Irritable bowel syndrome: Difference between revisions
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== | ==Background== | ||
#psychosocial factors | |||
#altered gut motility | |||
#hypersensitive intestinal pain perception | |||
==Evaluation== | |||
===Criteria=== | |||
#Three months of [[abdominal pain]]: | |||
##relieved by defecation | |||
##associated with change of stool freq | |||
##related to a change in stool consistency | |||
#AND, 2 or more of the following symptoms 25% of the time | |||
##>3 bm per day or < 3 bm per week | |||
##altered stool form | |||
##altered stool passage | |||
##passage of mucous | |||
##bloating | |||
==Workup== | |||
*Diagnosis of exclusion | |||
- | ==Differential Diagnosis== | ||
*[[Post-infectious irritable bowel syndrome]] | |||
*See [[abdominal pain]] | |||
==Management== | |||
*Consider prescribing [[ondansetron]] up to 24 mg/d for IBS-D<ref>Garsed K, Chernova J, Hastings M, et al. A randomised trial of ondansetron for the treatment of irritable bowel syndrome with diarrhoea. Gut. 2014;63:1617-1625.</ref> | |||
*Typical bowel regimen treatments for IBS-C | |||
**May consider low-dose [[TCA]] if appropriate follow up with PCP will occur | |||
== | |||
-> | |||
- | |||
- | |||
==See Also== | |||
*[[Abdominal Pain]] | |||
*[[Postinfectious irritable bowel syndrome]] | |||
==External Links== | |||
===Patient Information=== | |||
[http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/ibs_508.pdf Irritable Bowel Syndrome] (National Digestive Diseases Information Clearinghouse) | |||
==References== | |||
<references/> | |||
[[Category:GI]] | [[Category:GI]] | ||
Latest revision as of 21:47, 29 September 2019
Background
- psychosocial factors
- altered gut motility
- hypersensitive intestinal pain perception
Evaluation
Criteria
- Three months of abdominal pain:
- relieved by defecation
- associated with change of stool freq
- related to a change in stool consistency
- AND, 2 or more of the following symptoms 25% of the time
- >3 bm per day or < 3 bm per week
- altered stool form
- altered stool passage
- passage of mucous
- bloating
Workup
- Diagnosis of exclusion
Differential Diagnosis
Management
- Consider prescribing ondansetron up to 24 mg/d for IBS-D[1]
- Typical bowel regimen treatments for IBS-C
- May consider low-dose TCA if appropriate follow up with PCP will occur
See Also
External Links
Patient Information
Irritable Bowel Syndrome (National Digestive Diseases Information Clearinghouse)
References
- ↑ Garsed K, Chernova J, Hastings M, et al. A randomised trial of ondansetron for the treatment of irritable bowel syndrome with diarrhoea. Gut. 2014;63:1617-1625.