Psychosomatics: IBS Flashcards
1
Q
Define psychosomatic disorder
A
psychomatic disorders are disorders where emotional or psychological factors can impact on the symptoms
2
Q
What are some examples of psychosomatic disorders?
A
- asthma
- atopic dermatisis
- tension-type headaches
- chronic fatigue syndrome
- IBS
3
Q
What are functional GI disorders?
A
disorders of gut-brain interaction. Classified by GI symptoms, related to any combination of:
- motility disturbance
- visceral hypersensitivity
- altered mucosal and immune function
- altered gut microbiota
- altered CNS processing
4
Q
What are the main symptoms of IBS?
A
- stomach pain/cramps
- bloating
- diarrhoea
- constipation
5
Q
Describe the diagnosis criteria for IBS
A
Rome IV criteria:
- in the last 3 months (with symptoms for at least 6 months) recurrent abdo pain at least 1 day/week in last 3 months
- also with 2 of following:
- related to defacation
- associated with change in frequency of stool
- associated with change in appearance of stool
in UK (also need 2 of following):
- change in how you pass stool
- bloating, hardness/tension in abdomen
- symptoms worse after eating
- passing mucus
6
Q
Biological causes of IBS
A
- abnormal muscle contraction (more exacerbated contractions)
- serotonin receptors (some have exaggerated release, some have different numbers of receptors)
- GI infection
- food intolerance
7
Q
Psychological causes of IBS
A
- disorders eg. depression and anxiety
- psychiatric disroder
- hyperreactivity in brain-gut interface
8
Q
Social causes of IBS
A
leading to psychological:
- stressful life events
- adverse childhood experiences
- social learning (interpretation of symptoms as worrying or not)
9
Q
What are the management options for IBS?
A
- diet/lifestyle changes (food diary and assess activity levels)
- drug treatment (anti-diarrhoeal/laxatives, or antidepressants)
- psychological approaches (CBT/hypnotherapy)
- complementary therapies approach (chinese herbal medicines/probiotics)
