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.
How Fecal Transplants Can Save Lives
I don't think in 20 years of doing this, thatI've done one thing that takes sick people and makes them well people nearly as incrediblyis this does. You can dispute the ickiness of this, but I don't think anybody can disputeanymore the efficacy of this. The science is clear. It's like a miracle. Ryan Schneider was a healthy 25yearold whenhe developed a mysterious, debilitating condition. I was being treated for what I now know ischronic pelvic pain. I was seeing urologists for it that were trying to diagnose it, andthey thought it was other conditions such as an STD or a UTI. And so they were justprescribing me antibiotic after antibiotic.
And I didn't know at the time how devastatingthose are on your body. And so what the antibiotics did is kill all of the healthy bacteria, ifyou will. Every morning I was waking up vomiting before work, and I would still go to workand just feel terrible all day. It basically made my immune system similarto that of somebody who's infected with HIV or AIDS or cancer. It was from a stool samplethat I finally found that I had C. diff. Clostridium difficile, or C. diff, is a bacteriumthat lives in the colon and can cause a number of severe symptoms such as diarrhea, fever,weight loss, nausea, and pain. It affects about a half million patients a year. Andit kills an estimated 15,000 to 30,000 people
annually. Normally I'm 175 pounds. I weigh about 155right now. So I've lost a ton of weight in the last year. Most people with C. diff, which is what Ryanhas, the dominant symptom is diarrhea. It's really horrible, horrible diarrhea. They'retired, they lose weight. They're fatigued, they have a belly ache. It can be lifethreatening.People can die of this. None of the medications help with my symptoms. Are you taking anything elseé
I am on Prozac now. I'm seeing a therapistbecause it's just been really draining, having this disease for so long. My appetite's notgood. I'm feeling nauseous all the time. I'm having trouble sleeping. I'm anxious. Many people with Ryan's condition have turnedto a unique procedure known as a fecal transplant, which involves taking poop from a healthydonor and inserting it into a patient's colon to recolonize good bacteria into their system. The population that we're treating this way,this is their last resort. They've been sick for a minimum of six months. And this curesthem. The classic case that I take care of
has an over 90% success rate. A nonprofit in Massachusetts called Open Biomeworks with s across the country to provide them with screened fecal matter. They're essentiallya poop bank. So we process stool from healthy donors andsend it out to s all over the country for use in the medical procedure fecal microbiotatransplantation. Can you tell us a bit about the processé We have a threestep process for becominga donor. Overall the pass rate is about 4%. So it's about twice as hard to become a donoras it is to get into Harvard. So you go through
109point al assessment. If you clearthat, and most people don't, then you go on and bring in a stool sample. And if you passthat, then you go in and get a blood draw. Because we invest quite a bit of money andtime and finding donors, we pay the donors 40 bucks a sample. For every poop we've gotto process it within an hour of passage. Once material's collected, processed, then it sitsin our freezer and quarantined for 60 days. So it's sort of under medical supervisionduring the collection process. And then if they pass at the end, then we release thematerial for use and we'll send it out to s.
Neck Pain Las Vegas NV 702 2229066 Best Neck Pain Care in Las Vegas
Dave Williams Back Care Chiropractic Las Vegas, Nevada If you've been in a car crash in Las Vegas,the best form of initial care for a person who has been involved in a whiplash injuryfrom a car crash is to be evaluated by a chiropractor. I have received additional training with regardsto evaluation and treatment of whiplash injuries from the San Diego Spine Research Institute.I can coach people on how to prevent having injuries in a car crash. Our evaluation procedures are secondtononewith regards to evaluating what the extent of an injury is. If they need to have concurrentcare with other physicians, we have a great
referral network. If somebody needs to see,heaven forbid, an attorney to represent their interest, we do have a referral network ofattorneys that I would prefer you to work with. Bottom line is, if you've been involvedin a car crash, the best form of care is to have physiotherapy and chiropractic, and weoffer both of those here in our office in Las Vegas, Nevada. Dave Williams Back Care Chiropractic Las Vegas, Nevada.