Irritable Bowel Syndrome: A Low Fodmap Diet For Symptom Relief

It is diagnosed with abdominal pain/discomfort that lasts at least three days a month for the last three months without a known cause. Symptoms can include the following: Bloating, reflux, excess gas, abdominal pain, nausea, diarrhea, constipation, flatulence and fatigue. Symptoms can range from mild to severe and it is common for symptoms to be present often or get worse for a few weeks and then decrease for a while. The discomfort of IBS can usually be relieved by a bowel movement. It is important that you work closely with your doctor in order to rule out more serious causes for your symptoms before IBS is diagnosed. IBS can be a lifelong condition and symptoms can be debilitating for many by reducing their ability to work, travel and attend social events. Recently, high FODMAP foods have been investigated to possibly be the cause of symptom development. FODMAP stands for fermentable, oligosaccharides, disaccharides, monosaccharides and polyols. These are short-chained carbohydrates that are poorly absorbed in the small intestines causing discomfort and bloating. This occurs because FODMAPs are osmotically active; this means they pull water into the intestinal tract and as large amounts of FODMAPs are fermented in the gut, symptoms can develop in people sensitive to these effects, such as those with IBS. There are five categories of high FODMAP foods to include the following: Fructose: Fruits, honey, high fructose corn syrup Lactose: Dairy foods Galactans: Lentils, legumes Polyols: Sweeteners containing sorbitol, mannitol, xylitol, maltitol and stone fruits There has been some success in relieving symptoms of IBS in people that limit some of these foods. However, a low FODMAP diet can be difficult to follow low in fiber and limiting in some essential nutrients. Michigan State University Extension recommends you work with a registered dietitian in order to help customize a diet plan that works best for you. Most dietitians will recommend eliminating high FODMAP foods for four to six weeks, but you will usually see symptom improvement within one to two weeks.

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FODMAPs: The Diet You Never Knew Could Cure Your Tummy Troubles

The name was created by Australian researchers who realized that a low FODMAP diet helped up to 75% of their patients, says Patsy Catsos, MS, RD, LD, a registered dietitian with a private practice focused on gastrointestinal health. She is the author ofIBSFree at Last! Second Edition(2012) and the editor of http://www.ibsfree.net . Patsy explains that examples of FODMAPS include: Lactose (also known as milk sugar, found in milk, yogurt and ice cream) Fructose (also known as fruit sugar, found in fruit, high-fructose corn syrup, honey and agave syrup) Sorbitol, mannitol, and other -ol sweeteners (found in certain fruits and vegetables as well as some types of sugar-free gums and candies) Fructans (a type of fiber found in wheat, onions, garlic and chicory root) GOS (a type of fiber found in beans, hummus and soy milk) Catsos adds that the novelty of the FODMAP approach is recognizing how the big picture [of overall diet] can be used to create a strategy for managing IBS symptoms.I struggle with IBS myself, and I first became aware of the diet by reading the healthy living blog Hungry Hungry Hippie . Its author (and fellow IBS sufferer and nurse),Elise Dieden, says she was hesitant to treat her IBS with medication: After a few months of looking into FODMAPs, I decided to give it ashot. The symptoms certainly matched mine and everything I read feltlike it was personally directed at me. She continues: I did a two week elimination phase (no FODMAPs) inSeptember 2011andsince then Ive been maintaining (with a low FODMAPs plan). I havebad days where I slip up, but its much easier now that I know why Imhaving GI problems and how to fix it. Having the knowledge to correctthe issue and feel better is so empowering. I no longer getfrustrated with my body because the painful symptoms arent random. Idefinitely feel like discovering FODMAPs has made the biggestdifference in improving my GI health. Sounds great, right? So why arent more people trying a low FODMAPs diet to treat their IBS? Well, mainly because its largely unknown here in the United States. Patsy Catsos herselffirst became aware of the diet five years ago, in 2007: I developed my own materials based on what I could glean from the medical literature trickling out of Australia, and they were an immediate success in my practice. Some patients were ecstatic with the way they felt after just a few days on the diet, and I got better at identifying good candidates.

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Irritable Bowel Syndrome C (ibs-c)

No consistent anatomical or chemical features distinguish IBS from other diseases, and physical examination of people with IBS typically reveals no abnormalities. A 2012 review in the World Journal of Gastroenterology cited a number of factors that may contribute to IBS, including heredity, low-grade intestinal inflammation, altered intestinal bacteria, environmental influences, and disruptions in the nervous and hormonal messages that pass between your intestine and brain. Blood levels of serotonin, a chemical messenger that stimulates intestinal motion, may be lower in some people with IBS-C, but this is not a universal finding. You Might Also Like Can IBS Cause Features of IBS-C By definition, people with IBS-C have lumpy or hard stools at least 25 percent of the time, and their stools are soft, mushy or runny less than 25 percent of the time. Bloating and crampy abdominal pain are common in people with IBS-C. Although symptoms are typically relieved after a bowel movement, you may feel a sense of incomplete evacuation. When compared to people with diarrhea-predominant IBS, people with IBS-C are more likely to suffer from anxiety or depression, and they generally rate their quality of life as being lower. Diagnosis Although there is no specific diagnostic marker for IBS, your doctor may order blood tests, upper endoscopy and colonoscopy to rule out other intestinal disorders. Celiac disease, colon cancer, diverticulosis and inflammatory bowel diseases, such as Crohn disease, may mimic IBS. Once your doctor is comfortable your symptoms are not due to another condition, she may use a simple set of diagnostic guidelines, called the Rome III criteria, to diagnose IBS. The Rome III criteria stipulate that your symptoms must have been present for at least 6 months, you must have had symptoms for at least 3 days per month in the last 3 months, the onset of your symptoms coincided with a change in the form or frequency of your stool and your symptoms are at least partially relieved by having a bowel movement. Treatment Options IBS treatment is tailored to each persons symptoms. For people with IBS-C, fiber supplements, intermittent laxatives, adequate fluid intake, regular exercise and antispasmodics — hyoscyamine (Levsin) and dicyclomine (Bentyl) — are the mainstays of therapy. Your doctor may have you keep a food diary to see if a specific food tends to trigger your symptoms. Probiotics — oral preparations of friendly bacteria — may be helpful for some people.

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Pediatric Irritable Bowel Syndrome Workup

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Irritable Bowel Syndrome

Accordingly, patients must thoroughly discuss the benefits and risks with their physician before taking this medication. In fact, patients are required by the FDA to sign a Patient-Physician Agreement before they can receive a prescription for this medication. Stress relief Stress causes intestinal spasms in people with IBS, so reducing stress is a key part of treating the condition. Nerves in the colon control the intestine’s contractions. Many nerves connect the colon to the brain, which helps explains why people get “butterflies” in their stomach when they’re nervous or excited. In people with IBS, the colon can respond to even the slightest stressor. Beyond that, stress tends to make people especially aware of uncomfortable or painful symptoms. Research has found that a history of stressful life events or current distress often precedes development of IBS. Other studies have found that people developed psychiatric disorders prior to, or at the same time as, IBS symptoms. The most common psychiatric disorders among IBS patients are depresion and anxiety. These disorders typically respond well to treatment, and if left untreated can make IBS symptoms worse. Treatment options include psychotherapy or counseling and medications, such as antidepressants. One form of psychotherapy, cognitive behavioral therapy, has shown promise for patients with moderate to severe IBS and for those with IBS and anxiety or mood disorders. CBT can help patients learn coping strategies to control the symptoms brought on by anxiety.

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Irritable Bowel Syndrome Medication

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A Low Fodmap Diet: Help For Ibs

Dairy products containing lactose: milk from cows, goats, and sheep ; custard; ice cream; yogurt; and soft cheeses such as cottage cheese, cream cheese, mascarpone, and ricotta. Foods with fructans: vegetables such as onions, garlic, leeks, fennel, shallots, spring onions, artichokes, asparagus, beetroot, broccoli, Brussels sprouts, cabbage, eggplant, and okra; cereals, breads, and baked goods containing wheat and rye; couscous and pasta; fruits such as custard apples, persimmons, and watermelon; and chicory root, dandelion, the food ingredient inulin, and pistachios. Legumes containing galactans: baked beans, chickpeas, kidney beans, lentils, and soybeans. Fruits, vegetables, and sweeteners containing polyols: fruits such as apples, apricots, avocados, blackberries, cherries, longons, lychees, nashi, nectarines, peaches, pears, plums, prunes, and watermelon; vegetables such as cauliflower, green bell peppers, mushrooms, and sweet corn; and sweeteners such as sorbitol, mannitol, isomalt, maltitol, and xylitol found in diet soda and diet drinks. Low FODMAP Diet: What to Eat Next, put together a meal plan from foods low in FODMAPs that shouldnt trigger IBS symptoms. Fresh fruits or a small amount of dried fruits: bananas, blueberries, boysenberries, cantaloupe, cranberries, durians, grapes, grapefruit, honeydew, melons, kiwis, lemons, limes, mandarin oranges, passionfruit, papayas, raspberries, rhubarb, cantaloupe, strawberries, and tangelos. Vegetables and herbs: alfalfa, bamboo shoots, bean shoots, bok choy, carrot, celery, choko, choy sum (Chinese cabbage), endive, ginger, green beans, lettuce, olives, parsnips, potatoes, pumpkins, red bell peppers, silver beets, spinach, squash, rutabagas, sweet potatoes, the root vegetable taro, tomatoes, turnips, yams, and zucchini; basil, chili, coriander, ginger, lemongrass, marjoram, mint, oregano, parsley, rosemary, and thyme. Grains: gluten-free cereals and breads, and 100 percent spelt bread, rice, oats, polenta, arrowroot, millet, psyllium, quinoa, sorgum, and tapioca. Lactose-free dairy products and frozen treats: lactose-free milk, oat milk, rice milk, soy milk, hard cheeses, brie, camembert, lactose-free yogurt, gelati, and sorbet. Olive oil. Tofu. Sweeteners and honey substitutes: sugar in small quantities, glucose, artificial sweeteners that dont end in -ol (such as Stevia and Splenda), golden syrup in small amounts, maple syrup in small portions, molasses, and treacle. Low FODMAP Diet: The Downsides On the plus side, a low FODMAP diet has been scientifically shown to reduce symptoms. But the downside is that it requires pretty drastic changes to the diet, Dr.

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Trying To Beat Ibs? Cut Out Cabbage And Honey: It May Have An Indigestible Name… But The Fodmap Food Plan Stops Symptoms In 75 Per Cent Of Cases

Irritable bowel syndrome: is diet the key?

fodmaps_300x150

National Institute for Health and Clinical Excellence guidelines suggest that sufferers may also benefit from limiting gas-producing food ingredients, such as resistant starch (found in some processed and reheated food) and sorbitol (a sweetener found commonly in sugar-free chewing gums). But as Sasha Watkins, a spokeswoman for the British Dietetic Association, explains: Treatment for IBS sufferers is often limited, which is why the emerging success of the low-FODMAP diet an approach that helps patients discover the precise foods that trigger their symptoms is excellent news. TRIAL AND ERROR Developed by a team at Monash University in Melbourne, Australia, the low-FODMAP diet has been shown to work in a placebo-controlled trial, and is more effective than all other previous dietary treatments for IBS. It has also been successfully adapted in the UK by researchers at Kings College, London, and implemented at Guys and St Thomas NHS Foundation Trust in London. Peter Irving, consultant gastroenterologist at Guys and St Thomas, says: I can now refer IBS patients for dietetic advice with a greater degree of confidence that their quality of life will improve. The precise cause of IBS is unclear, but stress and problems with the immune system or how gut muscles squeeze food through the bowel may play a part HONEY TRAP Patients on the diet go for eight weeks without consuming any FODMAP-rich foods which include honey, wheat, apples, pears and stone fruits (such as plums and peaches), along with the onion family and artichokes. Traditionally windy foods such as cabbage and beans must also be given up, as must polyol sweeteners (such as sorbitol, mannitol and xylitol), which are often added to sugar-free varieties of mint, chocolate and chewing gum. EASY DOES IT After the eight weeks are up during which time the gut is rested and it is expected that symptoms will subside the period of reintroducing the offending FODMAPs, group by group, begins. The aim is for sufferers to discover which fermentable carbohydrates they are most sensitive to, and to identify their individual tolerance level so that they can plan a diet that suits them. For example, to check tolerance to the m, or monosaccharide in the acronym FODMAP, people would start with a teaspoon of honey, which is very rich in the monosaccharide fructose, and build up gradually, says Sasha Watkins. ASK THE EXPERTS Heidi Staudacher, who delivers FODMAPs training to dieticians, says IBS sufferers should not try the plan without medical supervision. Information on the internet or in books is often conflicting or out of date, she says. Advice from a registered dietician with whom patients are likely to need up to three one-hour sessions is crucial for good results, and should be obtained after appropriate assessment by a GP or gastroenterologist. An increasing number of privately registered dieticians are now offering FODMAPs advice costing 55 to 80 for an hour-long session.

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Beat digestive problems with the FODMAP plan

Breakfast can include a protein shake with coconut milk and a non-denatured, grass-fed whey protein or vegan protein such as hemp. One could also do pastured eggs cooked in coconut oil with green veggies, herbs, fresh squeezed lemon and herbs. For lunch these individuals could do a big salad with olive oil and grass-fed cheddar cheese or pastured chicken. For dinner they could do steamed broccoli, a small salad and grass-fed beef or wild-Alaskan salmon or another quality animal protein with olive oil, fresh lemon and herbs. More digestive health strategies It is always a good idea for individuals with digestive issues to use organic bone broth and make soups and stews. The bone broth provides raw materials that help to repair the intestinal lining and does not contain any of the FODMAP sugars. Organ meats are also highly advisable because of their rich nutrient content. Many individuals with digestive disorders find great success using intermittent fasting strategies such as eating one or two meals per day and doing lots of hydration during the non-eating periods. They also remark about the great relief they get from the nagging symptoms when they follow these nutrition principles. Sources for this article include: http://www.quickanddirtytips.com About the author: Dr. David Jockers owns and operates Exodus Health Center in Kennesaw, Ga. He is a Maximized Living doctor. His expertise is in weight loss, customized nutrition & exercise, & structural corrective chiropractic care. For more information go to http://www.drjockers.com To find a Maximized Living doctor near you go to http://www.maximizedliving.com Dr.

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The precise cause of IBS is unclear, but stress and problems with the immune system or how gut muscles squeeze food through the bowel may play a part

The DASH diet wins Best Diets Overall, while Weight Watchers continues to hold the No. 1 spot for Best Weight-Loss Diets. The Mediterranean Diet, which received attention in 2013 for boosting heart health, claimed the No. 1 spot among Plant-Based Diets and the No. 3 spot among Best Diets Overall, behind DASH and the TLC Diet. The Vegetarian (No. 11) and Vegan diets (No. 18) both fell in the middle of the pack among all diets, while the Paleo diet the most Google-searched plan of 2013 tied for last place with the Dukan diet. New in 2014, U.S. News ranked three additional diets the Acid-Alkaline Diet, the Spark Solution Diet and the Fast Diet and added extensive profiles of two popular diets for digestive health the Gluten-Free Diet and the Low FODMAP Diet. “Best Diets 2014 is designed to help consumers identify a diet that suits their specific needs, whether they are trying to lose weight, control a chronic disease or achieve a healthier lifestyle overall,” said Angela Haupt, health & wellness editor for U.S. News. “We assembled top experts and developed the tools and rankings to provide a resource for the thousands of Americans struggling to maintain a healthy weight and lifestyle.” U.S.

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DASH diet wins Best Diets Overall, while Weight Watchers continues to hold No. 1 spot for Best Weight-Loss Diets

Because the diet does restrict many foods, the researchers are looking further into it to ensure it is nutritionally adequate. We believe it is because there are so many alternative safe foods which can replace the others,” Gibson adds. Secondly, there is a theory that the low FODMAP diet may result in fewer prebiotics, which are short-chain carbohydrates, being in the gut. These are believed to stimulate the good bacteria in the bowel and suppress the bad. “They are supposed to be good for calcium absorption, and for preventing bowel cancer,” explains Gibson. “We are trying to determine whether we are changing the conditions in the large bowel which might be less favourable for bowel cancer and things like that. So far, we have seen no evidence for this” Grimm says while this is an important point to consider, for those people with serious IBS symptoms they need to weigh up possible risks with the chance that they could improve their quality of life. “If people are severely disabled and are missing a lot of work or whatever … I think that the theoretical risk is outweighed by the inconvenience and suffering and the potential to improve on that,” says Grimm. Meanwhile, it is very important for everyone on the diet to ensure they are seeking replacement foods for those being taken out. Wheat is restricted on the diet, so it is vital you find substitutes because cereals and grains provide fibre, vitamins and are an important source of energy.

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Low Fodmaps Diet Recipe Collection On Taste.com.au

(the one with over 200 ratings) It’s a keeper! admin replied at 12:12pm Mon 25th July, 2011 Hi ginger33, that’s great! You can post your recipe directly to this club by following these steps: 1. Make sure you are a member of the club and logged in 2. From taste kitchen members dashboard, click on My clubs. You will be taken to a list of clubs you belong to. 3. Click on Manage Club button under the “Fructose Friendly low FODMAP recipes”. 4. Click on the Recipes tab 5. Click on Create new recipe. 6. Fill in the recipe detail form.

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IBS? Could be the FODMAPs

As a result, in otherwise healthy people, you can probably narrow down the list of likely dietary triggers to exclude protein foods like eggs, meat, fish, and chicken, and low-carb fats like oils and most nuts. That leaves a shorter list of likely suspects, which can be eliminated from the diet temporarily and then re-introduced systematically to determine which, if any, are responsible for digestive intolerance. They include: Fructose, a sugar that is found in fruit juices and their concentrates, sodas, sports drinks, some yogurts, and natural sweeteners like honey and agave. In a subset of the populationwhich some experts believe may include up to 30 percent of whitesthe capacity of designated transporters that carry free fructose from the gut into the intestinal cells may be limited. In such cases, concentrated doses of fructose can result in some malabsorption. Fortunately, there is a non-invasive breath test that can diagnose this condition, and patients who are not fructose intolerant need not avoid fructose on their low-FODMAP diet. Lactose, the primary sugar found in milk and dairy-based foods. As people age, many experience a decrease in the production of the enzyme required to digest lactosecalled lactase. The result is lactose intolerance, which causes gas, cramping, and diarrhea , when more lactose is eaten than one can comfortably digest. As is the case with fructose intolerance, there is also a breath test that can diagnose lactose intolerance. Sugar alcohols like sorbitol, which are found naturally in stone fruits and pears, but also appear in sugar-free or diet foods and drinks, and mannitol, found in vegetables like mushrooms and snow peas. Other examples of sugar alcohols include xylitol (in sugar-free gum, mints, and candy), erythritol, and generally any other sweetener ending with an “ol.” Sugar alcohols taste sweet but are not well-absorbed, which accounts for their caloric advantage over regular sugar. Unfortunately, this poor digestibility can be a double-edged sword for some. Fructans, a type of carbohydrate naturally found in onions, garlic, artichokes, and wheat.

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Fodmap: A Relief for a Right Pain in the Arse

And before anybody judges me, I was not caught short not wanting to use a public toilet, I had already been in the public toilet thought it was all over, attempted to get home and, then, was met with an onslaught that I could not control. Trust me, it has happened more than once, and each time I was devastated, mortified and I cried for hours. Why am I telling you all this? Well because I am not alone in suffering this way. There are over 250,000 sufferers of Inflammatory Bowel Disease in the UK, with the most common conditions being Crohns and Ulcerative Colitis. And with at least 1 in 10 people suffering symptoms of IBS – Irritable Bowel Syndrome – severe enough to visit a GP. Alongside, my own family experiences six individuals, varying symptoms and problems, and counting. With all this information I know I am not alone. The worst thing is unless they are your close friends and family, nobody sees your symptoms or the daily pain you are in. And if you are like me you become very good at covering it up and getting on with your every day life, I had tailored my life to cope. If I had a pound the amount of times people told me I ‘looked great, had I lost weight?’ after a particularly bad bout of not being able to get off the toilet and not really eating, I would be writing this in some very fancy designer shoes right now – sadly I have on fluffy slipper socks. But this is not a tale of woe. I have been introduced to something that has changed my life drastically for the better.

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Irritable Bowel Syndrome: A Low Fodmap Diet For Symptom Relief

Symptoms can range from mild to severe and it is common for symptoms to be present often or get worse for a few weeks and then decrease for a while. The discomfort of IBS can usually be relieved by a bowel movement. It is important that you work closely with your doctor in order to rule out more serious causes for your symptoms before IBS is diagnosed. IBS can be a lifelong condition and symptoms can be debilitating for many by reducing their ability to work, travel and attend social events. Recently, high FODMAP foods have been investigated to possibly be the cause of symptom development. FODMAP stands for fermentable, oligosaccharides, disaccharides, monosaccharides and polyols. These are short-chained carbohydrates that are poorly absorbed in the small intestines causing discomfort and bloating. This occurs because FODMAPs are osmotically active; this means they pull water into the intestinal tract and as large amounts of FODMAPs are fermented in the gut, symptoms can develop in people sensitive to these effects, such as those with IBS. There are five categories of high FODMAP foods to include the following: Fructose: Fruits, honey, high fructose corn syrup Lactose: Dairy foods Galactans: Lentils, legumes Polyols: Sweeteners containing sorbitol, mannitol, xylitol, maltitol and stone fruits There has been some success in relieving symptoms of IBS in people that limit some of these foods. However, a low FODMAP diet can be difficult to follow low in fiber and limiting in some essential nutrients. Michigan State University Extension recommends you work with a registered dietitian in order to help customize a diet plan that works best for you. Most dietitians will recommend eliminating high FODMAP foods for four to six weeks, but you will usually see symptom improvement within one to two weeks. As you work with your registered dietitian, high FODMAP foods will be slowly reintroduced separately, in order to pinpoint offending foods.

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Irritable Bowel Syndrome

Leopoldo Arosemena, a second year gastroenterology fellow on Tuesday, September 24, 2013. Dr. Moshiree sees patients diagnosed with Irritable Bowel Syndrome and offers the treatments available. AL DIAZ / MIAMI HERALD STAFF eadearmas@MiamiHerald.com It took June Meyer seven different gastroenterologist visits, numerous diets, medications, alternative treatments and 20 years to finally find an effective method that alleviated her symptoms of irritable bowel syndrome. Nothing worked for the 50-year-old clinical mental health counselor, who spent all day sitting down seeing couples and trying not to complain about her stomachaches which would start around 1 p.m. because she didnt want to play the victim. Irritable bowel syndrome, also known as IBS, impacted every aspect of her life: her career, her sexuality, her self-esteem and her self-identity. It really inhibited my ability to feel good while I was working, almost to the point where I was ready to give up my practice so I could do something where I wasnt sitting all day, she said. IBS the most common gastrointestinal disorder is caused by changes in the gastrointestinal tract, which affects bowel movements. Symptoms include abdominal pain, an alteration of bowel movements, diarrhea, constipation and bloating. Currently, there are no tests available to diagnose IBS, which is why it is considered a symptom-based diagnosed disorder. According to the National Digestive Diseases Information Clearinghouse, 10 to 15 percent of the population is affected by IBS, and less than one-third of people seek care for their symptoms.

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Irritable bowel syndrome can be treated

Associate Professor of Medicine Baha Moshiree, M.D., M.S.  director of the motility program at the University of Miami Miller School of Medicine talks with Dr. Leopoldo Arosemena, a second year gastroenterology fellow on Tuesday, September 24, 2013.  
Dr. Moshiree sees patients diagnosed with Irritable Bowel Syndrome and offers the treatments available.

A newer medication approved only for constipation-predominant IBS is tegaserod (Zelnorm). Its action involves stimulating the colon to contract to promote regular bowel movements and reduce bloating. For patients suffering from frequent and severe pain that impairs their daily functioning, a physician may prescribe an antidepressant such as amitriptyline or nortriptyline. These drugs work by increasing the release of neurotransmitters in the brain, thereby preventing the transmission of pain and reducing pain perception. Although doctors note that IBS is a disorder of colon motility and sensation, psychological and behavioral treatments represent important supplemental therapy for patients with IBS, regardless of the severity of the condition. Simple forms of relaxation or exercise (e.g., baths, golf, tennis, and rest periods) may reduce tension and enable the patient to feel more in control. This is important, because many patients with IBS come to the physician already with a feeling of loss of control over their lives. Insight or cognitive psychotherapy, hypnotherapy, biofeedback or other structured relaxation techniques are examples of behavioral treatments that may be considered in selected patients. Questions Are there any signs or symptoms that may indicate another disorder? Are you going to prescribe any medications? What are the side effects of the medications? Are biofeedback techniques or hypnotherapy successful in treating irritable bowel syndrome ?

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