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Irritable bowel Syndrome

IBS is characterized by presence of abdominal pain associated with disturbed defecation.

It is always diagnosed in the presence of abdominal pain.

Almost around 1-45% patients suffer from IBS.

Risk factor

  • Infectious gastroenteritis
  • Female gender
  • Preexsiting psychologic condition like anxiety, depression
  • Food intolerance

Alarming features

  • If IBS present with these symptoms , need to evaluate for other cause
  • Blood in stool
  • Chronic diarrhea
  • Family history of colon cancer, IBD or Celiac disease
  • Fever
  • Night time symptoms
  • Weight loss
  • Recurrent vomiting

Diagnosis

  • Normal CRP
  • Clinical diagnosis

Treatement

  • Education and support
  • Diet and lifestyle
  • Anticholinergic
  • Antidepressants
  • Laxatives
  • Antibiotis
  • Antibiotics