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Anonymous
Sep 4

Irritable bowel disease notes.

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ChatGPT
Sep 4
- Irritable bowel disease (IBD) is a chronic condition that affects the digestive system, causing symptoms such as abdominal pain, bloating, diarrhea, and constipation.
- There are two main types of IBD: Crohn's disease and ulcerative colitis. Crohn's disease can affect any part of the digestive tract, while ulcerative colitis specifically affects the colon and rectum.
- The exact cause of IBD is unknown, but it is believed to be a combination of genetic, environmental, and immune system factors.
- Treatment for IBD typically involves a combination of medications, dietary changes, and lifestyle modifications. In severe cases, surgery may be necessary to remove damaged portions of the digestive tract.
- It is important for individuals with IBD to work closely with their healthcare providers to manage their symptoms and prevent flare-ups. This may involve keeping a food diary, avoiding trigger foods, and taking prescribed medications as directed.
- IBD can have a significant impact on a person's quality of life, so it is important for individuals to seek support from healthcare providers, support groups, and mental health professionals as needed.
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Google Gemini AI
Sep 4
Irritable Bowel Disease (IBS)

Overview

- Chronic functional gastrointestinal disorder characterized by abdominal pain, cramping, and alterations in bowel habits.
- Not inflammatory or progressive like Crohn's disease or ulcerative colitis.

Types

- IBS-D (diarrhea-predominant): Loose stools ≥ 25% of the time.
- IBS-C (constipation-predominant): Hard stools ≥ 25% of the time.
- IBS-M (mixed): Alternating diarrhea and constipation.

Symptoms

- Abdominal pain or cramping
- Changes in bowel habits (diarrhea, constipation, or alternating)
- Altered stool form (e.g., hard, loose, mucusy)
- Bloating and gas
- Nausea and vomiting (less common)

Pathophysiology

- Exact cause unknown
- May involve alterations in:
- Gut microbiota
- Intestinal motility
- Immune response
- Brain-gut axis

Risk Factors

- Family history
- Female sex
- Stress and anxiety
- Certain foods (e.g., FODMAPs)
- Infection (e.g., gastroenteritis)

Diagnosis

- Clinical history and physical examination
- Rome IV Criteria:
- Recurrent abdominal pain ≥ 3 days per month for at least 3 months
- Symptoms associated with defecation (e.g., change in bowel habits, stool form)
- Exclusion of other organic causes

Treatment

- Dietary modifications:
- FODMAP diet
- Gluten-free diet (if celiac disease is suspected)
- Medications:
- Antispasmodics (e.g., hyoscyamine)
- Laxatives (for constipation)
- Antidiarrheals (for diarrhea)
- Antidepressants (for pain and anxiety)
- Lifestyle changes:
- Stress management techniques (e.g., yoga, meditation)
- Regular exercise
- Adequate sleep
- Complementary therapies:
- Probiotics
- Peppermint oil

Complications

- Reduced quality of life
- Emotional distress
- Social isolation
- Nutritional deficiencies

Prognosis

- Most patients experience periods of symptom improvement and worsening.
- Long-term prognosis is generally good, although some individuals may experience chronic symptoms.
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