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Irritable Bowel Syndrome (IBS) - Coggle Diagram
Irritable Bowel Syndrome (IBS)
Question to ask for suspected IBS patient
Age
Children
referel to doc
Adult
Symptoms
Abdominal pain ?
Bloating ?
Bowel habit ?
Presence of nausea / vomiting ?
Duration
First experience ?
referral to doc
been years ?
Previous history
if previous bowel surgery
referral to doc
Aggravating factors
Stress ?
Caffeine intake?
Dairy products, chocolate, onions, garlics, chives and leeks ?
Medication
Already taken prescribed / OTC medicine for IBS ?
Other medication taken ?
Decision making (list the condition to give OTC / to refer docs)
Linaclotide (Linzess). Linaclotide also can increase fluid secretion in your small intestine to help you pass stool. Linaclotide can cause diarrhea, but taking the medication 30 to 60 minutes before eating might help.
Rifaximin (Xifaxan). This antibiotic can decrease bacterial overgrowth and diarrhea.
Eluxadoline (Viberzi). Eluxadoline can ease diarrhea by reducing muscle contractions and fluid secretion in the intestine, and increasing muscle tone in the rectum. Side effects can include nausea, abdominal pain and mild constipation. Eluxadoline has also been associated with pancreatitis, which can be serious and more common in certain individuals.
Lubiprostone (Amitiza). Lubiprostone can increase fluid secretion in your small intestine to help with the passage of stool. It's approved for women who have IBS with constipation, and is generally prescribed only for women with severe symptoms that haven't responded to other treatments.
Alosetron (Lotronex). Alosetron is designed to relax the colon and slow the movement of waste through the lower bowel. Alosetron can be prescribed only by doctors enrolled in a special program, is intended for severe cases of diarrhea-predominant IBS in women who haven't responded to other treatments, and isn't approved for use by men. It has been linked to rare but important side effects, so it should only be considered when other treatments aren't successful.
Outcome of IBS Treatment
Relaxation therapy can be helpful to promote well-being
Hypnosis or cognitive behavioral therapy (CBT), delivered by trained therapists knowledgeable about IBS, has been shown to reduce pain and other IBS symptoms in some people
Reduce pain and other IBS symptoms
TREATMENT
Non-pharmacological
Dietary modification
regular meals, avoid skip meals
Drink at least 8 cups of fluid /day (Non-caffeinated)
Reduce alcohol intake
Reduce fizzy drinks intake
Limit fresh fruit intake (3 portions /day)
Reduce intake of ‘resistant starch’
limits intake of high-fibre food
cognitive behavioural therapy
Probiotics
Pharmacological
First-line
Antispasmodics
alverine
hyoscine
mebeverine
peppermint oil
Alternatives
Herbal remedies
Tongxie Yaofang
Ayurvedic preparation
Padma Lax
STW 5 and STW5-II
