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Irritable Bowel Syndrome (IBS) Treatment Algorithm

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

IBS-Diarrhea:
 • Diarrhea:
Irritable Bowel ... Syndrome (IBS) Treatment ... : • Constipation ... laxatives • Abdominal ... #Syndrome #IBS
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
musculoskeletal causes ... genitourinary causes ... Peritonitic • Bowel ... Gastroenteritis • Constipation ... syndrome #Diffuse
Causes of Pediatric Constipation - Differential Diagnosis Algorithm
Dietary / Functional:
 • Insufficient Volume / Bulk
Neurologic:
 •
Causes of Pediatric ... Constipation - ... Volume / Bulk Neurologic ... Anatomic: • Bowel ... Guillain-Barré Syndrome
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Disorders of Gut-Brain ... • Irritable Bowel ... Syndrome • Chronic ... Idiopathic Constipation
Causes of Pediatric Diarrhea - Differential Diagnosis Algorithm
Infectious:
 • Viral
 • Bacterial
 • Parasitic
Malabsorption:
 • Lactase
Causes of Pediatric ... Toddler's Diarrhea • Constipation ... Syndrome • Food ... Syndrome #Diarrhea ... Diagnosis #Algorithm #Causes
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
Causes of Chronic ... Depression/anxiety • Abdominal ... syndrome • Inflammatory ... bowel disease ... • Constipation
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
• Budd-Chiari syndrome ... Diffuse Pain: • Constipation ... • Irritable bowel ... syndrome • Celiac ... • Inflammatory bowel
Pediatric Causes of Abdominal Pain

Surgical:
 - Acute appendicitis 
 - Intestinal obstruction including intussusception 
 -
Pediatric Causes ... of Abdominal Pain ... - Inflammatory bowel ... disease - Constipation ... Pain #Pediatrics #Causes
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
presents with acute abdominal ... acute or chronic abdominal ... pain • Obstipation ... hypotension • Abdominal ... percussion • Nausea
Stool Incontinence - Differential Diagnosis Algorithm
Affected Pelvic Floor 
 - Trauma/Surgery
   • Surgery: Anorectal,
Anorectal, Prostate, Bowel ... Floor - Chronic Constipation ... Brain, Spinal Cord ... Syndrome • ... Diagnosis #Algorithm #Causes