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An introduction to irritable bowel syndrome
Irritable bowel syndrome (IBS) is a very common condition, but
in some ways it is still a mystery. There are many different
theories about what causes the syndrome, and different doctors
will give you different reasons for your illness ' anything from
stress to bad bacteria to food intolerance. And once you have
been diagnosed, there is no set form of treatment ' instead,
sufferers tend to try two or three supplements or therapies to
find a combination that works for them.
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 IBS is clearly a complicated issue, so here is a basic overview
of the symptoms, diagnosis and treatment of this disorder.
The symptoms
Although the symptoms of IBS vary from person to person, there
are several symptoms which are typical of the illness. The most
common symptom is either recurring diarrhea or recurring
constipation (although some patients also have alternating
diarrhea and constipation).
Additional symptoms can include stomach pain (sometimes relieved
by a bowel movement), bloating, nausea and a lot of gas. These
symptoms generally go away for a short time before returning
again, as IBS can work in cycles. Sufferers may experience a few
weeks or even a few months of good health before the symptoms
come back.
Sufferers sometimes find that their symptoms begin after a bout
of food poisoning or an operation. Others date their symptoms
back to a very stressful period in their lives, and some
patients can see no clear reason for why their symptoms began.
The diagnosis
There is no set test for IBS, and it is often called a diagnosis
of 'exclusion'. This means that a doctor may rule out other
bowel and stomach complaints such as celiac disease or
inflammatory bowel disease before giving you a diagnosis of IBS.
Sometimes patients are given a colonoscopy, where a tiny camera
is inserted into the intestines to look for abnormalities. In an
IBS sufferer the colonoscopy won't detect any physical signs of
disease ' IBS is often called a 'functional' disorder, because
it seems to be caused by an alteration in the way the body
functions rather than an identifiable cause such as
inflammation.
However, this does not mean it is any less real than, say,
inflammatory bowel disease, it just means that doctors haven't
come up with a proper test for it yet!
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It is very important that you receive a diagnosis of IBS from a
medical professional rather than self-diagnosing, as bowel
symptoms can be present in many other health conditions.
The treatment
The first stage of treatment may involve any medications your
doctor has given you to try. This could be an anti-spasmodic,
which will relax the muscles in the gut walls, or perhaps a low
dose of an anti-depressant, which can help to reduce the pain.
You may also be given one of the new drugs specifically
developed for IBS ' Lotronex for diarrhea sufferers and Zelnorm
for constipation sufferers.
If the drugs do not help you then you could try using a fiber
supplement such as Citrucel to add bulk to your stool ' this can
be helpful for both diarrhea and constipation. Also, there are
other supplements such as Caltrate Plus which may be useful
(Caltrate Plus contains calcium carbonate which can reduce
diarrhea).
It may also be worth looking at your diet. A nutritionist can
advise on ways to identify any particular food 'triggers' which
may be setting off your symptoms, and also on whether you might
have a food intolerance to something like gluten or lactose.
Finally, there are several alternative therapies which can be
effective for IBS. Hypnotherapy has proved very effective, and a
special form called gut-directed hypnotherapy has been developed
just for digestive problems. Acupuncture may also be worth
looking into.
About the author:
Sophie Lee has had IBS for more than 15 years. She runs
Irritable Bowel Syndrome Treatment
http://www.irritable-bowel-syndrome.ws where you can read
descriptions and reviews of the treatments available for IBS,
from drugs to alternative therapy.
Nancy D. Pace
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