MS GI: PT B.2

* Irritable bowel syndrome

chronic functional disorder characterized by recurrent abdominal pain because of disruptions in intestinal motility or abnormal contractions

Spastic, nervous, mucus colon

other terms for IBS

* Neuroendocrine dysfunction

changes in intestinal motility which is found in IBS may be due to _.

* Alteration in bowel patterns

main symptom of IBS

* Pain, bloating, and abd distention

3 symptoms which often accompany changes in bowel pattern in IBS

* True

T/F. Abd pain in IBS is sometimes precipitated by eating and is frequently relieved by defecation

LLQ

Flare ups in IBS is abd pain on which quadrant?

IBS-C

small, hard followed by several softer stools; hypoactive bowel sounds (<5) in IBS

IBS-D

soft and watery stools with mucus; hyperactive bowel sounds (>30-35) in IBS

decreased

serum albumin result in IBS

* Rome IV Criteria

defined IBS as recurrent abd pain, happening at least once a day for the last 3 months

* Defecation, frequency, appearance

IBS is a recurrent abd pain, happening at least once a day for the last 3 months associated with two or more of which changes? (3)

* Bristol Stool Form Scale

a tool used to evaluate bowel movement habit, especially in IBS.

* Soluble fiber

the introduction of _ like psyllium is important to IBS management

* Low-FODMAP diet

a type of diet which restricts intake of specific foods that might improve some symptoms of IBS patients

* Fermentable oligosaccharides

FO in Low-FODMAP diet in IBS mgmt; wheat, rye, asparagus, legumes, garlic, onions

* Disaccharides

D in Low-FODMAP diet in IBS mgmt; lactose-containing foods like milk and yogurt

* Monosaccharides

M in Low-FODMAP diet in IBS mgmt; fructose-containing foods such as honey, agave nectar, figs, mangoes

* Polyols

P in Low-FODMAP diet in IBS mgmt; blackberries, lychee, low-calorie sweeteners

* Alosetron

pharma mgmt for women pts experiencing severe IBS-D for more than 6 months; highly selective 5-ht3 antagonist that slows colonic motility

* Rifaximin

nonabsorbable oral AB for IBS-D mgmt

Psyllium Hydrophillic Mucilloid

bulk-forming laxatives in IBS-C mgmt

Linaclotide

promotes bowel transit time in IBS-C mgmt

Tricyclic

anticholinergic and antideoressant to prevent muscle spasticity in abd pain mgmt in IBS

Doxycyclic

antispasmodic for IBS mgmt

True

T/F. No water with meals to prevent abd distention is advised in IBS mgmt