Irritable Bowel Syndrome and Digestive Health Support Forum banner
1 - 6 of 6 Posts

·
Registered
Joined
·
12 Posts
I have had IBS for what seems like, and probably has been, decades. Over the past two years it has progressively become severe. All I have to do some mornings is rollover in bed; within 30 minutes of waking up my digestive process by eating breakfast; not sure I can make through an event, etc. So, I saw my Internist week for before. She did a few lab tests to rule out other possible problems. These tests: 2. Stool examinations Nothing was found via these tests. She also prescribed generic Hyoscyamine (brand Levsin) and said, "If this works for you, then yes, you have IBS." I filled the RX and found relief with the very first pill.When I saw her a few days later I asked her if I needed any further diagnostic testing and she said,"No, if the medication is working then we already know what the problem is, so seeing a specialist isn't needed."I am not sure I should be comfortable with her final assessment. I don't want to offend a good doctor, but I feel I should see a gastrointerologist for a formal diagnosis, etc.Am I over reacting or is she right?
 

·
Registered
Joined
·
34,955 Posts
When symptoms are typical and stool and blood tests are normal when they do a clinical study of those people and put them through the wringer of a whole bunch of expensive and invasive tests they find 95% are completely normal on all the other tests and all they really do is make the IBS worse from the stress of the testing. Of the 5% that have something show up at least some of those are people who have "normal abnormalities" so things they also find in a small percentage of healthy people, like a redundant colon or other anatomical quirks.Most of the time the "not IBS" will show up in the blood work or stool tests and then the more invasive tests determine which of the other issues you have.Some people will believe they have IBS after some number of invasive or expensive tests, some people will never believe it and I can't know which type you are. Your symptoms do sound really typical of IBS, and antispasmodics do not do much to cure inflammatory bowel disease or anything else you may fear you have instead of a a typical case of IBS. If you have to hear it from a GI doctor then push for a specialist or will believe it after a test it ma be worth going. However internists can typically diagnose the most common diseases of any organ system, and there is no guarantee you'll find a GI doc that feels they need to run all the tests anyway even if they are pretty sure they will find nothing. Although GI doctors (and other specialists) often do more tests although how much is needed and how much is they have more equipment to pay off, I dunno. That is always the issue with health care, how much testing is really enough and how much is either because they need to pay off something or fear lawsuits if they don't and isn't about making the best diagnosis.Some people think everyone needs every test with IBS, but usually when it is clear cut and especially when it responds to a medication that isn't going to help anything else you may not need to take the risk of a colonoscopy (while rare there can be serious complications).
 

·
Registered
Joined
·
12 Posts
Discussion Starter · #3 ·
Kathleen, thank you for your thorough reply. It is not that I don't believe my Internist. I am the one that came to her after my personal research into IBS, asking if this is what my problem has been for so MANY years. Sadly, I had not said anything to her over the past months about my problem. I just needed some kind of outside opinion (this forum) about testing beyond just taking a pill. Beginning in May I was confined to my home...I live alone...after a reconstructive surgery...17 weeks on a walker...and during that time I had two rather bad "accidents," and a couple of minor accidents, because I could not make it to the bathroom in time. I just couldn't go another day of running, of sitting in an elementary after school car lines...a grandmothers job...three blocks long wondering if this attack was going to subside and if not, will I make it into the house safely, and trying not to panic the entire time. If tuning over in bed in the morning would cause a spasm and would I be able to make it to the bathroom in time. Of questioning whether to eat before an event or wait until later.I was amazed at how I felt the day after beginning the medication she prescribed. I wanted to yell, where have you been all my life. When I saw her days later and told her how amazed I was her statement was, "You have made my day!" She is a thorough doctor and I probably shouldn't have been so questioning of her opinion and diagnosis. I am still a relatively new patient and I am still trying to become comfortable with her manner.I belong to a small Parkinson's disease advocacy group and research is our "thing" and IBS doesn't make living with PD any easier, more the case, harder. So, when in doubt or in a questioning place, I/we always do my own thorough research. After more than a decade at this advocacy it has become second nature to me/us to research.Thanks again, I will take this medication and hope that I don't have to add any in the future. I take enough pills everyday as it is.
 

·
Registered
Joined
·
14,427 Posts
LOL I don't know how your Avatar just showed up. LOL(Did ya ever wonder whether computers have a mind of their own??? lol)But here.. if you want to change it or get rid of it...Go to your user name in the upper right of the page and click on the down arrow. Then select "My Settings".Once there click on the "Profile" tab. Then you can make the changes you want.Let us know if you have trouble with this.All the best
 

·
Registered
Joined
·
15 Posts
I have had IBS for what seems like, and probably has been, decades. Over the past two years it has progressively become severe. All I have to do some mornings is rollover in bed; within 30 minutes of waking up my digestive process by eating breakfast; not sure I can make through an event, etc. So, I saw my Internist week for before. She did a few lab tests to rule out other possible problems. These tests: 2. Stool examinations Nothing was found via these tests. She also prescribed generic Hyoscyamine (brand Levsin) and said, "If this works for you, then yes, you have IBS." I filled the RX and found relief with the very first pill.When I saw her a few days later I asked her if I needed any further diagnostic testing and she said,"No, if the medication is working then we already know what the problem is, so seeing a specialist isn't needed."I am not sure I should be comfortable with her final assessment. I don't want to offend a good doctor, but I feel I should see a gastrointerologist for a formal diagnosis, etc.Am I over reacting or is she right?
I will have to try that med, i need some fast relief
 
1 - 6 of 6 Posts
This is an older thread, you may not receive a response, and could be reviving an old thread. Please consider creating a new thread.
Top