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Asked by NurseKhaphie

Please identify an American treatment guideline for Irritable bowel syndrome (IBS) and also find an international guideline and compare the two.

1.  Identify their first-line medication recommendations for treatment of diarrhea, constipation and mixed pattern IBS.

2.  Note any differing or similar first-line and second-line medication recommendations between the two guidelines. 

3. Are there any differences in non-pharmacologic recommendations?

Then, utilizing the guidelines, treat the following patient:

Mary is a 38yo female with a history of IBS-type symptoms who has been treating them with life-style measures. She presents to the clinic stating that she is now having at least 3 to 4 loose stools a week and she has regular abdominal cramping and bloating. The cramping and bloating seems to get better after a BM. 

4. What type of IBS does Mary have?

5.  Using the guidelines from above, as this patient’s Nurse Practitioner, what would be your first choice of treatment for her symptoms (with medications)? Please include the specific medication name and normal dose you would prescribe.

6. With the medications chosen, do you need any labs or diagnostics to help you treat those symptoms. Please give the rationale as to why you would choose the treatment you chose utilizing the guidelines as your references.

SCIENCE
HEALTH SCIENCE
NURSING
NURS 5354

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