Question

identify any potential conflicting influences based on Irritable bowel syndrome on a treatment/intervention decision related to two or more of the following factors: cost, complications, personal gain, culture/patient preferences, access, practitioner experience, invasiveness, time, side effects/complications, and/or contraindications.  

Answer 1

Ans: Irritable bowel syndrome (IBS) is a common disorder affecting the large intestine. Clinical manifestations include cramping, abdominal discomfort, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that needs longer medical management. People can control their symptoms by managing diet, lifestyle and stress. Severe symptoms can be treated with medication and counseling. The potential conflicting influences based on IBS on a treatment/intervention decision related to time, side effects/complications and contraindications can be stated as:

The persistent change in bowel habits or other signs or symptoms of IBS should be immediately reported to the concerned doctor to avoid delay. Persistent pain that isn't relieved by passing gas or a bowel movement. The side effects/complications of IBS include iron deficiency anemia, unexplained vomiting, difficulty swallowing and diarrhea. Diarrhea is best managed with loperamide, while constipation often will respond to fiber supplements. But the side effects of loperamide include further abdominal discomfort like severe constipation/nausea/vomiting, stomach or abdominal pain, or uncomfortable fullness of the stomach or abdomen. The contraindications of the treatment/intervention decision depend on the management done for the corresponding symptom. Laxatives used to treat constipation during IBS do have their own contraindications, it is highly contraindicated when the calcium, sodium and potassium levels are low in blood.