How can I treat 'irritable bowel syndrome' in which abdominal pain and diarrhea continue even though there is no abnormality even after the examination?
Irritable bowel syndrome (IBS) , which causes chronic bowel anomalies such as diarrhea, constipation, abdominal pain, even though examination does not find organic diseases such as inflammation and ulcer, is a disease that many people suffer. Since it is not a fatal disease, treatment in a form without side effects is recommended as much as possible, and academic media The Conversation is summarizing treatment methods that do not rely on medicines that have been found from previous studies.
Explainer: what is irritable bowel syndrome and what can I do about it?
IBS is said to have one in every 10 people , chronic abdominal pain, diarrhea, stomach fullness etc. greatly lower the quality of life of patients. In recent years, people who use the term irritable bowel syndrome have increased, but there are strict criteria for actual diagnosis, which is different from mere abdominal pain. According to the Rome III standards created in 2006, in addition to the "I have repeated stomach pain and discomfort over 3 days in the month in the last 3 months", IBS needs to meet two requirements There is that.
· Symptoms disappear by defecation · Frequency of defecation changes with symptoms · Stool shape changes with symptoms
Such standards are not necessarily required for diagnosis, but IBS is considered to be important for correct diagnosis because symptoms overlap with other diseases such as pelvic pain and endometriosis. In addition, if there are other symptoms such as bloody stools and body weight loss, the possibility of another disease will be sought by blood test, ultrasonic diagnosis, stool examination, endoscopic examination etc.
◆ What is the cause of IBS?
The single cause of IBS is not known as of 2018. There may be multiple IBS patients in the family, but it is unknown whether this is due to genetic factors or environmental factors. Infection with viruses and bacteria is said to increase the risk of IBS, but it is usually temporary and the symptoms become gentle over time.
In addition, it has also been shown in previous research that those who experienced trauma (trauma) at child's age are more likely to develop IBS in subsequent life. It is thought that this is because the brain and abdomen communicate through methods such as neural signals and stress hormones.
It has been known for a long time that emotions change the state of the stomach and intestines , but in recent years it has also become known that the intestines influence human mood . In Australia's study published in 2016 it is reported that psychological symptoms appear after IBS symptoms appear but it is important to note that not all IBS patients are similar.
How can I deal with IBS?
by José Ignacio Pompé
Drugs are sometimes used for IBS treatment, but first you should think about treatment without medication. In 2014 it is indicated that a meal called "low FODMAP meal" alleviates the symptoms of IBS.
FODMAP is a carbohydrate that discharges a lot of gas during digestion, and it is contained in fruits such as onions, garlic, vegetables, apples, none, and mango in addition to root vegetables such as onion and garlic.
However, the idea that a low FODMAP meal must be done at all times is a mistake. Onion contains a lot of FODMAP, but on the other hand it has a good effect on bacteria in the intestines. Loss of enteric bacterial diversity by severely restricting FODMAP may possibly lead to autoimmune diseases and obesity. For this reason, it is recommended that nutritionists manage diet meals for the first few weeks.
On the other hand, generally insoluble dietary fibers such as bran are not useful for treating IBS. When ingesting dietary fiber it is recommended to ingest water-soluble dietary fiber that is easily soluble in water . It is said that water soluble dietary fiber is contained in kelp, taro, wakame, barley etc.
by Flo Dahm
Besides this, it is said that ingestion of probiotics with a fixed monthly period and exercise are also relieving symptoms of IBS.
Also for many people, reducing stress and anxiety lightens the symptoms of IBS. In 2014 (PDF file) experiments , the usefulness of psychotherapy for IBS was reported. Hypnotherapy also has the same effect as low FODMAP meal and it can not be said to be an effective method for all, but there seems to be a case where symptoms are lightened by receiving multiple sessions.
◆ Is it effective for medication treatment?
Although IBS degrades the quality of life, it is considered not to reduce side-effects as much as possible because it does not shorten human's life or increase the risk of cancer. According to previous studies, peppermint oil of tablets is recognized to exert its effect with minimal side effects. Medicines should be chosen according to the symptoms of the patient, and people with depression and anxiety with IBS symptoms will have low dose of antidepressant effect. As a more general one, drugs that suppress inflammation are considered useful.
in Note, Posted by logq_fa