IBS Flashcards
1
Q
What can irritate IBS
A
Stress
Anxiety
Fatty foods
Alcohol
Spices
Caffeine
All irritate the bowel
2
Q
What is some advice on fruits and fibre
A
Limit fresh fruits
Increase soluble fibre - oats
Increase water intake
3
Q
Overview of drug treatment in IBS
A
1 - Antispasmodics and antimuscarinics for abdo pain - mebeverine, hyoscine and peppermint oil
2 - Constipation - increase fibre but avoid lactulose
3- Linaclotide - reduces pain, bloating and constipation - for moderate/severe cases
4 - Loperamide - diarrhoea
5 - Peppermint oil - bloating
6 - Antidepressants - unlicensed and for pts not responding to laxatives, antispasmodics and loperamide
