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Doctor insights on: Ibs Questions

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How is IBS diagnosed?

How is IBS diagnosed?

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 more

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Dr. Charles Cattano
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Irritable Bowel Syndrome (Definition)

Irritable bowel syndrome, also known as IBS, is a long-term disorder of gastrointestinal functioning. It results in abdominal discomfort, pain, bloating, stomach cramps, diarrhea, and constipation. Additionally, patients with IBS usually have problems with gut motility. Triggers for IBS include certain foods, and elevated stress levels. Lastly, symptoms of IBS ...Read more


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I have a 2cm ovarian cyst on my left ovary. Was told after last transvaginal sono it shrunk to 1.7. Was told this was not causing my lower left abdominal pain. After colonoscopy done to rule out any issue I have ibs. My question is, if this is in no way o

I have a 2cm ovarian cyst on my left ovary. Was told after last transvaginal sono it shrunk to 1.7. Was told this was not causing my lower left abdominal pain. After colonoscopy done to rule out any issue I have ibs. My question is, if this is in no way o

How old are you?: In a menstruating female a small cyst that is diminishing in size is good and normal. Your doctor is observing and right thing to do, cause of your pain may be due infection in tube, endometriosis, adhesion s etc only your md can tell you. ...Read more

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How can IBS cause so many symptoms? *what would be abnormal for ibs?* I put some symptoms in my last question that worry me despite IBS diagnosis

How can IBS cause so many symptoms? *what would be abnormal for ibs?*  I put some symptoms in my last question that worry me despite IBS diagnosis

Check everything!: The GI tract has a very limited # of symptoms to signal its distress--nausea/vomiting, diarrhea/constipation, bloating, pain, fullness, bleeding, etc. As you know, many of these characterize ibs, but are also seen with inflammatory, infectious, ischemic, malabsorptive, and functional disorders. Directed lab work, imaging, biopsies, stool studies are appropriate in excluding non-ibs pathology. ...Read more

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Hello Dr. Pasniciuc, I have a question on the best way to treat IBS and gastroparesis?

Hello Dr. Pasniciuc, I have a question on the best way to treat IBS and gastroparesis?

IBS/ gastroparesis: IBS, irritable bowel syndrome and gastroparesis are rather poorly understood conditions. The approach is usually multidisciplinary and I would advise involving early a gastroenterologist at a tertiary center in order to confirm the diagnosis and to start a therapeutic trial. Starting a food log along with symptoms log will help anywhere along the way. ...Read more

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I have "IBS" I'm using a drug "Duspatalin retard" my question is how long can I use it and which food i should & shouldn't have it, + general advise ?

I have "IBS" I'm using a drug "Duspatalin retard" my question is how long can I use it and which food i should & shouldn't have it, + general advise ?

Occasional use: We don't use this drug in the United States. However, it is is used for IBS elsewhere It causes dry mouth and constipation though. Constipation is not good for people with IBS long term unless all other measures that are safer and more healthy have failed.. High fiber diets, sometimes very high, with gas-x, exercise and stress reduction techniques are better ways. Avoid Splenda, sorbitol. ...Read more

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I've been diagnosed of IBS 8 months ago.My question is if this was colon cancer things would be much worse by now right?"

I've been diagnosed of IBS 8 months ago.My question is if this was colon cancer things would be much worse by now right?"

Not necessarily: Some colon cancers are very slow growing and may not have significant worsening of symptoms over 8 months. However, the symptoms of colon cancer are usually quite different than ibs symptoms. But having ibs does not mean you might not also have colon cancer. The best way to be sure you don't have that is to get a colonoscopy. In the us screening colonoscopies are advised for all people at age 50. ...Read more

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Peppermint oil for IBS- constipation? contraindicated with one of the following drugs ? Xanax, Seroquel, escitalopram, Lamotrigine? Same Question Aloe Vera juice...

Peppermint oil for IBS- constipation? contraindicated with one of the following drugs ? Xanax, Seroquel, escitalopram, Lamotrigine? Same Question Aloe Vera juice...

I would avoid: the Peppermint oil. It may decrease how quickly the liver breaks down medications causing an increase in the effects and side effects of such medications. Two of the medicines you take--Xanax and escitalopram--are metabolized by the liver/cytochromne P450 and could be affected by Peppermint oil. Aloe Vera juice may be a little safer but it also affects the cytochrome P450 pathways. I would avoid. ...Read more

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