change in frequency of stool and 3 onset associated with change in appearance

Change in frequency of stool and 3 onset associated

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change in frequency of stool, and (3) onset associated with change in appearance (form) of stool. Diagnosis of IBS necessitates testing to confirm the absence of structural or other disorders. Stool studies, contrast x-ray studies, and proctoscopy may be performed to rule out other colon diseases. Barium enema and colonoscopy may reveal spasm, distention, or mucus accumulation in the intestine (Fig. 48- 2). Manometry and electromyography are used to study intraluminal pressure changes Clinical Manifestations: An alteration in bowel patterns: constipation (classified as IBS-C), diarrhea (classified as IBS-D), or a combination of both (classified as IBS-A for “alternating”). Pain, bloating, and abdominal distention. Pain is sometimes precipitated by eating; frequently relieved by defecation. Complications: Relevant Nursing Care: Pt. and family education. Reinforce good dietary habits (e.g., avoidance of food triggers). Keep a 1- to 2-week symptom and food diary. Although adequate fluid intake is necessary, fluid should not be taken with meals because this results in abdominal distention. Discourage alcohol & smoking. Encourage stress management via relaxation techniques, cognitive-behavioral therapy, yoga, and exercise. Medications: Hydrophilic colloids (i.e., bulk) and antidiarrheal agents (e.g., loperamide) to control diarrhea and fecal urgency. Antidepressants treat underlying anxiety and depression. Anticholinergic or antispasmodic agents (e.g., propantheline [Pro-Banthine]) ↓smooth muscle spasm, decreasing cramping and constipation.
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  • Summer '15
  • bradley
  • psychological stress, Irritable bowel syndrome, recurrent abdominal pain, disorders. Stool studies

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