Psychosomatic Disease

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What are the different approaches to the management of IBS?

- Diet/Lifestyle Changes - Drug Treatments - Psychological - Complimentary Therapies

What are the putative physiological causes of IBS?

- GI Infections - Food Intolerance - Abnormal Gut Physiology

How is IBS diagnosed?

Rome III Criteria

What is the epidemiology of IBS?

- 20-30 year olds - More common in females

What are the signs and symptoms of IBS?

- Abdominal Pain and Cramping; which may be relieved by defecation - Change in Bowel Habits; diarrhoea alternating with constipation - Bloating/Swelling of Stomach - Excessive Wind - Occasional Urgency - Tenesmus - Passing Mucous

Give some examples of psychosomatic disorders.

- Asthma - Atopic Dermatitis - Tension-Type Headaches - Chronic Fatigue Syndrome - Irritable Bowel Syndrome

What does the diet/lifestyle change approach involve?

- Keeping a food diary to assess for intolerances - Assessment of activity levels

What are the putative psychological causes of IBS?

- Life Events - Chronic Stressors - Hyper-reactivity - Psychological Disorder

What does the complimentary therapies approach involve?

- Nutraceuticals (plant extracts) - Chinese Herbal Medicines - Probiotics

What is the Rome III Criteria?

- Symptom onset of 6 months (recurrent abdominal pain) - For at least 3 days/month for the last 3 months; improvement with defecation and change in frequency or form of stool IN UK +2 OF: - Bloating/Hardness of Abdomen - Symptoms Worsen After Eating - Passing Mucus

What is IBS?

A digestive condition your GP may be able to identify as IBS based on your symptoms, however blood tests may be done to rule out other possibilities.

What is a psychosomatic disorder?

A disorder where emotional or physiological factors can impact on the symptoms.

What does the drug treatments approach involve?

Treatment of the symptoms with: - Antidiarrhoeals - Laxatives - Antispasmodics Second line treatment: - Antidepressants

What does the psychological approach involve?

Usually sought after around 12 months: - Cognitive Behaviour Therapy - Hypnotherapy - Psychotherapy


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