Irritable Bowel Syndrome

General Discussion

Use this general forum to ask a question or discuss your symptoms and how you cope with Irritable Bowel Syndrome. This forum will help you find answers to commonly asked questions for new members. Post and discuss information that may be helpful to others who suffer from IBS.

IBS Diarrhea (IBS-D)

Use this forum to discuss issues related to IBS with diarrhea (IBS-D). Also Diarrhea Prescription Medications forum.

IBS Constipation (IBS-C) and Chronic Constipation

Use this forum to discuss issues related to IBS with constipation (IBS-C) and chronic idiopathic constipation. Also Constipation Prescription Medications forum.

IBS Alternating (IBS-A)

use this forum to discuss issues relating to IBS-Alternating Diarrhea and Constipating (IBS-A)

Leaky Gas (LG) / Incontinence / Odor

Use this forum to discuss any issues about Leaky Gas (LG), Incontinence or Odor. Some refer to the odor as fecal body odor (FBO) or simply rectal odor.

Even more symptoms

1. Abdominal Pain,
2. Gas / Flatulence / Bloating

Your Story

Tell your IBS Story perhaps about how you are living day-to-day with IBS, how you were diagnosed or perhaps how supportive, or unsupportive, your family and friends are. This is also the forum for posting long-term treatments for IBS symptoms. We welcome treatment suggestions which emphasize lifestyle or dietary regimens and/or medications. Please provide as much detail as possible.

Women's Health Issues

This forum is used for support and information for IBS-related women's health issues such as menstruation, hormones, pregnancy, etc..

Men's Health Issues

This forum is used for support and information for IBS related men's health issues.

Young Adult's Issues

This forum is used for support and information that are specific to college student's and young adult's IBS-related issues from ages 18-30 years old.

Teens and Children's Issues

1. Parent's discussion

This forum is used for support and information that are specific to teens aged 13-17 and children's (pediatric) IBS-related issues.

Living with IBS

1. Dealing with Relationships,
2. Traveling with a Health Condition,
3. Working and Careers,
4. Going to school

Diet

Many people with irritable bowel syndrome (IBS) find that eating prompts symptoms of abdominal pain, constipation, diarrhea (or, sometimes, alternating periods of constipation and diarrhea), and bloating. Making adjustments to your diet may provide relief.

Limit or eliminate foods that may make your symptoms worse, including caffeine, alcohol, fatty foods, gas-producing foods (such as beans, cabbage, and broccoli), foods high in fructose (such as soda pop, and citrus fruits) and the artificial sweeteners sorbitol and xylitol (often used in sugarless gum and sugarless candy).

EnteraGam™ is a prescription medical food product indicated for the clinical dietary management of intestinal disorders including loose or frequent stools. It is a powder that can be:

- easily dissolved in water or other liquids, including fruit-flavored drinks, sports drinks or energy drinks
- mixed in yogurt, pudding or other soft foods that do not have a strong acidic content.

The recommended initial dosing of EnteraGam™ is 1 packet daily or in divided doses, taken with or without food. The dose may be increased up to 4 packets daily.

The low FODMAP diet eliminates more complex sugars, and has demonstrated a greater relief of IBS symptoms and is now accepted and recommended as one of the most effective dietary therapies for IBS. The low FODMAP diet is best managed through an educated dietician.

Keep a Personal Symptom Journal of what you eat and whether you experience symptoms after eating and discuss this with your physician.

Use this forum to post and talk about food, food triggers, comfort food, nutrition, the low FODMAP diet or recipes.

Cognitive Behavioral Therapy and Hypnotherapy

There is research evidence that IBS symptoms respond favorably to other therapeutic approaches such as cognitive behavioral therapy (CBT) and hypnotherapy. As IBS is a chronic condition, with an ongoing fluctuating course, these treatments may help the individual to develop skills for managing the condition over the long haul. Many people with IBS also have a co-existing anxiety or depressive disorder, the symptoms of which also benefit from these types of treatments.

Prescription Medications

1. Diarrhea Prescription Medications,
2. Constipation Prescription Medications,
3. Fecal Microbiota Transplantation (FMT)

EnteraGam™ is a prescription medical food product that has been shown in clinical studies to improve GI absorption, immune function and mucosal barrier functioning in the intestine. It acts within the GI tract, going beyond symptom management by targeting multiple factors in IBS-D. In clinical trials, it significantly reduced the number of days with GI-related symptoms; has been used safely up to one year in length; and has no restrictions on length of therapy.

LOTRONEX® is a medicine only for some women with severe chronic IBS whose main problem is diarrhea and IBS symptoms have not been helped enough by other treatments. Some patients have developed serious bowel side effects while taking lotronex.

LINZESS® (linaclotide), CONSTELLA® in Canada and Europe, is a prescription medicine approved by the FDA to treat adults with IBS-C and Chronic Idiopathic Constipation in men and women 18 years of age and older. “Idiopathic” simply means the cause of the constipation is not known and not due to an underlying illness or medication.

AMITIZA® is a prescription medicine approved by the FDA to treat adults with IBS-C and Chronic Idiopathic Constipation in women 18 years of age and older.

ZELNORM® (tegaserod) is a prokinetic agent that works by targeting the serotonin 5-HT4 receptors in the intestines. it has been approved by the FDA to treat IBS-C .

MOTEGRITY (usa) / RESOTRAN (canada)/ RESOLOR (europe, etc) (Prucalopride) Prokinetic agent that works by targeting the serotonin (5-HT4) receptors in the intestines. Used for the treatment of chronic idiopathic constipation in people for whom laxative treatment has failed to provide relief by stimulating the muscle movement.

TRULANCE (plecanatide) is a new medication approved by the FDA for chronic idiopathic constipation and IBS-C in adults.


PIZENSY (lactitol) is a new medication approved by the FDA for chronic constipation in adults

Antidepressants, Antispasmodics, Antidiarrheals:

Although antidepressants were developed to treat depression, research studies have shown that they can also be effective in reducing pain. Antidepressants are, therefore, effective in treating symptoms of IBS and other functional GI disorders. Patients who have taken antidepressants for their IBS symptoms have reported significant improvement in their abdominal pain and reduction in other IBS symptoms, such as diarrhea, constipation, bloating, nausea or urgency. Antispasmodics and Antidiarrheals are helpful in reducing periodic painful episodes of spasms and diarrhea respectively. Patients who have been taking antidepressants should be aware of the possibility of developing Antidepressant Discontinuation Syndrome, or SSRI Discontinuation Syndrome, upon rapid stopping or tapering the use of antidepressants.

Antibiotics: Bacterial overgrowth specific

While the cause of irritable bowel syndrome is uncertain, there is some research evidence suggesting that it may be caused by an abnormal growth of bacteria in the small intestine, referred to as Small Intestinal Bacterial Overgrowth (SIBO). A specific regiment of antibiotics have been investigated to treat this condition.

Fecal Microbiota Transplantation (FMT)

Fecal Microbiota Transplantation (FMT) also known as a stool transplant or simply fecal transplant is the process of transplantation of fecal bacteria from a healthy individual into a recipient. This forum is for the discussion of FMT, its use and effectiveness, in the treatment of digestive disorders.

Over-the-Counter (OTC) Treatments

There is no single plan for treating irritable bowel syndrome. IBS is different for everyone. With your physician's help, you can find an individual approach that works best for your symptoms. The treatment is focused on controlling, rather than curing, the symptoms of IBS.

Over-the-counter products may be useful, but be sure to check with your doctor first before taking them.

Probiotics:

Probiotics are dietary supplements which contain beneficial or friendly bacteria or yeasts which may strengthen or exert health benefits to the body’s natural digestive system. Probiotics offer a way to restore the natural balance of your digestive system especially if you suffer from anyone of constipation, diarrhea, abdominal discomfort, urgency or gas and bloating. Numerous research studies have shown benefits for sufferers of Irritable Bowel Syndrome and Inflammatory Bowel Disease (Crohn’s and Ulcerative Colitis).

GI-related Diagnostic Tests

Discuss what to expect or how you feel about medical procedures such as colonoscopy, sigmoidoscopy, endoscopy, barium enema, GI series (barium swallow).

IBS Support Group Meetups

1. Special Events

Use this forum to post and talk about, or organize, your local IBS Meetup, Support Group or IBS Community. Post group announcements about upcoming meetings and about special events.

IBS News, Media, Research Results, Discussion or Abstracts

Post links to any IBS news, media, research results, discussion or abstracts to this forum. To avoid violation of copyright laws please do not post the entire article--just the link --unless you own the copyright. You may rate topics in this forum.