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Doctor insights on: New Treatments For Ibs

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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?

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

Dr. Charles Cattano
1,313 doctors shared insights

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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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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Any new meds or treatments coming up to treat fir IBS c?

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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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.

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 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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Treatment of ibs?

Treatment of ibs?

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 more

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Treatment for ibs?

Treatment for ibs?

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 (hyoscyamine) for pain. Avoid your triggers such as dairy products, caffeine, alcohol, and fatty foods. Increase fiber and try probiotics. ...Read more

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Treatment for ibs?

Treatment for ibs?

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 more

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What is treatment for ibs?

What is treatment for ibs?

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 more

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What's the treatment for IBS ?

Irritable bowel synd: Answer depends upon whether you have constipation-predominant or diarrhea-predominant or mixed. Check out http://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/basics/definition/con-20024578, http://www.webmd.com/ibs/ & http://emedicine.medscape.com/article/180389-overview for more info & treatment options. ...Read more

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