irratible bowel syndomrome

Question 1

what are the common synptoms of irritable bowel syndrome

Answer 1

abdominal pain
Diarrhoea
Constipation
Fluctuating bowel habit
Bloating
Worse after eating
Improved by opening bowels
Passing mucus

Question 2

what can make ibs syndomre worse

Answer 2

Anxiety
Depression
Stress
Sleep disturbance
Illness
Medications
Certain foods
Caffeine
Alcohol

Question 3

definstial terms for ibs

Answer 3

viceral hypersensitivigy, altered mucosal and immune fuction, alterned gut microbiota, alterd cns processing

Question 4

who is mainly effected by ibs

Answer 4

young women and those who have had previous dihoreen

Question 5

what is the diagnonsi criat udner rome 4 for ibs

Answer 5

1 day per weekn in the last 3 months of recurrent abdoal pain with
- related to dedication
onset assoicaed with change in frequcy of stool
asoced with chan in form of stool

Question 6

ibs- c

Answer 6

contipation realed

Question 7

ibs - d

Answer 7

dihoreadr realed

Question 8

ibs m

Answer 8

mixed ibs, both condsipa dn dirhaoe that changes

Question 9

what is the physiolgy issues seen in ibs

Answer 9

motiliy, sensationalterned duodenal microbiopme , gut pereablty , secreation, immune cell inflation, inflammatory cytokines

Question 10

what brain physiology factso efect ibs

Answer 10

pysilical co morbilidy
cognitive afective processing
health anxiety and somatisiation
gi speifc anxiety
coping mechanism
stress

Question 11

what cns stucre and fuciton facors effect ibs

Answer 11

stucutal brain abnoralmatiles
fuctioal netowrk connectivty
viceral hypersensitivity
emotaion arousal ad cognitive modulation
conditiend respoesn
neurotroansmiers

Question 12

what kind of changes in singlas is seen in ibs

Answer 12

too many singal from gut and hte brian sends out inaproapre signals

Question 13

what are the perial factos that effect ibs

Answer 13

food, acute gi infecoin, mucosal infaltion, abdo or perlivs surgery menses

Question 14

what are the central facots that effect ibs

Answer 14

life stresses , somatisation, anxiety , poor social skills, poor coping skills, malabdavie cognitions, abuse

Question 15

what blood tests shoul dbe done for ibs

Answer 15

fbc for anemia
inflatory markers such as esr and crp
colica seroilgy (anti ttg antibody)
ca1225 for ovarica cancer
thydore tests

Question 16

what stool test should be done for ibs

Answer 16

faecal calcproin for ibd
blood
pathenognes

Question 17

what are the simptosn ofr colorecal cancer

Answer 17

over 40 with weight loans ab abdoal ain
over 50 with unexpalin recetl being
over 60 with iron dfic anea an chang in bowl happit

Question 18

how to mangage ibs symptons iwth diet

Answer 18

3 reguarl meals
no skipping emals
smaller meal sizers
limit alhcol
reduce caffeine
reduce fizz drinks
at least 8 drijs per day
cut down on fatty foods
limit fresh fotu to 3 port per day

Question 19

what is the low fodma dite

Answer 19

reintroductio of food slowlry that are likely to cause symtp sucha s furcots, lacose, furgan , goals, and polyols

Question 20

what is the treatmetn for constipation firs and second line

Answer 20

bulk forming lacatives
linaclotide

Question 21

what is the first and secon liine treatment for dihrea

Answer 21

loperamide
and obetreic acid and ondrasetrone and enterestorne

Question 22

what is the treament for pain in ibs

Answer 22

antispasmodic such as mebeverine, alverin or pepermental

Question 23

what pyscololical agents are used for ibs

Answer 23

tricyclic antibdpers e.g. amitriline
ssri antidepresnat
cbt
specialst referall

Question 24

are probotic of benift

Answer 24

no, they are not clicnaly proven yet to show benfiti, can be tried for 1 mothns

Question 25

what pyscoloica treatment can help iwht ibs

Answer 25

hyponotherapy
physiophery
pro biotic
exercise

Question 26

sibo

Answer 26

overgrowht of baceria in mall inteine, it is very rare and there is no comprehensive test