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.
Nutrition Weight Loss Symptoms of Irritable Bowel Syndrome
My name is Christine Marquette and I am aregistered dietitian with Austin Regional and I am going to talk to you aboutsymptoms of Irritable Bowel Syndrome. The most common symptoms of Irritable Bowel Syndromeor IVF are diarrhea, nausea, constipation, and bloating. However, this is a syndromethat has been associated with other conditions. Often times people with IVS will also experiencedepression or anxiety. Some people with IVS may not actually experience diarrhea, theymay also experience constipation so that is another possible symptom. Other people willhave what is called cyclic IVS meaning that they alternate between days of having diarrheaand days of having constipation. So mainly
with having IVS the typical symptoms startin the digestive area again caused possibly by foods but they could also be caused bystress. They could also be caused by something in the immune system so the way the symptomsactually present themselves will be slightly different in each individual. Often it iscomorbid with other things such as headaches, migraines, some people will experience fibromyalgiaas well. Being a syndrome again that means it has a lot of particular symptoms that canbe comorbid for this particular condition but the most common ones do involve the digestivetract either intestinal cramping, bloating, diarrhea or constipation.
Candida Case Study 3 Trudy Irritable Bowel Syndrome
I'm going to do another case presentation.This will be case presentation number three. This is out of my book, Candida Crusher. I'mjust going to read an excerpt out of that. This patient's name is Trudy, and she's 62years of age. Let's start. If you're a health care professional, this will be a typicalcase that you will see. You'll recognize a lot in this case.Trudy came to see me not that long ago complaining of irritable bowel syndrome. She'd had ongoingconstipation and diarrhea for over 10 years. Too many to remember she told me. Trudy hadbeen treated for irritable bowel syndrome by every practitioner she'd seen and was neverconsidered to be a person to have a serious
Candida yeast infection. Because she toldthem all that is what the medical had diagnosed her with several years ago, IBS,so of course, once she was labeled as an IBS patient, irritable bowel syndrome is whatit was and that's what all the practitioners basically treated her for. Monkey see; monkeydo. I've heard it all before. I call it parrot talk. If you keep parroting the same thing,people start copying that. And even many natural practitioners and even some top professionalsshe saw treated her for IBS, so they looked at various IBS diets. The SED diet, the GAPSdiet, the Paleo diet, you name it; she's been on every kind of diet this woman.I've written here, they were the natural practitioners
who had placed her on strict exclusion dietsand the allergy diets, and the had treated her several times with antibioticsbefore he washed his hands of her and placed her in the quot;too hardquot; basket. The bowel specialistconcluded there was nothing the matter with Trudy after all the standard investigationslike colonoscopy, endoscopy, abdominal xrays, and countless blood tests all came back asbeing normal. I've heard it all before. I've written here also, whenever I teach studentsabout digestive problems, I say, quot;If the health professional diagnosed IBS or if you can'tfind the reason for the patient's digestive malfunction, suspect an immune problem underpinningit, usually there's Candida not far behind
or dysbiosis, bad bacteria, parasites. Youcould find Blastocystis in there and Dientamoeba. There could be any one of a number of differentbugs underpinning that that no one has really diagnosed.quot;Trudy mentioned that she had an itchy scalp. And on close inspection, I noticed that bothher big toenails were thickened and discolored. We completed a stool test and there it was,yeast in all three stool samples. But not only yeast, she had also several other bacteriaand parasites present, which is typical of a chronic ongoing yeast case like this. Theopportunity exists for such a proliferation of dysbiosis; hence the term quot;opportunisticinfection.quot; Trudy had a stool test completed
years ago, but was only tested for basic pathogenslike giardia campylobacter, pampas pyridium and rotavirus, and nothing really came up.Many s, if they do a stool test, a convention would do a very narrow test. When Ido them, I tend to do a broad test, so I look at a whole range of different things.This lady used to work in a daycare center, so she was only really checked for children'sinfectious bowel diseases, so they basically missed the boat. All results were negativeand Trudy left with no answers. Of course, if all the professionals come back with NAD,nominal at diagnosis, the patient develops increasing anxiety. They start getting mooddisorders. They start drinking more. Swallowing
all kinds of antidepressants and they justgo from bad to worse. One of my biggest disgusts with conventionaltreatment of digestive complaints is the routinely overzealous prescribing of antibiotics. I'veseen this with thousands of patients over the years where antibiotics just destroy people'sguts. They just get sicker and sicker, to the point where the s wash their handsof these patients. They just get rid of them. Discard them for what I call a quot;low hangingfruit.quot; They look for other patients they can make money out of or give more drugs tobecause what can they doé You make someone sick enough, you can't treat them anymore,just get rid of them because there's plenty