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Irritable bowel syndrome

If you have been diagnosed with irritable bowel syndrome (IBS), you will know how difficult it is to treat. Doctors can be dismissive of IBS symptoms such as diarrhea, constipation and bloating, and when treatment is offered it may only help for a short while before the distressing symptoms return.


Stress and IBS Daniel believes that his symptoms are related to his emotions and stress: 'I thought that when I was stuck on the toilet, experiencing the most severe cramps, thinking I was about to pass out from the pain, feeling like I was about to throw up, I was the only one. I'm still trying to work it out but I believe it has a lot to do with my psychological state. I say this because although I don't get too stressed out at any one moment, I do have general worries about money and life. I tend to find when I'm not worrying about these things I don't get the pain as much, if at all. It's easier said than done of course, I can't just stop worrying about money or my future, but being aware of these things seems to help - being optimistic and knowing that everything is only temporary. I have been taking Colpermin (peppermint capsules) as a preventative which often helps and for a while I took painkillers which I think helped.'


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 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.

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.

Like many people, you may have only mild signs and symptoms of irritable bowel syndrome. Sometimes these problems can be disabling, however. In some cases, you may have severe signs and symptoms that don't respond well to medical treatment. Because symptoms of irritable bowel syndrome can be present with other diseases, it's best to discuss these symptoms with your doctor.pain or discomfort that is accompanied by changes in the way a person's stool (poop) normally looks. Some people become constipated and their stools become hard (and difficult to pass); other people develop diarrhea.

Treatment of Irritable Bowel Syndrome Irritable bowel syndrome* (IBS) is a "syndrome," meaning a group of symptoms. The most common symptoms of IBS are abdominal pain or discomfort often reported as cramping, bloating, gas, diarrhea, and/or constipation. IBS affects the colon, or large bowel, which is the part of the digestive tract that stores stool.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. Diarrhea or constipation may predominate, or they may alternate (classified as IBS-D, IBS-C or IBS-A, respectively). IBS may begin after an infection (post-infectious, IBS-PI) or a stressful life event. Other functional or pain disorders and certain psychological conditions are more common in those with 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.

IBS, by many estimates, has affected at least 30% of the population at some time in their lives. The numbers are staggering. IBS is thought to be a virus that settles in your intestines and is brought forth again by stress. Others believe the virus begins with an illness, like the flu, and does not go away after the flu symptoms have resolved themselves. No matter how it begins, the one thing that remains common is that people are not aware of how to get IBS under control. By using hypnosis as treatment, a person can alleviate the symptoms within a matter of days. Hypnosis works by utilizing your subconscious mind to send the correct stimuli to your intestinal tract. You do not need the knowledge in you conscious mind, simply use a hypnosis CD to instill the necessary information that will enable your subconscious to make the changes. It is perhaps better understood by saying that hypnosis trains the part of your brain that works on everyday functions you don't think about, like swallowing, breathing, blinking, etc. to calm and work in the manner it was meant to with the specific parts of the body devoted to digestion in this case. The main theory behind the success of hypnosis for IBS is that the relaxation improves blood flow to the gut - something that stress tends to inhibit - and so improves digestion and the movement of food through the bowel.

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).

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.

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.

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.

There are literally millions of people in the world right now suffering from a condition that they are embarrassed to talk about. They are scared, nervous, and do not understand what is happening. Common symptoms are bloating, cramping, diarrhea or constipation, and feeling full. You may have to make several trips to the restroom in a short amount of time, and feel as though you spend much of your day there. If this all sounds familiar, know that you are not alone. You may be suffering from a condition known as Irritable Bowel Syndrome, Or IBS.

Alosetron hydrochloride (Lotronex) can be used for women with severe IBS who have not responded to conventional therapy and whose primary symptom is diarrhea. However, even in these patients, it should be used with caution because it can have serious side effects, such as severe constipation or decreased blood flow to the colon.

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.

Looking at your diet Laura describes how a close examination of her diet helped her IBS: 'I was placed on every kind of medication, and sometimes they worked in the short term, sometimes they didn't work at all. The doctor finally suggested trying to alter my diet in cycles, and we discovered that eating meat was my problem. I became a vegetarian and no longer have constant problems. Sometimes I even go years without any pain at all. It's worth all the effort you put into it when you finally feel better.'

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.

 
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The cause of irritable bowel syndrome is currently unknown. IBS is thought to result from an interplay of abnormal gastrointestinal (GI) tract movements, increased awareness of normal bodily functions, and a change in the nervous system communication between the brain and the GI tract.

Flaxseed Watching your diet is sometimes not enough to completely control the symptoms, and natural or herbal supplements can help, as Marion discovered: 'After about six months of a horrendously restrictive diet (ultra low-fat vegan with no raw veggies or fruit except banana) and a lot of Metamucil, I managed to get it sort of under control. But if I deviated from the diet, the chronic diarrhea would come back. Someone I met told me that she had helped her IBS by taking a tablespoon of freshly ground flaxseed with a glass of water or juice every morning. I thought it was another crackpot cure, but eventually I decided to try it. She had told me that pre-ground flaxseed didn't work because flax seed starts to oxidize as soon as you grind it and that whole flax seeds are no good either, because they cannot be digested properly. After years of IBS, in about two weeks it just went away. I cannot believe that I now have perfectly normal, regular bowel movements.'

Kim, who also suffers from bad diarrhea, says: 'I tried taking digestive enzymes with acidophilus and found significant relief within three days. I am not afraid to eat now, but find that I still cannot eat very much refined sugar or high fibre vegetables. I have also added a cup or two per day of peppermint and chamomile tea. When I do have an episode it occurs late in the day and by the next morning I am feeling back to normal.'

Causes of Irritable Bowel Syndrome No one knows exactly what causes irritable bowel syndrome. The walls of the intestines are lined with layers of muscle that contract and relax as they move food from your stomach through your intestinal tract to your rectum. Normally, these muscles contract and relax in a coordinated rhythm. But if you have irritable bowel syndrome, the contractions may be stronger and last longer than normal.

Calcium tablets Linda, who suffers from severe diarrhea, says: 'What has helped me for more than two years is calcium carbonate, an over-the-counter supplement. I take three tablets a day, one at each meal. The most success has come from using any formula of calcium supplement that is like Caltrate 600 Plus with vitamin D and minerals. The only side effect is at the beginning of taking the calcium you may have some gas or indigestion, but this usually goes away after taking a regular dose for a few days.'





About the author:
Sophie Lee has had IBS for 14 years. She runs the IBS Tales
website at http://www.ibstales.com where you can read hundreds
of stories and tips from IBS sufferers.

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.

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.

What are the symptoms The symptoms may get worse when you're under stress, such as when you travel, attend social events or change your daily routine. Your symptoms may also get worse if you don't eat enough healthy foods or after you've eaten a big meal. Some people are bothered by certain foods. Women who have IBS may notice more frequent symptoms during their menstrual periods.

Please always remember to check with a physician before you begin any alternative treatment. A good hypnotherapist will require your regular doctor to sign a release before beginning any kind of sessions with you. This is to ensure that there is not an underlying condition causing your problems that is much more serious and would require medical treatment from a traditional M.D. Discuss all of your options for treatment with your family doctor to decide what method will work best for you.

IBS is a non-life threatening illness. It does not progress or increase your risk of developing Inflammatory Bowel Disease or Cancer. Treatment focuses on the relief of symptoms so you can live your life as normally as possible.

Mina also found that dietary change helped control her symptoms, alongside traditional medication: 'I've made a number of changes to my diet. I've eliminated milk and mostly any dairy, fried foods, sugar for the most part, pop, alcohol, potato chips, spicy food, rice, pasta and bread. Most recently I'm eliminating flour. But my best friend for the last couple of years has been Imodium Quick Dissolve tablets. I don't ever leave home without them. I just have to make sure I don't overdo it. If I ever become immune to the wonder drug I am gonna be a real mess!'

Fiber, water and yoga Pam, who struggles with constipation, has developed a combination of things which work for her: 'I drink Metamucil (psyllium fibre) every day and try to relax, pray or meditate, even do a little yoga. The more I make myself relax and take time to de-stress the better I can manage my problem. I know time for yourself is very hard to come by sometimes but I have to if I'm going to manage this. I try to drink at least three bottles of water a day. This is also hard sometimes but I have to take care of me the best I can. I also take a mild anti-depressant. This has helped a bunch in my stress department and in turn has helped my IBS.'

If you suffer from constipation rather than diarrhea, you could try magnesium supplements instead, as these can have a slight laxative effect. Digestive enzymes and probiotics

Treatment of Irritable Bowel Syndrome The severity of IBS will determine the method of treatment. In general, treatment is aimed first at relieving the gastrointestinal symptoms. In some cases, however, emotional or psychological factors are also targeted as part of the treatment plan. It is important to emphasize that no single regimen works for most people with IBS. Symptoms are quite variable and may change significantly over time, therefore therapy must be individualized.

Soluble versus insoluble fiber Some nutritionists believe that IBS sufferers' intestines react differently to soluble and insoluble fiber, and this has been Stu's experience: 'After trying all kinds of drugs and healthy eating, my pains were still there. I found by accident that it wasn't so much what I ate but whether I ate it on a full stomach or not. My failsafe is pasta on an empty stomach, I get no reaction - it is soluble fibre that settles the colon apparently. I quickly searched on the internet for recipes high in soluble fibre and I have improved. Most significantly though I am on no medication and this puts me in control of the IBS, not the other way around. I think this is important as stress certainly can trigger the symptoms off. I don't avoid insoluble fibre as it is essential for the body, but I recommend that you eat it on a full stomach.'

All the self-help tips in this article have come from IBS sufferers who have found a way to control their irritable bowels. Before trying any form of self-help, please make sure that you have your doctor's approval, and do check that anything you try will not interfere with any medication you are taking.

If you were to look on the internet for a cure/ medicine to treat the ailment, I think you would be surprised to find none. There have been prescriptions in the past; however, they were recently pulled off the market due to the severe side effects that were being reported. There are other alternatives. If you read about IBS, and study what some of the common remedies are, you will find that one of the only recommendations for relief is hypnosis. Hypnosis has been studied and acknowledged as effective by a large population of the medical field. There are other alternative healthcare options, but none as widely accepted as successful for treatment.

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

For more information visit: Irritable Bowel Syndrome Treatment

Nikki Gladwell, Hypnotist www.bill-nikki.com


 
 
     
 
 





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