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Irritable Bowel Syndrome Final Exam| Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | 100% Pass
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Irritable Bowel Syndrome Final Exam| Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | 100% Pass

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  • August 4, 2024
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  • 2024/2025
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Irritable Bowel Syndrome Final Exam| Questions & Answers (100 %Score) Latest Updated
2024/2025 Comprehensive Questions A+ Graded Answers | 100% Pass


Nonpharmacologic Therapy - ✔✔Diet and Lifestyle modification

Psychotherapy

Probiotics



Diet and lifestyle modification for IBS - ✔✔First-line treatment approach

Avoid food thought to exacerbate IBS



How to modify lifestyle for diarrhea symptoms - ✔✔Lactose intolerance?

Watch fruit intake, caffeine



How to modify lifestyle for constipation symptoms - ✔✔Increase fiber intake (25 g/day)



How to modify lifestyle for bloating and flatulence - ✔✔Avoid beans and other foods causing gas



Psychotherapy for IBS - ✔✔Cognitive-behavioral treatment, psychotherapy, hypnosis, stress
management/relaxation (no more effective than placebo)



2nd line and requires time/discipline



When is psychotherapy most effective? - ✔✔Symptoms of abdominal pain and diarrhea

Patients with concurrent psychosocial stressors

Associated anxiety/depression symptoms, symptoms of relatively short duration, waxing/waning
symptoms (as opposed to chronic)



Probiotics - ✔✔Bifidiobacterium bifidum MIMBb75 (adults)

Bifidiobacterium infantis 35624

, Lactobacillus acidophilus or plantarum 299v

Lactobacillus rhamnosus GG (children)



Evidence for probiotics - ✔✔Limited/inconsistent

Outcomes studied: QOL; abdominal discomfort/pain; stool frequency; bloating; incomplete emptying



Pharmacologic therapy for constipation predominant IBS - ✔✔Bulk-forming agents

Should generally be avoided but some evidence supports minor role



Bulk-forming agents - ✔✔Retention of stool water, increased stool transit

Helpful to manage symptoms of constipation but NOT to treat IBS itself



Examples of bulk-forming agents - ✔✔Methylcellululose, polycarbophil, psyllium

Polyethyelene glycol w/electrolytes

(Improves spontaneous BM and decreases straining)



Stimulants are not recommended because - ✔✔they may worsen symptoms

tolerance can quickly develop



Pharmacologic therapy for diarrhea predominant IBS - ✔✔Loperamide and cholestyramine



Loperamide - ✔✔Inconsistent guideline recommendations

Antisecretory agent - decreses Cl secretion

Effective at improving diarrhea

No effect on bloating, discomfort symptoms, or IBS global relief symptoms



Cholestyramine - ✔✔May be beneficial s/p cholecystectomy

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