IBS Flashcards
1
Q
IBS-D
A
diarrhea predom
2
Q
IBS-C
A
constipation predom
3
Q
IBS-M
A
Mixed constipation and diarrhea
4
Q
IBS-A
A
alternating diarrhea and constipation
5
Q
IBS symptoms begin?
A
odd abd pain and altered bowel habit in childhood - before age 35
6
Q
what age group affected with IBS?
A
YOUNG PEOPLE
7
Q
If IBS symptoms and over 40 what to do?
A
dig for some other condition
8
Q
Diagnosis general?
A
diagnosis of exclusion - need to prove no other organic disease
9
Q
Key to diagnosing IBS?
A
Hx and PE
- stable weight!
- no blood
- no late night diarrhea/pain
- no steatorrhea`
- no absence of gluten or lactose intolerance
- no NS, S or C
10
Q
common PMHx of IBS patients?
A
fibromyalgia
depression
endrometriosis
11
Q
common SOCHx of IBS patients?
A
Hx of physical or sexual abuse - stress/trauma that transfers to bowel
12
Q
PE and LABS should be?
A
NORMAL
13
Q
Treatment involves:
A
high placebo effect
14
Q
How to treat?
A
can only do symptoms
