IBS and functional dyspepsia

Question 1

Define IBS and functional dyspepsia

Answer 1

IBS-Chronic condition of the gut which leads to pain and bowel dysfunction
Clinical diagnosis of exclusion

Functional dyspepsia-Burning pain but with no determinable aetiology by OGD (ulcers/cancers/others)

Question 2

Aetiology and risk factors of IBS and functional dyspespsia

Answer 2

IBS-No functional aetiology has ever been found. Theory relate to motor and sensory components of guts

Functional dyspepsia-no functional aetiology found after OGD

Risk factors of IBS
Stress/abuse
PTSD
Young
female
FHx

Question 3

Epidiemology of IBS and functional dyspepsia

Answer 3

IBS-10-15% of adults in the US lower in Europe but increasing

Question 4

Signs and Sx of IBS

Answer 4

Diffuse abdo discomfort
Diffuse abode pain and altered bowel habits (Diarrhoae)
Bloating
GETS better after poo (unlike IBD/Coeliac)
Sometimes mucus in poo
Doesn’t wake you up at night

exam should be normal
No part of Hx should be worrying (anaemia, etc)

Question 5

Signs and Sx of functional dyspepsia

Answer 5

Dyspepsia-burning epigastric pain (not always related to meals)-
often related to duodenal/gastric ulcers

Question 6

Investigations of IBS and functional dyspepsia

Answer 6

IBS-clinical diagnosis of EXCLUSION

Dyspepsia-classified as functional after H/pylori test and OGD ruled out other causes of dyspepsia

Question 7

Management of IBS and functional dyspepsia

Answer 7

IBS
Mostly dietary-probiotics, low refined sugar diets
Reduce stress
Can give drugs for diarrhoea or constipation

Functional dyspepsia–PPI or H2 inhbitors-
Reduce coffee, spicy food, alcohol

Question 8

Complications of IBS and functional dyspepsia

Answer 8

IBS-stress, disruption to daily life, lower QOL, depression

Functional dyspepsia-Same

Question 9

Prognosis of IBS and functional dyspepsia

Answer 9

Its not gonna go away, but life expectancy is fine