IBS Flashcards by Tiwah Poku

Q

What does IBS stand for?

A

Irritable Bowel Syndrome

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Q

What type of condition is IBS?

A

Functional gastrointestinal disorder

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Q

Is IBS associated with structural pathology?

A

No

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Q

Is IBS acute or chronic?

A

Chronic and relapsing

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Q

Which sex is IBS more common in?

A

Women

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Q

Peak age range for IBS?

A

20–39 years

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Q

How does IBS prevalence change with age?

A

Decreases with age

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Q

Core symptom of IBS?

A

Abdominal pain

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Q

Another common symptom of IBS?

A

Bloating

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Q

How does bowel habit change in IBS?

A

Diarrhoea constipation or both

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Q

Drinks that commonly worsen IBS?

A

Coffee alcohol fizzy drinks

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Q

Foods that exacerbate IBS?

A

Spicy fatty processed foods

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Q

Psychological factors linked to IBS?

A

Stress anxiety depression

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Q

First-line management for all IBS patients?

A

Lifestyle and dietary advice

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Q

Recommended meal advice in IBS?

A

Regular meals and eat slowly

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Q

Minimum daily fluid intake advised in IBS?

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A

1.5 litres per day

Q

Recommended fruit intake limit in IBS?

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A

Maximum 3 portions per day

Q

Which type of fibre should be reduced in IBS?

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A

Insoluble fibre

Q

Which dietary substances should be reduced in IBS?

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A

Caffeine alcohol fizzy drinks

Q

Exercise advice in IBS?

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A

Increase physical activity

Q

Stress advice in IBS management?

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A

Reduce stress

Q

First-line drug for constipation-predominant IBS?

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A

Bulking-forming laxative

Q

Which laxative should be avoided in IBS?

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A

Lactulose

Q

First-line drug for diarrhoea-predominant IBS?

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A

Loperamide

Drug class used for IBS abdominal pain or spasm?

Antispasmodics

Example of an antispasmodic used in IBS?

Mebeverine

Another antispasmodic used in IBS?

Alverine

Non-prescription option for IBS spasm?

Peppermint oil

Next step for refractory IBS abdominal pain?

Low-dose tricyclic antidepressant

Second-line antidepressant for IBS pain?

SSRI

IBS is a diagnosis of what?

Exclusion

Red flag symptom that excludes IBS?

Unintentional weight loss

Another red flag that excludes IBS?

Rectal bleeding

Blood abnormality that excludes IBS?

Iron-deficiency anaemia

Symptom timing that excludes IBS?

Nocturnal symptoms

Family history that excludes IBS?

Colorectal cancer or IBD

Age of onset that excludes IBS?

Over 50 years