IBS

Question 1

What is IBS?

Answer 1

Abdominal symptoms with no set cause.

Question 2

Presentation/criteria of IBS?

Answer 2

Recurrent Abdominal Pain + 2 of:

Constipation/Diarrhoea (may alternate), altered stools + pain relief on defecation.

Question 3

Investigating IBS?

Answer 3

EXCLUSION of other conditions

1) Bloods
2) Auto-antibody screen - negative
3) Faecal calprotectin - negative

Question 4

Medical Management of IBS?

Answer 4

Symptomatic management:
Loperamide (diarrhoea), Laxatives (constipation), painkillers.
Severe: SSRIs/TCAs e.g. amitriptyline 5-10mg OD