitriptyline )
Consider CBT or GI referral

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8
Q

What can IBS be related to?

A

Psychology
Stress
Anxiety
Drugs
Diet

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2a Liver and GI (61 decks)

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