-تبقى عشريني مكتئب وبائس واللي فيك مكفيك... القولون يسكت؟ =لا | Clinical Medicine

-تبقى عشريني مكتئب وبائس واللي فيك مكفيك... القولون يسكت؟
=لا بص بقولك ايه أنا هكتئب معاك

#القولون_العصبي
#GIT_41 #Irritable_Bowel_Syndrome (#IBS)

ال IBS عباره عن Syndrom فيها كذا Symptom و بيعتبر من ال Functional GI Disorder ف هو خلل وظيفي بال GI
وحاليا بيسموه Disorder of GUT Brain Interaction

ف ال CNS بيبعت اشارات لل GUT وعبر neurotransmitters زي ال Serotonin وغيره بيغير بال GI motality وبيعمل Visceral Hypersensitivity ....

Irritable bowel syndrome (IBS) is a chronic functional disorder of the gastrointestinal tract characterized by chronic abdominal pain and altered bowel habits in the absence of an organic disease

ف شكوة المريض حتكون Chronic Abdominal pain مع تغيير بال bowel habits
وبناء على ال Bowel habit ال IBS بيتقسم ل Subtype بالاستعانه بال
Bristol stool form scale (BSFS) to record stool consistency

IBS-D
بيكون ال predominant هو ال Diarrhea

Diarrhea — Diarrhea is usually characterized as frequent loose stools of small to moderate volume. Bowel movements generally occur during waking hours, most often in the morning or after meals. Most bowel movements are preceded by lower abdominal cramping pain, urgency, and a sensation of incomplete evacuation or tenesmus. Approximately one-half of all patients with IBS complain of mucus discharge with stools
Large volume diarrhea, bloody stools, nocturnal diarrhea, and greasy stools are not associated with IBS.

IBS-C
ال predominant هو ال Constipation

Constipation — Stools are often hard and may be described as pellet-shaped. Patients may also experience tenesmus even when the rectum is empty.

IBS-M
بيكون في mix بين ال Constipation & Diarrhea

IBS-U Unclassified



تشخيص ال IBS باختصار بيكون عباره عن Role out لامراض ال GI

A clinical diagnosis of IBS requires the fulfillment of symptom-based diagnostic criteria and a limited evaluation to exclude underlying organic disease

ولل Diagnoses بنستخدم ROME 4 Criteria زي ما حنشوفها ان شاء الله البوست القادم
#لعلي_أفيدك