diagnosis irritable bowel syndrome - 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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It could be ulcerative colitis or Crohn's disease, two inflammatory bowel disorders which can cause similar symptoms to IBS but need different treatments.

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.

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.

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.

If you find that your symptoms are worse after drinking milk you may have lactose intolerance. And, of course, in a small number of cases it could be bowel cancer.

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'.

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.

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.

If you have celiac disease you will be suffering because you are eating the gluten in bread, cakes and pasta (among other foods), and all you need to do to feel better will be to cut out gluten from your diet.

Because of this fact it is vital to get your symptoms thoroughly checked out by a doctor, especially if they are continuing for a long period of time or are interfering with your work or social life.

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.

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.

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.

But if you have never been properly diagnosed, now is the time to go to your doctor and explain your symptoms clearly, because you will only receive the help you need if you know exactly what is wrong with your body.

Just this week I received an email from a women who was told she had IBS, and then the doctors changed their minds after a laparoscopy to look for endometriosis.

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.

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.

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.

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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Article Written By J. Foley Want More Answers? Go Here Now To Find Out More !

Irritable bowel syndrome (IBS) is a fairly well-known disorder these days ' medications for IBS are advertised on TV and in the media, and thankfully it is now far less of a taboo to talk about your bowels.

If your doctor has already diagnosed you with IBS, and you are happy with that diagnosis, then you can concentrate on relieving your IBS symptoms and not worry about these other conditions.

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.

You may have picked up an intestinal parasite such as giardia from foreign travel, or you could have fibromyalgia, a condition that can cause bowel symptoms but can also cause problems such as 'brain fog' and muscle pain.

Even when patients do see a doctor, however, a significant number don't receive the correct diagnosis until their second or third visit, or until they see a gut specialist. It is vital to find a doctor who is willing to take the time to investigate any symptoms that don't fit with the IBS diagnosis, and who can ensure that you don't have one of the many medical conditions which can produce bowel and stomach problems.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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.

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.

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,

For example, if you are a woman you could have endometriosis, a condition where tissue which usually lines the ovaries is found in other parts of the body. If the tissue attaches to the bowel then abdominal pain can be the result.

However, this new awareness sometimes means that patients decide they have IBS without seeing a doctor. In fact it is impossible to self-diagnose IBS, because there are far two many medical conditions which can produce symptoms of diarrhea, constipation and abdominal pain.






About the author:
Sophie Lee has had IBS for 15 years. She runs the website IBS
Treatment http://www.irritable-bowel-syndrome.ws where you can
find reviews of all the different treatments available for IBS.


Nancy D. Pace

 
 
     
 
 





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