In which quadrant is IBS present
LLQ
What is visceral hypersensitive
Lower threshold for pain of the internal organs
Rome IV diagnosis
Recurrent abdominal pain one day/week in the last 3m
• associated defecation
• associated with change in frequency of stool
• associated with change in form of stool
Alarm indicators
Male
Family hx of colon cancer
Rectal bleeding
Noctoral symptoms
Treatment for C.diffles
Vancomycin