Irritable Bowel Syndrome pg 2188

Question 1

What is IBS?

Answer 1

chronic syndrome (more than 3 monts) what is characterized by abdominal pain or discomfort that occurs in association with altered bowel habits.

Question 2

what plays a large role in IBS?

Answer 2

mental health

Question 3

symptoms of IBS

Answer 3

beings in late teens to twenties
abnormal stool frequency
HALLMARK- abdominal discomfort that is relieved immediately after defecation.

Other somatic or psychological complaints (e.g. dyspepsia, chest pain, headaches, fatigue, myalgias, anxiety, depression)

Question 4

What is necessary for the diagnosis of IBS?

Answer 4

abdominal discomfort or pain with at least 2-3 of the three features:

relieved with defecation
change in frequency of stool
associated with a change in stool form

Question 5

3 major categories based on predominant bowel habits of IBS:

Answer 5

IBSC or IBSD

IBS-U (infrequent)

IBS with mix of constipation or diarrhea- IBSM

Question 6

What does it mean that IBS is a diagnosis of exclusion?

Answer 6

carefully rule out other disorders with a detailed history, physical exam, labs/imaging, or some combination before considering IBS.

Question 7

colonoscopy or simoidoscopy for IBS patients are not recommended for young patients without alarming SX. What age and criteria are there for performing one?

Answer 7

young patient with no improvement of conservative management.

over 50 with no previous evaluation to rule out malignancy

Question 8

What is the definitive treatment for IBS?

Answer 8

no definitive treatment currently exists.

Diet: FODMAP, slowly introducing other foods, avoiding trigger foods.
No allergy testing is required
treat SX: antispasmodic agents, anti diarrhea, anti constipation and psychotropic medications.