IBS

#

1. Check

    1. CBC, diff, ESR, CRP

    2. Ca, TSH

    3. S/E, OB

2. R/O celiac disease and other pathologies

3. Orders:

    1. tab dicyclomine 20 mg tds #60

    2. Tab amitriptyline 25 mg qd #60

    3. if with diarrhea: tab loperamide 2 mg #8

    4. if with constipation: Syrup lactulose 30 cc qd 3q

    5.  if with obstipation: Tab dimethicone 40 mg qd #40