Urgency/ Frequency Dieting and Abdominal Pain How urgently do you need to have bowel movements? How frequently does this occur? Do you wake in the middle of the night to have a bowel movement? How frequently does this occur? Is your stool loose? Does it float? Is it greasy? Is the color pale? Does it smell very foul? Is it difficult to flush? Have you noticed droplets of oil in your toilet? • • • • • • • Could you tell me about your experience with gas and bloating? How frequently do you feel this way? Have you had unexplained weight changes? Do you have abdominal pain? When does this occur? Could you describe to me what you ate yesterday? Is this typical for you? • • • • • • Stool Details References: 1. Fieker A, Philpott J, Armand M. Enzyme replacement therapy for pancreatic insufficiency: present and future. Clin Exp Gastroenterol. 2011;4:55-73. 2. Domínguez-Muñoz JE. Pancreatic enzyme therapy for pancreatic exocrine insufficiency. Curr Gastroenterol Rep. 2007;9(2):116-122. 3. Ferrone M, Raimondo M, Scolapio JS. Pancreatic enzyme pharmacotherapy. Pharmacotherapy. 2007;27(6):910-920. 4. Alkaade S, Vareedayah AA. A primer on exocrine pancreatic insufficiency, fat malabsorption, and fatty acid abnormalities. Am J Manag Care. 2017;23(suppl 12):S203-S209. Can you see what makes EPI unique? USE THE FOLLOWING TOPICS TO GUIDE THE CONVERSATION The right questions can help guide your diagnosis. Diagnosing exocrine pancreatic insufficiency (EPI) can be difficult, but getting patients to open up about all of their GI symptoms, especially the details, can help lead to a diagnosis. Remember, if your patient presents with any one of the signs or symptoms of EPI, including diarrhea, abdominal pain, bloating, flatulence, unexplained weight loss, or steatorrhea, consider EPI in your differential diagnosis. 1-4 When you diagnose patients with EPI, provide them with the GI Symptom Tracker, located at IdentifyEPI.com, and follow up a few weeks later to evaluate symptoms and treatment progress. In addition to describing symptoms, it may be helpful to show patients an example of an image of steatorrhea. Not all patients experience this symptom. Encourage patients to visit educational websites like IdentifyEPI.com so they will better understand the condition. © 2018 AbbVie Inc. North Chicago, IL 60064 US-PANC-180165 December 2018 IBS-D EPI

The right questions can help guide your diagnosis. · The right questions can help guide your diagnosis. Diagnosing exocrine pancreatic insufficiency (EPI) can be difficult, but getting

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Page 1: The right questions can help guide your diagnosis. · The right questions can help guide your diagnosis. Diagnosing exocrine pancreatic insufficiency (EPI) can be difficult, but getting

Urgency/Frequency

Dieting and Abdominal Pain

How urgently do you need to have bowel movements? How frequently does this occur?

Do you wake in the middle of the night to have a bowel movement? How frequently does this occur?

Is your stool loose?

Does it float?

Is it greasy?

Is the color pale?

Does it smell very foul?

Is it difficult to flush?

Have you noticed droplets of oil in your toilet?

•

Could you tell me about your experience with gas and bloating? How frequently do you feel this way?

Have you had unexplained weight changes?

Do you have abdominal pain? When does this occur?

Could you describe to me what you ate yesterday? Is this typical for you?

•

StoolDetails

References: 1. Fieker A, Philpott J, Armand M. Enzyme replacement therapy for pancreatic insufficiency: present and future. Clin Exp Gastroenterol. 2011;4:55-73. 2. Domínguez-Muñoz JE. Pancreatic enzyme therapy for pancreatic exocrine insufficiency. Curr Gastroenterol Rep. 2007;9(2):116-122. 3. Ferrone M, Raimondo M, Scolapio JS. Pancreatic enzyme pharmacotherapy. Pharmacotherapy. 2007;27(6):910-920. 4. Alkaade S, Vareedayah AA. A primer on exocrine pancreatic insufficiency, fat malabsorption, and fatty acid abnormalities. Am J Manag Care. 2017;23(suppl 12):S203-S209.

Can you seewhat makes EPI

unique?

USE THE FOLLOWING TOPICS TO GUIDE THE CONVERSATION

The right questions can help guide your diagnosis.Diagnosing exocrine pancreatic insufficiency (EPI) can be difficult, but getting patients to open up about all of their GI symptoms, especially the details, can help lead to a diagnosis. Remember, if your patient presents with any one of the signs or symptoms of EPI, including diarrhea, abdominal pain, bloating, flatulence, unexplained weight loss, or steatorrhea, consider EPI in your differential diagnosis.1-4

When you diagnose patients with EPI, provide them with the GI Symptom Tracker, located at IdentifyEPI.com, and follow up a few weeks later to evaluate symptoms and treatment progress.

In addition to describing symptoms, it may be helpful to show patients an example of an image of steatorrhea. Not all patients experience this symptom. Encourage patients to visit educational websites like IdentifyEPI.com so they will better understand the condition.

IBS-D EPI