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 Anxiety and Stress
Hey guys, welcome to Yoga with Adriene. I'm Adriene, and today wehave a sequence for anxiety. So this practice is awesome for when you're feeling stressed out, or maybe you're feeling a little anxious, maybe a little panic attacky, or you just need tomove from the darkness, into the light.
Hop on the mat and let's get started. Alrighty, let's begin witha nice, comfortable seat. Sit up nice and tall. And arrive here now. You've started the tutorial, you're here, the hard part is over. Let's begin with the breath. Inhale.
As you breathe in, draw theshoulders up to the ears. As you breathe out,draw the shoulders down away from the ears. Good. As you breathe in, squeeze and lift. As you breathe out, drop, create space. Couple more times. Inhale, find what feels good here. And exhale, create space.
One more time. Inhale, squeeze to the max. And exhale, create space. Awesome, take your right earover your right shoulder, breathe, ground down through the elbows. Lift it back to center,and to the other side. Left ear over left shoulder. Draw down through the elbows.
Great, bringing it back to center. And we're gonna come intoa little moodra here as we prepare for alternatenostril breathing. So this is my number one,if you don't have time for the whole tutorial, at least have time for this Pranayama technique,which I really do think is like a magic elixir. For when I'm feeling anxious,
if you ever feel like you are in kind of a panic attackmoment, or anything like that, or you just need todestress, balance out. This is the one for you, my friends. So, we're gonna take thekind of hang loose sign here, it's kind of like this, andwe're just gonna bring it to the ring finger and the thumb. See, bring the two peace fingers in.
How Tapping can Relieve IBS Symptoms
Today, we're going to talk about anxiety.If you know anything about digestive distress, then you remember and know that anxiety goeshand in hand with all these stomach issues that you're experiencing. Now what is somethingthat you can do, quick and easy for yourself in order to let go of this anxietyé Well,I tell you, my number one favorite thing is to work on some tapping. Now tapping is called officially EmotionalFreedom Technique. I don't need to get all into that. You can simply Google EmotionalFreedom Technique and learn all that you need to know or you can visit my blog and I talkin detail about that. But for the purposes
of this tutorial, and for the purposes of helpingyou right now, right this minute with this anxiety, it's important to know that whatyou say to yourself is either going to help or hurt you. So what I encourage you to do,and what I do for myself all the time, is I acknowledge how I'm feeling and then Iaffirm who I am. So for instance, if I'm feeling anxious,I want to not just say, I'm feeling anxious. I want to talk about something in detail,like I'm nervous that my husband's job is not going to go well. Or I'm upset thatmy stepdaughter has been a pain in the butt. Or I don't know if a client is going toshow up on time. Any number of things that
may be bothering me. So I'm going to talkin detail. and I'm going to say, â€œeven thoughâ€� and then I state the problem. â€œeventhough I'm very nervous about my husband's job I deeply and completely accept myselfand how I feel.â€� What's so important is to let yourself know that it's ok that youhave this issue, and that even though you have this issue, you deeply and completelyaccept yourself and how you feel. That's the first step. So let's practice together. Take a momentright now and think, what is it specifically that's bothering you, specificallyé Andrate the intensity, from zero, meaning there's
no problem with it at all, which of coursethere is, else you wouldn't be listening to this tutorial, up to ten, which is â€œoh mygosh I'm ready to go crazy.â€� I want you to rate it from zero to ten. So, let's sayyou're at a number five, meaning that this is halfway bothering you; it's botheringyou, but you're not about to go crazy. Then, what you would want to say is, â€œEven thoughâ€�(and state your problem specifically) and then say, â€œI deeply and completely acceptmyself.â€� One of the easiest ways to do this, to tryand get some of this into your head, before we advance onto more techniques, is to simplyclose your eyes and let these words resonate
and sink in. That's the very, very firststep. Of course, this is not anything to do with tapping on your body. We have not gottento that point yet. But what we are is learn how to distinguish what specifically botheringyou and learn that you need to acknowlege where you're at. That's the first step.I hope that you learned the tip well, and let go of IBS and let go of your anxiety.