Irritable Bowel Syndrome......IBS
INTRODUCTION- ✔Irritable Bowel Syndrome is a functional bowel disorder of the lower gastrointestinal tract i.e. large intestine (colon) in absence of demonstrable organic pathology. The symptoms of IBS may include abdominal pain, cramping, distention, discomfort, bloating, diarrhea, constipation, indigestion, and alteration of bowel habits and various symptoms of defecation ✔There are three subcategories of IBS, according to the principal • Pain associated with diarrhea • Pain associated with constipation • Pain and diarrhea alternating with constipation. ✔Each patient’s symptoms are unique. CAUSES – ©Psychosocial factors ©Altered Gastrointestinal motility ©Visceral hypersensitivity (hyperalgesia): ©Dietary factors ©GI infection ©Post infectious / post inflammatory causes ©Hormonal changes DIAGNOSIS – ✔At least 3 months continuous or recurrent symptoms of abdominal pain associated with one of the following: • Relief by defecation • Change in stool consist