ibs in children - What To Do If You Have IBS And Constipation?
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What To Do If You Have IBS And Constipation?

One symptom of bowel dysfunction is constipation. Constipation is the irregular or the incomplete emptying of the bowel. In these days of diet and nutritional awareness, most people would probably increase their fibre intake to remedy a sluggish bowel. Most people are aware that wholemeal bread contains more fibre than white bread. This type of fibre is called insoluble fibre. Whilst reducing the effects of constipation, it is thought that insoluble fibre may irritate the intestinal lining. With this in mind, it may be worth balancing your consumption of bread with eating grains e.g. Porridge oats, which are classified as soluble fibre.

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What is IBS? IBS is irritable bowel syndrome. IBS symptoms typically include abdominal pain which is relieved by a bowel movement. There may be excessive gas and bloating. Changes in frequency and appearance of stools are also IBS symptoms. IBS symptoms may include constipation and/or diarrhea.

If you have had IBS for years, you would be familiar with its daily effects. As a primary health care provider, I am all too familiar with the disappointments and limitations that IBS brings to my patients lives.

If you have lived with IBS for a while, you may also be aware that there is no targeted medical treatment for IBS, only management approaches such as dietary changes and end-agents, such as laxatives and anti-diarrheal agents.

If your bowel symptoms persist, you must see your medical doctor. Do not self diagnose as your pain may be a sign something more dangerous.

What is IBS with diarrhea? This is when IBS symptoms include loose, watery stools, possible with mucus present and going more often than usual.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Dr. Maia Dodds is the author of ‘The Irritable Bowel Syndrome Improvement Program' See www.irritablebowelsyndromeip.com for details, further research and articles. Write directly at maia@irritablebowelsyndromeip.com - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .

If you are unhappy with your current IBS treatment approach, again, you are not alone, with less than one-third of IBS sufferers reporting satisfaction with the drugs and remedies they use to treat their ISB. 62% of those taking prescription drugs experienced side effects, and 45% of prescription drug takers reported moderate to severe side effects.

Nearly half (47%) of IBS sufferers reported daily symptoms, with 43% experiencing severe symptoms. If you suffer from IBS, the good news is that you are not alone, with between 10-22% of the population being affected. The bad news is that IBS can be a seriously unpleasant and persistent condition.

There are supplements that can be taken to restore bowel movement to a more regular cycle. Ispaghula or Psyllium Husks are bulking agents that surround the stool making them softer and more able to pass through the intestine. Ispaghula or Psyllium Husk are both available in powder form. Psyllium Husk is more likely to be available without any artificial sweeteners whereas in my experience I've only ever taken Ispaghula Husk with Aspartame. Psyllium Husk in particular, because it is not sweet, is not the nicest tasting substance.

A study titled ‘IBS in the Real World' - IBS Research Findings by IFFGD, August 2002, found that the effects of IBS can seriously effects sufferers quality of life and functionality.

What is IBS with constipation? Doctors make this diagnosis when IBS symptoms include constipation or when a person has fewer bowel movements than what they are accustomed to. The stool may be hard or difficult to pass.

Fully a third (34%) of IBS sufferers report loss of bowel control which has impacted significantly on daily life, causing frequent absences at work or school as well as missed leisure activities.

Another approach to preventing constipation is to drink more water. The figures say that we ought to drink about 8 glasses. This equates to a minimum of 2 litres, if you not doing any exercise. If you are on an exercise programme then you will need to increase your intake of water to more than 2 litres. Notice that this is an intake of water rather than fluids. So caffeine and alcohol intake has to be monitored as they are both diuretics i.e. they force water out of the body.

IBS symptoms include stomach cramping and pain, abdominal bloating and distention and either diarrhea, constipation, or any of these symptoms combined at different stages of the day or week.

One thing to point out is to avoid becoming dependent on laxatives. They may offer short term relief from constipation, but the theory is that in the longer term you're encouraging your bowel to become lazy. I was talking to my Medical Doctor this week about laxatives and she said that the over the counter medicines can be aggressive on the digestive whereas some of the prescription laxatives may be milder. As ever what affects one person in one way may not affect another in the same way.

What is IBS with constipation treated with? There are many treatment options for IBS symptoms when constipation is present. An increase in dietary fiber and water are usually the first recommendations. If IBS symptoms are not relieved, doctors may recommend laxatives, but only for short-term use. A botanical supplement containing aloe is often recommended, because it is gentler than stimulant laxatives and is not habit-forming. Diet and lifestyle changes are often recommended, as is stress management, if stress is a problem. Alternative therapies such as hypnosis and chiropractic have been effective for relieving IBS symptoms in some people. Anti-depressants are sometimes prescribed because they block pain and may relax stomach muscles. Zelnorm, a prescription medication for women who have IBS symptoms with constipation, is sometimes prescribed, but it can have serious side-effects.

My personal clinical experience has supported these findings. Chinese herbs can now be dispensed in capsules, or brought pre-made, and the benefits for IBS patients is often life-changing

Enough of the bad news - there must be some good news, right? Correct. There is some great, although little-publicised news for IBS sufferers. A clinical study, published in the Journal of the American Medical Association in 1998, reported long-lasting, side-effect free results, with a 64-76% improvement rate for the IBS patients in the treatment group.

If you eat food with a high water content e.g. fruit and vegetables then this will add to your daily water intake as will all foods to some degree. There seems to be a popular school of thought of not to drink water with your meal as it may hamper the digestion process. So you could either drink water before your meal or after your meal. Take care not to overdo the water consumption, spread it out over the day. Drinking too much water in a short space of time is not good for the body; remember you also need to replace salts as well during the day.

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What is IBS caused by? The cause of IBS is not known. It is not believed to lead to more serious conditions, does not appear to increase the risk for colon cancer, but the symptoms are similar to those of inflammatory bowel diseases and should be evaluated by a physician. Stress is not believed to be a cause, but it does tend to worsen IBS symptoms. IBS symptoms are more common in women than men, possibly indicating that monthly hormonal changes are a cause, but this has not been proven. For more information about IBS and other digestive problems, visit www.digestive-disorders-guide.com.

These patients were treated using Chinese medical herbs (available in capsules). Not only were the positive results dramatic, they were also long-lasting, with patients reporting significantly improved IBS symptoms 14 weeks after treatment.

About the author:
Dr. Maia Dodds fucusses on the treatment of IBS. She has
compiled international clinical research and personal experience
in her new book 'Irritable Bowel Syndrome Improvement Program'.

Patsy Hamilton has more than twenty years experience as a healthcare professional and currently writes informational articles for the Digestive Disorders Guide. Read more at http://www.digestive-disorders-guide.com.

Study confirms IBS improvement Dr. Maia Dodds Irritable bowel syndrome is a debilitating and distressing condition, which affects 10-20% of the population. IBS is characterized by abdominal pain and altered bowel function such as constipation, diarrhea or alternating diarrhea and constipation. Some people have occasional symptoms, which can be aggravated by stress or food intolerances. Others experience crippling symptoms, and struggle to maintain their quality of life in the absence of any targeted, effective pharmaceutical treatments. This disorder affects people of all ages and backgrounds, including children, although women are predominantly affected. Severe IBS can dramatically restrict mobility, through loss of control of bowel function and severe abdominal pain. These symptoms contribute to IBS being second only to the common cold as the most frequent cause of absenteeism from work and school. Despite the significant impact on individuals and the population at large, there is no clear established cause for IBS. Whilst medical investigations are important to eliminate the possibility of an over-lapping pathology such as parasites, candida, inflammatory bowel disease, cealiacs or Crohn's disease, there is no specific investigation which patients can test positive for in order to confirm a diagnosis of Irritable Bowel Syndrome. A diagnosis of IBS is more often a diagnosis of exclusion - if its not another gastrointestinal condition, and it fits the symptom picture of IBS, then it is IBS. The current accepted criteria for diagnosing IBS is the Rome criteria (adopted in medical texts and by the American Gastroenterological Association). Their definition of IBS consists of: At least 12 weeks, which need not be consecutive, in the preceding 12 months of abdominal discomfort or pain that has two of three features: -Relieved with defecation and/or -Onset associated with a change in frequency of stool and/or -Onset associated with a change in form (appearance) of stool. The following symptoms support the diagnosis of IBS: -Abnormal bowel movement frequency (more than three per day or less than three per week), -Abnormal stool form (lumpy/hard or loose/water), -Abnormal stool passage (straining, urgency, or feeling of incomplete evacuation), -Mucous passed with stools, -Abdominal bloating or distension. There are few effective treatments for IBS. Pharmaceutical medications include anti-diarrheal agents and laxatives, some of which can be harmful if used repeatedly. Significant improvements can be made through dietary changes which can therefore reducing some trigger factors for IBS. It is also important to practice some stress reduction techniques such as breathing techniques, and positive psychology, as there is a direct link between stress and an aggravation of IBS symptoms. The most promising, long-lasting and side-effect free results in the treatment of IBS were based on a large clinical trial conducted at an Australian university, and published in the Journal of the American Medical Association in 1998. These results demonstrated a 64-76% improvement rate on all measures of IBS such as abdominal pain, distention and bowel habits. These results were achieved in a double-blind, placebo controlled clinical trial conducted by gastroenterologists and doctors. The remarkable positive results were achieved in the treatment group that received Chinese herbal treatments. This same formula can be purchased as pre-made capsules from select retailers, and it offers great hope for those struggling with IBS.

What is IBS with diarrhea treated with? Treatment options for IBS symptoms when diarrhea is present are as numerous as those for constipation. Doctors may suggest over the counter anti-diarrhea products like Kaopectate. Medications to reduce muscle spasms may be prescribed. Herbal remedies are available. Hypnosis was shown to be effective in one study. Stress management, anti-depressants, dietary and lifestyle changes may all be effective for relieving IBS symptoms with diarrhea.

IBS Seriously Impacts Daily Life Dr. Maia Dodds Irritable Bowel Syndrome is a crippling condition for 43% of IBS sufferers who report severe symptoms.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Dr. Maia Dodds is the author of ‘The Irritable Bowel Syndrome Improvement Program' See www.irritablebowelsyndromeip.com for details, further research and articles. Write directly at maia@irritablebowelsyndromeip.com - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

About the author:
Dr. Maia Dodds has compiled international clinical research and
professional experience in her new book 'Irritable Bowel
Syndrome Improvement Program', demonstrating 76% IBS improvement
rates, with side-effect free and long-lasting results.


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