Irritable Bowel Syndrome

Question 1

What’s duration time and conditions that has to be met in order to diagnose IBS?

(ABC)

Answer 1

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The diagnosis of IBS should be considered if the patient has had the following for at least 6 months:

Abdominal pain, and/or
Bloating, and/or
Change in bowel habit

Question 2

What is the suggested primary care investigations of IBS?

Answer 2

full blood count
ESR/CRP
coeliac disease screen (tissue transglutaminase antibodies)

Question 3

positive diagnosis of IBS criteria-

Answer 3

patient has abdominal pain relieved by defecation

associated with altered bowel frequency stool form

in addition to 2/4 symptoms-

-altered stool passage (straining, urgency, incomplete evacuation)

-abdominal bloating (more common in women than men),

-distension, tension or hardness

-symptoms made worse by eating

-passage of mucus

Question 4

What is first-line for treatment of diarrhoea in IBS

Answer 4

Loperamide

Question 5

A 24-year-old smoker presents with intermittent diarrhoea for the past 6 months. She feels bloated, especially around her periods. Bloods tests are normal.

Answer 5

IBS

Question 6

What differentiates IBS and IBD

Answer 6

Faecal Calprotectin

Question 7

diagnostic criteria for IBS and what investigations should be done NICE

Answer 7

FBC, ESR, CRP and coeliac screen (TTG)