8941 - Irritable Bowel Syndrome Dr Bruce Davies...

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Irritable Bowel Syndrome Dr Bruce Davies www.bradfordvts.co.uk
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Sept 2001 Bruce Davies 2 Introduction First described in 1771. 50% of patients present <35 years old. 70% of sufferers are symptom free after 5 years. GPs will diagnose one new case per week. GPs will see 4-5 patients a week with IBS. Point prevalence of 40-50 patients per 2000 patients.
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Sept 2001 Bruce Davies 3 What Is IBS? A syndrome. One man’s constipation is another man’s normality. Cause unknown. 20% seem to start after an episode of gastroenteritis.
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Sept 2001 Bruce Davies 4 Diagnostic Criteria Rome 11 Diagnostic criteria. Manning’s Criteria.
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Sept 2001 Bruce Davies 5 Rome 11 Diagnostic Criteria. At least 12 weeks history, which need not be consecutive in the last 12 months of abdominal discomfort or pain that has 2 or more of the following: Relieved by defecation. Onset associated with change in stool frequency. Onset associated with change in form of the stool.
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Bruce Davies 6 Rome 11 Diagnostic Criteria. Supportive symptoms. Constipation predominant: one or more of: BO less than 3 times a week. Hard or lumpy stools. Straining during a bowel movement. Diarrhoea predominant: one or more of: More than 3 bowel movements per day. Loose [mushy] or watery stools.
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This note was uploaded on 02/23/2012 for the course PHARM 290 taught by Professor Staff during the Fall '10 term at Rutgers.

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8941 - Irritable Bowel Syndrome Dr Bruce Davies...

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