A nurse is explaining the underlying mechanisms of Irritable Bowel Syndrome (IBS) to a client. Which of the following best describes a key aspect of IBS pathophysiology?
"IBS primarily involves inflammation and structural damage to the intestines."
"In IBS, there is an abnormality in the way the intestines contract and move food through the digestive tract, leading to symptoms like abdominal pain and changes in bowel habits."
"The main cause of IBS is a bacterial overgrowth in the intestines."
"IBS is primarily a psychological disorder with no physical basis."
The Correct Answer is B
A) Incorrect. While inflammation may be present in some cases, it is not the primary mechanism of IBS.
B) Correct. One of the key aspects of IBS pathophysiology is abnormal gut motility, which can lead to symptoms like abdominal pain and alterations in bowel habits.
C) Incorrect. While bacterial overgrowth may be a factor in some gastrointestinal disorders, it is not the main cause of IBS.
D) Incorrect. While psychological factors can influence symptoms, IBS has a physical basis involving alterations in gut motility and sensitivity.
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Correct Answer is B
Explanation
A) Incorrect. The brain-gut axis is indeed relevant to IBS and plays a significant role in its pathophysiology.
B) Correct. The brain-gut axis refers to the bidirectional communication between the central nervous system (brain) and the enteric nervous system (gut). In IBS, this interaction is complex and can influence gut motility, sensitivity, and overall symptom experience.
C) Incorrect. While the brain-gut axis is important, its primary impact in IBS is not related to nutrient absorption.
D) Incorrect. The brain-gut axis is relevant in various gastrointestinal disorders, including IBS, and is not limited to severe psychological disorders.
Correct Answer is B
Explanation
A) Incorrect. While structural abnormalities can contribute to gastrointestinal disorders, IBS is not primarily caused by such abnormalities.
B) Correct. The exact cause of IBS is unknown, but it is believed to be a multifactorial condition involving abnormal gut motility, heightened visceral sensitivity, and other factors. Psychological and genetic factors may also play a role.
C) Incorrect. While psychological factors can exacerbate symptoms in some individuals with IBS, they are not the sole cause of the condition.
D) Incorrect. While bacterial infections can lead to similar symptoms, IBS is not primarily caused by infections.
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