Irritable bowel syndrome Flashcards

1
Q

Age and gender seen in IBS

A

Young female

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2
Q

General symptoms of IBS

A
  • diarrhoea/constipation (fluctuating)
  • abdo pain
  • bloating
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3
Q

When is IBS pain worse

A

After eating

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4
Q

When does pain in IBS improve

A

Opening bowels

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5
Q

Pathologies that must be excluded before diagnosing IBS

A
  • IBD (-ve faecal calprotectin)
  • -ve coeliac serology
  • cancer
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6
Q

IBS characteristic pain plus 2 other of the following must be present to diagnose IBS

A
  • abnormal stool passage
  • bloating
  • PR mucus
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7
Q

What substance are people advised to avoid in IBS and what are they advised to try for 4 weeks

A
  • FODMAP

- probiotic supplements

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8
Q

1st line medication for diarrhoea

A

Loperamide

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9
Q

1st line medication for constipation

A

Laxatives

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10
Q

Which specialist drug to use if laxatives not responding

A

Linaclotide

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11
Q

Why should you avoid lactulose

A

Bleeding

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12
Q

1st line medication for cramps

A

Antispasmodics (hyoscine butylbromide)

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13
Q

2nd line medication that is also a tricyclic antidepressant

A

Amitriptyline

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14
Q

3rd line medication

A

SSRIs

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15
Q

4th line medication

A

Cognitive behavioural therapy (CBT)

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