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10 Cards in this Set
- Front
- Back
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How is IBS diagnosed?
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Symptom pattern - clinically
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What is the clinical pattern of IBS?
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Abdominal bloating
Dyspepsia Non-alimentary symptoms |
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What are the gynaecological symptoms associated with IBS?
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Dysmenorrhoea
Dyspareanuia Premenstrual tension |
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What are the urinary symptoms associated with IBS?
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Frequency
Urgency Nocturia Incomplete bladder emptying |
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What generalised symptoms are associated with IBS?
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Headache
Back pain Bad breath Poor sleep Fatigue |
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What is the Rome III criteria for diagnosis of IBS?
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Recurrent abdominal pain for at least 3 days each month for the last 6 months associated with:
Improvement with defecation Onset associated with a change in stool frequency Onset associated with a change in form of stool |
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What are the 4 subgroups of IBS?
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IBS-C - >25% stools hard and lumpy and <25% loose
IBS-D - >25% stools loose and <25% hard and lumpy IBS-M - >25% hard and lumpy and >25% loose Unsubtyped - insufficient abnormality of stool to meet other criteria |
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When is investigation indicated in IBS?
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Rectal bleeding
Nocturnal pain Fever Weight loss |
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What are risk factors for IBS?
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Female
Affective disorders Psychological state or trauma GI infection Antibiotics Abuse Pelvic surgery Eating disorders |
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What is the treatment of IBS?
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Psychosocial therapy
Identification of triggers |
