Question

question 16 1 pts after thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (ibs). which of the following initial treatment plans is currently considered most effective? a low fat, tyramine - free, caffeine - free, high fiber diet, along with a daily diary, and attention to psychosocial factors. referral to a gastroenterologist for colonoscopy. treatment with a selective serotonin reuptake inhibitor (ssri) such as fluoxetine (prozac) or sertraline (zoloft). antibiotics, nutritional support, and high fiber diet.

Explanation:

IBS is a functional gastrointestinal disorder. Lifestyle and dietary modifications are often the first - line treatment. A diet low in fat, tyramine - free, caffeine - free, and high in fiber, along with attention to psychosocial factors (since stress can exacerbate IBS symptoms) is a comprehensive initial approach. Colonoscopy is a diagnostic procedure, not an initial treatment. SSRIs are used for IBS with significant psychological comorbidities. Antibiotics are not the first - line for IBS treatment.

Answer:

A. A low fat, tyramine - free, caffeine - free, high fiber diet, along with a daily diary, and attention to psychosocial factors.