pediatric irritable bowel syndrome - What is Irritable Bowel Syndrome (IBS)?
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What is Irritable Bowel Syndrome (IBS)?

Irritable bowel syndrome (IBS) is one of the most common ailments of the bowel (intestines) and affects an estimated 15% of persons in the US. The term, irritable bowel, is not a particularly good one since it implies that the bowel is responding irritably to normal stimuli, and this may or may not be the case. The several names for IBS, including spastic colon, spastic colitis, and mucous colitis, attest to the difficulty of getting a descriptive handle on the ailment. Moreover, each of the other names is itself as problematic as the term IBS.


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Sometimes irritable bowel syndrome is referred to as spastic colon, mucous colitis, spastic colitis, nervous stomach, or irritable colon. Irritable bowel syndrome, or IBS, is generally classified as a "functional" disorder. A functional disorder refers to a disorder or disease where the primary abnormality is an altered physiological function (the way the body works), rather than an identifiable structural or biochemical cause. It characterizes a disorder that generally can not be diagnosed in a traditional way; that is, as an inflammatory, infectious, or structural abnormality that can be seen by commonly used examination, x-ray, or blood test.

4 - Alternative Therapy Alternative therapies such as acupuncture, probiotics and herbal remedies can effectively reduce and alleviate diarrhea and its related symptoms in some IBS sufferers. Each of these methods is designed to assist the body in healing itself by providing it with stimulation (acupuncture), healthy gut bacteria (probiotics), or herbs. All work to aid in normal digestion.

- Antispasmodic - these slow spasms that occur in the intestine (I.E. Imodium). Although, antidiarrheals are usually effective, they may not help other symptoms such as bloating or abdominal discomfort. Furthermore, prolonged use of antidiarrheals can result in dry mouth, constipation, and other symptoms.

About the Author Prad Uttamlal suffered from IBS for two years, and has been free from it for over 10 years, (since 1995). He is the author of the ebook "How To Cure Your IBS", which offers sufferers an alternative choice for curing their IBS.

Note: Lotronex has only been approved for women who suffer from severe cases of diarrhea-predominant IBS ad have not responded to previous treatment methods.

Irritable bowel syndrome is understood as a multi-faceted disorder. In people with IBS, 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.

Using certain simple visualising techniques the sufferer can significantly reduce pain and bowel dysfunction and even cure IBS completely. As this is a home treatment it can be used in the comfort of your own home.

In the large bowel, semi-liquid residue from the absorption of food is temporarily stored while it absorbs water and salt. This leaves a more formed motion to be passed through the anus.

Treatment options are available to manage IBS???whether symptoms are mild, moderate, or severe.

For more information visit: Irritable Bowel Syndrome Treatment

Symptoms The syndrome features recurring abdominal pain and occasional diarrhoea, frequently alternating with constipation, rapid transit of food with frequent bowel motions, a sense of fullness, abdominal tenderness and swelling, an awareness of the bowel action, gas, regular headaches and anxiety.

Treatment The best way to handle IBS is to eat a healthy diet, avoid foods that seem to make you feel worse and find ways to handle your stress.

Irritable bowel syndrome is characterized by a group of symptoms in which abdominal pain or discomfort is associated with a change in bowel pattern, such as loose or more frequent bowel movements, diarrhea, and/or constipation.

3 - Prescription Medications Low doses of tricyclic antidepressants are commonly prescribed to IBS patients for abdominal pain. These meds effectively block pain signals to the brain and don't cause diarrhea. However, they can cause other symptoms including constipation.

Antispasmodic drugs, which may ease cramping - examples include mebeverine, belladonna, hyoscine and peppermint oil capsules Read more on Arthritis. Check out for diseases and herbal remedies.

Treatment for IBS, as for any physiological condition, works best when it successfully addresses the cause of the condition. The various conditions that can cause IBS, outlined in the Diagnosis and Etiology sections above, require specific treatments. 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.

Irritable bowel syndrome is a common problem with the intestines. Functional disorder means there is a problem with the function of a part of the body, but there is no abnormality in the structure. This disorder most commonly affects people between the ages of 20 and 30 and is twice as common in women as in men. The syndrome can be divided into four types depending on which is the main symptom - abdominal pain, diarrhoea, constipation or diarrhoea alternating with constipation.

The condition sometimes develops after a gastrointestinal infection. An increased sensitivity or intolerance to certain foods may also be a contributory factor.

IBS is best described as a functional disease. The concept of functional disease is particularly useful when discussing diseases of the gastrointestinal tract. The concept applies to the muscular organs of the gastrointestinal tract; the esophagus, stomach, small intestine, gallbladder, and colon. What is meant by the term, functional, is that both the muscles of the organs or the nerves that control the organs are not working normally, and, as a result, the organs do not function normally. The nerves that control the organs include not only the nerves that lie within the muscles of the organs but also the nerves of the spinal cord and brain.

Some people with IBS find that careful eating helps reduce or eliminate IBS symptoms. You might try avoiding very large meals, drinks with caffeine, spicy or fatty foods, chocolate, some dairy products, and foods that contain gluten. Some people find that adding fiber ??? eating more fruits and vegetables, for instance ??? and drinking more water can help eliminate IBS symptoms, too.

The distinction between functional disease and non-functional disease may, in fact, be blurry. Thus, even functional diseases probably have associated biochemical or molecular abnormalities that ultimately will be able to be measured. For example, functional diseases of the stomach and intestines may be shown ultimately to be caused by reduced levels of normal chemicals within the gastrointestinal organs, the spinal cord, or the brain. Should a disease that is demonstrated to be due to a reduced chemical still be considered a functional disease? I think not. In this theoretical situation, we can't see the abnormality with the naked eye or the microscope, but we can measure it. If we can measure an associated or causative abnormality, the disease probably should no longer be considered functional.

IBS can be divided into four types depending on which is the main symptom - diarrhoea, abdominal pain, constipation or diarrhoea alternating with constipation.

5 - Behavioural therapy Stress can actually trigger your IBS symptoms and make diarrhea worse, by causing your stomach to tense, leading to cramping and overall stomach upset. You can help reduce the regular stress in your life, and the stress you feel towards your IBS condition by engaging in:

Constipation can be a difficult IBS symptom to deal with, but so can diarrhea. People who suffer from diarrhea-predominant IBS experience frequent bowel movements of watery and/or loose stool. Other diarrhea-related symptoms include abdominal pain or discomfort, cramping, bloating, gas, nausea and dehydration.

The study of functional disorders of the gastrointestinal tract often is categorized by the organ of involvement. Thus, there are functional disorders of the esophagus, stomach, small intestine, colon, and gallbladder. The amount of research on functional disorders has been focused mostly on the esophagus and stomach (such as dyspepsia), perhaps because these organs are easiest to reach and study. Research into functional disorders affecting the small intestine and colon (for example, IBS) is more difficult to conduct and there is less agreement among the research studies. This probably is a reflection of the complexity of the activities of the small intestine and colon and the difficulty in studying these activities. Functional diseases of the gallbladder, like those of the small intestine and colon, also are more difficult to study.

 
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IBS treatment


The following are 5 treatment options for relieving IBS related diarrhea: 1 - Diet Control Before resorting to medications or alternative remedies, you should always consider your diet first. Although diet changes may not entirely cure you from diarrhea, it may help reduce the frequency of attacks. Therefore, you should monitor your diet by keeping a food diary and recording the symptoms you feel after eating different foods to determine which ones cause diarrhea and which ones don't.

Over-the-counter (OTC) antidiarrheal medications can be effective at providing diarrhea relief when used as short-term treatment. There are two types of antidiarrheal drugs.

Most individuals are surprised to learn they are not alone with symptoms of IBS. In fact, irritable bowel syndrome (IBS) affects approximately 10-20% of the general population. It 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.

Occasionally, diseases that are thought to be functional are ultimately found to be associated with abnormalities that can be seen. Then, the disease moves out of the functional category. An example of this would be Helicobacter pylori infection of the stomach. Many patients with mild upper intestinal symptoms who were thought to have abnormal function of the stomach or intestines have been found to have an infection of the stomach with Helicobacter pylori. This infection can be diagnosed by seeing the bacterium and the inflammation (gastritis) it causes under the microscope. When the patients are treated with antibiotics, the Helicobacter, gastritis, and symptoms disappear. Thus, recognition of Helicobacter pylori infection removed some patients' diseases from the functional category.

The contents of the bowel are moved along by a succession of rhythmical contraction and relaxation of segments of the intestine. This process is called peristalsis. In irritable bowel syndrome peristalsis is stronger and more common than normal. Causes The exact cause of irritable bowel syndrome is still unknown. The disorder seems often to begin during a time of emotional stress, and symptoms get worse in stressful situations.

Relaxation and Visualisation used together offer sufferers a drug and diet free solution to the symptoms of IBS. Using simple and easy relaxation techniques the body is calmed down and a good state of relaxation is achieved. This prepares the sufferer for the visualisation part of the cure.

What is IBS? IBS, which stands for Irritable Bowel Syndrome, is a chronic disorder in which the bowel doesn't work, as it should. The bowel is part of the digestive system that makes and stores stools. The large bowel, or colon, links the smaller bowel to the rectum and anus, (back passage), and seems to be the starting position of most of the symptoms of IBS.

Some gastrointestinal diseases can be seen and diagnosed with the naked eye, such as ulcers of the stomach. Thus, ulcers can be seen at surgery, on x-rays, and at endoscopies. Other diseases cannot be seen with the naked eye but can be seen and diagnosed with the microscope. For example, celiac disease and collagenous colitis are diagnosed by microscopic examination of biopsies of the small bowel and colon, respectively. In contrast, gastrointestinal functional diseases cannot be seen with the naked eye or with the microscope. In some instances, the abnormal function can be demonstrated by tests, for example, gastric emptying studies or antro-duodenal motility studies. However, these tests often are complex, are not widely available, and do not reliably detect the functional abnormalities. Accordingly, by default, functional gastrointestinal diseases are those involving the abnormal function of gastrointestinal organs in which abnormalities cannot be seen in the organs with either the naked eye or the microscope.

If you are interested in learning about alternative treatments, talk to you health care provider first, and be sure to seek treatment from qualified practitioners.

While IBS is a major functional disease, it is important to mention a second major functional disease referred to as dyspepsia, or functional dyspepsia. The symptoms of dyspepsia are thought to originate from the upper gastrointestinal tract; the esophagus, stomach, and the first part of the small intestine. The symptoms include upper abdominal discomfort, bloating (the subjective sense of abdominal fullness without objective distension), or objective distension (swelling, or enlargement). The symptoms may or may not be related to meals. There may be nausea with or without vomiting and early satiety (a sense of fullness after eating only a small amount of food).

Natural muscular contractions push the contents through the bowel. If the bowel is overactive, the contents move more quickly and the person gets diarrhoea, whereas slow action causes constipation

With IBS the nerves and muscles in the bowel are extra sensitive. The muscles may contract too much when you eat. These contractions can cause cramping and diarrhoea during or shortly after a meal. Or the nerves can be overly sensitive to the stretching of the bowel, (because of gas, for example). Cramping or pain can result.

- Stool thickeners -these contain fruit pectin and clay which absorb toxins and bacteria in the intestine to help thicken stool (I.E. Kaopectate)

Symptoms Abdominal pain, bloating, and discomfort are the main symptoms of IBS. However, symptoms can vary from person to person. Some people have constipation, which means hard, difficult-to-pass, or infrequent bowel movements. Often these people report straining and cramping when trying to have a bowel movement but cannot eliminate any stool, or they are able to eliminate only a small amount.

Causes The cause is not clear. It may have something to do with overactivity of parts of the gut. The gut is a long muscular tube that goes from the mouth to the anus. The small and large bowel (also called the small and large intestine) are parts of the gut inside the abdomen. Food is passed along by regular contractions (squeezes) of the muscles in the wall of the gut.

Consult your doctor about OTC antidiarrheal meds for IBS treatment before taking anything. In addition, you shouldn't resort to antidiarrheals until at least 24 hours after experiencing diarrhea, as you don't want to stop your body from expelling toxins in the event your diarrhea is a result of bacteria such as food poisoning.

Despite the shortcomings of the term, functional, the concept of a functional abnormality is useful for approaching many of the symptoms originating from the muscular organs of the gastrointestinal tract. This concept applies particularly to those symptoms for which there are no associated abnormalities that can be seen with the naked eye or the microscope.

So where does Relaxation and Visualisation come in? The Power of Visualisation is a tried and tested technique and is often compared to positive thinking, self hypnosis, prayer, meditation, faith healing, mind control, etc. It is a completely safe and highly enjoyable process.

- Meditation exercises (I.E. Yoga)


- Relaxation therapy


- Hypnotherapy


- Cognitive behavioural therapy


It's also a good idea to distract yourself by taking part in regular activities you enjoy.

For instance, avoiding/limiting foods high in refined, artificial or natural sugar can help alleviate diarrhea symptoms. This doesn't only include chocolate, caffeine, alcohol and sweets. It also means foods containing fructose such as honey and a variety of fruits. Foods high in sugar can act like a laxative to your body, especially for an IBS sufferer who already has a sensitive stomach.

You should also ask your doctor to test you for lactose intolerance, as an inability to properly digest milk sugar can cause diarrhea. 2 - OTC Antidiarrheal Drugs

Another medication that may be prescribed is Lotronex. This particular drug is designed to block the effect serotonin (chemical produced by the body) has on digestive system, and in so doing, soothes the colon and slows bowl movement frequency. Lotronex has been found to be successful at alleviating IBS symptoms including diarrhea, stomach discomfort and urgency.

See www.howtocureyouribs.com for more information. enquires@howtocureyouribs.com


Nancy D. Pace

 
 
     
 
 





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