Irritable Bowel Syndrome Flashcards
Description:
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Aetiology/ Risk factors:
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Pathology:
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Symptoms: State 5 symptoms of IBS (5) What pattern to the symptoms take?
Symptoms usually occur in a chronic relapsing remitting manner
- Abdominal pain (occasional radiates, often to the lower back) relieved by defaecating and rarely occurs at night
- Altered bowel habit/stool passage
- Abdominal bloating
- Belching wind and flatus
- Mucus
- Symptoms are made worst by EATING
Signs: What signs are seen on physical examination of a patient with IBS?
- Physical examination of someone with IBS is normal
Extra: Functional GI disorders have detectable/no detectable pathology and a long/short term prognosis
Functional GI disorders have no detectable pathology and a long term prognosis
Treatment: How do we treat a patient with
(a) Irritable bowel syndrome (IBS)? (2)
(b) Symptom of pain (1)
(c) Symptom of bloating (1)
(d) Symptom of constipation (1)
(e) Symptom of diarrhoea (1)
After a FIRM diagnosis,
- Educate and reassure the patient
- Review the diet (i.e look at tea,coffee, alcohol, sweeteners lactose, gluten and FODMAP)
Treat the symptom:
- Pain - Linaclotide
- Bloating - Linaclotide
- Constipation – Laxatives, Linaclotide
- Diarrhoea – Anti-motility agents (loperamide)
Extra: Give 5 functional causes of vomiting
- Drugs
- Alcohol
- Migraine
- Pregnancy
- Clinical vomiting syndrome
Extra: Functional GI disorders have detectable/no detectable pathology and a long/short term prognosis
(Irritable bowel syndrome)
Functional GI disorders have no detectable pathology and a long term prognosis
Extra: Give 6 examples of functional GI disorders (6)
Irritable bowel syndrome
- Biliary Dyskinesia
- Irritable Bowel Syndrome
- Non-Ulcer Dyspepsia
- Drug related effects
- Oesophageal spasm
- Slow transit constipation
Extra: Give 5 functional causes of vomiting
Irritable bowel syndrome
- Drugs
- Alcohol
- Migraine
- Pregnancy
- Clinical vomiting syndrome
Extra: What 4 things can an altered bowel habit be due to? (4)
(Irritable bowel syndrome)
Altered bowel habit can be due to:
- Constipation (IBS – C)
- Diarrhoea (IBS – D)
- Constipation and Diarrhoea (IBS – M)
- Urgency
Extra: In IBS, the gut is less/more sensitive to stress
In IBS, the gut is more sensitive to stress
Extra: In IBS compare muscle contractions in diarrhoea (IBS-D) and constipation (IBS-C)
In IBS-D, muscular contractions may be stronger and more frequent than normal. In IBS-C, contractions may be reduced
Extra: In IBS compare the response to normal triggers in diarrhoea (IBS-D) and constipation (IBS-C)
In IBS-D, the response to normal triggers may be stronger than normal. In IBS-C, the response may be reduced
