Irritable bowel syndrome Flashcards
Age and gender seen in IBS
Young female
General symptoms of IBS
- diarrhoea/constipation (fluctuating)
- abdo pain
- bloating
When is IBS pain worse
After eating
When does pain in IBS improve
Opening bowels
Pathologies that must be excluded before diagnosing IBS
- IBD (-ve faecal calprotectin)
- -ve coeliac serology
- cancer
IBS characteristic pain plus 2 other of the following must be present to diagnose IBS
- abnormal stool passage
- bloating
- PR mucus
What substance are people advised to avoid in IBS and what are they advised to try for 4 weeks
- FODMAP
- probiotic supplements
1st line medication for diarrhoea
Loperamide
1st line medication for constipation
Laxatives
Which specialist drug to use if laxatives not responding
Linaclotide
Why should you avoid lactulose
Bleeding
1st line medication for cramps
Antispasmodics (hyoscine butylbromide)
2nd line medication that is also a tricyclic antidepressant
Amitriptyline
3rd line medication
SSRIs
4th line medication
Cognitive behavioural therapy (CBT)