Doctor insights on:
Can You Irritable Bowel Syndrome
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Mostly history: Inflammatory bowel disease is just that - inflammation of the intestine that is visible at endoscopy (upper endoscopy or colonoscopy) or imaging. The inflammation often leads to poor function. Irritable bowel syndrome is a functional problem. There is no sign of infection, inflammation, tumor, etc but it does not work properly. Things like caner, ulcers, need to be excluded. ...Read more
Rome 3 criteria: Irritable bowel syndrome (ibs) is a condition associated w/ abdominal discomfort, altered /alternating stool pattern, accompanying nausea, bloating, gassiness. Often improved by stooling, ibs is defined by changes in perception of gut distension, motility, sensation. Diet & emotional stress may be a factor. Rome 3 diagnostic criteria must 1st rule out inflammation, ischemia, & infection. See doc. ...Read moreSee 2 more doctor answers
Irritable Bowel: IBS is a troublesome but not a life threatening condition. You can't always predict when or why you'll have symptoms but there are a few things you can do to help. Try eliminating dairy and fatty foods from your diet. Exercise, drink plenty of water, eat small meals and practice some form of relaxation technique like meditation or yoga. ...Read more
Yes: One of the factors that increases the severity of symptoms of irritable bowel syndrome is stress. Exercise generally decreases stress for most people and thus may help with treating irritable bowel syndrome. Fiber (either natural or supplemental) typically helps as well as meditation and yoga. Some prescription medications do exist and work to varying degrees. ...Read more
Pregnant IBS change: Many people think they have irritable bowel syndrome (ibs). They might have other milder conditions or possibly an early stage of a more serious condition. Keeping a food diary and discussing symptoms with an OB provider, gastroenterologist or nutritionist are good steps toward confirming the diagnosis, getting adequate nourishment for mom and baby and controlling symptoms. ...Read moreSee 1 more doctor answer
Rome criteria: Endoscopy is important to rule out a different reason for your problems, but not necessary to diagnose irritable bowel syndrome. The duration of symptoms , the pattern of pain and the association of discomfort with bowel movements can be used to see if they are compaible with a predefined rome iii criteria which can make a diagnosis of irritable bowel syndrome. ...Read more
1st: fiber and water: A high fiber diet with sufficient amounts of water intake is the first line of management. You correctly identified that ibs is managed but not cured. Stress management is a powerful adjunct. There are some clinical trials investigating other forms of treatment. Poorly absorbed oralantibiotics are used in europe, but rarely in the us due to other risks. ...Read more
IBS: Irritable bowel syndrome can be difficult to treat and different methods work for different patients. Start by increasing the amount of water and or fiber in your diet. In times of constipation, some people will have a positive effect from stool softeners such as sennosides, docusate and magnesium hydroxide. ...Read more
Yes: Remember , IBS is a syndrome that is characterized by symptoms, although there are some anatomical changes in these patients colons that have been identified. There is not a causative relationship between these two disorders. A person with undiagnosed chron's may have symptoms identical to ibs. Likewise, a person with IBS could also develop chron's. ...Read moreSee 1 more doctor answer
Diet and fluids: I rarely prescribe meds for ibs. In my experience teaching people to eat and drink properly resolves most if not all symptoms when the patient is compliant and follows through. Hi fiber, 80-100 ounces non caffeine, non alcoholic beverages each day, regular meal times, excercise. Consistency is the key to being symptom free. ...Read more
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