Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) is very common cause of abdominal discomfort.

Symptoms are

  • Abdominal pain eased after defecation
  • Looser stool at onset of pain
  • More frequent stool at onset of pain
  • Abdominal distension
  • Feeling of incomplete emptying
  • Mucus per rectum

Alarming features

  • Presence of these features are uncommon in IBS and suggest alternate pathology
  • Blood in stool
  • Family history of Inflammatory bowel disease/colon cancer
  • Fever
  • Onset after the age of 50
  • Weight loss
  • Chronic diarrhea
  • Progressive dysphagia

Diagnosis

  • Presence of symptoms of IBS and absence of alarming symptoms are suggestive of diagnosis of IBS

Treatment

  • Antispasmodics
  • Laxatives
  • Antidiarrhoeal
  • Antidepressants and anxiolytics
  • Antibiotics
  • Probiotics

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