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Doctor insights on: Ibs Patient Information

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Dr. Charles Cattano
1,346 doctors shared insights

Irritable Bowel Syndrome (Definition)

A long-term disorder of gastrointestinal functioning. It results in abdominal discomfort, pain, bloating, stomach ...Read more


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Do IBS patients have bloody stools?

Do IBS patients have bloody stools?

Yes, not from IBS: Ibs does not cause bloody stools. Bloody stools can be seen with other conditions. Hemorrhoids can cause bright red blood on toilet paper, or in bowl, but so can rectal cancers. Blood coated on stool different from blood mixed in stool. Bloody stools can be seen with infection, inflammation, fragile blood vessels, diverticula (pockets), poor blood flow to bowel, polyps, cancers, etc. C ur doc. ...Read more

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How can bloating arising from dairy products be covered by IBS patients?

How can bloating arising from dairy products be covered by IBS patients?

IBS and Milk: Your question is a bit confusing. Lactose intolerance patients can resemble irritable bowel patients. They get better when you follow dr. Shulan advice. Furthermore oral food challange tests from england have shown that sometimes ibs patients are worsened by numerous foods and not necessarily due to enzyme deficiencies. ...Read more

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I am taking one 250 mg softgel of magnesium daily? I heard is good for patient with IBS like me. Is this is good or healthy?

I am taking one 250 mg softgel of magnesium daily? I heard is good for patient with IBS like me. Is this is good or healthy?

Probably good: Magnesium deficiency is very common; it is most likely the most underdiagnosed electrolyte deficiency in medical practice. That said, taking too much magnesium can cause diarrhea and abdominal pain. I recommend magnesium glycinate because it caused less intestinal upset than magnesium citrate or oxalate. Start with a low dose and gradually work your way up. ...Read more

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If a dr could reply with some names of mi drs that work w/patients with hard to diag intestinal prob, that don't giv up after scopes an just giv old ibs?

If a dr could reply with some names of mi drs that work w/patients with hard to diag intestinal prob, that don't giv up after scopes an just giv old ibs?

No names but...: Holistic doctors often do a great job with intestinal problems, looking at factors like yeast overgrowth, imbalances of bacterial flora, parasites, food sensitivities, lack of digestive enzymes, nutrient deficiencies, stress etc. Some focus on this more than others. For a directory of doctors certified by the american board of integrative holistic medicine see http://www.Abihm.Org/search-doctors. ...Read more

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Has anyone studied the use of cymbalta (duloxetine) to treat IBS symptoms? Have heard it has helped some patients even though it's not marketed for that use.

Has anyone studied the use of cymbalta (duloxetine) to treat IBS symptoms? Have heard it has helped some patients even though it's not marketed for that use.

As above : I am not aware of any studies regarding that , however, patient with ibs can have pain and depressive symptoms and therefore , it may be helpful. ...Read more

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Which nsaid is safest for long term usage in patients with IBS & gerd?

Which nsaid is safest for long term usage in patients with IBS & gerd?

Safest nsaid!?: There isn't one they all have to be used carefully and taken with food they can all cause ulcers and other problems don't lull yourself into a false sense of security even Celebrex (celecoxib) has a list of GI warnings so be safe. ...Read more

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Why don't they check for SIBO with every patient who has IBS? The symptoms are similar. I had to find about it myself and see an outside doctor.

Why don't they check for SIBO with every patient who has IBS? The symptoms are similar. I had to find about it myself and see an outside doctor.

SIBO: Small bowel bacterial overgrowth is not a common condition and not everyone with IBS has SIBO and the same goes not everyone with SIBO has IBS. The symptoms of both conditions are pretty much the same but like I said not everyone with SIBO has IBS in the era of cost containment in medicine because health insurance do NOT want to pay for tests very unlikely you will be send for a test on an uncommo ...Read more

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Can i face acidity problem, when i use lactic acid bacillus capsules? i am a ibs patient ...

Can i face acidity problem, when i use lactic acid bacillus capsules? i am a ibs patient ...

No: probiotics won't help with acidity. Where is your acidity problem? In your stomach as in acid reflux? ...Read more

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Is it possible for eggplant parmesan and salad to cause black- green stool? Is it more common in patients with ibs?

Is it possible for eggplant parmesan and salad to cause  black- green stool? Is it more common in patients with ibs?

It Can.: Blackish green color or variations allthe way to brown depends on a) bile products(bilirubin and biliverdin.B) iron/iron containing leafy veggies like spinach, aregola etc. ...Read more

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I am patient of reflux and IBS since long time, i am very depressed due to IBS, please advise if my gut come normal. ?

I am patient of reflux and IBS since long time, i am very depressed due to IBS, please advise if my gut come normal.
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Two way traffic: It is possible that the path between your G.I. symptoms and mood disorder is a two-way street. Therapy that might relieve your depression may reduce or eliminate the reflux and IBS too. Serotonin cells are most prevelent in our gut. That's partly why SSRIs have gut side effects. Seek a psych eval and coordinate the treatments. This may kill 2 birds w/ 1 stone. Best! ...Read more

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Can IBS patients absorb nutrients from supplements as NT from food causing B12 & vitamin d defiency?

Can IBS patients absorb nutrients from supplements as NT from food causing B12 & vitamin d defiency?

Yes they do: Ibs does not effect the absorption of the supplements as there is no problem with absorption and they can be given supplements to correct deficiencies if diagnosed or anticipated.Vit B12 can be given orally or pareterally if needed. ...Read more

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I am a sugar patient and having IBS and having low blood pressure and my HBA1C is 14?

I am a sugar patient and having IBS and having low  blood pressure and my HBA1C is 14?

HBA1C too high!: Hi Jean47, Your HBA1C, which measures average blood glucose over three months, is very high. In diabetics of your age, I want to see HBA1C values below 7.0. If you are on medication, you need to have your treatment optimized. Of course, if you only very recently (within the past 3 months) began receiving treatments, then I would say have it rechecked after three months of being on medicine. ...Read more

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Can I request a fecal transplant from my doctor for non-C. difficile intestinal issues? Recent studies showing great success in IBS/ulcerative colitis patients. Wouldn't hurt to try it?

Can I request a fecal transplant from my doctor for non-C. difficile intestinal issues? Recent studies showing great success in IBS/ulcerative colitis patients. Wouldn't hurt to try it?

Careful...: This is a great treatment option for some, but is not a cure all.There is much we do not yet understand about the bacterial gardens contained within each of us.We do know that changing the makeup of our intestinal micro biome can have consequences both good and bad.For instance, there is some data that fecal transplants from obese patients increases your chance of becoming obese. Food for thought. ...Read more

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What are the extraintestinal symptoms of IBS-C? Can patients experience fatigue, poor sleep, headaches, back pain, and heart palpitations?

What are the extraintestinal symptoms of IBS-C? Can patients experience fatigue, poor sleep, headaches, back pain, and heart palpitations?

Limited to bowel: Technically speaking, IBS-C (constipation predominant) shd only affect the bowels. IBS isn't a systemic disease like IBD (inflammatory bowel disease - Crohn's or Ulcerative Colitis). That being said, IBS can certainly cause anxiety / panic disorder (it has a way of affecting the mind, sleep, & there4 personality), which can then explain the symptoms u describe. TTYD & perhaps a counselor regarding ...Read more

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What is possible cure for IBS suffring from last 18 yrs. ? Patiant 61 yrs. Male.

No cure...: There is no known cure for ibs. There is really no definitive diagnosis either. Modulation of diet and stress factors in your life often result in reduction of symptoms. Occasionally we have to prescribe medications. A recent advance in the management of ibs patients has been with a low-fodmaps diet that results in less bacterial fermentation of poorly absorbed carbohydrates. Ibsfree.Net. ...Read more

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Is surgery needed for spastic diverticulosis + severe narrowing of luminal + severe diverticulosis in a patiient with IBS. Colonostopy +Barium failed?

Is surgery needed for spastic diverticulosis + severe narrowing of  luminal + severe diverticulosis in a patiient with IBS. Colonostopy +Barium failed?

Surgery not for IBS: This may only be a partial answer to your question. Surgery is not indicated for IBS or "spastic colon". IBS is a functional disorder and cannot be cured by the knife. It must be managed in more conservative ways. Now if there is luminal narrowing of your colon, you must get seen to find out why and it is possible that surgical intervention may help depending on the etiology. ...Read more

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What would be a good high fiber diet for someone with IBS conatapation i go on websites and the information is conflicting from site to site?

What would be a good high fiber diet for someone with IBS conatapation i go on websites and the information is conflicting from site to site?

Fiber conflict: Fiber, of both water soluble and water insoluble variety, provides health benefits. Fiber accelerates how quickly food transits through the gut. Fiber adds bulk to stool ; improves bowel regularity. Fiber can be used as an adjunct to weight loss by filling you up without excess calories ; in so doing restricting fat intake. Too much fiber can make you gassy ; increase stool volume--hence conflict. ...Read more