Irritable Bowel Syndrome Case Study Paper

Words: 542
Pages: 3
Open Document
1. What are the differentials you would consider for this patient?
a. Functional Constipation
b. Irritable Bowel Syndrome (IBS)
c. Celiac Disease
2. What positive and negative findings support or refute your diagnosis?
a. Functional Constipation
+: Abdominal distention, External Sphincter intact (Drains, 2016),
-: Denies use of laxatives (Drains, 2016)
Testing to rule out: x-ray of abdomen, barium x-ray
b. Irritable Bowel Syndrome (IBS)
+: alternating diarrhea and constipation, abdominal pain LLQ, LLQ tenderness with light palpation (Drains, 2016), diarrhea, constipation or mixed ≥6 months, abdominal pain symptoms ≥ months with 2 of 3 characteristics: relief with defecation; change in stool frequency {patient reports recently have been having …show more content…
Celiac Disease:
+: abdominal pain, failure to thrive, abdominal distention, flatulence (Bates,2013)
-: 3-6month onset; belching, weight loss, change in dietary changes (Bates, 2013)
Testing to rule out: IgA anti tTG antibodies clinical findings, improvement on gluten free diet, folate deficiency, anemia (Bates, 2013)

3. What diagnostic testing would you order based on the H&P and physical exam (if any)?
-Flexible sigmoidoscopy/proctoscopy
-Colonoscopy-barium …show more content…
Along with caffeine increases peristalsis, reducing the amount of time for your food to move through the digestive system functionally. (Mayo Clinic)

-Minimize lactose/dairy-containing foods. Provider educated patient dairy products along with saturated fats increase inflammation in the colon. Lactose is the sugar found in milk products. (Cleveland Clinic)

-Exercise encouragement: Alleviates stress and depression. As well as allow for normal contractions within intestines for improvement in abdominal discomfort. (Cleveland Clinic)

-Encourage to drink at a minimum three to four glasses of water per day. Provider explained water benefits: water allows stool to move through intestines, prevents dehydration, and electrolyte imbalances. (Cleveland Clinic)

-Smoking Cessation: provider educated patient, smoking irritates GI tract and acts as a stimulant increasing gastric motility. (Cleveland Clinic)

-Food diary: allows for food record to identify which foods trigger IBS. Common food "triggers" of IBS are red peppers, green onions, red wine, wheat, and milk. (Cleveland
Show More

Related Documents: Irritable Bowel Syndrome Case Study Paper

Essay about Bowels: Irritable Bowel Syndrome and Bowel Function

Irritable Bowel Syndrome Author Note This paper was prepared for Nursing 120 Spring semester 2013 One can turn on the television at any point during the course of a day and see the constant bombardment of advertisements telling viewers that there are products available to assist them with gastrointestinal issues. The products range from antacids to stool softeners to various drugs which are supposed to help us with heartburn, acid reflux, gerd, nausea, constipation, diarrhea…

Words 3226 - Pages 13

Essay about Jurisprudence SNH 2000

2000 Jurisprudence Assignment SCENERIO# 1: Irritable Bowel Syndrome (IBS) Cleansing and fasting: Begin with the mucusless diet to cleanse the body. Diet, nutrition and self-care: Risk factors may include a low-fiber diet, emotional stress, use of laxatives, a bout of infectious diarrhea, or other temporary bowel inflammation. Diet is also plays a major role in IBS. Some doctors believe that food allergies cause some cases of IBS, although studies have been mixed. Fatty foods, artificial sweeteners…

Words 1689 - Pages 7

Herbal Supplements, Are They Effective Essay

Richard Gousse Michelle Zuppe April 16th 2012 Nutrition Herbal Supplements, Are They Effective? No this paper is not all about marijuana and whether or not it should be legalized. This is a serious paper discussing actual herbal supplements and if they are effective to use. Herbal supplements (which are sometimes called botanicals) are not relatively new. Plants have been used for medicinal purposes for thousands of years. However botanicals are not as strictly regulated like the other medications…

Words 1405 - Pages 6

Fibromyalgia Essay

2012 Fibromyalgia Syndrome (FMS) is a debilitating neurological disorder characterized by chronic widespread pain and fatigue. It affects approximately 2% of the population, and is more common in women than in men. Central nervous system sensitization affects the entire body, leading to many secondary symptoms. This paper will cover the history, symptoms, and causes of FMS as well as known treatments and exercise prescription for the syndrome. Fibromyalgia has been described…

Words 1589 - Pages 7

Whats up Essay examples

inpatients) but also commonly in Intensive Care Unit (ICU) patients4, in the alcohol dependent 5 and in the terminally ill6. It can occur in a wide variety of medical situations. Delirium is often not recognised by clinicians (missed in up to 2/3 of cases) and is frequently poorly managed7. Lack of recognition is important and may occur for a number of reasons including the fluctuating nature of it, overlap with dementia, lack of formal cognitive assessments being used, failure to appreciate the clinical…

Words 6329 - Pages 26