IBS Coplan

Question 1

What combo of factors make up a diagnosis for IBS?

Answer 1

Disturbance in GI motility

Viscerhypersensitivity
-increased perception of visceral pain

Psychopathology

• co-morbid psychological issues
• imperative to screen for depressions

Question 2

What is the ROME IV criteria to diagnose IBS?

Answer 2

Recurrent abdominal pain…
…At least one day per week
…During the last 3 months

And associated with 2 or more of the following

1. Defecation
2. Change in stool frequency
3. Change in stool form (appearance)

Question 3

What are the 4 subtypes of IBS?

Answer 3

IBS with constipation

IBS with predominant diarrhea

IBS with mised bowel habits

IBS unclassified

Question 4

Which IBS type is associated with 1&2

Which IBS type is associated iwth type 6 or 7

Answer 4

Type 1/2 = Constipation

Type 6/7 = diarrhea

Question 5

How can we differentiated IBS from Celiac’s disease?

Answer 5

IgA TTG

Celiac panel (global IgA)