IBS_Flashcards
What lifestyle and diet modifications are recommended for managing Irritable Bowel Syndrome (IBS)?
Ensuring sufficient intake of fluids, eating regularly, limiting fresh fruit intake, reducing intake of ‘resistant starch’ and insoluble fibre, reducing stress, identifying precipitating substances such as caffeine, lactose or fructose, adding fibre and probiotics to the diet, adhering to the FODMAP diet, and considering referral to a dietician.
What type of fibre is recommended if an increase in dietary fibre is required for IBS patients?
Soluble fibre such as oats, ispaghula husk, or sterculia.
What should be identified as precipitating substances for IBS symptoms?
Caffeine, lactose, or fructose.
What should be considered if lifestyle and diet modifications do not alleviate severe IBS symptoms?
Medications can be considered for severe symptoms that have not responded to non-drug approaches.
What are the recommended medications for treating severe IBS symptoms?
Laxatives (e.g. macrogol, lactulose), antimotility drugs (e.g. loperamide hydrochloride), and antispasmodic drugs.
What lifestyle and dietary modifications are suggested for diarrhea-predominant IBS with pain or bloating?
Lifestyle and dietary modifications, antidiarrhoeals + antispasmodics or TCA, and CBT or hypnotherapy.
What additional treatments can be considered for diarrhea-predominant IBS without pain or bloating?
Lifestyle and dietary modifications, antidiarrhoeals.
What lifestyle and dietary modifications are suggested for constipation-predominant IBS with pain or bloating?
Lifestyle and dietary modifications, laxatives + antispasmodics or SSRI + linaclotide, and CBT or hypnotherapy.
What medications are suggested for constipation-predominant IBS without pain or bloating?
Lifestyle and dietary modifications, laxatives.
What lifestyle and dietary modifications are suggested for alternating diarrhea and constipation in IBS?
Lifestyle and dietary modifications, antispasmodics + laxatives + loperamide or TCA/SSRI, and CBT or hypnotherapy.
What medications can be considered for alternating diarrhea and constipation in IBS?
Lifestyle and dietary modifications, laxatives, loperamide.
