Well Irritable Bowel Syndrome is really nota disease in itself its a description of multiple symptoms that when put together are a syndromethat are often will cause symptoms in both men, women, and children. It is very commonbut thankfully life threatening in anyway. The symptoms can be varied but the most commonones would include things like bloating, distension, abdominal pain, alternating both diarrheaand constipation. These symptoms could be very concerning for patients and can reallylimit their life style but once again its really not life threatening. It's a descriptionof really the neural impulses that colon in particular is receiving and if you think ofit as almost like a fray ends of an electrical
wire there is increased amounts of impulsesthat are irritation the colon and the colon walls and the muscular track and is believedto cause spasm and often that's what creates the sensation of bloating, gas, and abdominalpain. IBS is a life long syndrome and not a life threatening syndrome and patients typicallywill have symptoms that come and go and sometimes exacerbated by types of stress or emotionalchanges. Thank you for choosing Saint Peter's.
Adrenal Fatigue and IBS Irritable Bowel Syndrome
One of the common problems and complaintsand symptoms of adrenal fatigue is the GI tract not being balanced. Irritable bowellikesymptoms with alternating diarrhea and consipation can be experienced, but it is more biasedto constipation. This is usually present in sufferers who also have other motility issuesas other symptoms of adrenal fatigue, so it's usually not a standalone symptom by itself.This is Lam, founder of DrLam . We want to talk about this because it is socommon that people will come in after visiting their , having extensive work ups, includingscoping, and will be told that their gut is quite normal. Yet, from time to time theyfeel that there is a somewhat of a discontent
in the G.I. system. There is a sense thatthe body is unhappy. It is not very steady. Sometimes it will be diarrhea, sometimes itwill be constipation, but as adrenal fatigue stages advance. The general trend is moretoward constipation. The reason why is because as the body slowsdown, the gut motility slows down as a way to conserve energy. So as the gut motilityslows down, the body will automatically go into a constipation mode rather than a diarrheamode. It is interesting because in the situation of adrenal fatigue, oftentimes there willbe constistent constipation but intermitinely it can also be accompied by some diarrhea,especially when a person is under stress,
but this is not all the time like this. Mostof the time it is a mild form of constipation and it does not get better by itself but itdoes get better sometimes with enzymes and it does sometimes get worse with probiotics. Now the use of enemas, etc. in this type ofsituation oftentimes may bring on some relief, but generally speaking it is not for a verylong time. Understanding and looking from afar that this is a body whose G.I. systemis really not very happy even though there is nothing really structurally wrong is animportant symptom to be alert to. There may be an associated bacterial growth, may becandida, there may be a history of H. pylori,
as well as other pathology that was presentbefore or even present now. If you look at the history deep enough you can always findthat there is a long history of some form of irritability although it may have beenvery mild for many years. So, the constipation can get worse with timebut it's not something that comes on overnight. So, the body is not very, very smooth. Theinternal gut system is not well balanced. Leaky gut may be present, there may be a lotof flatulence and bloating. So this is the general picture that you see in a lot of discontent,lots of unsteadiness in the system; it's almost as if the body's gut is very much being assaultedon different fronts, it doesn't know what
to do. So this is the general picture thatyou see and if you put that together with the various other symptoms of adrenal fatigue,and especially with a negative workup, then you should be putting this type of symptomas one of them associated with the symptoms of adrenal fatigue. I hope you've enjoyed this tutorial. For moreinformation on this topic, head over to DrLam where I have written over a thousand articlesto help educate people. You can also call me at 6265711234 for more information onAdrenal Fatigue and how to navigate it. Finally, if you enjoyed this tutorial, please subscribeto my YouTube channel. Thanks for watching.
Irritable Bowel Syndrome IBS and What Tests You Should Get
Kenneth Falchukgt;gt;gt; Irritable bowel syndromeis the word points to it, is a syndrome, it is a composite of complaints that patientshave that effect the GI tract. It is not something that we could immediately say is caused byan infection or is caused by a structural change in the bowel. So therefore the physician who evaluates thepatient with irritable bowel syndrome (IBS) has to pay attention to the types of symptoms,when they occuré How frequent is your trigger factor, has to evaluate his patient for thepossibility of other conditions and that is where we bring in the criteria of or the charactersof what we call reg flags.
So irritable bowel syndrome is a combinationof symptoms that the patient mentions to the treating evaluating physician that consistsof either pain with or without a change in bowel habit such as diarrhea, constipation,or a variable pattern, a mixture of both diarrhea or constipation with bloating with a changein a shape, consistency of they stools, they could be loose, they could be hard, they couldbe like little fragments. Above all, the irritable bowel does not havethe red flags that I mentioned previously, that is the presence of bleeding, very significantrelevant weight loss in a short period of time, no fever, and no vomiting, once we considerthe red flags and if they are not present
in the patient, there are other lab resultsthat we could request to evaluate the patient and exclude something that may be caused byanother illness other than the IBS, the irritable bowel. If a physician requests those labs, they arenot specific. There is no specific blood test to make the diagnosis of an irritable bowel.So what one does when he looks at the lab for help to see if there is anemia, evidenceof bleeding indirectly or directly, a low red cell count, a low iron or something calledferritin, signs of inflammation in the blood. We request a test called Sed rate or CRP thatindirectly look at this aspect.
Other tests may show low protein to suggesta difficult absorption, nutrition, which is not really a main issue when one deals withirritable bowel. So once the red flags are excluded and that the physician is certainabout that, he or she can then say â€œWell I am not yet sure. I need to evaluate my patientproperly.â€� That can be done with xrays such as CAT scan, xray of a small intestine,a barium enema sometimes or proceed to something more specific and definitive, yet somewhatinvasive called a colonoscopy where you look at the lining of the colon. You can take samplesand make sure there is no inflammation. The bottomline is to make sure that thereis no colitis because colitis is treated differently.
It is somewhat of a greater concern to somepatients because it could bleed to serious consequences and disabilities, so it is importantnot to attach diagnosis of IBS, irritable bowel, to someone who may have something thatcan be treated differently and therefore modify their quality of life and outcome. I think that more or less summarizes whatI have been trying to convey about what IBS irritable bowel syndrome is and how to proceedwith a detail specific evaluation of this condition.