pediatric ibs - How Is Irritable Bowel Syndrome Diagnosed?
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How Is Irritable Bowel Syndrome Diagnosed?

The diagnosis of Irritable Bowel Syndrome [IBS] is made by your medical doctor mainly on the basis of what symptoms you are experiencing. Typical symptoms are bloating, abdominal pain/cramps, constipation and diarrhoea. Typical causes are a bad diet, food poisoning, a prolonged course of antibiotics or an operation around the pelvic area.


All in all it can take a while [months] to run through all the medical tests to confirm that there is nothing wrong with your bowel. Whatever you can do speed up this process should be suggested to the medical profession, for example if you can go private.


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 About the author:
Dr. Maia Dodds fucusses on the treatment of IBS. She has
compiled international clinical research and personal experience
in her new book 'Irritable Bowel Syndrome Improvement Program'.

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.

Choosing the right foods rich in soluble fiber and drinking a lot of water can greatly help in reducing the usual symptoms of irritable bowel syndrome.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Dr. Maia Dodds is the author of ‘The Irritable Bowel Syndrome Improvement Program' See www.irritablebowelsyndromeip.com for details, further research and articles. Write directly at maia@irritablebowelsyndromeip.com - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

The following is a list of symptoms that do not indicate IBS: 1). blood on the stool, 2). jet black stool that looks like tar, 3). vomiting or vomiting blood,

The colon contains gel and liquids to adequately balance the composition of stool but if there is dysfunction in the gastrocolic reflex, too much or too little liquid will be provided in forming and moving the bowel which will then result in diarrhea or constipation. The changes in the reflex may be intermittent which explains the alternating episodes on some occasions.

Dietary changes are an indispensable type of treatment that can greatly prevent development of the condition or reduce the symptoms. Since the disorder involves the digestive system, food and drink are usually linked with symptoms. There is no universal diet that can best treat irritable bowel syndrome but there are useful dietary guidelines to follow to avoid triggers.

4). loss of weight when you are not trying to lose weight. If you have any of these symptoms then you need to see your medical doctor even if you have IBS.

Any foods high in fat or highly processed and caffeinated, carbonated or alcoholic beverages must be avoided to avoid irritation in the gastrointestinal tract. These types of food can cause the waste material to compact due to its generally low fiber content slowing down the pace of bowel movement resulting in constipation.

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.

The doctor may also ask for blood tests to be taken. This could be to check for parasites, for example, Giardia. The purpose of these tests is reassurance and confirmation that nothing is wrong with the structure of the bowel. You are unlikely to get a tumour or cancer from IBS. IBS is an indication that the bowel is going into spasm. These days your medical doctor should be understanding and compassionate of your symptoms. I would hope that now the medical profession has moved on and agrees that IBS is a bona fide illness and is not just in our heads. I was lucky in that my medical doctor used to be a sufferer of IBS. I would research information and then go to him with what I'd found and we would both agree on the next course of action. I hope that you are fortunate enough to also have such an understanding medical doctor.

Study confirms IBS improvement Dr. Maia Dodds Irritable bowel syndrome is a debilitating and distressing condition, which affects 10-20% of the population. IBS is characterized by abdominal pain and altered bowel function such as constipation, diarrhea or alternating diarrhea and constipation. Some people have occasional symptoms, which can be aggravated by stress or food intolerances. Others experience crippling symptoms, and struggle to maintain their quality of life in the absence of any targeted, effective pharmaceutical treatments. This disorder affects people of all ages and backgrounds, including children, although women are predominantly affected. Severe IBS can dramatically restrict mobility, through loss of control of bowel function and severe abdominal pain. These symptoms contribute to IBS being second only to the common cold as the most frequent cause of absenteeism from work and school. Despite the significant impact on individuals and the population at large, there is no clear established cause for IBS. Whilst medical investigations are important to eliminate the possibility of an over-lapping pathology such as parasites, candida, inflammatory bowel disease, cealiacs or Crohn's disease, there is no specific investigation which patients can test positive for in order to confirm a diagnosis of Irritable Bowel Syndrome. A diagnosis of IBS is more often a diagnosis of exclusion - if its not another gastrointestinal condition, and it fits the symptom picture of IBS, then it is IBS. The current accepted criteria for diagnosing IBS is the Rome criteria (adopted in medical texts and by the American Gastroenterological Association). Their definition of IBS consists of: At least 12 weeks, which need not be consecutive, in the preceding 12 months of abdominal discomfort or pain that has two of three features: -Relieved with defecation and/or -Onset associated with a change in frequency of stool and/or -Onset associated with a change in form (appearance) of stool. The following symptoms support the diagnosis of IBS: -Abnormal bowel movement frequency (more than three per day or less than three per week), -Abnormal stool form (lumpy/hard or loose/water), -Abnormal stool passage (straining, urgency, or feeling of incomplete evacuation), -Mucous passed with stools, -Abdominal bloating or distension. There are few effective treatments for IBS. Pharmaceutical medications include anti-diarrheal agents and laxatives, some of which can be harmful if used repeatedly. Significant improvements can be made through dietary changes which can therefore reducing some trigger factors for IBS. It is also important to practice some stress reduction techniques such as breathing techniques, and positive psychology, as there is a direct link between stress and an aggravation of IBS symptoms. The most promising, long-lasting and side-effect free results in the treatment of IBS were based on a large clinical trial conducted at an Australian university, and published in the Journal of the American Medical Association in 1998. These results demonstrated a 64-76% improvement rate on all measures of IBS such as abdominal pain, distention and bowel habits. These results were achieved in a double-blind, placebo controlled clinical trial conducted by gastroenterologists and doctors. The remarkable positive results were achieved in the treatment group that received Chinese herbal treatments. This same formula can be purchased as pre-made capsules from select retailers, and it offers great hope for those struggling with IBS.

 
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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.

If you can, before you go to see your medical doctor, write out your questions beforehand, so that you have a better chance of leaving the doctor with your questions and concerns answered.

Your doctor may request that you take a Barium Meal which is swallowed or a Barium Enema which is taken via the rectum. Barium is a radioactive substance that shows up under X-rays.

Continue reading to discover natural methods to alleviate IBS symptoms and sign up for our Free relieving IBS newsletter. The gastrocolic reflex normally activates when food enters into the stomach. If there are disturbances in the digestive tract due to gas, or trigger foods, the gastrocolic reflex will be impaired which will result in abnormal formation of stools and its either hasty or very slow movement.

Following on from your story of your symptoms, the doctor may physically examine you. This may be an examination of the stomach area where the doctor will push along the large intestinal wall, to understand how tender the region is. Your doctor may also take your blood pressure or measure your heart rate.

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.

Your doctor may refer you to a Gastroenterologist for a rectal examination. This is where the Gastroenterologist inserts a flexible tube with a light inside it into your rectum. The allows the Gastroenterologist to see the lining of the bowel. The Gastroenterologist may examine part of the colon or the entire length [about 4 feet]. In addition the Gastroenterologist may take a sample of the bowel wall called a biopsy to make sure that the bowel is truly normal. This is one way for example to test for gluten intolerance.

Processed goods and beverages can form gas, which accumulates in the digestive tract and the stomach causing bloating, gassiness and pain from the pressure. These gases can cause irritation and thereby causing forceful responses by the gastrocolic reflex (This is the reflex that causes contractions in the colon responsible for moving waste along its length)

Irritable bowel syndrome or IBS is the most commonly diagnosed intestinal disorder in the United States, United Kingdom and Australia. It is not a disease but a collection of symptoms like abdominal pain, which is the most common symptom, abdominal bloating or distension and irregular bowel patterns characterized by diarrhea, constipation or both. There is no definite cause or cure for the condition but several types of irritable bowel treatment have been developed to provide sufferers with the same degree of comfort and functionality as any other non-IBS sufferer.

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.

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.

The gut functions can be significantly affected by changes in diet. The gut flora (the million of micro-organisms that live in the gut, both friendly and not) must be well-maintained in order to properly digest and absorb the nutrients from food. Imbalances in the gut flora can cause proliferation of harmful microorganisms that can hamper the entire process and produce untoward results, which can give rise to IBS symptoms.


Irritable bowel treatment using changes in diet is an approach that has helped millions and allowed them to understand and control the triggers that cause many of the symptoms of their condition.


Nancy D. Pace

 
 
     
 
 





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