By ULY CLINIC
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Irritable Bowel syndrome
Introduction
Irritable bowel syndrome (IBS) is a functional GI disorder characterized by abdominal pain and altered bowel habits in the absence of specific and unique organic pathology.
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Diagnostic Criteria
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Recurrent abdominal pains or discomfort at least 3 days per month in the last 3 months associated with two or more of the following
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Improvement with defecation
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Onset associated with a change in frequency of stools
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Onset associated with a change in form of stool
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Bloating or feeling of abdominal fullness
Non-Pharmacological Treatment
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Counseling on compelling psycho –social factors, life style modification, avoidance of trigger factors, and reassurance are corner stone of long term management strategy. Plus supportive therapies such as:
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High fibre diet and eating a healthy diet.
Pharmacological Treatment
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Hyoscine butyl bromide (PO) 10mg 6hourly per day as needed
OR
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Mebeverine (PO) 135mg 8 hourly per day as needed
Plus
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Diazepam (PO) 5–10 mg 8 hourly (as needed for relief of anxiety)
Plus
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Lactulose (PO) 20mls 12 hourly (as needed for constipation)
Plus
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Loperamide (PO) 4mg stat, for diarrhoea followed by 2mg 8 hourly or after each unformed stool until diarrhoea is controlled.
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Updated on, 2.11.2020
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References
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1. STG