Term
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Definition
IBS dx: 12wks wn 12mo of abd pain w 2/3 of the following:
1. pain relieved w defication
2. change in BM frequency
3. change in BM form |
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Term
| IBS is characterized as some combination of: |
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Definition
| altered bowel habits and lower abdominal sx |
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Term
| describe the hypersensitivity of IBS: |
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Definition
| visceral hypersensitivity: pts have lower abd pain thresholds and rectal urgency with little volume |
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Term
| explain enteric infection assoc w IBS: |
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Definition
1. some believe bacterial overgrowth leads to abn motility/hypersensitivity & increased postprandial gas/bloating
2. increased incidence of IBS after bacterial gastroenteritis |
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Term
| what is the rate of psychiatric comorbidity of those seeking tx for IBS |
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Definition
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Term
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Definition
1. alternating constipation/diarrhea
2. mucus common
3. abd pain relieved w defication
4. mild TTP of abd |
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Term
| Alarm sx direct the dx away fr IBS. name 10: |
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Definition
1. abn blood studies
2. anemia/malnutrition
3. blood in stools
4. FHx of CA, IBD, Celiac sprue
5. Fvr
6. Nocturnal diarrhea
7. onset >40yo
8. recent abx use
9. weight loss
10. abd mass |
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Term
| 4 changes in diet recommended for IBS: |
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Definition
1. lactose free trial
2. increase fiber
3. avoid: fatty foods/caffine
4. avoid foods that cause bloating |
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Term
| 5 foods that may exacerbate bloating, flatulence or diarrhea: |
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Definition
1. coffee
2. alcohol
3. carbonated beverages
4. fruits/vegetables
5. artificial sweeteners |
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|
Term
| pharmacotherapy for IBS:5 |
|
Definition
1. reserved for moderate to severe sx
2. ANTI: spasmatics,diarrheals, constipation agents,
3. serotonin psychotropics
4. abx
5. probiotics |
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Term
| pharmacotherapy used for acute pain/bloating of IBS: |
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Definition
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Term
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Definition
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Term
| pharmacotherapy for pts w HPI of bacterial gastroenteritis: |
|
Definition
| nonabsorbable abx to suppress overgrowth |
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Term
|
Definition
| Bifidobacterium infantis in capsule form not found in most yogurts. |
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Term
|
Definition
| chronic dz, not life threatening, sx tx, its about learning to cope w continued intermittent sx |
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