IBS

Question 1

what is IBS

Answer 1

chronic relapsing problem, most common functional disease that is more common in women

Question 2

what are the symptoms of IBS

Answer 2

bloating, abdo pain, increased urgency, tenesmus, mucous, poor sleep, women

Question 3

what are alarm symptoms for IBS

Answer 3

over 50, night rising, bleeding, wt loss, anaemia

Question 4

what is IBS associated with

Answer 4

fibromyaglia, TMJ disfunction, fatigue, stress, psych

Question 5

what is the Rome III criteria

Answer 5

recurrent abdo pain 3 days/ month for 3 months + 1 of: diarrhoea, change in frequency change in appearance

Question 6

what are the investigations for IBS

Answer 6

FBC (CRP), biopsy and lower GI exam if over 50, antiobody

Question 7

what non medication treatments are there

Answer 7

increase diet, smaller meals, stop opiates/ analgesia

Question 8

what medications can you give

Answer 8

loperamide (antiD), antispasmodics = mebeverine, hyoscine, antidepressants = antitrptiline