dr gott ibs - Coping With Irritable Bowel Syndrome(IBS)
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Coping With Irritable Bowel Syndrome(IBS)

Irritable Bowel syndrome is the most common disease diagnosed by gastroenterologists (doctors who specialize in medical treatment of disorders of the stomach and intestines) and one of the most common disorders seen by primary care physicians. In gastroenterology, irritable bowel syndrome (IBS) is a functional bowel disorder characterized by abdominal pain, discomfort or bloating relieved by defecation and alteration of bowel habits. Irritable Bowel Syndrome may begin after an infection (post-infectious, IBS-PI) or a stressful life event. IBS can be classified as either diarrhea-predominant (IBS-D), constipation-predominant (IBS-C) or IBS with alternating stool pattern (IBS-A or pain-predominant[6]). Other functional or pain disorders and certain psychological conditions are more common in those with IBS. In fact, irritable bowel syndrome (IBS) affects approximately 10-20%??of the general population.


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Don't suffer in silence But it's not just about how other people perceive us, and how we perceive ourselves. It's also about making sure that anyone who has bowel symptoms seeks help, and at the moment that just doesn't happen.

IBS often goes undiagnosed for years, and even when we pluck up the courage to visit the doctor we can be so tongue-tied that we don't properly describe our symptoms. If we could leave our embarrassment in the waiting room it would be so much better for our health.

We may identify less with her relief from one drug alone (although the new drugs Zelnorm and Lotronex have had a good success rate in America), but we could all benefit from talking more openly with our doctors and looking for more solutions rather than accepting that IBS will rule our lives.

If you constantly hear about diabetes sufferers and asthma sufferers but never hear a word about bowels then you begin to learn that your illness is far less important than these other worthy causes.

What Cybill Shepherd has done, though, is more than just draw attention to the fact that IBS sufferers need more help. Just by revealing that she is an IBS sufferer she has shown that IBS can affect anyone. Here is a glamorous, successful actress, someone who has kissed Bruce Willis and won three Golden Globes, saying that she has trouble with her bowels.

We need more people in the public eye standing up and saying 'Me too', so that everyone can start to realise just how widespread a problem this is.

In people with Irritable Bowel Syndrome, symptoms result from what appears to be a disturbance in the interaction between the gut or intestines, the brain, and the autonomic nervous system that alters regulation of bowel motility (motor function) or sensory function. Several conditions may present itself as IBS including celiac disease, mild infections, several inflammatory bowel diseases, functional chronic constipation and chronic functional abdominal pain. Some other causes of IBS are unknown.

Whoever you are, whatever your gender or problems or pain, it is vital that you find someone with whom you can identify. If you watch TV and never see a reflection of yourself, if you are a black man and only ever see white faces on screen, then you will start to feel alienated ' and the same goes for people who are ill.

Cybill Shepherd says: 'My goal is to urge all women to get over their embarrassment, to stop suffering in silence the way I did, and to talk to their doctors. Although it may be uncomfortable, it is very important for you to be open and honest with your doctor about all your symptoms'.

Anti-diarrheal medications: Over-the-counter medications such as loperamide (Imodium) can help control diarrhea. Drugs which are used for diarrhoea, such as codeine, can be helpful, but are used less because they can be addictive.

And good for her! I think that many IBS sufferers will identify with what she says: from embarrassing, unmentionable symptoms to doctors who insist that our bowel problems are really in our heads.

The power of celebrity In these celebrity-soaked times it can be easy to forget that famous people sometimes achieve genuinely selfless and compassionate things just by using their fame. The greatest power that they have is the ability to shine the light of their stardom on an issue which would otherwise have been ignored.

One symptom of bowel dysfunction is constipation. Constipation is the irregular or the incomplete emptying of the bowel. In these days of diet and nutritional awareness, most people would probably increase their fibre intake to remedy a sluggish bowel. Most people are aware that wholemeal bread contains more fibre than white bread. This type of fibre is called insoluble fibre. Whilst reducing the effects of constipation, it is thought that insoluble fibre may irritate the intestinal lining. With this in mind, it may be worth balancing your consumption of bread with eating grains e.g. Porridge oats, which are classified as soluble fibre.

One thing to point out is to avoid becoming dependent on laxatives. They may offer short term relief from constipation, but the theory is that in the longer term you're encouraging your bowel to become lazy. I was talking to my Medical Doctor this week about laxatives and she said that the over the counter medicines can be aggressive on the digestive whereas some of the prescription laxatives may be milder. As ever what affects one person in one way may not affect another in the same way.

Symptoms of Irritable bowel syndrome Some sign and symptoms related to Irritable bowel syndrome are as follows: Gas. Bloating.

There are still many people with bowel problems who are too ashamed or embarrassed to go to the doctor, and just soldier on through their lives when they could be receiving treatment. And there's always the risk, of course, that their symptoms could actually be the result of something other than IBS that may get progressively worse if it is left alone.

Complementary therapies, such as acupuncture and homeopathy, are often used. Some people find complementary treatments such as acupuncture help, although there is little scientific proof of their effectiveness.

Cybill Shepherd has revealed that she suffers from irritable bowel syndrome (IBS). The star of Moonlighting and Taxi Driver says that she has struggled with her symptoms for many years, and is now hoping to raise awareness of IBS and encourage sufferers to talk more openly with their doctors.

Cybill Shepherd's admission, therefore, is to be applauded. Dare not speak its name Before Cybill Shepherd 'came out', the only famous person I knew of who had IBS was Kelsey Grammar's wife (Kelsey Grammar used to play Frasier in the eponymous sitcom and Cheers).

Factor's that seem to produce sympatoms of IBS include diet, emotional stress and hormones. Ordinary events such as eating and distention from gas or other material in the colon can cause an overreaction in the person with IBS.

As IBS is a chronic condition, with an ongoing fluctuating course, these treatments may help the individual to develop skills for managing the condition over the long haul. Irritable Bowel Syndrome does not lead to more serious conditions in most patients. Most individuals are surprised to learn they are not alone with the symptoms of Irritable Bowel Syndrome.

And things can change. Just think about breast cancer, which is now regularly discussed on TV and radio, but 20 years ago was stuck behind a wall of silence where breasts were not to be mentioned, cancerous or not.

If you eat food with a high water content e.g. fruit and vegetables then this will add to your daily water intake as will all foods to some degree. There seems to be a popular school of thought of not to drink water with your meal as it may hamper the digestion process. So you could either drink water before your meal or after your meal. Take care not to overdo the water consumption, spread it out over the day. Drinking too much water in a short space of time is not good for the body; remember you also need to replace salts as well during the day.

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Mucus in the stool. Feeling sick with it. Swollen or bloated abdomen. Bloating and fullness of wind. Alternating between one and the other.

When all else fails, a small dose of a medication usually used to treat depression can be effective. This seems to work in a much smaller dose than is used for depression, and may, in part, work by mimicking the nervous system to the bowel.

Evidence that food allergies (other than celiac disease) and other immune system challenges can cause IBS symptoms are reported in various published research. People with IBS more commonly than others have gastroesophageal reflux, symptoms relating to the genitourinary system, psychological symptoms, fibromyalgia, headache and backache. In some individuals, IBS may have an acute onset and develop after an infectious illness characterised by two or more of the following: fever, vomiting, diarrhea, or positive stool culture. Diagnosis of Irritable Bowel Syndrome involves excluding conditions which produce IBS-like symptoms, and then following a procedure to categorize the patient's symptoms.

And yes, the issue may sometimes be whatever cause is most fashionable at the time - 'Gay whales against racism' as one satirist put it ' or the one which helps the star more than the people (or whales) who are suffering. But sometimes there is no doubt that the celeb has really stuck their neck out to help others who are dealing with an issue that is considered untouchable.

Causes of Irritable bowel syndrome The common causes and risk factor's of Irritable bowel syndrome include the following: No one knows exactly what causes irritable bowel syndrome.

 
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About the author:
Sophie Lee has had IBS for 15 years and runs the Irritable Bowel
Syndrome Treatment website at
http://www.irritable-bowel-syndrome.ws where you can read about
all kinds of different IBS treatments.

A sensation of having to rush to the toilet. Crampy pain in the stomach area ( abdomen ). Diarrhea or constipation- people with IBS may also experience alternating bouts of constipation and diarrhea.

And I can't thing of a more untouchable issue than IBS, something that no-one in the public eye would readily admit to. Can you imagine Julia Roberts standing up and saying 'Diarrhea is the blight of my life and hemorrhoids have driven me to drink'? No, of course not, because anything remotely digestive is considered highly embarrassing and distinctly unglamorous.

She says: 'For years I have been battling recurring constipation, abdominal pain and bloating. Go ahead and laugh. We laugh because we're embarrassed. In order for us to get relief, we have to talk about our symptoms and stop suffering in silence. 'I have tried nearly everything: changing my diet and watching what I ate. I exercised regularly. I even tried taking fiber supplements and over-the-counter laxatives, but nothing helped with all of my symptoms.

An antispasmodic is commonly prescribed, which helps to control colon muscle spasms and reduce abdominal pain. Antidepressants may relieve some symptoms.

There are supplements that can be taken to restore bowel movement to a more regular cycle. Ispaghula or Psyllium Husks are bulking agents that surround the stool making them softer and more able to pass through the intestine. Ispaghula or Psyllium Husk are both available in powder form. Psyllium Husk is more likely to be available without any artificial sweeteners whereas in my experience I've only ever taken Ispaghula Husk with Aspartame. Psyllium Husk in particular, because it is not sweet, is not the nicest tasting substance.

Because there are many causes of diarrhea and IBS-like symptoms, the American Gastroenterological Association has published a set of guidelines for tests to be performed to diagnose other conditions which may have symptoms similar to IBS. Once other causes have been excluded, the diagnosis of Irritable Bowel Syndrome is performed using a diagnostic algorithm. The algorithm may include additional tests to guard against mis-diagnosis of other diseases like IBS. However, researchers have noted that red flag conditions may not always contribute to accuracy in diagnosis ??? for instance, as many as 31% of IBS patients have blood in their stool. Published research has demonstrated that some poor patient outcomes are due to treatable causes of diarrhea being mis-diagnosed as IBS. As mentioned earlier Coeliac disease in particular is often misdiagnosed as IBS.

Another approach to preventing constipation is to drink more water. The figures say that we ought to drink about 8 glasses. This equates to a minimum of 2 litres, if you not doing any exercise. If you are on an exercise programme then you will need to increase your intake of water to more than 2 litres. Notice that this is an intake of water rather than fluids. So caffeine and alcohol intake has to be monitored as they are both diuretics i.e. they force water out of the body.

Juliet Cohen writes articles for http://www.healthcareinformation.info/ and http://www.diseasescure.com/

Treatment of Irritable bowel syndrome Here is list of the methods for treating Irritable bowel syndrome: Fiber supplements or laxatives for constipation or medicines to decrease diarrhea, such as Lomotil or loperamide (Imodium).

High rates of success in resolving IBS symptoms have been reported when treatment is specifically tailored to the underlying causes revealed through proper testing for the range of known causes of IBS symptoms. The multi-herbal extract Iberogast was found to be significantly superior to placebo via both an abdominal pain scale and an IBS symptom score after four weeks of treatment. Gut-directed or gut-specific hypnotherapy or self-hypnosis is one of the most promising areas of IBS treatment, also Traditional Chinese Medicine approaches IBS on an individual symptom-by-symptom basis, rather than recognizing a standard "IBS" diagnosis, which then warrants a blanket "IBS" treatment.

'My doctor used to tell me it was all emotional and psychological. So I got a new doctor. And a year and a half ago, I was diagnosed with irritable bowel syndrome with constipation. It was a huge relief to find out that my IBS with constipation was not all in my head and that it was a treatable medical condition. My doctor prescribed Zelnorm and it has provided me with relief for all my symptoms. In a lot of ways, I feel like my old self again.'

Some people with IBS find that increasing the amount of dietary fibre and reducing caffeine helps. The word syndrome means a group of symptoms. IBS is a syndrome because it can cause several symptoms. For example, IBS causes cramping, bloating, gas, diarrhea, and constipation. Most people can control their symptoms with diet, stress management, and prescribed medications. For some people, however, IBS can be disabling. They may be unable to work, attend social events, or even travel short distances. In many cases, you can control irritable bowel syndrome by managing your diet, lifestyle and stress. Colon motility (contraction of intestinal muscles and movement of its contents) is controlled by nerves and hormones and by electrical activity in the colon muscle. IBS should not be confused with colitis or other inflammatory diseases of the intestinal tract and IBS is not limited to the colon. In some individuals, IBS may have an acute onset and develop after an infectious illness characterised by two or more of the following: fever , vomiting , acute diarrhea , positive stool culture. This post-infective syndrome has consequently been termed "post-infectious IBS" and is acute onset Rome II criteria positive. This condition is more homogenous, being mostly IBS-D and is drawing much clinical investigation.

Irritable bowel syndrome, or IBS, is a problem that affects mainly the bowel. It is a disorder characterized most commonly by cramping, abdominal pain, bloating, constipation, and diarrhea. It can be found in children, often is first identified in adolescence and can resolve unexpectedly for periods of time throughout an individuals lifespan, reoccurring at any age. IBS causes a great deal of discomfort and distress, but it does not permanently harm the intestines and does not lead to a serious disease, such as cancer. The disorder accounts for more than one out of every 10 doctor visits. For most people, signs and symptoms of irritable bowel disease are mild. It is fairly common and makes up 20-50% of visits to gastroenterologists. Lower abdominal pain, and bloating associated with alteration of bowel habits and abdominal discomfort relieved with defecation are the most frequent symptoms. It is also called the large intestine. Women are affected more often than men. It's not the same as inflammatory bowel diseases like ulcerative colitis. Colitis, for instance, means inflammation of the large intestine (colon). IBS, however, does not cause inflammation and should not be confused with ulcerative colitis, which is a more serious disorder.

Treatment options are available to manage Irritable Bowel Syndrome - whether symptoms are mild, moderate, or severe. These treatments for IBS can include dietary adjustments, medication and psychological interventions, and as for any physiological condition, works best when it successfully addresses the cause of the condition.

Sometimes another illness, such as an acute episode of infectious diarrhea (gastroenteritis) can trigger IBS. People with IBS often report that family members also have the disorder, suggesting a possible genetic cause.

If we can just get a few more Cybill Shepherds to speak out for IBS then the celebrities of this world might start wearing ribbons for you and me, and leave the gay whales to fight for themselves.

If your bowel symptoms persist, you must see your medical doctor. Do not self diagnose as your pain may be a sign something more dangerous.


Nancy D. Pace

 
 
     
 
 





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