Irritable Bowel Syndrome Diagnosis And Clinical Management
Irritable Bowel Syndrome IBS causes and treatment
so, you've got irritable bowel syndromewhat do you do about it nowé well anti spasmodic tablets that your can prescribe will help but an awful lot of this is downto you. You can make an enormous difference to your symptoms, maybe not get rid of them completely but certainly learn to manage them The first thing to think about is the stressin your life. I know it's really difficult to address stress,especially if you're feeling unwell at the same time
but it's a vicious cycle. If you're morestressed you get more symptoms if you've got more symptoms you can get morestressed. Take a long hard look at how you might be able to cut back the stress in your life. Next,let's think about diet and actually that can have an impact on stress as well really importantly eat regular meals. Don'trush, don't eat them on the go sit down to eat them regularly and try toeat at a leisurely pace, that really can make a difference. Missingmeals
can also make a big difference so tryand make time regularly. In terms of what you're eating at those meals, that also is key, andthat slightly depends on what kind of IBS you've got if diarrhoea if your big issue, you may wantto avoid fibre, and certainly limit fibre. If constipation is your big issue, some forms of fibre may really be able to help, but whateveryour symptoms are you may find that limiting the amount of fruit thatyou eat to maybe two or three pieces
a day, and eating certain kinds of fruit and vegetables will make a bigdifference. For instance fibre, we tend to think of as wholemeal this, high grain that, actually there are two kinds of fibre. One of them iscalled soluble fibre, and the people who have constipation related IBS, soluble fiber may be really useful. Sofor instance substituting oats for wheat and highgrain
foods, can make a big difference. Oats are really high in soluble fibre. Whatever you do, don'tsprinkle bran on your cereal or eat a high bran cereal for breakfast that's insoluble fiber that can makethings worse. other sources of soluble fibre mightinclude strawberries aubergines, broccoli and so on if you're going to have fruit, you maywant to take the skin off it because a lot of fruit including thingslike plums and pears
have soluble fibre, but they haveinsoluble fibre on the skin. It's kind of turning the usualrules about fibre on its head but see what works for you. Do make sureyou drink plenty of fluids but that's nonalcoholic, nonfizzy fluids and you may want to reduce the amount ofcaffeine you eat drink some people are very sensitive tocaffeine that's not just in coffee but also in tea and chocolate, just be aware. You may find
Joel Heidelbaugh MD Tutorial Profile
gt;gt; I wanted to be a family physician mainly todevelop a continuity relationship with patients. I love the idea of being able to do a lot of different things for alot of different patients. The idea of becoming a specialist originallyappealed to me, but I was concerned that I wouldn't have a longitudinal relationshipwith people, and be able to deal with a lot of the common things thatpeople are afflicted with. I mean I love to work, I love to take careof patients, I love to hear their stories, and I love to help people improve upon theirlives, be it the healthrelated aspects
of their lives that's going to help them bemore productive in society, or live longer or live better with the diseases thatthey have, that's what really appealed to me about being a family physician. You know, right now family medicinehas a great opportunity to be at the cornerstone of healthcare. We know that there's a bigneed for primary care. I think one of the things that's challenging isthe lay public may not fully understand what a family physician is, or whata family physician can do.
Relative to our training, we're trainedin all the aspects of outpatient care, we're trained in all theaspects of inpatient care, obstetrical care, many surgical procedures. We can offer a lot for our patients. Where our specialty is going relative to that isto really be at the cornerstone of primary care. We can't be the onestop shopping for allpatients, and we need to use referrals and specialists a lot on a day to day basis, butalso family medicine is really trained to branch out into other areas of what wecall sort of niche specialties.
A lot of people who are board certified in family medicine may gravitate towardwomen's health, and may concentrate a focus of their practice toward obstetricalcare or women's healthcare. Many of those people do solely that, many ofthose people still provide a wide spectrum of broadbased care across family medicine. We also have folks that specializein sports medicine, or men's health, or inpatient medicine solely. And so I think, you know, with more opportunityand more education for the lay public,
they can understand better who we are andwhat we can provide on a national level.