Doctor insights on:
Diverticulitis Associated Irritable Bowel Syndrome
Ibs is diagnosed after all organic causes are ruled out (eg, infection, inflammation). Gi docs use a clinical criteria called rome iii. Pts must have abdominal pain/discomfort associated with 2 or more of the following at least 25% of the time: 1. Symptoms improve w defecation, 2. Stool frequency changes, 3. Stool appearance changes. Constipation-type vs diarrhea-type are ...Read more
Different: These are different conditions. Irritable bowel is a chronic condition of abdominal bloating & cramping with alternating diarrhea & constipation controlled with diet & high fiber foods. Diverticulitis is an active infection of small pouches on the colon needing antibiotic treatment. ...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
Yes: Like any chronic stress condition, ibs can affect ovulation fertility. Ibs rarely is associated with scar tissue and damage to fallopian tubes and uterus. Pregnancy is easiest to achieve when the illness is quiescent. A careful review of diet and nutrition is a good idea with ibs. ...Read moreSee 1 more doctor answer
I recently read a paper saying that irritable bowel syndrome can lead to diverticular disease, does anyone have an opinion one way or the other?
Different problems: They are two different things. Diverticular disease is made up of two conditions: diverticulosis and diverticulitis. Diverticulosis occurs when pouches, called diverticula, form in the colon. These pouches bulge out like weak spots in a tire. Diverticulitis occurs if the pouches become inflamed. Irritable bowel syndrome (IBS) is a disorder that leads to abdominal pain and cramping, changes in bow ...Read more
My doctor prescribed Flagyl and ciproflozacin for irritable bowel syndrome. I would just like to understand the benefits and why both are often used.
IBS,or other reason?: Typically, the combination of antibiotics metronidazole (Flagyl) & ciprofloxacin for bowel reasons is for infection like diverticulitis. Each specializes in fighting different types of bacteria; metronidazole for bacteria that do not require oxygen to live, and ciprofloxacin for the ones that do. Flagyl can be used for small bowel bacterial overgrowth (can have IBS-like symptoms in some people). ...Read more
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
Diverticulitis is inflamation and/or infection of diverticuli, almost exclusively of the colon. The most common place is in the sigmoid colon, low on the left side. Symptoms are pain and tenderness of the left lower abdomen. They can be mild to severe. Sometimes worse with ...Read more
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