IBS + IBD

Question 1

What does IBS stand for?

Answer 1

Irritable Bowl Syndrome

Question 2

What does IBD stand for?

Answer 2

Inflammatory Bowel Disease

Question 3

What are the 2 main types of IBD?

Answer 3

Ulcerative Colitis + Crohn’s Disease

Question 4

What are the 3 main types of IBS?

Answer 4

1. Diarrhoea predominant
2. Constipation predominant
3. Pain predominant

Question 5

What are the symptoms of IBS?

Answer 5

• Stomach pain w/ bowel dysfunction
• Abnormal stools
• Postprandial (after eating) increase in symptoms
• Excess gas, flatulence + bloating
• Can be made worse with stress

Question 6

What are the issues with treating IBS?

Answer 6

There is no cure, usually lifelong. Changes in diet + medicines can control. The exact cause is unknown.

Question 7

What is the cause of IBS?

Answer 7

Poorly understood BUT probably associated with problems with digestion + increases sensitivity of the gut
- Some psychological factors

Question 8

What treatment is there for IBS?

Answer 8

• Changes to diet = decrease fibre intake
• Lifestyle changes
• Exercise
• Reduce Stress
• Probiotics
• Medications like laxatives, antispasmodic, antimotility medicines

Question 9

What is IBD? (describe)

Answer 9

A small group of chronic diseases that involved inflammation of the colon (LARGE INTESTINE) and/or the SMALL INTESTINE.

Question 10

What is Ulcerative colitis?

Answer 10

Inflammatory disease of unknown cause that effects mucosa of the colon + rectum.
>146,000 people in the UK have it

Question 11

What is Crohn’s disease?

Answer 11

Inflammatory disease that may affect any part of the gut.

>115,000 people in the UK have it

Question 12

What is said to be the main cause of UC and Crohn’s?

Answer 12

Due to the dysregulated interaction between the microbiota and the host.

Question 13

What are the symptoms of IBD?

Answer 13

• Diarrhoea sometimes mixed with blood, mucous + pus
• Cramping pains in the abdomen
• Tiredness + fatigue from illness, medication or side effects
• Fever
• Loss of appetite/weight
• Anaemia
• mouth ulcers
  Can also develop complications like strictures + fistulas.

Question 14

What is the cause of IBD?

Answer 14

Partly genetic:

• 10% of patients have family history
• Up to 10% risk if first-degree relative has it
• Identical twins have 40% chance infected

Question 15

How is IBD treated? (more in next section)

Answer 15

• Antibiotics
• 5-Aminosalicylates
• Corticosteroids
• Immunomodulators
• Biologics