irritable bowel syndrome

Question 1

what are the characteristics of irritable bowel syndrome ?

Answer 1

females ar amore affected

50 percent are under 35 years of age (40-60)

Question 2

irritable bowel syndrome definition ?

Answer 2

group of symptoms affecting the GIT without any evidence of underlying damage

Question 3

what is irritable bowel syndrome classified as ?

Answer 3

diarrhea predominant

constipation predominant

both

or neither occurs quiet often

Question 4

what is the etiology of irritable bowel syndrome ?

Answer 4

believed to be due to the gut brain xis - biochemical signalling taking place between both parts

risk
post gastrointestinal infection
anxiety and stress = pay important role in persistence and severity NOT THE CAUSE
antibiotic use

Question 5

what are the common findings in irritable bowel syndrome ?

Answer 5

common findings but not in EVERY case

• altered gatroinetsinal motility - increased bowel movement - diarrhea

visceral hypersensitivity / hyperalgesia
- may cause pain

altered perm of gastrointestinal mucosa

Question 6

what is the clinical presentation of irritable bowel syndrome

Answer 6

abdominal pain

• typically alleviated by defection
• change with severity and localisation
• diarrhea or constpation

nausea

reflux

abdominal bloating

Question 7

what re the extrainsteinal symptoms of IBD?

Answer 7

dysmenorrhea

disturbed sexual function

depression

Question 8

what is the diagnosis of IBD?

Answer 8

history and symptoms
alarmful - night diarrhea (NOT PRESENT IN IRRITABLE BOWEL DISEASE - most likely in CHRONS DISEASE ) , fever , bloody stools , weight loss , acute onset

MUST rule out DD

use ROME IV criteria

Question 9

what is the ROME IV CRITERIA ?

Answer 9

recurrent abdominal pain on avergae of atleast 1 day per week during the previous 3 months
- pain related to defecation
change in stool frequency
change ins tol appearance or form

other symptoms consisted with IBS

family history of inflammatory bowel disease , colorectal cancer , celiac disease is UNUSAL IN PAIENT WITH bid

Question 10

what is the treatment of IBD?

Answer 10

regular consultation nd dietary adjustment

plenty of fluid
high fibre
physical activity
stress management

antidiarrheal - loperamide

constipation -
osmotic laxative - polyetheylene glycol

chloride channel activator - lubiprostone

antispasmodic for cramping - dicyclomine

tricylcin antidepressants