IBS

Question 1

Definition of IBS

Answer 1

GI syndrome characterized by chronic abdominal pain and altered bowel habits in the absence of any known cause

Question 2

IBS more common in males or females

Answer 2

females

Question 3

age range for IBS

Answer 3

Usually less than 45 yo

Question 4

What is considered the main culprit in IBS?

Answer 4

Motility disorder…many treatments aimed at modifying the dominant motility pattern

Question 5

What is visceral hypersensitivity?

Answer 5

Increased sensitivity to pressure and pain stimulus

Question 6

Intestinal inflammation in IBS

Answer 6

Certain patients show increased inflammatory markers like TNF

Question 7

Most common trigger of an IBS episode?

Answer 7

Psychological cuases

Question 8

Corticotropin Releasing Factor (CRF)

Answer 8

possible mediator of IBS

Question 9

Diagnostic criteria for IBS

Answer 9

Recurrent abdominal pain or discomfort for 3 consecutive days a month in the last 3 months with 2 or more of the following:

• improvement with defecation and/or
• onset associated with change in stool frequency
• onset assoc with change in stool appearance

Question 10

IBS-C

Answer 10

Hard stool over 25% of stool

Question 11

IBS-D

Answer 11

Loose stool over 25% of stool

Question 12

Mixed IBS

Answer 12

Both loose and hard

Question 13

IBS pts do NOT have Nocturnal diarrhea

Answer 13

KNOW

Question 14

IBS diarrhea usually right after a meal

Answer 14

ok

Question 15

Red Flags in IBS

Answer 15

wt loss, blood, recent travel, older age, family history of cancer, antibiotic use, etc…

Question 16

Lab findings in IBS

Answer 16

should be normal

Question 17

Treatment of IBS

Answer 17

based on nature, severity, and whether psychosocial impairment is there

Educate, reassure, diet, treat abdominal pain, psychosocial treatment