Doctor insights on:
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
Lost bowel & bladder: "minor incontinence" is partial soiling of occasional loss of loose or watery stool, while "major incontinence" is loss of control of stool of normal consistency. In minor incontinence, consider deficient internal sphicter tone due to trauma, rectal prolapse, prolapsing hemorrhoids, drug effects, fecal impaction. Consider neurologic deficit or widespread pelvic issue when concomitant loss of urine. ...Read moreSee 2 more doctor answers
Occasionally: Xolair which is an anti ige antibody is approved for treatment of moderate to severe asthma not controlled with standard therapy in allergic patients 12 years or older. There are reports of it use in chronic urticaria and it has been shown to be effective in several cases. It is not approved by the fda for chronic urticaria. I am not aware of it being useful in irritable bowel syndrome. ...Read moreSee 1 more doctor answer
Sufferring from inflammatory bowel disease, doctors diagnosed as maybe ibs, celiac chrons disease. A lot of food allergies. gluten, dairy intolerance?
Colon problems: Since the illnesses you mentioned in your question are all different, it sounds as though your problem really hasn't been diagnosed yet at all. If you are still having problems, be sure to see a gastroenterologist. If you have already seen one and still can't sort this out, get a second opinion from another gastroenterologist. These diseases are not mysteries! Keep going until you feel better. ...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
Not even close!: Inflammatory bowel disease (see my earlier healthtap answer) is a systemic inflammation of the gut. Irritable bowel syndrome is a symptom complex without inflammation. Symptoms for both may be similar/ recurrent. The term "colitis" (=colon inflammation) is often erroneously applied to ibs patients. Ibd patients can have ibs, & ibs patients can develop ibd but the two are etiologically unrelated. ...Read more
Have been diagnosed with slow transit constipation. Prescribed linzees and miralax by GI and got explosive diahrrea. Amitiza (lubiprostone) causes bowel incontinence?
Need to consult with: Your gastroenterologist. Suggest you get a second opinion if no satisfaction from the first. ...Read more
Have chronic constipation, bloated, thin stools and severe gut pain...ER found no evidence of gallstones. Crohns? Bowel obstruction?
See gastroenterologi: You will need a colonoscopy to make sure you are not obstructed and rule out colitis. Possibilities include spastic colon, obstructive process or inflammatory process. Later usually causes diarrhea. Try increasing fiber and fluid plus osmotic agent like polyethyline glycol (Miralax). If those do not work, try Amitiza (lubiprostone) or Linzess ...Read moreSee 1 more doctor answer
Individualize diet: There is no specific exclusion diets for ibs, although many patients have difficulty tolerating water insoluble fibers, excessive dietary fats, fizzy drinks, & bowel stimulants (caffeine). If lactose, bean husk, sorbitol, &/or gluten intolerant it is best to avoid these foods or use appropriate enzyme supplements with them. Keep a food diary. Also, read "relief from ibs" by elaine shimberg. ...Read more
R/O IBS: IBS NO EVIDENCE OF LINK TO BLEPHARITIS. /IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet . Ie gutbliss.com and Wholeapproach. Tx:PROBIOTICS/LEVSIN/BENTYL ...Read moreSee 3 more doctor answers
Yes: Most experts recommend increasing fiber intake, including the use of fiber supplements. Osmotic laxatives, lubiprostone, and antispasmodic medications are used. Low dose tricyclic antidepressants and ssri medications can also be effective for ibs symptoms. See your doctor for additional help. ...Read moreSee 1 more doctor answer
Rome Criteria: There is no lab test or procedure to diagnose ibs, but labs, xrays, colonoscopy, endoscopy can be used to rule out other conditions that are similar to ibs. Ibs is often diagnosed when one has the signs and symptoms of the rome criteria. These are criteria that experts have set up to diagnose ibs. ...Read moreSee 2 more doctor answers
Yes: yes, almost always connected. hard not to be anxious when you are bloated can't eat and have diarrhea every day. then you worry and it makes the gut worse which then causes more worry. it's a vicious cycle. I believe the older tricyclics antidepressants can be very helpful as they can help mood and slow GI transit time. ...Read moreSee 2 more doctor answers
IBS-C with bloating, indigestion, distention. Taking Bentyl (dicyclomine) 20mg x4 a day. Will this help with constipation & distention of stomach?
Hopefully: Bentley is a wonderful medication works well and well tolerated yes worth giving it a try ...Read more
Chronic diahrea,mucus in stool, urgent and frequent bowel movements, abdominal pain. Colonoscopy normal and healthy. IBS ?
This may be IBD: mucus and diarrhea is usually a phenomenon of inflammation of bowel. The colonoscope is designed to examine the colon for tumor and can reach terminal ileum but can visualize above it. A camera pellet swallowed can visualizse the entire small bowel to determine if there is inflammation of SB. If symptoms persist the GI physician should evaluate small bowel. ...Read more
Diagnosed with gastroparesis, slow transit bowel and tight sphincter/rectal muscle problems. Help!?
High sympathetic : High sympathetic nervous system activity will slow transit time, reduce ability to digest food, increase sphincter tone. Avoid calcium supplements (calcium increases sympathetic tone), consider magnesium supplmentation (magnesium blocks effects of calcium) see your doc. Good luck! ...Read more
Irritable bowel: The first thing i recommend is a high fiber diet and fiber supplements daily. I always caution my patients to make sure that they drink at least 10 ounces of water if they use the chewable fiber supplements. Wheat germ is a great alternative and can be purchased in most grocery stores. ...Read moreSee 1 more doctor answer