Doctor insights on:
A lot of mysterious musculoskeletal pains. Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?
Holistic/Integrative: I advise you see a holistic/integrative MD to determine the underlying causes. I would suspect chronic Lyme disease, which is common in NY but often not properly diagnosed. Even if not Lyme a holistic MD will do a thorough evaluation and refer you to appropriate specialists. See http://www.lymedisease.org/lyme101/lyme_disease/lyme_disease.html and http://www.abihm.org/search-doctors ...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
Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, IBS ?I see a GI , just for looking options as im newly diagnosed.
See below: Complex but not rare constellation of problems. Barrett esophagus most important - severe esophageal damage due to reflux. If no dysplasia on biopsies can be treated by hernia repair and fundoplication. Repeat surveillance endoscopy may be advised first. Gastroparesis concerning but fundo. Can sometimes improve gastric emptying. By lbs do you mean morbid obesity? Running out of space. ...Read moreSee 2 more doctor answers
Ideally all three: You will have liver tests and further testing to determine. All the best! ...Read more
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
Chronic diarrhea, severe abdominal pain, doctors ruled out lactose, celiac, had a stomach scope, gallbladder removed. Need suggestions dr is dead end?
What kind of specialist diagnoses channelopathies? Neurologist? Rheumatologist? Both? Some other specialist?
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
28f Dx: idiopathic gastroparesis/pancreatitis. Lab 4 IBD is + but colonscpy inconclusive. Possible 2 have all 3 GI diseases? Nausea/abd pain etc
Complex problem: I suppose anything is possible, making this a clearly complex problem. Gastroparesis alone is a relatively poorly understood disease with a variety of diet and medications available for symptom relief. Some meds are difficult, or impossible to purchase in the US. Gastric stimilator implantation is another option for symptom relief. Be sure you have a GI doc following you. Hope this helps! ...Read more
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
Chronic stomach pain, mucus diahrea. Physician refuses testing and referral cause hypochondriac history. What should I do now ? I'm concerned IBD
2heads better than 1: There are many things other than IBD that can cause these symptoms. Second opinions are always an option and are usually appreciated by your regular physician. When you do get another opinion, bring test results and imaging studies. You do not want the other provider to be biased by prior opinions. Also the cardinal symptom of IBD (versus IBS) is weight loss. Symptom and food diaries find trends. ...Read moreSee 1 more doctor answer
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
Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.
Here's a link: www.greentidings.org is a site that has helpful advice. Some doctors can find ways to help - many can't. Same w/ alternative approaches. Try anything you can - maybe you'll hit it for your case. Vit d is good, but always combine with healthy fat (oils) since it needs that to be absorbed. Other do's and don'ts are on the link. ...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
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
Best probiotic for ibs? Also do probiotics affect the liver for the good too? Alt^, no cause determined. ;extensive tests, waiting for specialist help.
Results are mixed: Although researchers have conducted multiple studies on probiotics in patients with IBS, the results are mixed. This is not surprising, since different probiotics are like different drugs. Also IBS is likely due to different causes in different patients. While these early results are promising, future large trials are necessary before doctors can be confident in prescribing these agents on,routine ...Read moreSee 1 more doctor answer
I must have have Ehlers-Danlos syndrome (9/9 Beighton score, SEVERE IBS, joint pain, ortho intolerance, etc) but waiting lists for specialists are 1+ years long. Any advice on getting help sooner?
Natural therapies: Ehlers-danlos syndrome has no magical solution. Loose ligaments require well toned & strong-muscle compensations. The easiest form of physical exercise is aqua therapy, whereby water buoyancy negates weak muscles overwhelmed by gravity. Treatment w. non-toxic therapies of nutrition, herbs, massage, & yoga rounds out sphere of rational therapies. Prolotherapy might have place at therapeutic table. ...Read moreSee 2 more doctor answers
Agonising Abdominal pain, anal pain when Going toilet. Like ive got glass through me. Cleared for chrons ibs ect by specialist. ?
Colon-rectal surgeon: You may be dealing with an anorectal fissure in view of the anal pain during a bowel movement. Perhaps you should consult a colorectal surgeon or a proctologist for evaluation and treatment. The associated severe abdominal discomfort is of concern and must be evaluated also. In the meantime sit in warm water, use glycerin rectal suppositories for bowel movements and take stool softeners daily. ...Read more
I had IBS and I lost 35 pounds of weight and now I am feelibh weak and its been 3 yeas I can't gain the weight back. Why is that ?
Is it normal if my IBS and anxiety made me lose 10 pounds? My diet isn't exactly the same but I still eat.. Not as much but I eat enough.. Thanks
Weight loss: Sure, you could lose weight with both of these diseases. You also state you are eating less than normal this also will cause weight loss. Do you have any worries about your body or being overweight? Please see your doctor or therapist if you have one and discuss your weight loss and any body image concerns you may have. ...Read more
I have IBS brought on by a stress. 4 weeks later I am no longer stressed but struggling to get symptoms under control. I don't have food triggers.
Is there any way to controll of my IBS my meds don't seem to work anymore and i've been having a horrible battle with it lately what an i do?
Go slow: Reducing intake of food will cause weight reduction. Loss of 15 lbs of fat in a month means burning off 4500 calories every two days, without taking in any. Essentially you will have to go without food for a month. This would not be healthy and in-fact would be dangerous. You should aim for a slower pace for the sake of your health. ...Read more
You probably dont..: IBS usually a diagnosis of exclusion, when no biological cause can be found for your symptoms. Change in bowel habits like constipation, diarrhea with chronic abdominal are the predominant symptoms of IBS. If your GI doctor says you don't have it, then you probably don't. They are the experts in this field and I would trust their judgment on this. ...Read more
IBS: It is important to rule out other causes. There is criteria for diagnosis if IBS. If Red flags:Rectal bleeding,Nocturnal or progressive abdominal pain,Weight loss,Laboratory abnormalities such as anemia, elevated inflammatory markers, or electrolyte disturbances etc are present then patient needs more evaluation. ...Read more
I have IBS and i look about 3 months pregnant at times. Exersise doesn't shift . What should I do?
I'm having a severe IBS attack and I'm in so much pain. I can't eat drink or sleep what should I do?
What's the likelyhood I have ibs? I've been experiencing chronic diahrea that won't stop after I eat.
See your doc: No details re: your age, symptom details, etc. Chronic diarrhea should be checked out. Maybe ibs but...Maybe something else like infection, parasite, celiac sprue, inflammatory bowel disease, lactose intolerance, or several other causes. See your doc. ...Read moreSee 1 more doctor answer
Why is it whenever I have very little fiber in one day, it helps with my ibs, but isn't that unhealthy?
On the contrary: Fiber is considered healthy. Average adult should consume about 20-30 gms fiber each day. It helps regulate the bms, makes it easier to go and helps against diverticulosis too. Constipation and diarrhea, commonly associated with ibs, both reapond well to fiber. I recommend taking it on a regular basis. ...Read moreSee 1 more doctor answer