Irritable Bowel Syndrome Is The Same Disease As Functional Constipation

The FODMAP Grand Tour Down Under IBS relief

Medically diagnosed Irritable BowelSyndrome, known as IBS is difficult to treat and overcome. In part, because westill don't understand its precise cause. However, researchers at Monash University have been studying the dietary factors in food that can trigger IBS symptoms.This research has shown that the pain discomfort and daily disruption causedby IBS is triggered by certain types of carbohydrates in food called FODMAPs.Here we can see some examples of high FODMAP foods. To understand how some foods contribute to IBS symptoms, we need to look inside the intestines where foodis broken down and absorbed. Zooming into

the molecular surface of the intestinalcells we see they are covered in molecular machines that accelerate thebreakdown of carbohydrates. Most carbohydrates, once broken down, can be absorbed through pumps on the surface of your cells. However, some carbohydrates are not digested or absorbed by people. The rapidly fermentable shortchaincarbohydrates that can't be absorbed are called FODMAPs. The presence of FODMAPs causes water to be dragged into the small intestine. Also, because they aren'tabsorbed, FODMAPs travel through your gut to the large intestine. Whenbacteria in your large intestine get

access to FODMAPs, they use themfor energy to survive. The bacteria rapidly ferment FODMAPs and producegas as a result. Excess gas production and water retention causes the intestines toexpand. When the intestinal wall stretches fromdistension, the highly connected nerves around the intestines send signals tothe brain. People with IBS have very sensitiveintestines, so these signals contribute to the pain they experience. To reduceFODMAP intake and to alleviate the distension, bloating and other symptomsof IBS, Monash University have developed

the low FODMAP diet. People with medically diagnosed IBS should consult a dietitian about trialling the diet. The MonashUniversity Low FODMAP Diet app has been developed as a tool to help people withIBS manage their diet and alleviate symptoms. Contact Monash University orvisit the website to find out more about the low FODMAP diet.

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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