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.
Yoga For Digestion Flow
Hey everyone. Welcome to Yoga with Adriene.I'm Adriene and today we have a digestive flow sequence to make you glow. This is theperfect pick me up if you've been taking it easy, or you just got done with a big event,or perhaps during the holiday season you've been taking good care and nurturing your body,eating nice yummy heavy foods, and you're craving a little kick back into a workoutroutine or a yoga practice. This is the perfect sequence for you. It's going to massage theinternal organs, and get those digestive enzymes moving and flowing, and overall just bringa little heat to the body during these cold winter months. So, even if it's hot outside,this will be a nice sequence to make you sweat.
So, get in something comfy, and hop on themat, and giddyup. Let's go. All right, let's begin in extended child'spose, taking a deep breath in and finding a long exhale out. And we'll spread the palmsand in your own time rise up to all fours, drawing the knees underneath the hips andthe wrist underneath the shoulders. Inhale, dropping the belly. Exhale, curling the tailboneunder, relaxing the crown of the head. Catcow, moving with your breath. Take a moment toclose the eyes here. Press up and out of the earth, and really connect to this line fromthe crown of the head to the tip of the tailbone, and everything in between. Commit to yourbreath for this practice. As you curl the
toes under, walk the palms out, and take thedeepest breath in as you send the sit bones up and back. Exhale, downward facing dog. Take a moment here to dance a little. Checkit out. Paddle the feet. Find movement. Connect to the energy of your practice today. So,we are doing more than just a yoga workout, but really exploring the practice, and whateverit plans to serve up today. When you're ready, bend the knees softly and we're going to walkup towards the front edge of the mat, settling in to Uttanasana here. This is a great opportunityto let go of the day thus far, and again drop into the practice. Find what feels good here.You can clasp the elbows. Rock a little side
to side. Relax the head. And then wheneveryou're ready press into your feet, and on an inhale, we're going to lift up to a niceflat back position, just halfway here. Deep breath in. On an exhale, float it down.Then bend your knees softly, tuck your chin into your chest and begin to roll it up intomountain pose. Take a moment here to loop the shoulders, check in with the neck. Letgo of any tension here as you breathe deep and stay connected with your feet. Work itout. Draw your palms to your heart now, coming into mountain pose or Tadasana, with mindfulness,a sense of you. And we'll begin to move. Inhale, reaching the fingertips up overhead. Exhale,down through the midline we flow. Inhale,
halfway lift. Exhale, soften and bow. Inhale,reach it all the way back up. Deep breath in. Breathe, breathe, breathe. And exhale,hands to heart. Awesome. Inhale, reach it up. Full breath in. Exhale, soft knees asyou forward fold. Inhale, halfway lift. Exhale, bow. Now, step or hop the feet back to plank. Don'tpanic. Find a little movement here and then slowly we'll lower all the way down to thebelly. On a deep breath in, open your heart, your chest cobra. And then exhale, we release.Curling the toes under and sending it up and back. Downdog. Deep breath in. Long breathout. And then on an inhale we step, float,
or hop towards the front edge of our mat.Forward fold. Inhale. Halfway lift. Move with your breath. Exhale, bow. Inhale, reach itall the way up. Spread your fingertips and exhale to the heart. Sweet. Inhale, reachit up. Exhale, forward fold. Inhale, halfway lift. Long neck. Exhale. Step, float, or hopthe feet back. Plank. Now, we can lower down to cobra or Chaturangato updog. Find softness in your Vinyasa here. Together we'll meet. Downward facing dog.This time inhale. Send the right leg up. Exhale all the way up and into your lunge. From thelow lunge, we'll take a deep breath in and on an exhale let the heart open. Radiate forward.Plant the left palm next to the right foot
How to Empty Your Bowels Without Straining
Hi, my name's Michelle Kenway, and welcometo Pelvic Exercises. Today I'd like to teach you how to empty yourbowels without straining. Couple of components to this addressing really good posture,and really good technique so that you don't stain through your pelvic floor when you emptyyour bowels. All right, first of all let's set up our posture.So, sitting on a chair at home to practice, what I want you to do is take your legs apartfeet are flat on the ground. Now I want you to incline forward and rest your hands onyour knees or your thighs in that position. You can see that I've got an inward curvein my back and that's very important for making
sure that I empty my bowel fully. So thisis my nice position: feet apart, also legs apart, feet are flat, leaning myself forward,upper body fully supported on my thighs. Now, let's get down to the technique.There's two parts to this technique. It's called a brace and bulge technique. Now whenyou brace, bracing means to make your waist wide and this is where your pushing powercomes from your bowel movement. If you put your hands onto your sides, if you say Mmmm. Mmmmm, you'll find that your sides move wide. The pushing comes from your diaphragmmoving down rather than pushing down through your bottom to empty your bowels, so.Thesound is Mmmm and the action is hands
will go wide. Have you got thaté Try again.Mmmmm and feel your sides go wide. Now the second part of this is to make yourbelly move forward. When you lower your abdomen forward, it actually releases helps to releaseand open up your anal sphincter, to allow that bowel movement to move out. So the actionis: bulging forward and if you say Oooo, you can bulge that abdomen forward. (You mightsee it better sideon.) So if you say Oooooo, abdomen bulges forward and you'll releaseand let go that anal sphincter. So let's put that all together, two parts.Mmmm and make your waist wide and Ooooo so that sound is Mmmooooo. I tryto visualize myself into a barrel, in that
my waist is going wide and my abdomen is bulgingforward in that process, as I'm supporting my upper body. If you need to continue feelingwhether your muscles are working, you can lean forward with one hand wrapped aroundyour middle, to feel that those muscles are still bracing and bulging.So let's try that all together one last time. I'll come sideon, so: Address your posture.Legs are wide. Leaning yourself forward and here we go. So we're going to go a Mmmm,waist wide. Oooo, bulge your tummy forward, keep bulging, keep bulging, keep bulging,if you need to push any further, make your waist wide further and slowly relax atthe end of the movement and at the end
of the movement, drawing up through your backpassage, pelvic floor muscles lifting your pelvic floor muscles back into their originalresting length. So, what have we gone through todayé We'vegone through a brace and bulge technique that will help you to empty your bowels withoutstraining. So, I hope that helps you to keep a healthy pelvic floor and goodbye for today.