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Suggested algorithm for treating irritable bowel syndrome-diarrheal type (IBS-D) 

#IBSD #diarrhea #Algorithm #irritable #bowel #syndrome #management
bowel syndrome-diarrheal ... type (IBS-D) ... #IBSD #diarrhea ... bowel #syndrome #management ... #treatment #gastroenterology
Chronic Diarrhea Differential Diagnosis
 • Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Non-infectious: IBD ... • Dysmotility: IBS ... #Chronic #Differential ... Diagnosis #causes #gastroenterology
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Syndrome (IBS) Treatment ... Antispasmodics IBS-Diarrhea ... Bowel #Syndrome #IBS ... #Treatment #Management ... #Algorithm #gastroenterology
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Syndrome (IBS) - ... IBS Symptoms: ... psychotherapies IBS-D ... EmoryGastroHep #IBS
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... Diagnosis and Management ... IBS is NOT a diagnosis ... EmoryGastroHep #IBS
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... changes without chronic ... inflammation: IBS ... (irritable bowel ... lymphomas, others) #IBD
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Syndrome (IBS) - ... fibromyalgia, chronic ... cognitions, Abuse Diarrhea ... Pregabalin #IBS ... #Algorithm #gastroenterology
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Evaluation of Chronic ... ) Exclude: 1. ... Irritable bowel ... #Diarrhea #management ... workup #diagnosis #differential
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Diarrhea - Differential ... Hypermotility: • Irritable ... bowel syndrome (IBS ... bowel disease (IBD ... #Differential #
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Syndrome (IBS) - ... IBS is NOT a diagnosis ... the following: 1. ... vs non-IBS! ... • If Diarrhea: