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Friday, 24 May 2013

Q&A : Irritable Bowel Syndrome

Q : Regarding irritable bowel syndrome, all the following statements are TRUE, except:

1- Enteric infection may play a role in pathogenesis
2- Bloating , flatulence and diarrhea may be exacerbated by fructose-containing food
3- Colonoscopy is routinely indicated to rule out serious disease
4- Tricyclic antidepressants may alleviate abdominal pain and bloating
5- Symptoms may improve with rifaximin

A:  The false statement is number 3
Colonoscopy is indicated if there are "alarming" features, or if the the patient is older than 50.
It's also indicated of symptoms persist despite dietary and pharmacological management.

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