Condition Info - BotMed Application

ConditionName

IBS (Irritable Bowel Syndrome)
IBS-D, IBS-C, IBS-mixed, IBS-unsubtyped

ConditionDescription

Symptoms

RLQ; LLQ; Generalized pain; Symptoms vary but often include lower abdominal pain; bloating; gas; and constipation or diarrhea; NO WEIGH LOSS; NO BLOOD IN STOOL; No malnutrition; no anorexia; no progressively worsening bleeding; Constipation cramping with improved or relived with defecation; Connection with stress;
Alternating diarrhea/n AB; Less at night;

PhysicalFindings

ClinicalTests

ROME III :
Recurrent AB pain/discomfort at least 3 days per month in the last 3 months associated with at least at least 2 of the following:
Relief with defecation;
Onset associated with change in frequency and in form of stool;
Urinary frequency and urgency;
Fibromyalgia symptoms;

No specific tests, diagnosis of exclusion

Anemia; Increased inflammatory markers;
Calprotectin stool test (IBS>50, IBD>150)  - not diagnostic;

RiskFactors

2 female :1 male; 
Stress component;
Overuse of:  caffeine, alcohol, sorbitol, fructose, sucrose;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

Fiber in diet; Avoid gas producing foods;
Eliminate lactose and gluten;
Treat dehydration;

PharmOptions

Dicyclomine;
Amitriptyline;
Loperamide for diarrhea ;

TCA;
SSRIs;
Ab pain and bloating: antispasmodics, antidepressants;

WebLink

https://www.merckmanuals.com/professional/gastrointestinal-disorders/irritable-bowel-syndrome-ibs/irritable-bowel-syndrome-ibs