Ibs Specialist London Nhs

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 “Well I am not yet sure. I need to evaluate my patientproperly.� 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.

IBS explained

THERE ARE AN ESTIMATED6 MILLION IBS SUFFERERS IN THE UK. IF YOU ARE CONCERNEDABOUT YOUR SYMPTOMS, IT'S IMPORTANT TO SEE YOUR GPTO CONFIRM THE DIAGNOSIS Irritable bowel syndromeaffects both men and women. It tends to affectmore women than men. It tends to affect younger womenrather than older women. But really,it's no respecter of age and sex. It can affect anybody.

We might say thatwe can all be predisposed to getting irritable bowel syndromeat certain times of our lives. Particularlystressful times of our lives. It's difficult to define exactly whatcauses of irritable bowel syndrome are because irritable bowel syndromeis a medically unexplained illness. It's an illness, if you like,without an obvious medical cause. There's no infection,no food allergy but there are factors that seemto bring irritable bowel syndrome on.

These include stress,what's happening in your life, and they include certain foods. Often when people ask me about the factors that bring onirritable bowel syndrome, I will say at it's foot and mood. That's easy to remember. The symptoms of irritable bowel syndromeinclude constipation, diarrhoea, alternating constipation and diarrhoea.

Abdominal pain,usually low down in the abdomen. Bloating, feeling of distension. Flatulence, belching even. A gurgling in the stomach. These are the cardinal symptomsof irritable bowel but many people with irritable bowelhave a lot of other symptoms. They have backache, they have a feeling that they want topass water very frequently.

They may have breathlessness,they may have headaches. They may have dizziness. So irritable bowel syndrome overlaps with a lot of othermedically unexplained illnesses. There are things you can do, of course. But they tend to be symptomatic relief. There are tablets you can takefor spasms in the bowel, for pain. There are bowel regulators you can takefor diarrhoea like Loperamide.

There are treatments for constipation,there are treatments for bloating. You can get these from your or you can get advice from your . You can find out by use of a food diary which foods are more likelyto upset you. I work for a charitythat used to be caught the IBS Network, now called the Gut Trust. And we have a website that has a very comprehensiveselfmanagement programme.

What are Vitamin D Deficiency Symptoms

Hey guys, Axe here. I want to talk aboutthe many benefits of vitamin D as well as vitamin D deficiency. So many people are strugglingwith vitamin D deficiency. In fact, according to a lot of medical studies today, they'reshowing that quite possibly the top deficiency we have in America is a vitamin D deficiency,and for a lot of us there are several reasons for that. But let me talk about the symptomsof vitamin D deficiency. I'm then going to get into what's causing vitamin D deficiency,then go over the best foods, supplements and things you can do to correct this type ofissue. But first and foremost, the big thing thatcan cause or the big symptoms you might have

with a vitamin D deficiency are immune issues.If you have a weakened immune system, that could be correlated with a vitamin D deficiency.If you have candida or bacterial overgrowth, it can be caused from a vitamin D deficiency.If you struggle with let's say emotional ups and downs, like depression and anxiety, thatcan be a cause. Hormone imbalance, major cause of vitamin D deficiency. If you have troubleputting on muscle or losing weight, those are all correlated with a vitamin D deficiency.If you have weak bones or teeth, osteoporosis or osteopenia, those are warning signs youhave a vitamin D deficiency. So again, you can see there are a lot of things and I didn't even get into certain other

things like cancer and diabetes and heartdisease but those are all warning signs you could have a vitamin D deficiency. Vitamin D is responsible for really supportinga healthy immune response, digestive health, hormone balance, and here's a key thing toremember. Vitamin D is not just a vitamin. It's also a pro hormone. So it's responsiblefor so many hormone producing reactions within your body. You've got to have vitamin D. Now here are the biggest causes of vitaminD deficiency. Number one is not getting enough sunlight. The sun should be your number onesource of vitamin D. We live in a world today

where we live inside, especially if you'rein the northern states, whether it be in Canada or northern US or northern Europe. But ifyou are not getting outside enough and not getting enough direct sunlight on your skin,that will create a vitamin D deficiency. So starting off, the majority of people are vitaminD deficient because we don't get outside enough. And the other thing can be certain chemicals,especially things that are plastic in nature, those can block vitamin D absorption. So ifyou're drinking out of plastic bottles that have something called BPA, that's bisphenolA, that can cause vitamin D deficiency and really affect the way vitamin D is absorbedand utilized and created by your liver in

your body. The other thing is toxicity. If you're exposedto toxins on a regular basis, that affects the liver. Your liver is actually responsiblefor producing and creating vitamin D within your body. So again, toxicity another majorcause of vitamin D deficiency. So if you want to start to correct vitaminD deficiency and see improvements in your immune function, in your metabolism, in yourhormones and things like your thyroid and your adrenal glands and improving your overallmood and bone strength, you've got to get more vitamin D.

Again, your number one source by far is sunlight.I recommend getting outside 20 minutes to 30 minutes every single day. Even if it'scold outside, getting a little bit of sun on your face and hands, it's so importantfor getting Vitamin D. So again, number one is get sunlight 20 to 30 minutes a day. Now, apart from that, certain foods will containsmall amounts of vitamin D. Number one source will be wild caught salmon or fish, so againgetting wild caught fish on a regular basis. Also, raw fermented milk, like a goat's milkyogurt, may have small amounts of vitamin D, as will mushrooms and eggs. But again,you're going to get very small amount in diet.

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