Topic: Case study cancer patient
April 26, 2019 / By Alanna Question:
I have to do a school project on IBS and prepare a fake medical study case on a fictional patient with irritable bowel syndrome. I have to create a short 2 paragraph fictional story on a fictional patient who has IBS, and then I have to move on to pretend im the dr and say that when the patient comes to the dr, what tests and diagnosis must be conducted on the patient, using what machinery and equipment.....so are there any ideas of a possible story or anything just to get me started? you would have to know quite some bit about IBS to invent the story and not something like the person has it for 20 yrs, it should be like the patient doesnt know but theyve been experiencing some symptoms for some time...however much that should be. Thanks.
Trent | 4 days ago
If you ask me, IBS is about the 70% of Americans who are overweight.
They need to exercise, eat healthy (more fiber) and avoid caffeine (coffee, tea, colas) and probably lactose. They should drink lactose-free milk and eat lactose-free yogurts.
Irritable bowel syndrome (IBS) is a disorder that leads to abdominal pain and cramping, changes in bowel movements, and other symptoms.
IBS is not the same as inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis. In IBS, the structure of the bowel is not abnormal.
It is not clear why patients develop IBS (they're probably overweight, fat or skinny-fat).
The intestine is connected to the brain. Signals go back and forth between the bowel and brain. These signals affect bowel function and symptoms. The nerves can become more active during stress, causing the intestines to be more sensitive and squeeze (contract) more.
IBS can occur at any age, but it often begins in the teen years or early adulthood. It is twice as common in women as in men.
Symptoms range from mild to severe. Most people have mild symptoms. Symptoms are different from person to person.
The main symptoms of IBS are abdominal pain, fullness, gas, and bloating that have been present for at least 3 days a month for the last 3 months. The pain and other symptoms will often:
• Be reduced or go away after a bowel movement
• Occur when there is a change in how often you have bowel movements
People with IBS may switch between constipation and diarrhea, or mostly have one or the other.
• People with diarrhea will have frequent, loose, watery stools. They will often have an urgent need to have a bowel movement, which may be hard to control.
• Those with constipation will have a hard time passing stool, as well as fewer bowel movements. They will often need to strain and will feel cramps with a bowel movement. Often, they do not release any stool, or only a small amount.
For some people, the symptoms may get worse for a few weeks or a month, and then decrease for a while. For other people, symptoms are present most of the time.
People with IBS may also lose their appetite.
Most of the time, your doctor can diagnose IBS based on your symptoms, with few or no tests. Eating a lactose-free diet for 2 weeks may help the doctor check for a possible lactase deficiency.
There is no test to diagnose IBS. Tests may be done to rule out other problems:
• Blood tests to see if you have celiac disease or a low blood count (anemia)
• Stool cultures to check for an infection
Some patients will have a colonoscopy. During this test, a flexible tube is inserted through the anus to examine the colon. You may need this test if:
• Symptoms began later in life (over age 50)
• You have symptoms such as weight loss or bloody stools
• You have abnormal blood tests (such as a low blood count)
Other disorders that can cause similar symptoms include:
• Celiac disease
• Colon cancer (cancer rarely causes typical IBS symptoms, unless symptoms such as weight loss, blood in the stools, or abnormal blood tests are also present)
• Crohn's disease or ulcerative colitis
Lifestyle changes can help in some cases of IBS. For example, regular exercise and improved sleep habits may reduce anxiety and help relieve bowel symptoms.
Dietary changes can be helpful. However, no specific diet can be recommended for IBS, because the condition differs from one person to another.
The following changes may help:
• Avoid foods and drinks that stimulate the intestines (such as caffeine in coffee, tea, or colas)
• Avoid large meals
• Increase fiber in the diet (this may improve constipation but make bloating worse)
Talk with your doctor before taking over-the-counter medications.
No one medication will work for everyone. Medications your doctor might try include:
• Anticholinergic medications (dicyclomine, propantheline, belladonna, and hyoscyamine) taken about a half-hour before eating to control intestine muscle spasms
• Bisacodyl to treat constipation
• Loperamide to treat diarrhea
• Low doses of tricyclic antidepressants to help relieve intestinal pain
• Lubiprostone for constipation symptoms
• Rifaximin, an antibiotic
IBS may be a lifelong condition if you never get back in shape. For some people, symptoms are disabling and reduce the ability to work, travel, and attend social events.
IBS does not cause permanent harm to the intestines, and it does not lead to a serious disease, such as cancer.
Not sure I can offer much more than Betty's concise answer!
But one thing that might be missing is a sufferer POV (how people with the symptoms of IBS actually feel).
I'm no medical expert, I'm just a designer, but I did recently work with a company who have developed a food supplement, that can provide relief for the symptoms of IBS, derived from nutrients called "nucleotides". The people there were very helpful and would probably be more than willing to give you the patient POV that Betty's answer lacks.
You can find more about nucleotides at the following independent web site: www.nucleotides4health.org
You will find the "helpful" company I was referring to on the link pages of the N4H site also - just contact them from their own web site.
Good luck with your project.