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Posted: September 16th, 2024
Clinical Judgement Plan
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Lab Tests with Values
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Lab Tests or
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Normal Ranges Admission Lab Values
Current Lab Values Explain Abnormal Results R/T Your Patient
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Physical Assessment/Review of Systems
Reference Page
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Clinical Judgement Plan
Irritable Bowel Syndrome (IBS) symptoms and treatments:
Symptoms:
IBS is characterized by abdominal pain, bloating, and changes in bowel habits such as diarrhea or constipation.
Current Treatments:
a) Medications:
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Alosetron: A 5-HT3 antagonist approved for IBS with diarrhea (IBS-D). It may relieve abdominal pain and slow bowel transit.
Amitriptyline: A recent study (ATLANTIS trial) found that low doses of amitriptyline were effective at reducing IBS symptoms at 6 months. It's now recommended that GPs offer it to patients with IBS.
b) Probiotics: Some studies suggest that certain probiotics may relieve IBS symptoms such as abdominal pain, bloating, and diarrhea.
c) Stress Reduction: Techniques like yoga are being explored for symptom management.
d) Dietary Adjustments: A recent study (as of April 2024) found that dietary treatment is more effective than medicines for IBS. Over 70% of patients had significantly reduced symptoms with dietary changes.
Lifestyle Factors:
A new study (February 2024) suggests that adopting a healthy lifestyle could help prevent IBS. This includes:
Getting quality sleep
Regular exercise
Not smoking
Emerging Research:
The gut microenvironment is a focus of recent studies, highlighting the importance of gut microbiome alterations in IBS.
Relaxation therapy: A 2021 review of 6 studies with 278 IBS patients found that relaxation therapy was not helpful for abdominal pain or overall IBS symptoms.
Future Directions:
Research is ongoing to develop new and improved treatments for IBS, with a focus on understanding the underlying mechanisms and finding more targeted therapies.
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