Irritable bowel syndrome and inflammatory bowel dse

Question 1

It is a functional disorder of Intestinal motility. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.(Sudden contraction of intestine)

Answer 1

Irritable Bowel syndrome

Question 2

s/sx of IBS

Answer 2

1. Recurrent abdominal pain

Crump pain- murag gi lubag ang tiyan
triggered by: eating
relieved by: defecation

2. Irregular intestinal motility
   increased motility= watery stool
   decreased motility= constipation

Question 3

causes of IBS

Answer 3

1. idiopathic
2. Common in female
3. psychological stress
4. Diet : FOD MAP
   Fermentable
   Oligosaccharide
   Disaccharide
   Monosaccharide
   and
   Polyols
5. alcohol & smoking

Question 4

types of IBS

Answer 4

IBS C=CONSTIPATION
IBS D= DIARRHEA
IBS A/M= ALTERNATING/ MIXED

Question 5

Dx test

Answer 5

1. r/t celiac dse= if (-) antibodies, then your ddse is not celiac
2. r/t IBD (inflammatory bowel dse)
   increased ESR & CRP
3. r/t colon cancer= colonoscopy

Question 6

mgt of IBS-C

Answer 6

laxative (BOSS)
Bulk forming-i.e psyllium (metemucil)
Osmotic laxative-Lactulose (duphalac)
stimulating laxative- Bisacodyl (dulcolax)
senna (senokot)
Stool Softeners- Docusate

if the px is not responsive in BOSS then proceed to LUBIPROSTONE

Question 7

Mgt for IBS D

Answer 7

Anti- diarrhea i.e. loperamide
Alosetron- showing down the colonic motility

Question 8

Crampy abdominal pain med

Answer 8

antispasmodic
i.e Dicycloverin(bentyl) (buscopan)

Question 9

Diet in IBS

Answer 9

avoid FODMAP

Question 10

it is a chronic exacerbation (worsened pain) leading to remission (absent pain)

Answer 10

Inflammatory bowel dse

Question 11

what is the cause IBD

Answer 11

1. idiopathic
2. general predisposition
3. alter immunity (cause to attack GI)