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25 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is IBS |
A chronic functional bowel disorder that affects large intestine |
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Dietary factors that can contribute to IBS |
Fructans (found in wheat)Galactans, lactose, fructose, sorbitol, and xylitol. |
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True or false: IBS increases risk for cancer? |
False |
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T or F: IBS causes changes nibbled tissue? |
False |
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T or F: IBS is more common in women than men? |
True |
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Describe the difference in symptoms in men and women with IBS. |
Men - experience more diarrhea Women - experience constipation more often Report comorbidities - migraines insomnia and fibromyalgia |
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Alosetron is only approved for women with severe IBS diarrhea. T or F? |
True! |
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Common symptoms of IBS include. .... |
1. Diarrhea 2. Constipation 3. ABDOMINAL PAIN 4. excessive flatulence 5. Bloating |
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Contributing factors to IBS |
Carbs Citrus Psychological stressors Hormones Other illnesses |
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Psychological factors that can cause IBS
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Depressions Anxiety Sexual abuse Ptsd |
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True or false: menstrual hormones can contribute to IBS |
True |
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Two illnesses that trigger IBS |
1. Bacterial overgrowth 2. Gastroenteritis |
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How is IBS diagnosed? |
By ruling out other possible disorders. * after detailed history and physical; possible diagnostic tests include: routine blood, fecal occult bleeding test, sigmoidoscopy, colonoscopy, or upper endoscopy |
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When diagnosing IBS, its important to rule out the following diseases: |
Colorectal cancer Endometriosis BID Malabsorption disorders-celiac or lactose intolerant |
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What is the standard criteria physicians use to diagnose IBS |
Rome III |
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T or F: symptoms must be present for at least 6 months according to Rome III |
True |
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Recurrent abdominal pain for at keast 3 days/month in the last 3 months associated with two or more of........ |
Improvement with defecation Onset associated with change in stool frequency Onset associated with change in appearance of stool |
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T or F yoghurt is best tolerated dairy product for patients with IBS |
True |
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Hownmany grams of fiber are recommended for patients with ibs |
20grams |
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Patients with ibs should avoid broccoli and cabbage becasue they produce gas. T or F |
True! |
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Patients with IBS should be encouraged to avoid probiitics. T or F |
False! |
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Foods that trigger IBS include |
1.dairy 2. Fats 3. Alcohol 4. Caffeine 5. Sweeteners 6.Wheat cereals 7. Certain veggies |
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What are the side effects of Alosetron? |
Severe constipation and ischemic colitis. Used to treat pain and diarrhea. |
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Common drugs for IBS and their action |
1. Loperamide- opioid that slows intestinal transit. Reduces diarrhea 2. Alosetron- serotonergic used for diarrhea and pain if severe side effects occur discontinue immediately 3. Lubiprostone- treats constipation in women 4. Linaclotide- treats constipation in men and women 5.Tricyclic antidepressants can relieve Annan cramping symptoms. |
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The following drugs are only used.in women with IBS |
Lubiprostone and aldosetron |
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