If Slow transit is the reason for the constipation some would say you have STC rather than IBS-C.They are separate things, but if you have a lot of pain that may make a dual diagnosis (IBS is the pain and STC is why you only have a BM once every week or two). http://www.vh.org/adult/provider/internalm...ationtreatment/ discusses STC and pelvic floor issues in constipated peopleK.
Kmotttus,I'm really interested in what you say.My gastro told me,long ago,that I have IBS.Various people have confirmed this.I have never been convinced.I have slow transit and bloating - no pain(or VERY rarely).Also have - now - lots of stomach problems,ie slow digestion.Does abscence of pain really exclude IBS as a diagnosis?
It can be "functional constipation" which is constipation that is NOT slow transit and NOT caused by pelvic floor disfunction that does not have enough pain/discomfort to be considered IBS.Have you had your transit tested?Slow transit constipation is not always painful. Usually when it is the thinking is the person has both transit issues AND IBS type issues.Or do you just "think" you are slow transit. Constipated stools doesn't mean you have slow transit.Usually slow transit people are in the worst of the constipated group (the lowest BM's per week, so much less than 3/week) you can have very dry very hard to pass stools and normal transit time.However, the diagnosis doesn't really matter at this point as much because the treatments are not that different for functional constipation than it is for IBS-C.Now if it is true slow transit that is a different set of treatment options.If it is pelvic floor dysfunction that is a different set of treatment options.K.
In your link, kmottus, of the 7 indications for functional C, I have the first 5. No doctor has ever talked about that to me. I sometimes wonder if I have IBS, because I don't have the pain that the Rome criteria specify you should have. My main symptoms are gas and incomplete evacuations. Despite several movements a day, I can never evacuate completely at any one time. I'm going to write down all that you have written and info from the link, so that I can show it to my doctor. But I can't understand what causes it in the first place.Laxative don't generally help. They just make my bms more frequent.
Kmottus,I was also very interested in your reply.I have had my transit tested and yes,it is slow (90mins - 120).The link you gave was very interesting and I can see from that that my docs.(not my gastro. - he was the one who said I had IBS) have been following the correct path of investigation.....but then it all tailed off when one of the treatments didn't work out (biofeedback,coz I really didn't feel comfortable with the male nurse who was doing it )I'm seeing a specialist next week and will take along this new info.Thanks so much !
I assume that is stomach tested.Usually transit through the colon when slow is greater than 72 hours.Slow transit constipation is not altered motility through the stomach??Gastroparesis is when the stomach doesn't empty as quickly as it should. That isn't always slow transit constipation, which is what I was talking about above. You can have one or the other, I suppose some people have both.This site discusses it, mostly in terms of it happening in people with diabetes, because it is common in those people. http://digestive.niddk.nih.gov/ddiseases/p...resis/index.htm The biofeedback, was it upper GI stuff or for the pelvic floor type of thing??K.
Don't know how to answer your questions really.I think the slow digestion came after the slow transit thru' the intestine,as a noticeable problem.Also,sometimes my stomach seems to empty OK and at others it's REALLY slow.I really don't know the answer to the biofeedback question.The breathing stuff was to do with the diaphragm and the balloon stuff was to do with the muscles around the rectum,I imagine.
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