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GI motility and functional disorders - Coggle Diagram
GI motility and functional disorders
Ileus
disruption of normal propulsive ability of the gi tract due to a failure of peristalsis in the absence of mechanical obstruction
intestinal paralysis
consequences
constipation
distension
discomfort
n&v, belching
absent bowel sounds
causes
post,surgery/trauma
particularly spinal
severe illness
neutropenia
electrolyte and acid-base abnormalities
drugs
anti-muscarinics
opioids
hypothyroidism
variants and management
Ogilvie syndrome
acute colonic pseudo-obstruction
neutropenic enterocolitis
LaPlace equation
t=p x r
"drip and suck"
management
nothing by mouth
sham feeding
gentle NG tube feeding
IBS
Criteria
abd. pain
3mths at least 1day/week
more than 2 of
improves with defecation
onset assoc. with change in stool freq.
onset assoc. with change in stool form/appearance
multifactorial
bio-psycho-social model
disrupted brain-gut axis
threshold for movement or pain moves
triggers
affective, anxiety and eating d/o
stress including abuse
GI infection
antibiotic use
pelvic surgery
many have extra-gi complaints
fatigue
fibromyalgia
tension headache
subtypes
IBS-diarrhoea
IBS-mixed
IBS-constipation
IBS-unsubtyped