IBS

Question 1

IBS CONDITION

Answer 1

Common chronic, relapsing and often life long - associated with abdominal pain,diarrhoea or constipation, urgency, incomplete defaecation and passing mucus

Question 2

Who is its most common in, what is it exacerbated by?? In terms of food

Answer 2

Exacerbated by:
- Coffee, alcohol and milk
- Large meals
- Fried food
- Stress

More common in women 20-30 y/o

Question 3

Non Drug treatment -

Answer 3

• Increase excessive
  
  • At regular meals
  • Reduce fresh fruit consumption to 3 portions per day
  • Reduce insolvable fibre
  • Reduce caffeine,alcohol and fizzy drinks
  • Avoid sorbitol if you have diarrhoea
  • Reduce stress

Question 4

Drug treatment:
What do we avoid hyoscine butylbromide innnn???

Answer 4

• Normally treatable over the counter the counter
  - Antispasmodics:alervine,mebverine and peppermint oil
  
  • Laxatives - if constipated(not lactulose as it may cause bloating)
  • Loperamide - if experiencing diarrhoea
  • Antimuscarinic - hyoscine butylbromide (avoid in cardiac disease)

Question 5

Second line if OTC doesn’t work:

Answer 5

• Low dose tricyclic antidepressant - amitriptyline
  
  • SSRI if TCA doesn’t work
    Use in unlicensed