Ibs Therapeutics Questions And Answers 2024-2025 A+

IBS Therapeutics Questions And Answers 2024-2025 A+ What are some non-pharmacological trx for IBS? - ANS-FODMAPS Macronutrients herbal meds/teas soluble fiber exercise psychological therapy What type of fiber should we recommend for patients? - ANS-Bulk laxitives: psyllium methylcellulose polycarcophil What are some CAM's for IBS? - ANS-Peppermint oil (pain) Melatonin (sleep) avoid in diabetic pt, anticoag, antiplatelet What is a non-pharmacological trx that is not recommended for pt with IBS? - ANS-Fecal microbiota transplantation (FMT) Osmotic laxatives (IBS type, drugs, dosage, adverse effects) - ANS-IBS-C PEG - Lactulose - Don't use as first-line therapy (causes gas) Sorbitol - Adverse effects - bloating, cramping, diarrhea Saline Laxatives (IBS type, drugs, dosage, adverse effects)What pt population do we want to avoid these in ? - ANS-IBS-C "the salts" Mg citrate/hydroxyde Sodium Phosphates Adverse effects - dehydration, elcetrolyte imbalance, mg toxicity Avoid in the elderly Stool softeners (IBS type, drugs, dosage, adverse effects) - ANS-IBS-C docusate sodium adverse effects - diarrhea Stimulant Laxatives (IBS type, drugs, dosage, adverse effects) - ANS-IBS-C Bisacodyl Senna adverse effects - cramps, nausea, vomiting Chloride channel activators (IBS type, drugs, dosage, adverse effects) - ANS-IBS-C Lubiprostone (Amitiza) - 8 mcg po BID with food FEMALE USE ONLY adverse