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Doctor insights on: Ibs Specialist

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How does a gastroenterologist treat IBS (irritable bowel syndrome)?

How does a gastroenterologist treat IBS (irritable bowel syndrome)?

Depends: It depends on whether or not you have constipation predominant or diarrhea predominant IBS. Most Gi doctors I see treat it with miralax (polyethylene glycol) and a good diet high in fiber. ...Read more

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Dr. Charles Cattano
1,368 doctors shared insights

Irritable Bowel Syndrome (Definition)

A common disorder that affects the large intestine, resulting in abdominal discomfort, pain, bloating, stomach ...Read more


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A lot of mysterious musculoskeletal pains. Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?

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

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How do you diagnose IBS (irritable bowel syndrome)?

How do you diagnose IBS (irritable bowel syndrome)?

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 more

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Can amitryptiline be taken indefinitely for someone who has irritable bowel syndrome/colitis? Need expert opinions!

IBS: Amitriptyline has strong anti-cholingeric effects and is not recommended particularly someone who has constipating form of IBS. The Amitriptyline would cause the bowels to slow. Why are you taking this medication anyways? Possibly there is better natural alternative. ...Read more

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Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, IBS ?I see a GI , just for looking options as im newly diagnosed.

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 more

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What can be done to diagnose IBS (irritable bowel syndrome)?

What can be done to diagnose IBS (irritable bowel syndrome)?

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

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What is worse: chrons / ulcerative colitis?

Depends: Really depends on the severity, but the benefit with uc in severe cases there is a cure (ie total colectomy) where as with severe crohn's that is not the case. ...Read more

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Chronic diarrhea, severe abdominal pain, doctors ruled out lactose, celiac, had a stomach scope, gallbladder removed. Need suggestions dr is dead end?

Chronic diarrhea, severe abdominal pain, doctors ruled out lactose, celiac, had a stomach scope, gallbladder removed. Need suggestions dr is dead end?

University center: If you have not seen a gastroenterologist yet, then you should consider going to an university center or something like the mayo clinic to get an evaluation. ...Read more

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What is proper diet for irritable bowel syndrome?

What is proper diet for irritable bowel syndrome?

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

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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

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Sufferring from inflammatory bowel disease, doctors diagnosed as maybe ibs, celiac chrons disease. A lot of food allergies. gluten, dairy intolerance?

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

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Ibs/ulcerative colitis/crohn's disease, how to find relief?

Ibs/ulcerative colitis/crohn's disease, how to find relief?

First you: have to get the correct diagnosis. All of the above mentioned maladies are treated differently and have different prognoses. See a GI doctor or Colon and Rectal surgeon to properly evaluate and treat your problem ...Read more

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Chronic stomach pain, mucus diahrea. Physician refuses testing and referral cause hypochondriac history. What should I do now ? I'm concerned IBD

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 more

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Can you advise for irritable bowel syndrome (ibs)?

Can you advise for irritable bowel syndrome (ibs)?

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

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Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.

Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.

S.C.D.: Discuss with your gastroenterologist. Try dairy free x1 month,if no relief follow Specific carbohydrate diet.Google for Elaine Gotschall's book or recommendations. ...Read more

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Need expert advice. What helps with fibromyalgia pain?

Need expert advice. What helps with fibromyalgia pain?

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 more

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Ibs (irritable bowel syndrome), how to recover?

Ibs (irritable bowel syndrome), how to recover?

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

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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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My Dr. Prescribed. Colofac to treat Ibs symptoms. I’m to see a specialist soon. I took it for the first time yesterday I have pain and Diarrhoea since. I experience this often which is why I went to see her but I only had bloating at the time?

Low FODMAP diet: Avoid FODMAP diet.

Avoid fermentable oligosaccharides,disaccharides

monosaccharides and polyols
Google details this diet
stop colofac
may eat chicken,meat,eggs
dairy free
Wheat free grains
fruits & vegetables & nuts. ...Read more

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Best probiotic for ibs? Also do probiotics affect the liver for the good too? Alt^, no cause determined. ;extensive tests, waiting for specialist help.

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 more

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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?

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 more

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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

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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 ?

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 IBS?: Irritable bowel syndrome is a real nuisance, but it should not cause weight loss unless you have relentless diarrhea. If you have not done so, you should see a gastroenterologist to make sure there is nothing else going on. For instance, celiac disease may present as ibs. ...Read more

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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

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

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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.

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.

Chinese medicine: Medically two things that can help with ibs are peppermint oil and digestive enzymes. I also suggest seeing an acupuncturist/chinese medicine doctor as that can really help balance your body and improve your symptoms. Good luck! ...Read more

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What is t best thing to take for ibs?

What is t best thing to take for ibs?

Fiber: 3 best things are: 1. Fiber 2. Fiber 3. Fiber pick a fiber supplement like benefiber, citrucell, fibercon, metamucil, etc and use it 2-3 times a day with plenty of water. ...Read more

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How can I increase my appetite. Haven't had appetite in a long time due to ibs. What can I do?

How can I increase my appetite. Haven't had appetite in a long time due to ibs. What can I do?

Please see below: Sometime stress in ibs causes high gastric acid and appetite will be low. If you think this is the case, you might want to try Prilosec otc early morning for a month. If you don't feel any better, you want to see a physician. ...Read more

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How do I lose 15 IBS in a month? I don't mind hunger

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

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What are the signs of IBS even if my gastroenterologist says I don't have it?

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

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My GP has said I have IBS, but how does she know it isn't anything more serious?

My GP has said I have IBS, but how does she know it isn't anything more serious?

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

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I have IBS and i look about 3 months pregnant at times. Exersise doesn't shift . What should I do?

No great Rx: If constipated then that needs to be addressed. Simethicone or probiotics may help. If no change consider following a fodmaps diet. ...Read more

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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?

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?

Not IBS...: It would appear unlikely that this is IBS. I suggest you see a doctor. Any pain that interferes with sleep, probably needs investigating. ...Read more

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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 more

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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 more

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