Irritable Bowel Syndrome Functional Medicine

Cat Health Care Tips How to Manage a Cats Irritable Bowel Syndrome

Let's talk about managing your cat with inflammatorybowel syndrome, or IBS. IBS is quite common in cats actually. They can react to foods,environment, all sorts of things, and and the underlying cause sometimes is not known.But the end result can be a cat with chronic vomiting, chronic diarrhea, weight loss, thingsof that nature. IBS has to be diagnosed by your veterinarian first, and once that's diagnosedthere are certain things that can be helped, or given to help IBS in cats. For one, antiinflammatoriescan help; either orally or by injection, over time, and not every cat requires somethinglike that. So that's one method of treating IBS. Number two is going to be dietary management.IBS cats never need to get lots of treats,

lots of different foods, things like that.Basically, IBS cats need to go on a hypoallergenic, or special foods that are die are are basicallydesigned to to have the body not recognize their proteins as well. And what I mean bythat is it's it's sort of like having an allergy. If your body can't recognize a protein thatyou're allergic to, then you're better off, and not going to react to that. So, your veterinarianshould help you also manage IBS, because it is a chronic condition.

Functional Bowel Disorders

gt;gt; One of the things that patientswill tell you is most troubling to them is that feeling of isolation. That feeling that they're the only one in theworld that's suffering with these problems. That feeling that there's no way forthem to share their illness experience with even their loved ones in many cases. These patients suffer in silence. It is remarkable the storiesthat you hear from patients. Everything from patients literallynot wanting to leave their home

to when they leave their home having to knowwhere every bathroom is between where they leave and when they get to wherever they're going to. These problems really profoundlyaffect patients' quality of life. gt;gt; We probably see thousands ofpatients every year as a division. My job, I think, in the initial visit especiallyis to educate them that what they have is real, what they have is affecting their lives. What they have is, therefore, treatable, andthen we would work together to come up with that treatment plan so theycan gain some control back.

gt;gt; What works for one person may notbe the same thing that works for you. If the symptoms are severe enough to wherethey're getting in the way of their being able to enjoy life or carry out their jobs,it really is time to go see a physician. gt;gt; A lot of s aren't comfortablewith telling people necessarily that they have a condition like irritablebowel syndrome or functional bowel disease because then they don't really knowthen what to offer that patient. I think that's where a lotof patients get frustrated. Being told that nothing is wrong, butthen they're not left with any plan.

gt;gt; The University of Michigan is really one ofonly a handful of programs in the United States that can provide a comprehensivemultidisciplinary approach to patients with functional GI disorders. We have two dedicated programs whichcan cater to patients with disorders like irritable bowel syndrome,functional dyspepsia, severe constipation, or fecal incontinence. gt;gt; We have gastroenterology physiologylab that can offer certain breath testing and monometry testing, but alsoour interpretation and quality

of those tests are very, very inaudible. gt;gt; We're helping the field to betterunderstand what causes these disorders. So the underlying science behind the symptomsthat define these disorders are helping to better understand how toevaluate and diagnose these patients. This is literally what we do every day. The most important thing forpatients with functional GI disorders and IBS to realize is they're not alone. There are many patients who suffer with theexact same symptoms, and there are s

at the University of Michigan that can offera diagnosis and solutions to their problems. They shouldn't feel hopeless.

William Chey MD Tutorial Profile

gt;gt; William D. Chey: We have some several special programs at theuniversity that I participate in. One is called the Michigan Bower Control Programand this is a program that I'm a codirector of with Dee Fenner and it's a programthat I'm particularly proud of. It's a multidisciplinary program that managespatients with very severe chronic constipation or fecal incontinence and these are disorderswhich have profound affect patient's quality of life, ability to function and costs thehealthcare system tremendous amounts of money. And unfortunately, in the community,oftentimes more severe cases of constipation

and fecal incontinence, people have a greatdeal of difficulty managing these patients because their management requiresa multidisciplinary approach. Probably only a few places like the Universityof Michigan can really offer the breadth of comprehensive services that are necessary to adequately manage thisdifficult group of patients. So, for example, in the MichiganBowel Control Program, we not only have specially trained expertgastroenterologists but also urogynecologists, colorectal surgeons, physical therapistsand nutritionists that work specifically

with our program to provide reallystate of the art evidence based care for this very difficult to manage group. Many patients travel from long distances tosee us in these very specialized programs and I think that some of the things thatwe have in place to help in the care of these patients are specific nurse conciergesthat help to hold a patient's hand and walk them through the patient care experienceat the University of Michigan. In addition, we've identifiedancillary providers. For example, nutritionists, physicaltherapists in various sites throughout the State

of Michigan and indeed, throughout the Midwestthat we can work with with a referring physician and also with those local ancillaryproviders to be able to continue care even when patients can't practically come backover and over to the University of Michigan.

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