Mod 5.1 - IBS

Question 1

What do the following stand for?

IBS

IBS-C

IBS-D

Answer 1

Irritable Bowel Syndrome

” “ - Constipation

” “ - Diarrhea

Question 2

Definition of IBS?

Answer 2

functional gastrointestinal disorder - a group of symptoms NOT a disease

Question 3

Definition of IBD?

Answer 3

Inflammatory bowel disease

chronic inflammation of digestive tract, primarily ulcerative colitis and Crohns disease

Question 4

What is celiac disease?

Answer 4

an autoimmune disorder where the ingestion of gluten leads to damage in the small intestine.

Question 5

Common symptoms of IBS, IBD and Celiac disease?

Answer 5

Abdominal pain / cramping diarrhea

Question 6

Common symptoms of IBS?

Answer 6

A change in bowel habit
bloating of abdomen
flatulence
Urgent need to go to the toilet

Question 7

Common symptoms of IBD?

Answer 7

Tiredness and fatigue
Loss of appetite and weight loss
Abscesses and fistulas
Swollen joints, mouth ulcers and eye problems

Question 8

Common symptoms of celiac disease?

Answer 8

Vomiting
Constipation
Weight loss
Flatulence
Swelling hands feet arms
Tingling of limbs

Question 9

What are 3 of the NICE guidelines?

Answer 9

Have regular meals, take time to eat and avoid missing meals

Drink at least 8 cups of fluid per day

Restrict tea/coffee to 3 cups per day

Reduce intake of alcohol and fizzy drinks

Limit high-fibre food

Reduce intake of resistant starch

Limit fresh fruit to 3 portions per day

Avoid sorbitol (for diarrhoea symptoms)

Eat oats & linseeds (for wind/bloating symptoms)

Discourage the use of aloe vera

If general advice unsuccessful, low FODMAP diet trialled under
supervision from a trained professional

Question 10

By what ratio does IBS affect women more than men? And why?

Answer 10

2:1

Sex hormones play a key role. IBS symptoms fluctuate during the menstrual cycle

Question 11

What are some IBS AND celiac disease triggers?

Answer 11

• Diet
• Caffeine
• Strexx / anxiety
• Alcohol
• SIBO (small intestinal bacterial overgrowth)
• Chronic antibiotic use

Question 12

What does FODMAP stand for?

Answer 12

Fermentable
Oligosaccharide
Disaccharide
Monosaccharides
And
Polyols

Question 13

What is a resistant starch?

Answer 13

A type of starch that isn’t fully broken down and absorbed but rather turned into short-chain fatty acids by intestinal bacteria

Question 14

What do resistant starches do once they enter the bowel

Answer 14

Ferment and produce gas

Question 15

Treat IBS directly or treat symptoms?

Answer 15

Symptoms!

Question 16

IBS - D = a reduction in?

Answer 16

Insoluble fibre - because they add bulk to stools and make them more ‘loose’

Question 17

IBS - C = an increase in?

Answer 17

Soluble fibre - because they increase water content of stool making them easier to pass

Question 18

What is gluten?

Answer 18

a mixture of two proteins present in cereal grains )especially wheat) - responsible for the elastic texture of dough