IBS

Question 1

IBS should be considered if

Answer 1

abdo pain
bloating
change bowel habit

≥6mo

Question 2

diagnosis should be made if

Answer 2

pain relieved by defacation, or assoc with altered bowel frequency stool form 
plus 2/4 of 
-alt stool passage
-abdo bloating
- symptoms made worse eating
-mucus

Question 3

suggested primary care Ix

Answer 3

FBC
ESR/CRP
coeliac disease screen

Question 4

first line Mx

Answer 4

pain - antispasmodic agents

constipation - laxatives

diarrhoea - loperamide

Question 5

which laxative to avoid

Answer 5

lactulose

Question 6

2nd line Mx

Answer 6

low dose tricyclic antidepressant e.g. amitryptiline