Evidence-based approach to #IBS (C and D) from @LinChangMD at @AmCollegeGastro #ACG2021
#GITwitter
FGIDs ▶️ DGBIs 🧠
#IBS diagnosis
🚨 Alarm features
Limited diagnostic testing in #IBS to rule out certain other disorders
After limited screening for other disorders, make a POSITIVE diagnosis of #IBS (NOT a diagnosis of exclusion) using the @RomeFoundation IV criteria
Characterize #IBS by subtype using the Bristol 💩 scale
Use the 2⃣5⃣% mark
Diagnosing #IBS
Overview of #IBS-D treatment options
Treatment algorithm for #IBS-D
Consider peppermint oil, antispasmodics, and TCAs
Rifaximin is useful and can be repeated up to twice
Eluxadoline for IBS-D
💎s on #IBS-D treatment
Treatment options for #IBS-C
Algorithm for the treatment of #IBS-C
Linaclotide effective for #constipation, pain, and bloating
Tegaserod is another good option
💎s on #IBS-C treatment
Modify treatment based on response
Pharmacology of neuromodulators
💎s on neuromodulators in #IBS
Psychological-based therapies in #IBS
Behavioral therapy in #IBS
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