Irritable bowel syndrome (IBS)

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Irritable bowel syndrome (IBS) by Mind Map: Irritable bowel syndrome (IBS)

1. What is it:

1.1. Bowel disorder

1.2. Abdominal cramps/pain/bloating

1.3. Relapsing

1.4. No cure

1.5. No known cause

2. How does it present?

2.1. Abdominal pain/cramps, associated with:

2.2. Change in bowel habit - diarrhoea, constipation or alternating

2.3. Flatulence

2.4. Fatigue

2.5. Beware of red flags - to note: weight loss, PR bleeding abd mass

3. How is it diagnosed?

3.1. Symptoms

3.1.1. On and off with no pattern

3.1.2. Lasting 6 months or more

3.2. Signs

3.2.1. Normal

3.3. Tests

3.3.1. Negative coeliac screen

3.3.2. Full blood count - normal

3.3.3. Consider Ca-125 in middle aged women

4. Treatment

4.1. Lifestyle changes

4.1.1. avoid fizzy drinks

4.1.2. Limit tea/coffee to 3/day

4.1.3. Don't skip meals

4.1.4. Exercise

4.1.5. Relaxation

4.2. Diet

4.2.1. Low FODMAP diet

4.2.2. Keep food diary and avoid precipitants

4.3. Medicine

4.3.1. Fybogel/senna/laxatives - if constipation

4.3.2. Loperamide

4.3.3. Antispasmodics eg mebeverine HC

5. Further support

5.1. Refer for specialist advice

5.2. investigate further based on new issues- but limit this in order to mitigate "doctor-shopping"