Brian E. Lacy PhD MD's Curbside Consultation in IBS: 49 Clinical Questions PDF

By Brian E. Lacy PhD MD

ISBN-10: 1556429851

ISBN-13: 9781556429859

Are you searching for concise, functional solutions to questions which are frequently left unanswered through conventional IBS references that aren't designed for gastroenterologists? Are you looking short, evidence-based recommendation for sophisticated circumstances or sufferers with problems that desire administration? Curbside session in IBS: forty nine scientific Questions provides quickly and direct solutions to the thorny questions ordinarily posed in the course of a “curbside session” among colleagues.

Dr. Brian E. Lacy has designed this particular reference, which deals specialist suggestion, personal tastes, and reviews on difficult medical questions in general linked to IBS. the original Q&A layout presents easy accessibility to present info concerning IBS with the simplicity of a talk among colleagues. quite a few pictures, diagrams, and references are incorporated to augment the textual content and to demonstrate the therapy of IBS patients.

Some of the questions which are answered:
• how are you going to adequately and successfully diagnose IBS? Are diagnostic assessments required, and if this is the case, what are they?
• What may still I inform my sufferer in regards to the common historical past of IBS? What different issues are regularly present in IBS patients?
• What nutritional interventions might help my patient?
• what's the function of probiotics in my sufferer? Why do they paintings and are all of them the same?
• Are there new remedies for IBS? What approximately antibiotics? what's linaclotide and why may perhaps it support my patient?

Bonus fabric: With each one new e-book buy, achieve complete entry to an absolutely searchable site for three months. on the web site it is possible for you to to:
o entry all forty nine questions and solutions from the book
o entry extra questions additional each one month
o entry videos to complement the fabric offered within the e-book and online
o publish your personal prompt questions and/or questions and answers
o recommend trade solutions to the forty nine questions
o post your individual photos and video content

Curbside session in IBS: forty nine medical Questions provides details easy adequate for citizens whereas additionally incorporating specialist recommendation that even high-volume clinicians will have fun with. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will enjoy the undemanding and informal structure and the professional recommendation contained within.


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Additional info for Curbside Consultation in IBS: 49 Clinical Questions

Example text

Gender influences the course of the disease, and women with IBS report intensification of symptoms during menses. Symptom fluctuation in males has not been well established. Gastrointestinal symptoms and psychological co-morbidities result in impaired quality of life in IBS patients. Although significant morbidity and mortality over the long-term in IBS patients is rare, these patients do have an increased risk of suicide. Overall, the prognosis of IBS is good, and symptoms may improve over time, but they rarely resolve completely without intervention.

As discussed above, the presence of red flags warrants an appropriate evaluation. A confident positive diagnosis can be cost effective and satisfying and can lead to a therapeutic physician-patient relationship. References 1. Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006;130:1480-1491. 2. Spiller RC, Thompson WG. Bowel disorders. Am J Gastroenterol. 2010;105:775-785. 3. Chey WD, Nojkov B, Rubenstein JH, Dobhan RR, Greenson JK, Cash BD.

Diagnostic Tests Chronic constipation and IBS are syndromes (ie, collections of symptoms). The pretest likelihood of a diagnosis of CC or IBS in patients meeting symptom criteria (Rome III) and without alarm features is approximately 90%. The same is not true for patients with upper GI symptoms. It is important to use tests/investigations selectively and only when the results will make a difference in patient management. 5 A list of alarm features is shown in Table 5-1. A list of tests recommended for evaluating these patients is shown in Tables 30 Question 5 Table 5-1 Alarm Features for IBS/CC6 • • • • • • • Refractory or worsening IBS symptoms or nocturnal pain Older patients (≥50 years old) with first presentation Blood in stool or guaiac-positive stool Anemia Weight loss (unintentional) Anorexia Family history of organic GI disease (celiac disease, IBD, colorectal cancer) Table 5-2 Tests That Are Recommended for Routine Diagnostic Evaluation in Patients with IBS-C and CC and in Patients With Alarm Features Routine Diagnostic Tests • CBC/ESR/electrolytes/metabolic panel • Thyroid function • Tissue transglutaminase antibody (TTG) Diagnostic Tests for Patients With Alarm Features • • • • • • • • Flexible sigmoidoscopy Colonoscopy Colon/rectal biopsy Barium enema Ultrasound scan of abdomen CAT scan Breath test and motility tests Stool tests 5-2 and 5-3.

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Curbside Consultation in IBS: 49 Clinical Questions by Brian E. Lacy PhD MD

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