Episode 49. IBS with Dr Catherine Sorrell
Irritable bowel syndrome is an idiopathic clinical entity characterised by chronic (more than six months) abdominal pain that occurs in association with altered bowel habits. In 2016 the Rome IV Consensus report adjusted the diagnosis to include symptoms occurring at least once a week from a previous definition of three times a month and include the notation of abdominal pain rather than discomfort related to defaecation. In practical terms, irritable bowel syndrome is in part a diagnosis of exclusion, however, in younger patients without alarm symptoms a simple stool test for calprotectin rather than extensive endoscopic work up may be all that is required. A negative calprotectin favouring conservative and symptomatic management, a positive finding requiring further workup.
To discuss IBS in more detail we are joined by experienced gastroenterologist Dr Catherine Sorrell who discusses:
· Prevalence and diagnosis of IBS
· Approach to younger patients with IBS
· Approach to older patients with IBS-like symptoms
In this conversation, Catherine fields several questions in regard to extensive workup versus assessment of symptoms by calprotectin alone and the importance of applying a low FODMAP diet and lifestyle changes to symptom control. Please join me in this interesting conversation.
Useful references include:
To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au
Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne Australia and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.