Irritable Bowel Syndrome

carlymerlo
Flashcards by , created almost 6 years ago

3rd Herbal Therapeutics Flashcards on Irritable Bowel Syndrome, created by carlymerlo on 08/11/2013.

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carlymerlo
Created by carlymerlo almost 6 years ago
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Recurrent abdominal pain
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Upper GIT
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Question Answer
What is irritable bowel syndrome? It is a functional gastrointestinal disorder characterized by altered bowel habits and abdominal pain.
What are the aetiology factors involved in IBS Enhanced visceral perception Low grade inflammation Altered gastrointestinal tract motility Altered GIT microflora
What are the symptoms involved in IBS? Abdominal pain and distension Bloating Constipation / diarrhoea Flatulence Chronic dyspepsia Mucous in stool
What are the Rome III guidelines used to diagnose IBS Recurrent abdominal pain or discomfort for at least 3 days/month in last 3 months associated with: 1. Relief with defecation 2. Onset associated with a change in frequency of stool and or 3. Onset associated with a change in form of stool
What are the symptoms that cumulatively support the diagnosis of IBS (Rome III) Abnormal stool frequency Abnormal stool form Abnormal stool passage Passage of mucus Bloating and feeling of abdominal distension
What are the 4 Rs used to Treat IBS 1. Remove 2. Replace 3. Reinoculate 4. Repair
What is Kerry Bone's Dysbiosis Treatment? 1. Starve 2. Kill 3. Feed 4. Repopulate 5. Prebiotics
What is the Naturopathic Understanding of IBS Reduced tolerance to visceral pain - possibly hypersensitivity to pain associated with bleeding Altered motility of the GIT Food Allergies / sensitivities Stress Parasitic of bacterial infections Dysbiosis and intestinal hyper permeability Inflammation Poor digestive function Meds
How does stress relate to IBS? Gut brain axis dysfunction / gut reactor - neurotransmitter imbalance
What physical examinations can be conducted to determine if IBS is present? Rectal examination Colonscopy Rectal biopsy
What actions are needed to reduce bloating and pain associated with bloating? Carminatives Bitters Aromatic digestives
What actions are needed to reduce spasm and encourage rhythmic and effective peristalsis? Visceral spasmodics
What actions can we use to directly target symptoms due to abnormality in bowel movements? Astringents Gentle laxatives Cholagogues
How can we improve the ability to deal with stress and lessen anxiety and the ill effects of stress and regulate the gut brain axis? Nervines Adaptogens Sedatives Anxiolytics
How can we resolve infections? Anti microbials Anti parasitics
how can we restore intestinal microbial homeostasis? Mucilages
how can we address inflammation? anti inflammatories
How can we improve upper digestive function? bitters aromatic digestives