Ibs

Front 1

Symtpoms

Back 1

abdominal discomfort and pain.

bloating, mucous in stools, diarrhoea, constipation or alternating diarrhoea and constipation.

depression, anxiety or stress.

Front 2

IBS can be subdivided into

Back 2

Diarrhoea predominant

constipation- predominant

alternating diarrhoea and constipation

Front 3

what is IBS

Back 3

A group of functional bowel disorders.

chronic abdominal complaints without a structural or biochemical cause.

cause is unknown.

more frequent in women.

Front 4

supportive symptoms of ibs

Back 4

fewer than 3 bowel movements a week

more than 3 bowel movements a day

hard or lumpy stools

loose or watery stools

urgency

feeling of incomplete bowel movement

passing mucus during a bowel movement

abdominal fullness, bloating or swelling

Front 5

diarrhoea predominant IBS

Back 5

One or more of:
More than 3 bowel movements a day

loose or watery stools.

feeling of incomplete bowel movement.

none of:
Fewer than 3 bowel movement a week

hard or lumpy stools

urgency

Front 6

constipation predominant IBS

Back 6

One or more of
Fewer than 3 bowel movements a week

hard or lumpy stools

urgency

none of:
more than three a week

loose or water stools

feeling of incomplete bowel movement

Front 7

rome ii criteria.

Back 7

IN the last three months did u have discomfort in abdomen.

if yes:
Did discomfort or pain get better or stop after you have a bowel movement?

when the discomfort or pain started, did you have a change in the usual number of bowerl movement.

when the discomfort or pain started, did you have either softer or harder stools?

if two of the above three symptoms are presesnt and signs are absent the diagnosis is IBS

Front 8

stool = lumpy suggets

stool = liquid/runny suggets

Back 8

lumpy = slow intestinal transit

liquid= fast transit.

Front 9

diagnosis

Back 9

only be diagnosed by symptoms.

abdom pain, altered and unpredictable bowel habits and blaoting.

Front 10

red flags

Back 10

unintentioanl weight loss

rectal bleeding

family history of bowel or ovarian cancer.

bowerl habit change for >6 weeks in person voer 60.

assess

anemia, abdom masses, rectal masses, inflammator markers for inflammatory bowel disease

Front 11

establishing a diagnosis

Back 11

Consider IBS diagnsosis only if the person has abdominal pain that is relieveed by defaecation or associataed with altered bowel frequency or stool form, and at least two symptoms form:

Altered stool passage

abdominal bloating, distention, tension or hardness.

symtpoms made worse by eating

passage of mucus

Front 12

diagnositic tests

Back 12

In people who meet the bs diagnostic criteria, the following tests should be undertaken to exclude other diagnoses

Full blood count.

erhtorycte sedimentation rate or plasma viscosity

c-reactive protein

antobodiy testing for coeliac disease.

Front 13

drugs used in Ul for IBS

Back 13

anticholinergic, antispasmodicn antidiarrhoeals.

Front 14

anticholinergics

Back 14

hyoscine

Front 15

antispasmodics

Back 15

alverine

Front 16

antidiarrhoeals

Back 16

loperamide.

Front 17

loperamide

Back 17

u-opiod receptor agonist.

decreases the activity of the myenteric plexus which decreases the motility of teh circular and longitudunal smooth muscles of the intestinal wall

increases teh amount of time substances stay in the intestine, allowing for more water to be absorbed out of the faecal matter

Front 18

clinical management of IBS

Back 18

dietary and lifestlye advice.

fibre intake review, adjusting (usually reducing ) it while monitoring the effects on smtpoms.

if symptoms persis after lifestyle dietary advice consider referally to a dieticain

Front 19

clinical mananagment pharmacological

Back 19

Advise people with ibs on how to adjust their doeses of laxataives or antimotility agnets.

dose should be titrated to sctool consistentcy aiming for a soft well-formed stool.

Healthcare professionals should consider :
LOW DOSE tricylcic antidperesseants as second line treatment, recommened only for their analgesic effect.

treatment should be started at a low dose (5-10mg of amityprtiline) which should be taken once at night and reviewd reguarly. can be icnreased but doesnt need to exceed 30mg

Front 20

physiological factors

Back 20

stress!

Front 21

serotonin in gut function

Back 21

GI disorders may be related to:
-imbalance of serotonin in teh gut

-improper reaction of the digestinve system to serotonin

-faulty communication network between serotonin in the gut and the brain and spinal cord.

plays a major role in modulatin intestinal movement and perception of pain

helps to soften stools by releasing water

Front 22

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Back 22

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