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5 Cards in this Set
- Front
- Back
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Explain IBS (5)
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-1st world problem - not common in 3rd world
-intestinal motility disorder -fx problem - NO structural defect -dx via elimination of other diagnoses -varied intensity (mild to severe) |
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Etiology (2)
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-unclear
-triggers that exacerbate mnfts: stress, smoking, diet, lactose intolerance |
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Pathology (3)
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-no obvious path
-suspected alteration of neural input to GI tact (sensory & motor) -suspected malabsorption of fermentable carbs & polyols (sugar alcohols - eg sorbitol). When not absorbed properly, passed onto intestinal tract and broken down by bacteria, irritating bowels & causing gas = bloating & flatulence = pain |
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Manifestations (5)
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-Constipation alternating with diarrhea (varying intensity)
-abdominal pain/ discomfort -mucoid stool (d/t inc. mucous secretion d/t bowel irritation) -flatulence -Nausea |
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Treatment (6)
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-exhaustive workup by gastroenterologist
-based on severity & type -minimize stress -avoid offending foods -Drugs: antispasmodics, antidiarrheals -probiotics (inc. good bacteria in intestines) -serotonin (neurotransmitter) to inc. motility, secretion & pain reflex in GI tract (d/t thought that PNS has been implicated in IBS) |
