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Irritable Bowel Syndrome - IBS

Irritable bowel syndrome also called IBS is one of the most common disorders of the digestive tract. Symptoms of IBS often increase with stress or after eating and include


The exact causes of irritable bowel syndrome symptoms are unknown, but patients can often determine what triggers the symptoms by keeping a foods and symptoms journal; noting what foods or beverages were consumed before the symptoms of irritable bowel syndrome began. Products containing caffeine, alcohol and carbonated beverages may trigger symptoms of irritable bowel syndrome, though these products do not cause the condition. Food sensitivities often trigger symptoms of irritable bowel syndrome. Some people are sensitive to wheat products; others are sensitive to milk products. And still others find that fructose, a simple sugar found in fruit and fruit juices triggers symptoms of irritable bowel syndrome. This is why a food and symptoms diary is helpful. By avoiding certain foods, some people are able to keep the symptoms of irritable bowel syndrome under control.


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 The IBS Audio Program, developed by the UK hypnotherapist Michael Mahoney, is the most widely used program for IBS sufferers, and is available on audio CD and cassette. The program is designed to be used over 100 days, and includes four CDs and a program booklet. The makers claim that around 80% of listeners experience a significant reduction of pain and bowel dysfunction.

Symptoms of irritable bowel syndrome with constipation also include abdominal pain, discomfort and/or bloating, but the stools are hard or difficult to pass and movements are less frequent than what is normal for the individual. In a few cases, people with irritable bowel syndrome symptoms experience constipation at times and diarrhea at other times. Abdominal pain can be a symptom of a number of other medical conditions and should be evaluated by a physician. If a bowel movement relieves the pain, then the physician may determine that the abdominal pain is associated with symptoms of irritable bowel syndrome.

About the author:
Paul Gustafson RN, BSN, CH runs HealthyHypnosis.com of
Burlington, Massachusetts. His 11 years of acute cardiac and
hospice experience offer a solid foundation supporting his
clinical approach to hypnotherapy. Visit HealthyHypnosis.com or
call toll free at 888-290-3972.

The program consists of three therapeutic session CDs, with an introduction and five different hypnotherapy sessions. It also includes a bonus fourth CD (the IBS Companion), which explains IBS to non-sufferers.

Some hypnotherapists will record each session for you so that you can listen to them again between your appointments, and therefore increase the effectiveness of the therapy.

Your doctor may prescribe medications for you to take in addition to doing home treatment. There are no tests that can diagnose IBS but your doctor may recommend testing to rule out other possible causes of your symptoms. The amount of testing your doctor will do depends on your age, the pattern, and severity of your symptoms, and your response to initial treatment.

If you have been diagnosed with IBS and your symptoms get worse and begin to disrupt your usual activities or does not respond to home treatments If you are becoming increasingly fatigued If you are symptoms frequently wake you up at night If your pain gets worse with movement or coughing If you have abdominal pain and fever If you have abdominal pain that does not get better when you pass a stool If you are loosing weight and you don't know why If your appetite has decreased If there is blood in your stool

There are now many hundreds of hypnotherapists who offer what is called 'gut-directed hypnotherapy' for IBS, which takes the general techniques of hypnotherapy and applies them directly to the abdominal pain and digestive symptoms which IBS sufferers struggle with. This type of hypnotherapy has been clinically tested and found to be very helpful to many IBS patients.

Symptoms of irritable bowel syndrome are more likely to show up in people between the ages of 13 and 40, than in those over 50. Women are more likely to have symptoms of irritable bowel syndrome than are men. This may indicate that irritable bowel syndrome symptoms are related to monthly changes in hormonal levels, but this is not certain. It seems that many people who suffer from symptoms of irritable bowel syndrome also are suffering from stress or other emotional difficulties and because of this stress management or behavior therapies are sometimes recommended. In addition, a recent study showed that hypnotic therapy was effective in controlling irritable bowel syndrome symptoms.

While the patients is in this state the therapist will talk to you and make positive suggestions ' one typical method for IBS is to ask you to place your hand over your abdomen and imagine that a healing warmth is flowing from your hand to your stomach.

IBS can persist for many years. An episode may be more then severe than the one before it, but the disorder itself does not worsen over time or lead to any serious diseases such as cancer. Symptoms tend to get better over time.

If you have not yet been diagnosed with IBS, try to rule out other causes of stomach problems such as eating a new food, nervousness, or stomach flu. Try home treatment for 1 to 2 weeks. If there is no improvement of if your symptoms worsen, make an appointment with your doctor.

Hypnotherapy is one of the best known and most widely used treatments for IBS, and can offer sufferers a drug-free solution to their symptoms of diarrhea, constipation, stomach pain and bloating.

Home Treatment: If constipation is your main symptom Eat more fruits, vegetables, legumes, and whole grains. Add fibre rich food to your diet, but do this slowly so that you do not develop severe cramps Add unprocessed wheat bran to your diet. Start with 15g per day then gradually increase to 60g Try a product that contains a bulk forming agent such as Citrucel, FiberCon, or Metamucil. Start with 15g a day and drink extra water to prevent bloating Use laxatives only if your doctor recomends them. Get active. Increase your physical activity. If diarrhea is your main symptom Try the dietary suggestions for relieving constipation. Fibre rich foods and wheat bran can help reduce diarrhea Avoid foods that make diarrhea worse. Try eliminating one food at a time then add it back into your diet and see if symptoms develop. Many people find the following foods or ingredients make it worse: alcohol caffeine nicotine beans broccoli cabbage apples spicy foods foods high in acid such as citrus fruits fatty foods like bacon, sausage, butter, or oil, dairy products sorbital olestra starchy foods such as bread, rice or potatoes MSG If diarrhea persists a non prescription medication such as lopeamide found in Imodium may help. Check with your doctor if you are using lopeamide more than twice a month. To reduce stress keep a log of the events in your life that seem to trigger your symptoms then try to correct the underlying issues get regular and vigorous exercise When To Call Your Doctor:

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One of the first studies of hypnotherapy for IBS was conducted by Dr Peter Whorwell, a leading expert on IBS and hypnotherapy in the UK. A trial he conducted in the 1980s found that a group of IBS sufferers who had failed to respond to other treatments showed dramatic improvements when treated with gut-directed hypnotherapy. Since then, other therapists have shown similar results.

Irritable Bowel Syndrome (IBS) is a chronic gastro-intestinal (GI) condition with no known cause or cure. It causes the GI tract to move too quickly (hypermotility) or too slowly (hypomotility) and the resulting symptoms include any one or a combination of the following: diarrhea, constipation, cramping, gas, pain or bloating. Symptoms usually run in cycles lasting for days, months or years. IBS can be disabling making sufferers feel like prisoners in their own home. IBS affects 35 million Americans, 4 of 5 are women, and it is more prevalent than asthma, diabetes, acid reflux and depression combined. There are likely millions who never pursue treatment due to embarrassment. 10% of all primary care physician visits are IBS related. It is the 2nd leading cause for employee absenteeism and costs the US 8 billion dollars/year. Diagnosing IBS is a process of exclusion which means a physician needs to rule out conditions such as lactose intolerance, Chron's disease, bacterial infections, parasites, dumping syndrome, ulcerative colitis, inflammatory bowel disease, celiac and gallbladder disease before a diagnosis of IBS can be determined. The onset of symptoms ranges between the ages of 20-29 in adults and 9-11 in children. Onset of symptoms can sometimes be traced back to a traumatic event, illness, injury or accident. Some clients just begin having symptoms early in life for no apparent reason at all. IBS is also known to be familial. Many IBS sufferers go through life with no idea of what normal gastro-intestinal function is like. IBS symptoms can be aggravated by stress, chocolate, caffeine, alcohol, foods high in animal or vegetable fat, beverages containing dyes, artificial sweeteners, food or medication sensitivities or hormone fluctuation but none are the cause. Some research indicates that IBS sufferers may have an abundance of specialized cells in the intestinal tract making them more reactive and sensitive. Irregular GI motility is responsible for the discomfort and inconsistent bowel movements. If the GI tract moves too quickly the body doesn't get enough time to absorb what it needs resulting in diarrhea. If it moves too slowly the body absorbs too much resulting in constipation. This erratic pattern can dramatically affects how nutrients are absorbed and how effective the colon absorbs waste out of the blood stream. (1) Traditional medical intervention includes high fiber diets, antispasmodics to relieve cramping and spasms; antidepressants to relieve the emotional burden and antidiarrhea medication. Research indicates that this approach offers symptom relief to only 25%. Because IBS is not life threatening, is not a precursor to acute illness and is undetectable with diagnostic equipment, sufferers are usually told they have to live with it. Hypnosis is the process of accessing subconscious thought which is the control center. The reason hypnosis is so effective for weight loss and smoking cessation is because the subconscious is where all of our habits, patterns, values and beliefs reside. Clients can be empowered to reframe their view of nutrition, exercise and to release unhealthy patterns in favor more positive ones. The subconscious mind also regulates our body's inner network of complicated mechanisms. It regulates our heart and respiratory rate, co-ordinates every step we take and controls the thousands of metabolic functions everyday of our lives. With unique access to this immensely powerful place hypnosis can positively redirect specific areas of GI function. Hypnosis as a treatment for IBS has been researched for 20 years and although it does not offer a cure it stands alone as the most significant long term symptom relief solution. The success rate of hypnosis relieving IBS symptoms including abdominal pain, bloating, diarrhea and/or constipation is consistently high ranging from 70-95%. Symptom relief usually lasts at least two years. Clients who do not respond as well to hypnosis treatment for IBS relief are those over 50 years of age, who are less open to process of hypnosis, those with psychiatric disorders, and one study indicates males with diarrhea as their major symptom. (2) For decades hypnosis has been one of the most misunderstood and overlooked holistic sciences but that is changing quickly. The best way to gain acceptance by the mainstream medical community is with the empirical evidence from scientific research. For 20 years researchers like Olafur S. Palsson, Peter Whorwell, William Gonsalkorale and L.A. Houghton have been studying the benefits of hypnosis for symptoms of IBS. The following are brief descriptions of some of their findings. One study compared 25 severe IBS clients treated with hypnosis to 25 patients with similar symptom severity treated with other methods. The hypnosis group showed that in addition to significant IBS symptom improvement they had fewer MD visits, lost less work time and rated an improved quality of life. Hypnosis clients unable to work before treatment went back to work afterwards. The study shows the economic benefits and improved health-related quality of life. (3) Another study which is the largest to date followed 250 IBS clients who were treated with 12 hypnosis sessions over a 3-month period and they also listened to recorded sessions at home. The conclusions showed dramatic improvement in all IBS symptoms. The average reduction in symptoms was more than 50% as well as increased quality of life and relief from anxiety and depression. (4) Lastly, the longest study to date treated and followed 204 IBS clients for up to 6 years. 71% showed immediate improvement, and 81% of this group was still improved years later. Quality of life scores were also still significantly improved at follow-up. Patients had less MD visits and required less medication long-term after hypnotherapy. Results indicate that most hypnosis clients benefit for at least five years. (5) (1) Melissa J. Roth C.Ht., Ph.D.; Hypnosis and Irritable Bowel Syndrome (2) Olafur S. Palsson, Psy.D. Hypnosis Treatment of IBS, Participate, fall 2002 (3) Houghton LA; Heyman DJ; Whorwell PJ.Aliment Pharmacol Ther, 1996 Feb. (4) Gonsalkorale WM, Houghton LA, Whorwell PJ. Am J Gastroenterol 2002 (5) Gonsalkorale WM, Miller V, Afzal A, Whorwell PJ. Gut. 2003 Nov.

 
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Abdominal bloating, pain, and gas Mucus in the stool Feeling as if a bowel movement hasn't been completed Irregular bowel habits with constipation, diarrhea, or both The cause of IBS is unknown. Symptoms are thought to be related to abnormal muscle contractions in the intestines. However, when tests are done, they find no changes, such as inflammation or tumors, in the physical structure of the intestine.

There are two basic types of irritable bowel syndrome. Symptoms of irritable bowel syndrome with diarrhea include abdominal pain or discomfort, bloating and frequent, loose or watery stools. To define frequent, you must look at what is normal for the individual. The number of bowel movements that a person has varies greatly. Some people have three movements per day, while others may have only three per week. A change in the frequency of bowel movements that is accompanied by abdominal pain often leads physicians to diagnose irritable bowel syndrome.

Self-hypnosis If you don't have the time or the resources to visit a qualified hypnotherapist, you might find some relief in one of the self-hypnosis CDs available, which can be listened to in the comfort of your own home.

Prevention: There is no way to prevent IBS. However symptoms often worsen or improve because of changes in your diet, your stress level, your medications, the amount of exercise you get, and for other reasons. Identify the things that trigger your symptoms. This can help you avoid or minimize attacks.

While you will not get an individual treatment program from a ready-made CD, you will be able to benefit from the general hypnosis approach, and you can choose to listen to the CDs whenever you have the time.

What hypnotherapy involves Hypnotherapy in a medical setting bears no relation to the kind of stage hypnosis where volunteers are made to do ridiculous things in the name of entertainment. In fact, patients remain entirely in control of their own actions, and are simply coaxed into a kind of deep relaxation state.

For more information about irritable bowel syndrome and other digestive problems, visit www.digestive-disorders-guide.com.

The causes and triggers of irritable bowel syndrome symptoms vary greatly among individuals. Treatment plans vary as well. Some prescription medications and herbal remedies may be helpful over the short term, but dietary and lifestyle changes are typically necessary to keep the symptoms of irritable bowel syndrome under control for extended periods of time.

About the author:
Sophie Lee has suffered from IBS for more than 15 years. She
runs the website Irritable Bowel Syndrome Treatment
http://www.irritable-bowel-syndrome.ws where you can read
reviews of all the treatments available for IBS.

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.


 
 
     
 
 





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