Inflammatory Bowel Syndrome

Question 1

Definition of IBS

Answer 1

Chronic functional disorder of the bowel including change in bowel movement with abdominal pain

Question 2

Who is generally diagnosed with IBS

Answer 2

W > M + 20-30yr

Question 3

what are 2 “unknown” causes of IBS

Answer 3

Brain - Gut axis

Gut motility disorders

Question 4

What are 2 trigger causes of IBS

Answer 4

Infections

Severe stress event

Question 5

Pain can be relieved in Px with IBS with doing what

Answer 5

defecation

Question 6

What is the diagnosis of IBS

Answer 6

Clinical ==> Abdo pain / relief on defe // diarrheal, constipation

NCT ==> Neutrophil Calprotectin Test (low in IBS)

Question 7

What antispasmodic drug can be given in IBS

Answer 7

Alverine Citrate

Question 8

What 2 anti-motility drugs can be given for diarrhoea in Px with IBS

Answer 8

Loperamide Hydrochloride

Low Dose Tricyclic Anti-depressant

Question 9

3 main complications of IBS

Answer 9

SEVERELY IMPACTS QOL

Anxiety // Major Depression // Chronic Fatigue Syndrome **

Important to ask Px MH questions