For My Tummy

Self-Help for IBS

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False and True Conceptions about Irritable Bowel Syndrome (IBS) Treatment

The following paragraph on Heather’s web site caught my eye:

Irritable Bowel Syndrome (IBS) Supplements
Supplements for the dietary management of IBS can be unbelievably helpful for stabilizing digestion. This is particularly true when they’re used as one of the five key strategies for controlling Irritable Bowel Syndrome (proper diet, stress management, alternative therapies, and prescription medications are the other four).

Soluble fiber supplements, herbs that have medicinal effects on the gastrointestinal tract, heat therapy, probiotics, calcium and/or magnesium, and digestive enzymes are all of proven benefit. Best of all, results are usually felt very quickly - sometimes even immediately (emphasis mine). ((1 from the Help for IBS Website
http://www.helpforibs.com/supplements/))

see also

http://www.helpforibs.com/footer/treatments.asp

Not to throw a wet blanket on your hopes of instant relief–well, yes, I’ll throw that wet blanket after all.

Starting diet change, discovering that indeed there are more triggers than you thought, finding the right supplements, all take time. It took me at least three months. Then, too, probiotics take at least three weeks before they begin to give relief. So IBS treatment in full does not produce rapid results. Yes, parts of a treatment regimen do, such as putting a heating pad on a painful tummy, or drinking fennel tea for gas and bloating. Getting IBS under control, though, takes time.

August 19th, 2007 Posted by tummyblogger | fiber, Probiotics, IBS, Irritable Bowel Syndrome, IBS therapy, IBS Triggers, Digesting Information, Prebiotics, Adjuncts, IBS Symptoms | no comments

How Doctors Think about IBS

Introduction
I had a friend who helped me startup a counseling center.

He was a neurologist, who said something that really stayed with me. He said “When I see a patient for the first time, I know within five minutes what I’ll find on examination, and how I’ll treat the person. The rest is interaction–teaching and listening.”

How can he know within five minutes what is going on with a patient? Here is a quote from a medical review article on IBS that lays it out. Knowing this information, and related information about other disorders and diseases, a doctor — all right, a good doctor — is generally quite clear on what to do next. It’s just that the patient, one of us, is still in the dark.

The Bullet
The doctor is practiced in knowing and reciting back “the bullet” - the briefest possible summary of a disorder or disease, and the briefest possible summary of a patient, his or her complaints and treatment. Here in the opening paragraph of a review article on Irritable Bowel Syndrome, is “the bullet.”

New England Journal of Medicine Article

Irritable bowel syndrome, a common disorder in which bowel habits are altered in association with abdominal pain or dis comfort, has a prevalence of 12 percent among adults in the United States and a similar prevalenceworldwide. By definition, no mechanical, biochemical, or overt inflammatory condition explains the symptoms. Validated, symptom-based criteria for the diagnosis of irritable bowel syndrome are highly predictive in the absence of alarming symptoms such as weight loss, fever, and intestinal bleeding. The pain or discomfort experienced by patients with irritable bowel syndrome often leads to health care use and a decreased quality of life. Diarrhea is a symptom that often leads to medical consultation, since it can be inconvenient and, if associated with urgency, may be accompanied by fecal incontinence, an altered lifestyle (owing to frequent trips to the bathroom), and anxiety. Constipation may be associated with bloating, discomfort, and an altered body image. The quality of life was reported as impaired in people with irritable bowel syndrome who sought medical care but only marginally reduced in those who did not seek medical care. The therapeutic goal is both a reduction in the severity and frequency of symptoms and an overall improvement in the quality of life.1

How Disappointing
After you’ve gone through various tests beyond a simple blood test, all the way to having a colonoscopy, to be offered a “therapeutic goal” rather than a “cure” is a disappointment. So you may begin to distrust the doctor.

Now
What do you think?

  1. 1 Howard R. Mertz, M.D. “Review Article: Irritable Bowel Syndrome,” New England Journal of Medicine, 349:22, November 2003. []

August 19th, 2007 Posted by tummyblogger | Medical, IBS, Irritable Bowel Syndrome, IBS therapy, Digesting Information | no comments