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    Ibs My Presentation

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    The document discusses irritable bowel syndrome (IBS), including that it is a common functional bowel disorder affecting 10-15% of the population, with young women being affected more often than men. IBS has a variety of symptoms like abdominal pain relieved by defecation, changes in bowel habits, and bloating. Investigations are usually normal, and management involves reassurance, dietary changes, probiotics, and psychological interventions.

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    Ibs My Presentation

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    15 views36 pages
    The document discusses irritable bowel syndrome (IBS), including that it is a common functional bowel disorder affecting 10-15% of the population, with young women being affected more often than men. IBS has a variety of symptoms like abdominal pain relieved by defecation, changes in bowel habits, and bloating. Investigations are usually normal, and management involves reassurance, dietary changes, probiotics, and psychological interventions.

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    IBS MY PRESENTATION

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    The document discusses irritable bowel syndrome (IBS), including that it is a common functional bowel disorder affecting 10-15% of the population, with young women being affected more often than men. IBS has a variety of symptoms like abdominal pain relieved by defecation, changes in bowel habits, and bloating. Investigations are usually normal, and management involves reassurance, dietary changes, probiotics, and psychological interventions.

    Copyright:

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    Download as pptx, pdf, or txt
    15 views36 pages

    Ibs My Presentation

    Uploaded by

    underworldgaming161
    The document discusses irritable bowel syndrome (IBS), including that it is a common functional bowel disorder affecting 10-15% of the population, with young women being affected more often than men. IBS has a variety of symptoms like abdominal pain relieved by defecation, changes in bowel habits, and bloating. Investigations are usually normal, and management involves reassurance, dietary changes, probiotics, and psychological interventions.

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    IRRITABLE BOWEL

    SYNDROME

    DR. MUHAMMAD KALEEM


    MBBS, FCPS (MEDICINE), FCPS(Gastroenterology)
    ASSISTANT PROFESSOR OF MEDICINE
    SRMCH, TDM
     Irritable bowel syndrome (IBS) is a common functional
    bowel disorder in which abdominal pain is associated
    with defecation or a change in bowel habit in the absence
    of structural pathology.
     Approximately 10–15% of the general population are
    affected but only 10% of these consult their doctors with
    symptoms.

     IBS is the most common cause of GI referral, and causes


    frequent absence from work and impaired quality of life
     Young women are affected 2–3 times more often than
    men.

     There is wide overlap with non-ulcer dyspepsia, chronic


    fatigue syndrome, dysmenorrhoea and urinary frequency.

     Between 5 and 10% of patients have a history of


    physical or sexual abuse.
    Most patients seen in general practice do not have
    psychological problems but ~50% of patients referred to
    hospital have significant

     Anxiety,
     Depression,

     Somatization,

     Panic attacks

     Neurosis.
     Acute psychological stress and overt psychiatric disease
    alter visceral perception and GI motility.

     These factors, coupled with abnormal illness behaviour,


    contribute to but do not cause IBS.
     A range of motility disorders from diarrhoea to
    constipation is found but none is diagnostic.

     IBS is associated with altered 5-HT release, which is


    increased in diarrhoea-predominant disease and reduced
    when constipation occurs.
     Some patients develop IBS following an episode of
    gastroenteritis, more commonly young women and those
    with existing background psychological problems.

     Others may be intolerant of specific dietary components,


    particularly lactose and wheat.
    CLINICAL FEATURES AND
    INVESTIGATIONS

     Recurrent colicky pain in the lower abdomen is relieved


    by defecation.

     Abdominal bloating worsens throughout the day; the


    cause is unknown
     Patients have an abnormal bowel habit.

     It is useful to classify these as having predominantly


    constipation or predominantly diarrhoea.
     The constipated type tends to pass infrequent pellety
    stools, usually with abdominal pain or proctalgia.

     Those with diarrhoea have frequent defecation but


    produce low-volume stools and rarely have nocturnal
    symptoms.

     Passage of mucus is common but rectal bleeding does


    not occur.
     Patients do not lose weight and are constitutionally well.

     Examination does not reveal any abnormalities, although


    bloating and tenderness to palpation are common.
    Investigations are normal.

     FBC

     Faecal calprotectin

     Sigmoidoscopy are usually done routinely


     Colonoscopy should only be undertaken in older patients
    and those with rectal bleeding to exclude colorectal
    cancer and IBD.
    MANAGEMENT

     Many patients are concerned that they have developed


    cancer, and a cycle of anxiety leading to colonic
    symptoms, which further heighten anxiety, can be broken
    by explanation that symptoms are not due to organic
    disease but are the result of altered bowel motility and
    sensation.
     In patients who fail to respond to reassurance,
    symptomatic treatment should be tried.

     Elimination diets are generally unhelpful but some may


    benefit from exclusion of wheat, lactose, excess caffeine
    or artificial sweeteners such as sorbitol.

     Probiotics can be effective in some.


     Patients with intractable symptoms sometimes benefit
    from several months of therapy with low-dose
    amitriptyline.

     Anxiety or affective disorders should be separately


    treated.
    PSYCHOLOGICAL INTERVENTIONS,
    SUCH AS

     Cognitive behavioural therapy

     Relaxation

     Gut directed hypnotherapy, are reserved for the most


    difficult cases.

    Most patients have a relapsing and remitting course.


    COGNITIVE BEHAVIOURAL THERAPY
    Q.NO.01. Which of the following is NOT a common
    symptom of IBS?

     A. Abdominal pain
     B. Bloating

     C. Constipation

     D. Weight gain

     Answer: D. Weight gain


     What is the most common subtype of IBS?

     A. IBS with constipation (IBS-C)


     B. IBS with diarrhea (IBS-D)

     C. Mixed IBS (IBS-M)

     D. Unsubtyped IBS (IBS-U)

     Answer: B. IBS with diarrhea (IBS-D)


     Which of the following medications is NOT typically
    used in the treatment of IBS?

     A. Laxatives
     B. Antispasmodics

     C. Antibiotics

     D. Beta-blockers

     Answer: D. Beta-blockers
     What dietary approach is often recommended for
    managing IBS symptoms?

     A. Gluten-free diet
     B. Low FODMAP diet

     C. Ketogenic diet

     D. Mediterranean diet

     Answer: B. Low FODMAP diet


     Which of the following statements about IBS is FALSE?

     A. IBS is a structural disease.


     B. Stress can exacerbate IBS symptoms.

     C. IBS is more common in women than in men. D. There


    is no cure for IBS, but symptoms can often be managed.

     Answer: A. IBS is a structural disease.

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