IBS

Question 1

What is it?

Answer 1

Functional bowel disorder in which abdominal pain is associated with a change in bowel habit in the absence of structural pathology

Question 2

What is IBS associated with?

Answer 2

Anxiety/stress/depression (more common in women)

Question 3

History for IBS?

Answer 3

SOCRATES

• Impact on activites
• Diet/exercise/mental well-being

Question 4

Investigations for IBS are to do what?

Answer 4

Rule out IBD, coeliac disease etc

Question 5

Investigations to do for IBS?

Answer 5

• FBC (anaemia, raised platelets suggetsing inflammation)
• ESR/CRP (maybe raised in inflammation)
• Coeliac serology

Question 6

Management of IBS?

Answer 6

• ID dietary/mental triggers
• Dietary advice
• Recommend increased probiotic intake
• Consider anti-diarhhoeals (loperamide)
• Laxatives for constipation
• Anti-spasmodics if abdo pain doesn’t resolve

Question 7

Exam for IBS?

Answer 7

• Check BMI fro unexplained wt loss
• Abdo exam to check for tenderness/masses
• PR exam to check for rectal pathology

Question 8

When to diagnose IBS?

Answer 8

If patient reports . 6 months of abdo discomfort with

• improvement with defecation
• Change in frequency of stool
• Change in appearance of stool

Question 9

FODMAP?

Answer 9

Fermentable 
Oligo 
Di
Mono-saccharides 
and
Polyols