IBS

Question 1

What does IBS stand for?

Answer 1

• Irritable Bowel Syndrome

Question 2

What criteria is used for IBS?

Answer 2

• Manning criteria

Question 3

What are some of the factors mentioned in Manning’s criteria?

Answer 3

• pain relieved with defecation
• more frequent stools at the onset of pain
• passage of mucus
• sensation of incomplete evacuation

Question 4

What examinations would you carry out on a suspected IBS patient?

Answer 4

• nutritional status
• anaemia
• PR

Question 5

What are the 2 types of IBS?

Answer 5

• IBS-C (Constipation)

- IBS-D (Diarrhea)

Question 6

What treatment is used in IBS-C?

Answer 6

• Fibre (soluble fibre supplememnts)

- 5-HT4 receptor agonists

Question 7

What treatment is used in IBS-D?

Answer 7

• FODMAP diet
• antispmodics
• anti-diarrhoeal

Question 8

What is the main difference between IBD and IBS?

Answer 8

• IBD is characterised by inflammation and symptoms

- IBS has no inflammation present

Question 9

What may be the dietary instigator in the symptoms of IBS?

Answer 9

• Short chain carbohydrates

Question 10

What is an example of a soluble fibre supplement?

Answer 10

• ispaghula

Question 11

What is the first line pharmaceutical measure for IBS-D?

Answer 11

• Loperamide

Question 12

What is the 2nd line pharmaceutical measure for IBS-D?

Answer 12

• Amitiptyline

Question 13

What is the 1st line pharmaceutical measure for IBS-C?

Answer 13

• Macrogol
  or
• ispaghula

Question 14

What is the 2nd line pharmaceutical measure for IBS-C?

Answer 14

• Fluoxetine
  or
• citalopram

Question 15

What is the 1st line pharmaceutical measure for pain associated with IBS symptoms?

Answer 15

• mebeverine

antispasmodic