IBS Flashcards
1
Q
female to male ratio
A
2:1
2
Q
ROME III criteria
A
recurrent abdominal pain for 3days a month for 3 months and at least 2 of:
- improvement with defecation
- change in stool appearance
- change in stool frequency
3
Q
aetiology
A
unknown but thought to be attributed to visceral hypersensitivity
4
Q
ALARM symptoms that suggest deeper cause
A
age > 50 more recent onset wake up from sleep for toilet rectal bleeding weight loss and anaemia family history of colorectal cancer
5
Q
symptoms
A
bloating abdominal discomfort inc frequency of toilet visits mucus stool incomplete emptying
6
Q
non GI symptoms
A
TMJ dysfunction
chronic pelvic pain
fibromyalgia
chronic fatigue or depression
7
Q
investigations
A
normal but abdominal tenderness
FBC
CRP
antibody for coeliac
8
Q
O/E
A
normal but abdominal tenderness
9
Q
treatment pharmacological
A
anti -
spasmodic
depressant
diarrhoeal
10
Q
name an anti spasmodic
A
mebeverine hyoscine
11
Q
name an antidiarrhoeal
A
loperamide
12
Q
what drugs are contraindicated
A
anti motility (diarrhoea) e.g. opiates
