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After 16 years of taking ulcer pills I am told it MAY be IBS. Is their no test for this problem? Can ulcers cause IBS? Bloating, Gas, Moving stomach pain, Changed bowl movements, are these the systems for IBS? Please tell me their is a cure for this.
 

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One of the main symptoms of IBS is abdominal pain. Since the colon goes around the outer edge and top of the abdomen (just under the stomach) it can be hard to know if the pain is from the stomach or the colon.There are no specific tests that prove you have IBS, but they may want to run tests to rule other things out.One fairly concise definition of IBS is pain or discomfort associated with a change in bowel habit, or relieved by defecation.Feeling bloated, having problems with gas (even when the volume is normal sometimes the way it is moved around or responded to is not) pain in the abdomen and altered bowel movements are fairly standard fair for IBS patients.Ulcers do not seem to cause IBS, but it is fairly common for people to have both. Sometimes people find their IBS gets better when they have a Heliobacter pylori infection in the stomach cleared (which is a major cause of ulcers). This may be simply because the different parts of the GI tract are connected by nerves and send signals to each other. If one part is mucked up it may be sending signals that cause other things to respond in ways other than normal digestion.Most people find things that manage their IBS.There is no cure.There is a low remission rate so some people just get better for no explainable reason.Typically the management focuses on diet, medications, and mind/body work.Diet is mostly finding a level of fiber that is optimal for your GI tract and how it responds and avoiding foods that trigger you.Medications tend to be in a few categories.Anti-diarrheals (Imodium et al.)Stool softeners/osmotic laxatives (stimulatory laxatives are not good for long term use and can make things worse)Dietary supplements: Herbs (peppermint is the most widely used and is an antispasmodic) and Calcium and Magnesium which tend to constipate or loosen stools respectively. These minerals have US RDA maximums and the total intake from food and supplements should not exceed 2000 mgs of Ca. and 1000 mgs of MG (the minimum is in the 1000-1300 range for Ca depending on various factors and 400 mgs for Mg so these are things you need every day).Antispasmodic drugsAntidepressants. The GI tract is controlled by a vast neural net. The drugs do not care if the nerve is in your head or in your gut. Typically these meds work for IBS either at or below the lowest dose needed to elevate mood.Various drugs are in development that target the nerves of the gut more specifically, but none are available at this time.Mind/Body techiniques include relaxation and other stress-reduction techniques. Hypnotherapy, Biofeedback and Cognitive Behavioral Therapy. Again these seem to work on the nerves of the gut but by training the brain to interact with them rather than using drugs.K.
 

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One of the main symptoms of IBS is abdominal pain. Since the colon goes around the outer edge and top of the abdomen (just under the stomach) it can be hard to know if the pain is from the stomach or the colon.There are no specific tests that prove you have IBS, but they may want to run tests to rule other things out.One fairly concise definition of IBS is pain or discomfort associated with a change in bowel habit, or relieved by defecation.Feeling bloated, having problems with gas (even when the volume is normal sometimes the way it is moved around or responded to is not) pain in the abdomen and altered bowel movements are fairly standard fair for IBS patients.Ulcers do not seem to cause IBS, but it is fairly common for people to have both. Sometimes people find their IBS gets better when they have a Heliobacter pylori infection in the stomach cleared (which is a major cause of ulcers). This may be simply because the different parts of the GI tract are connected by nerves and send signals to each other. If one part is mucked up it may be sending signals that cause other things to respond in ways other than normal digestion.Most people find things that manage their IBS.There is no cure.There is a low remission rate so some people just get better for no explainable reason.Typically the management focuses on diet, medications, and mind/body work.Diet is mostly finding a level of fiber that is optimal for your GI tract and how it responds and avoiding foods that trigger you.Medications tend to be in a few categories.Anti-diarrheals (Imodium et al.)Stool softeners/osmotic laxatives (stimulatory laxatives are not good for long term use and can make things worse)Dietary supplements: Herbs (peppermint is the most widely used and is an antispasmodic) and Calcium and Magnesium which tend to constipate or loosen stools respectively. These minerals have US RDA maximums and the total intake from food and supplements should not exceed 2000 mgs of Ca. and 1000 mgs of MG (the minimum is in the 1000-1300 range for Ca depending on various factors and 400 mgs for Mg so these are things you need every day).Antispasmodic drugsAntidepressants. The GI tract is controlled by a vast neural net. The drugs do not care if the nerve is in your head or in your gut. Typically these meds work for IBS either at or below the lowest dose needed to elevate mood.Various drugs are in development that target the nerves of the gut more specifically, but none are available at this time.Mind/Body techiniques include relaxation and other stress-reduction techniques. Hypnotherapy, Biofeedback and Cognitive Behavioral Therapy. Again these seem to work on the nerves of the gut but by training the brain to interact with them rather than using drugs.K.
 

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bumpHi Rick,Welcome aboard. The best advice I can give you is to read, read, read, on this BB. There is a wealth of information here, and everyone is really very helpful. They like to argue with each other, and sometimes these arguments get heated (ahem!!) but you need to take this with a grain of salt (or some milk of magnesia, take your pick).SusanKay
 

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bumpHi Rick,Welcome aboard. The best advice I can give you is to read, read, read, on this BB. There is a wealth of information here, and everyone is really very helpful. They like to argue with each other, and sometimes these arguments get heated (ahem!!) but you need to take this with a grain of salt (or some milk of magnesia, take your pick).SusanKay
 

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Rick....Contrary to widely held historical beliefs it has been confirmed recently by various in vivo ("in body") experiements and examinatons of the small bowel that people with IBS symptoms (in particular of the diarrheaic and cyclic diarrhea and constipation type, all the pain and systemic symptoms not withstanding as part of the symptom sets) have observable abnormal reactions of the immune system within the small bowel and in the bloodtsream. These reactions release chemical mediators in the bowel wall and the the lumen and the bloodstream which precipitate the various symptoms we experience.This is a different and unique type of reactivity to foods or additives than "traditional" food allergy, though this may also coexist.Why the immunocytes are reacting to food as if it is a bacteria or parasite is unclear. There are several possible explanations and the answer likle ylies in a combination of reasons based upon the persons precursor events they experienced. However, what is known and is important therapeutically is that we can pick-out the clinical picture of someone who has a high probability of being a victim of these aberrant immune responses in the small bowel and bloodstream, isolate the foods and additives which are provoking the persons immune response, and then show them how to remove them from the diet. This reduces significantly, and in some cases totally eliminates, their symptoms. there is also quite a bit of promise to efficacy of certain types of immunomodulation therapies, that dayes all the way back to the early 1980's but is only recently being validated as to the correctness of this prior thinking from a symptomatic viewpointThis is not a cure but a prophylactic means of managing the condition by avoiding provocation. If you, for example, have a headache every day and discover that every time you walk into a certain room you get hit on the head, well, don't go in that room and your headaches will likely diminish.Or if you prefer you can keep getting hit on the head but you can take a lot of headache medicine to try to suppress the consequences, or you can learn to alter how you perceive the headache, or take medications which alter that perception. But that does not remove the insult. But the simplest way is to just not to go there.So in that context, if your symptoms fit the picture (and this can be assessed via a questionoairre) then you could be a victim of this problem in which case there are certain tests which can be of help with identifying the non-allergenic reactions to dietary components and checking for any possible comorbid food allergies. If this is your problem all the fiber therapy in the world is not going to get to the root of the problem, and in fact if it is the worong fiber source it can make it worse.If you want, here is a book you can read which explains everything that was known until about 2 years ago. After that, there are some new finidings which are not in the book but have been presented or published which are confirmatory of this new kind of abnormal food allergy-like-but-not-classic allergy type reactivity to dietary components."FOOD ALLERGIES AND FOOD INTOLERANCE: THE COMPLETE GUIDE TO THEIR IDENTIFICTION AND TREATMENT", Professor Jonathan Brostoff (M.D.. Allergy, Immunology and Environmental Medicine, Kings' College, London) http://www.amazon.com/exec/obidos/ASIN/089...6487508-3420903 Eat well. Think well. be well.MNL
 

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Rick....Contrary to widely held historical beliefs it has been confirmed recently by various in vivo ("in body") experiements and examinatons of the small bowel that people with IBS symptoms (in particular of the diarrheaic and cyclic diarrhea and constipation type, all the pain and systemic symptoms not withstanding as part of the symptom sets) have observable abnormal reactions of the immune system within the small bowel and in the bloodtsream. These reactions release chemical mediators in the bowel wall and the the lumen and the bloodstream which precipitate the various symptoms we experience.This is a different and unique type of reactivity to foods or additives than "traditional" food allergy, though this may also coexist.Why the immunocytes are reacting to food as if it is a bacteria or parasite is unclear. There are several possible explanations and the answer likle ylies in a combination of reasons based upon the persons precursor events they experienced. However, what is known and is important therapeutically is that we can pick-out the clinical picture of someone who has a high probability of being a victim of these aberrant immune responses in the small bowel and bloodstream, isolate the foods and additives which are provoking the persons immune response, and then show them how to remove them from the diet. This reduces significantly, and in some cases totally eliminates, their symptoms. there is also quite a bit of promise to efficacy of certain types of immunomodulation therapies, that dayes all the way back to the early 1980's but is only recently being validated as to the correctness of this prior thinking from a symptomatic viewpointThis is not a cure but a prophylactic means of managing the condition by avoiding provocation. If you, for example, have a headache every day and discover that every time you walk into a certain room you get hit on the head, well, don't go in that room and your headaches will likely diminish.Or if you prefer you can keep getting hit on the head but you can take a lot of headache medicine to try to suppress the consequences, or you can learn to alter how you perceive the headache, or take medications which alter that perception. But that does not remove the insult. But the simplest way is to just not to go there.So in that context, if your symptoms fit the picture (and this can be assessed via a questionoairre) then you could be a victim of this problem in which case there are certain tests which can be of help with identifying the non-allergenic reactions to dietary components and checking for any possible comorbid food allergies. If this is your problem all the fiber therapy in the world is not going to get to the root of the problem, and in fact if it is the worong fiber source it can make it worse.If you want, here is a book you can read which explains everything that was known until about 2 years ago. After that, there are some new finidings which are not in the book but have been presented or published which are confirmatory of this new kind of abnormal food allergy-like-but-not-classic allergy type reactivity to dietary components."FOOD ALLERGIES AND FOOD INTOLERANCE: THE COMPLETE GUIDE TO THEIR IDENTIFICTION AND TREATMENT", Professor Jonathan Brostoff (M.D.. Allergy, Immunology and Environmental Medicine, Kings' College, London) http://www.amazon.com/exec/obidos/ASIN/089...6487508-3420903 Eat well. Think well. be well.MNL
 
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