Question 237 · LEK · Irritable bowel syndrome (IBS)
Which of the following statements are true about irritable bowel syndrome (IBS)?
1) it is about twice as common in males as in females;
2) there are three clinical types: diarrhoea-predominant IBS, constipation-predominant IBS and mixed-type IBS;
3) patients should follow a diet rich in insoluble fibre;
4) the diagnostic criterion includes: recurring abdominal pain of at least 3 months’ duration, occurring ≥1 day a week and meeting ≥2 of the following criteria: it is connected with passing stools, it is connected with a change in bowel movement frequency, it is connected with a change in the stool form;
5) colonoscopy should be performed in every patient with IBS;
6) in the treatment of IBS, FODMAP diet should be followed for 4-6 weeks
The correct answer is:
2) there are three clinical types: diarrhoea-predominant IBS, constipation-predominant IBS and mixed-type IBS;
3) patients should follow a diet rich in insoluble fibre;
4) the diagnostic criterion includes: recurring abdominal pain of at least 3 months’ duration, occurring ≥1 day a week and meeting ≥2 of the following criteria: it is connected with passing stools, it is connected with a change in bowel movement frequency, it is connected with a change in the stool form;
5) colonoscopy should be performed in every patient with IBS;
6) in the treatment of IBS, FODMAP diet should be followed for 4-6 weeks
The correct answer is:
- A. 1,2.
- B. 1,3.
- C. 3,4.
- D. 4,5.
- E. 4,6.
Hint
Recall the Rome IV criteria and the length of the low-FODMAP elimination phase; then check sex distribution, subtypes and indications for colonoscopy.
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