chronic, functional disorder of intestinal mobility

NUR 339 Lower GI

• irritable bowel syndrome

chronic, functional disorder of intestinal mobility

-spastic contractions at specific points in the intestine affects peristaltic waves

-cause

unknown - believe to be dysregulation of intestinal motor and sensory function

• constipation-predominant (IBS-C) Diarrhea-predominant (IBS-D) mixed

typed of IBS

• Hx and pt complaints

recurrent abd pain at least in past 3 months and two or more of the following

abd pain with defecation, abd pain with change in frequency of stool , pain with change in form or appearance of stool

IBS dianosis

• relieve ABD pain and control D or C

goal of IBS treatment

• lifestyle modification for IBS

stress reduction adequate sleep 1 / 2

exercise identify and avoid aggravating foods

• increase fiber

IBS constipation treatment psyllium

• antidiarrheal

IBS diarrhea treatment loperamide

• antispasmodics for IBS

decrease smooth muscle contraction and may relieve pain

• antidepressants for IBS

affect serotonin levels affects GI transit time and decreases pain

• celiac disease

autoimmune response to products containing gluten (wheat, barley, rye, grains) risks

genetic, type 1 diabetes, down syndrome, turner syndrome

-women more than men at any age -small intestine inflamed when exposed to gluten -inflammation causes denuding of small intestine-no absorption can occur

• malabsorption disorders

inability of GI system to absorb one or more major vitamins, minerals, and nutrients

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