IBS Flashcards

1
Q

acute or chronic?

A

chronic

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2
Q

which criteria is used to diagnose?

A

Rome 3

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3
Q

what age and sex of patients get this?

A

females, 30s-40s

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4
Q

need recurrent abdo pain /discomfort for at least 3 days/month for 3 months + 2 of?

A

improvement with defamation
onset associated with change in stool frequency
onset associated with change in stool form

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5
Q

50% of patients are?

A

depressed/anxious/hypochondrial

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6
Q

investigations?

A

FBC/ESR/CRP/TTG/lower GI if over 50 or strong fx of crc

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7
Q

treatment?

A

reduce fibre, stop opiates
anti diarrhoeals
anti spasmodics
anti depressants

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8
Q

symptoms? dex

A
altered stool passage (straining, urgency, incomplete evacuation)
abdominal bloating (more common in women than men), distension, tension or hardness
symptoms made worse by eating
passage of mucus
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9
Q

food list used in IBS?

A

FODMAP

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10
Q

onset after 60 years is considered?

A

a red flag

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