What do we mean by "Common Functional Bowel Disorder?"
no known organic (structural or biochemical) cause is seen...no physical abnormalities seen but patient may have alterations in bowel patterns
Women or men more likely?
Disorders it is usually associated with
depression, anxiety, sexual abuse, PTSD
Diagnostics are used in order to
rule out other disorders (cancer, IBD, etc.)....listen to patient!
What is the best type of nurse you can be for a patient with IBS?
Get a trusting relationship with them → usually a stress/anxiety component, don't let more stress exacerbate the problem
abdominal discomfort or pain for at least 3months (with onset of at least 6 months before that has 2 of the following: relief with defecation; onset associated with a change in stool frequency; onset associated with a change in stool appearance
Treatment is directed at
psychologic and dietary factors
If what 6 s/s occur, it may signal something serious...
weight loss, persistent diarrhea, fever, rectal bleeding, severe constipation, rectal bleeding, anemia and fever