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IBS done (define (4 forms (constipation predominant, diarrhea predominant,…

- - - - diarrhea dominat
        
        Alosteron (lotronex) 5-HT3 antagonist
      - constipation dominant
        
        Lobiprostone chloride channel regualtor
  - - - soluble fiber, dried beans/ oats, citrus food
        
        ↑water in stool, beneficial in urgency & loose stool
      - insoluble fiber, whole cereal grain, green vegies, wheat
        
        ↑ bulk of stool
- - - - ↑ WBC indicate infection
      - rule out of anemia
    - - ↑ ESR Erythrocyte Sedimentation rate
      - ↑ C-reactive protein CRP
    - - sigmodoscopy
      - colonoscopy
      - Endoscopic ultrasound