Irritable bowel syndrome Flashcards
1
Q
what is meant by functional bowel disorder?
A
no identifiable organic disease underlying symptoms
2
Q
prevalence
A
20%
women
young adults
3
Q
symptoms
A
diarrhoea constipation fluctuating bowel habit abdominal pain bloating worse after eating improved by opening bowels
4
Q
excluding other pathology
A
normal FBC, ESR and CRP
faecal calprotectin negative
negative anti-TTG (coeliac)
cancer not suspected
5
Q
symptoms suggesting IBS
A
abdominal pain/discomfort relieved by opening bowels or associated with change in bowel habit
abnormal stool passage, bloating, worse after eating PR mucus
6
Q
lifestyle advice
A
adequate fluids limit caffeine and alcohol regular small meals reduced processed foods low FODMAP probiotic for 4 weeks
7
Q
first line meds
A
loperamide for diarrhoea linaclotide antispasmodics eg buscopan TCA SSRIs CBT
8
Q
what laxative to avoid?
A
lactulose as can cause bloating
