Flashcards in Irritable Bowel Syndrome Deck (12)
Define irritable bowel syndrome as per Rome III criteria
Recurrent abdo pain for 3 days/month for 3 months
+ at least 2 of
Improvement with defecation
Change in stool frequency
Change in stool appearance
Is IBS an acute or chronic presentation?
Chronic - has been going on for months
Who is more commonly affected by IBS - males or females?
Females 2:1 Males
The aetiology of IBS is unclear, but what is the most common proposed mechanism seen in 2/3 of patients?
List some symptoms of IBS
Increased frequency of toilet visits
What are the most common trigger factors of IBS?
Diet (bread, low-fibre)
Drugs (opiates e.g. codeine)
What are some alarm features of IBS symptoms that warrant deeper investigation?
Age > 50
More recent onset
Woken up from sleep needing toilet
Family history of CRC
List some general investigations done for IBS
Antibody test for coeliac disease
Lower GI test if age > 50
What is the initial, and often most effective, management of IBS?
Improve diet - reduce fibre and meal times
Stop opiates and analgesia
Name an anti-spasmodic drug that could be used for IBS
Name an anti-diarrhoeal agent