IBS

Question 1

Symptoms

Answer 1

• Lower abdominal spasms
• Bloating
• Alt constipation + diarrhoea
• Aggravated by stress + lack of fibre, common in young females

Question 2

Referral

Answer 2

• Children
• > 45 first line symptoms
• Blood in stools
• Bowel obs
• Unexplained weight loss
• Pregnant

Question 3

Treatment: antispasmodics

Answer 3

• Mebeverine 18+ (colofac IBS)
• Peppermint oil 15+ (colpermin IBS relief)

MOA: relaxes gut smooth muscles to red abdominal spasms

Peppermint oil: swallow whole, common s/e: heartburn

Question 4

Treatment: antimuscarinics

Answer 4

• Hyoscine 12+ (buscopan IBS relief)
• MOA: Anticholinergic effect relaxes gut smooth muscle
• Interaction: additive anticholinergic effect (antihistamin, antipsychotics
• Avoid in glaucoma + prostatic enlargement

Question 5

Advice

Answer 5

• Limit 3 portions of fruit + veg
• Inc soluble fibre intake
• Eat regularly
• 8 glass of water
• Take probiotics