Doctor insights on:
New Treatments For Ibs
My biopsy result is chronic inflammation w/ lymphoid hyperplasia but my new GI insist its only IBS but my 1st GI prescrbed salofalk 4* aday. Confuse?
Probably IBS: I agree with that your G.I. Doctor that this may be irritable bowel syndrome and not also have colitis crohn's disease or other types of active colitis. Lymphoid hyperplasia is a very common condition in the colon and terminal ileum. Chronic inflammation is very nonspecific and when mild with out features of autoimmune disease is often a variant of normal. ...Read more
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
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
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
Is there any treatment for ibs? New to it. Had it for 10 months now. Life changing. Doc wants to see how I am in 6 months. But would like treatment.
Many: Irritable bowel syndrome has many treatments but can still be frustrating. First overall be sure to eat healthy foods and focus on high fiber foods, or take a fiber supplement. Stay hydrated. Exercise and watching stress can help. Over the counter enteric coated peppermint oil have good studies supporting its use for ibs. Lemon balm, an herbal can help. And several prescription drugs can help. ...Read moreSee 1 more doctor answer
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
Simply put: The simplest treatments are avoidance of any exacerbating factors. These are commonly caffeine (coffee, tea, soda), chocolate, spicy foods, and emotional stress. There are several forms of ibs (diarrhea and constipation predominant). Increasing or decreasing fiber may also help symptoms. Regular exercise helps as well. ...Read moreSee 1 more doctor answer
Controversial: The effectiveness of psychological treatments are still being debated. Hypnosis, cognitive behavioral therapy, relaxation therapy, stress reduction counseling, psychosocial counseling, meditation and guided-imagery techniques have all had some success. It is not yet possible to predict which patients will respond to this type of treatment. A close doctor-patient relationship is also helpful. ...Read moreSee 1 more doctor answer
Constipation: There are many reasons for constipation but the most common reason are food intolerances. The most common are dairy and gluten. Check to see if any of these cause constipation otherwise eliminate one of these food groups for 1-2 weeks to see if it improves. Also, add high strength probiotic. Make sure to eat 6-10 vegetables/fruits per day. Drinks lots of water. Exercise. ...Read moreSee 1 more doctor answer
Depends: There are different types of ibs, and there are different ways you can treat them. Some have diarrhea-predominant ibs, some constipation-predominant, some pain-predominant, some mixed. Should see a doctor 1st. Many meds can help, like Amitriptyline for diarrhea and Levsin for pain. Avoid your triggers such as dairy products, caffeine, alcohol, and fatty foods. Increase fiber and try probiotics. ...Read moreSee 2 more doctor answers
R/O IBS: IBS is a diagnosis of exclusion. IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet . Ie gutbliss.com and Wholeapproach.TX: PROBIOTICS/LEVSIN/BENTYL ...Read moreSee 1 more doctor answer
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