Irritable bowel syndrome (IBS) Flashcards
1
Q
what is IBS?
A
IBS is the most commonest long term Functional bowel symptoms in young people.
2
Q
what are the clinical signs of IBS?
A
- Swinging bowel habits, alternating between constipation to diarrhoea.
- Abdominal pain
- Urgency, feeling of incomplete evacuation
- Passage of mucus
- abdominal bloating
- excess flatus
- fatigue
- dyspepsia
- urinary symptoms
- poor sleep quality
- backache, headaches
3
Q
what are the alarming features in IBS?
A
- Older patient (over 50, but even 40+ should re‐consider other diagnoses)
- Short history
- Nocturnal diarrhoea / nocturnal pain
- Bleeding in stools
- Iron deficiency - ulcers or hole in the gut
- Weight loss
- Vomiting
- Family history of colon cancer
4
Q
what are the pathophysiology of IBS?
A
- Altered gut motility
- Visceral hypersensitivity
- Central sensitisation
5
Q
How to manage IBS?
A
- Dietary– FODMAPdiet
- Pharmacologic: Tailortodiarrhoea‐ /constipation‐ /pain‐predominant
- Probiotics (may be more useful in post‐infective IBS)
6
Q
what is FODMAPs?
A
FermentableOligo‐,Di‐,Monosaccharides AndPolyols - FODMOPs
7
Q
what are Oligosaccharides?
A
Fructose and galactose
8
Q
what are Disaccharides?
A
Lactose
9
Q
what are Monosaccharides?
A
Fructose
10
Q
What are Polyols?
A
Sorbitol, mannitol
11
Q
People should avoid High FODMAPs foods. True or False?
A
True
12
Q
What fruits should be avoid in IBS?
A
Apple, Nashi pears, Watermelons, Mangos, and fruit juice.
13
Q
What fruits are allowed in IBS?
A
Bananas, berries, grapes, durian, kiwifruits grapefruits, and honeydew melons, Mandarins.
