Irritable Bowel Syndrome (IBS)

Last updated 20.09.12

 

Index

 

Definition

-  Dx of exclusion

 

Features

-  Incidence 1:5 (10-15% population)

-  Females 2:1 males

-  Onset 50% <35yrs old, 40% 35-50yrs

-  High disease burden

-  2nd most common cause of time off work

 

Rome III Dx Criteria

-  Recurrent abdominal pain or discomfort >3days/month in last 3months

-  Associated with 2+ of

-  Improvement with defecation

-  Change in stool frequency

-  Onset associated with change in stool appearance

 

Associated S/S

-  Altered bowel habit

-  Diarrhoea &/or alternating constipation

-  Flatulence

-  Bloating

-  Abdominal pain

-  +/- LBP

-  +/- Urinary frequency

 

Ix

-   

 

Mx

-  Antispasmotics

-  Mebeverine

-  Peppermint oil