gastrointestinal Resources

Gastrointestinal disorders cover a wide spectrum of diseases which differ widely in their signs and symptoms, severity, treatment options and long-term prognosis, as well as their impact on the quality of life of those affected. They can affect any part of the gastrointestinal tract and many can occur at any age, although as with other conditions, some are more prevalent in specific age groups. This article focuses on only three of the many diseases which fall into this category to give community nurses and non-medical prescribers a brief insight into their recognition, management and treatment, with the aim of increasing confidence and knowledge of the diseases discussed.

Irritable bowel syndrome (IBS) is a chronic and debilitating condition effecting over 10% of the UK population with a higher preponderance among adult Caucasian females. It places a significant economic burden on the NHS with annual cost projections ranging from £45 to £200 million. Misdiagnosis is common and is reflected in the high prevalence of gastrointestinal-related surgery within this cohort, and it is essential to obtain a detailed case history to ensure correct treatment. National guidelines now recommend diet as the first line approach, with research repeatedly advocating the use of the low FODMAP diet, particularly for those with diarrhoea dominant or mixed IBS. However, specialist dietetic support is essential to ensure nutritional adequacy and prevent the use of unnecessary or highly restrictive diets. Where access to dietitians may be limited, dietetic departments are now able to recommend technology, such as dietitian-led webinars, mobile phone apps and YouTube videos to increase patient access to reliable information.