IRRITABLE BOWEL SYNDROME (IBS)
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:-
-Altered bowel function, constipation or diarrhoea.
-Hypersecretion of colonic mucosa.
-Flatulence, nausea and anorexia.
-Varying degree of anxiety of depression.
Reassure and explain nature of illness to patient.
-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
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.
Tab Codeine phosphate 30 mg once or twice daily.
Tab Diphenoxylate (Lomotil) 2.5 mg once or twice