Disgnosis





 ibs specialist dr.sendhil kumar, vivekananda clinic, velachery, chennai, panruti,



Diagnosis of irritable bowel syndrome (IBS)
There is no specific imaging or laboratory IBS diagnostic test. Diagnosis involves ruling out conditions that produce IBS-like symptoms, and then following a procedure to categorize the patient's symptoms.

Typically, the following need to be ruled out before a diagnosis of IBS is made:
¬  Lactose intolerance
¬  Small intestinal bacterial overgrowth
¬  Celiac disease

Most patients will visit their GP - General Practitioner, initially. The GP will probably recommend a blood test to rule out other possible conditions. In many cases, the GP may be able to diagnose IBS by asking about symptoms. The questions will include the following:

ü  Have there been any changes in your bowel habits, such as diarrhea or constipation?
ü  Is there any pain or discomfort in your abdomen?
ü  Do you ever (often) feel bloated?

Identifying the following symptoms will help the GP make a diagnosis of IBS:
Ø  There is abdominal pain or discomfort, which usually disappears after the patient empties his/her bowel
Ø  There is abdominal pain accompanied with a change in bowel habits; perhaps the patient goes to the toilet more frequently than before, the stools may have a different appearance.

The patient needs to have at least two of the following symptoms for a diagnosis of IBS to be made:
v  The way the patient passes stools has changed - there is a need to strain, a sensation of urgency (need to rush to the toilet), or a feeling that the bowels have not completely emptied after going to the toilet.
v  In the abdomen there is bloating, tension or hardness
v  After eating the symptoms worsen
v  There is passing of mucus from the back passage (rectum)

If there are specific signs or symptoms that may suggest another condition, perhaps a more serious one, further testing may be required. The signs or symptoms may include:
Ø  Anemia
Ø  Localized swelling in the rectum and/or abdomen
Ø  Weight loss (unexplained)

Patients over the age of 60 years whose change in bowel habits have persisted for longer than six weeks may require further testing.

 






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1 comment:

Logintohealth said...

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Best gastroenterologist in Mumbai

Irritable Bowel Syndrome (IBS)





Irritable Bowel Syndrome (IBS)

Irritable bowel syndrome* (IBS) is a “syndrome,” meaning a group of symptoms. The most common symptoms of IBS are abdominal pain or discomfort often reported as cramping, bloating, gas, diarrhoea, and/or constipation. IBS affects the colon, or large bowel, which is the part of the digestive tract that stores stool.

IBS is not a disease. It’s a functional disorder, meaning that the bowel doesn’t work, or function, correctly.


Causes of IBS

Doctors are not sure what causes IBS. The nerves and muscles in the bowel appear to be extra sensitive in people with IBS. Muscles may contract too much when you eat. These contractions can cause cramping and diarrhoea during or shortly after a meal. Or the nerves may react when the bowel stretches, causing cramping or pain.

IBS can be painful. But it does not damage the colon or other parts of the digestive system. IBS does not lead to other health problems.


Symptoms of IBS

The main symptoms of IBS are

· Abdominal pain or discomfort in the abdomen, often relieved by or associated with a bowel movement

· Chronic diarrhoea, constipation, or a combination of both

Other symptoms are

· Whitish mucus in the stool

· A swollen or bloated abdomen

· The feeling that you have not finished a bowel movement

Women with IBS often have more symptoms during their menstrual periods.


Diet Changes

Some foods and drinks make IBS worse.

Foods and drinks that may cause or worsen symptoms include

  • Fatty foods, like French fries
  • Milk products, like cheese or ice cream
  • Chocolate
  • Alcohol
  • Caffeinated drinks, like coffee and some sodas
  • Carbonated drinks like soda


To find out which foods are a problem,

Keep a diary that tracks

  • what you eat during the day
  • what symptoms you have
  • when symptoms occur
  • what foods always make you feel sick Take your notes to the doctor to see if certain foods trigger your symptoms or make them worse. If so, you should avoid eating these foods or eat less of them.


Some foods make IBS better.

Fiber may reduce the constipation associated with IBS because it makes stool soft and easier to pass. However, some people with IBS who have more sensitive nerves may feel a bit more abdominal discomfort after adding more fiber to their diet. Fiber is found in foods such as breads, cereals, beans, fruits, and vegetables.

Examples of foods with fiber include

Fruits- apples, peaches

Vegetables- broccoli (raw), carrots (raw), cabbage, peas

Breads, cereals, and beans- kidney beans, lima beans, whole-grain bread, whole-grain cereal


Does stress cause IBS?

Emotional stress does not cause IBS. But people with IBS may have their bowels react more to stress. So, if you already have IBS, stress can make your symptoms worse.


Stress Relief

Learning to reduce stress can help with IBS. With less stress, you may find you have less cramping

it easier to manage your symptoms.

Meditation, exercise, hypnosis, and counselling may help. You may need to try different activities to see what works best for you.


Points to Remember

IBS means your bowel doesn’t work the right way.

IBS can cause cramping, bloating, gas, diarrhoea, and constipation.

IBS doesn’t damage the bowel or lead to other health problems.

The doctor will diagnose IBS based on your symptoms. You may need to have medical tests to rule out other health problems.

Stress doesn’t cause IBS, but it can make your symptoms worse.

Fatty foods, milk products, chocolate, alcohol, and caffeinated and carbonated drinks can trigger symptoms.

Eating foods with fiber and eating small meals throughout the day may reduce symptoms.

Treatment for IBS may include medicine, stress relief, and changes in eating habits


Treatment

Homoeopathic methods of treatment have effective medicines for IBS, and also relieves mental fag because of IBS


For Homoeopathic treatment

Please click following link

http://treatmentt.blogspot.com/2009/11/irritable-bowel-syndrome-ibs-treatment.html


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