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afya
IBS
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> consider if >6/12 abdo pain / bloating / change in bowel habit diagnose if pain relieved by defecation or associated with change in habit (frequency or form) plus 2 of altered passage - straining, urgency, incomplete evacuation bloating (F>M) distension, tension, hardness Sx worse with eating mucous may also get - lethargy, nausea, backache, bladder Sx red flags rectal bleeding unexplained weight loss FH bowel or ovarian ca onset >60yr Primary care Ix FBC CRP/ESR Coeliac antibodies (tissue transglutaminase)
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Gastrointestinal, index, slimindex