An intestinal disorder causing pain in the stomach, wind, diarrhoea and constipation.The cause of irritable bowel syndrome isn’t well understood. A diagnosis is often made based on symptoms.

Essentials of Diagnosis:-


-Abdominal pain.
-Altered bowel function, constipation or diarrhoea.

-Hypersecretion of colonic mucosa.
-Flatulence, nausea and anorexia.
-Varying degree of anxiety of depression.

Treatment:-


Reassure and explain nature of illness to patient.

-Avoid stress.
-Avoid fried foods, alcohol, tea and coffee. Regular meals and adequate sleep is essential.

-If pain and distension:-
Tab Mebenerine (Colospa) 100 mg tds Tab Spasril 1 tds
or
Tab Librax 1 tds
Tab Ispaghula or Isogel 1 tsf once or twice day.
If main complaint is of frequent, loose stools with urgency then
Tab Lopramide (Imosec) 2 mg once or twice daily.
or
Tab Codeine phosphate 30 mg once or twice daily.
or
Tab Diphenoxylate (Lomotil) 2.5 mg once or twice
a day.

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