Functional Gastrointestinal Disorders - Dr. Chidi Nnabuchi, Nile University of Nigeria/Asokoro District Hospital
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Questions and Answers

What are functional gastrointestinal disorders (FGID) characterized by?

  • Chronic gastrointestinal symptoms (correct)
  • Chronic musculoskeletal symptoms
  • Chronic cardiovascular symptoms
  • Chronic respiratory symptoms
  • What is the group of disorders classified by GI symptoms related to?

  • Musculoskeletal malfunction
  • Gut-brain interaction (correct)
  • Cardiovascular disturbance
  • Respiratory hypersensitivity
  • Why is the term 'functional' generally applied to these disorders?

  • Due to impaired normal gut activities and functions (correct)
  • Due to obvious x-ray abnormalities
  • Due to visible structural abnormalities on endoscopy
  • Due to abnormal blood test results
  • How are functional gastrointestinal (GI) and motility disorders classified?

    <p>By gut-brain interaction</p> Signup and view all the answers

    What percentage of GI problems seen by doctors and therapists do functional gastrointestinal (GI) and motility disorders account for?

    <p>About 40%</p> Signup and view all the answers

    According to the Rome IV criteria, which of the following is categorized under 'Gastroduodenal disorders'?

    <p>Functional dyspepsia</p> Signup and view all the answers

    Which of the following is a characteristic symptom of 'Functional heartburn' as per the Rome IV criteria?

    <p>Persistent burning sensation due to GERD</p> Signup and view all the answers

    Which category does 'Narcotic bowel syndrome (NBS)/opioid-induced GI hyperalgesia' belong to according to the Rome IV criteria?

    <p>Centrally mediated disorder of GI pain</p> Signup and view all the answers

    What kind of abdominal pain is associated with 'Centrally mediated abdominal pain syndrome (CAPS)' according to the Rome IV criteria?

    <p>Continuous or frequently recurrent, not related to gut function</p> Signup and view all the answers

    Under which category does 'Rumination syndrome' fall according to the Rome IV criteria?

    <p>Gastroduodenal disorders</p> Signup and view all the answers

    Which type of pneumothorax occurs typically in tall, thin adolescents following a long haul flight or contact sport?

    <p>Primary spontaneous pneumothorax</p> Signup and view all the answers

    What is the initial treatment for a large pneumothorax if the patient is hypoxic?

    <p>Oxygen therapy</p> Signup and view all the answers

    In which chest trauma-related condition can secondary spontaneous pneumothorax occur?

    <p>Preexisting lung disease</p> Signup and view all the answers

    At what rate does a small pneumothorax resolve conservatively per day?

    <p>1-2%</p> Signup and view all the answers

    Study Notes

    Functional Gastrointestinal Disorders (FGID)

    • FGID are characterized by persistent gastrointestinal symptoms without identifiable structural or biochemical abnormalities.
    • These disorders are classified by GI symptoms related to the dysfunction of the gastrointestinal tract rather than identifiable physical causes.
    • The term 'functional' reflects the disorders' origins in gut functioning instead of organic disease, emphasizing symptoms rather than structural issues.

    Classification of Disorders

    • Functional gastrointestinal and motility disorders are classified based on the Rome IV criteria, categorizing them according to specific symptom patterns and dysfunction.
    • FGID and motility disorders account for approximately 40% of gastrointestinal problems seen by doctors and therapists.

    Specific Disorders Under Rome IV Criteria

    • Under 'Gastroduodenal disorders', conditions such as functional dyspepsia are categorized according to the Rome IV criteria.
    • 'Functional heartburn' is characterized by non-cardiac chest pain with symptoms similar to heartburn but lacking identifiable gastroesophageal reflux.

    Additional Disorders

    • 'Narcotic bowel syndrome (NBS)' or opioid-induced GI hyperalgesia is classified as a functional gastrointestinal disorder according to the Rome IV criteria.
    • 'Centrally mediated abdominal pain syndrome (CAPS)' is associated with chronic abdominal pain without physiological basis, emphasizing a central nervous system dysfunction.
    • 'Rumination syndrome' falls under the classification of functional GI disorders, involving repetitive regurgitation and re-chewing of food.

    Pneumothorax Details

    • A spontaneous pneumothorax typically occurs in tall, thin adolescents, often following prolonged flights or contact sports.
    • The initial treatment for a large pneumothorax in a hypoxic patient includes performing needle decompression or chest tube insertion.
    • Secondary spontaneous pneumothorax may occur in patients with chest trauma-related conditions such as rib fractures.
    • A small pneumothorax generally resolves conservatively at a rate of approximately 1% per day.

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    Description

    Learn about functional gastrointestinal disorders (FGID), a group of disorders characterized by chronic gastrointestinal symptoms in the absence of demonstrable pathology on conventional testing. Understand how FGID are classified as disorders of gut-brain interaction (DGBI).

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