NUR 676 exam 3. (Answered) With Complete
Verified Solution 109 Q&A. 100% Correct, Latest
2024/2025.
most common GI complaint in primary care and most common dx for GI...
IBS
IBS occurs in...
mostly young adults
but in ALL ages
IBS is considered a ....
gut brain disorder
has variety of GI sx
characteristics of IBS
abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or difficult evacuation)
Gi motility in IBS result of ...
stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS
chronic abd pain
bloating /distension
flatulence
bowel habit changes
what helps differentiate IBS from others
MUST have abdominal pain present
IBS abdominal pain characteristics
nonradiating, intermittent, crampy
usually in LLQ
,s/sx of IBS usually occurs after ...
consuming meals (large) or alcohol
NOT IBS if ...
nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS
VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
diagnostics for IBS sx
labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if
1. <40 healthy adult with acute bowel change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria
1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool
IBS management:
, symptomatic treatment
pharmacotherapy
alternative therapy
IBS symptomatic treatment
dietary modifications
medications
supportive and behavioral thearpy
education
reassurance
IBS medications
synthetic fibers
-psyllium: metamucil, benefiber
-calcium polycarbophil
- methylcellulose (citrucel)
-all take with food or with 8ox liquid
antispasmodics/anticholinergics - dicyclomine (bentyl), hyocyamine sulfate
antidiarrheal: loperamide, pepto-bismol
Food cause or aggravate IBS
large meals
dairy products
gas forming foods
carbonated beverages
caffeine
alcohol
**should avoid these!!!
IBS patient should consult GI if
bowel status change when pt >50
family hx celiac dz
colon CA
Gi bleed
fever
weight loss
nocturnal sx
recent abx
IBD (inflammatory bowel disease)
Crohn's disease and ulcerative colitis
ulcerative colitis
Verified Solution 109 Q&A. 100% Correct, Latest
2024/2025.
most common GI complaint in primary care and most common dx for GI...
IBS
IBS occurs in...
mostly young adults
but in ALL ages
IBS is considered a ....
gut brain disorder
has variety of GI sx
characteristics of IBS
abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or difficult evacuation)
Gi motility in IBS result of ...
stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS
chronic abd pain
bloating /distension
flatulence
bowel habit changes
what helps differentiate IBS from others
MUST have abdominal pain present
IBS abdominal pain characteristics
nonradiating, intermittent, crampy
usually in LLQ
,s/sx of IBS usually occurs after ...
consuming meals (large) or alcohol
NOT IBS if ...
nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS
VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
diagnostics for IBS sx
labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if
1. <40 healthy adult with acute bowel change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria
1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool
IBS management:
, symptomatic treatment
pharmacotherapy
alternative therapy
IBS symptomatic treatment
dietary modifications
medications
supportive and behavioral thearpy
education
reassurance
IBS medications
synthetic fibers
-psyllium: metamucil, benefiber
-calcium polycarbophil
- methylcellulose (citrucel)
-all take with food or with 8ox liquid
antispasmodics/anticholinergics - dicyclomine (bentyl), hyocyamine sulfate
antidiarrheal: loperamide, pepto-bismol
Food cause or aggravate IBS
large meals
dairy products
gas forming foods
carbonated beverages
caffeine
alcohol
**should avoid these!!!
IBS patient should consult GI if
bowel status change when pt >50
family hx celiac dz
colon CA
Gi bleed
fever
weight loss
nocturnal sx
recent abx
IBD (inflammatory bowel disease)
Crohn's disease and ulcerative colitis
ulcerative colitis
