Irritable Bowel Syndrome

Question 1

What is the cause of IBS?

Answer 1

No physical cause found

Related to stress

Question 2

What are the three types of IBS?

Answer 2

IBS - C
IBS - D
IBS - M

Question 3

What is IBS C?

Answer 3

IBS with constipation

Question 4

What is IBS D?

Answer 4

IBS with diarrhoea

Question 5

What is IBS M?

Answer 5

IBS with diarrhoea and constipation

Question 6

What is the typical age range of IBS sufferers?

Answer 6

20-40

Question 7

What factors indicate more sinister disease?

Answer 7

> 40yrs

Meleana

Abdo mass

<6 month history

Weight loss

Night disturbances

Oral ulcers

Question 8

What are the symptoms?

Answer 8

Epigastric/lower abdominal pain
- Relieved by defecation

Abdo bloating

ALTERED BOWEL HABIT

Mucus PR

Less common

• Nausea
• Pain in the back
• Depression

Question 9

Signs?

Answer 9

Exam usually normal

- Tender abdomen

Question 10

Investigations?

Answer 10

IF YOUNG W/ CLASSIC SYMPTOMS

FBC
ESR
LFTs
Coeliac serology

Urinalysis

Sigmoidoscopy w/ rectal biopsy

IF ALL ARE NORMAL THIS IS DIAGNOSTIC

> 45YRS or any marker of biological disease
- Colonoscopy

Question 11

Treatment of IBS-C?

Answer 11

Fybogel

- Increase fibre intake

Question 12

Treatment of IBC-D?

Answer 12

Loperamide

Question 13

When would mebeverine be given in IBS?

Answer 13

Colic pain/bloating