IBS

Question 1

IBS-D

Answer 1

diarrhea predom

Question 2

IBS-C

Answer 2

constipation predom

Question 3

IBS-M

Answer 3

Mixed constipation and diarrhea

Question 4

IBS-A

Answer 4

alternating diarrhea and constipation

Question 5

IBS symptoms begin?

Answer 5

odd abd pain and altered bowel habit in childhood - before age 35

Question 6

what age group affected with IBS?

Answer 6

YOUNG PEOPLE

Question 7

If IBS symptoms and over 40 what to do?

Answer 7

dig for some other condition

Question 8

Diagnosis general?

Answer 8

diagnosis of exclusion - need to prove no other organic disease

Question 9

Key to diagnosing IBS?

Answer 9

Hx and PE

• stable weight!
• no blood
• no late night diarrhea/pain
• no steatorrhea`
• no absence of gluten or lactose intolerance
• no NS, S or C

Question 10

common PMHx of IBS patients?

Answer 10

fibromyalgia
depression
endrometriosis

Question 11

common SOCHx of IBS patients?

Answer 11

Hx of physical or sexual abuse - stress/trauma that transfers to bowel

Question 12

PE and LABS should be?

Answer 12

NORMAL

Question 13

Treatment involves:

Answer 13

high placebo effect

Question 14

How to treat?

Answer 14

can only do symptoms