- Women’s Health
- Healthy Living
- Health Conditions
- Nurse Barb
By Nurse Barb Dehn
Disclosure: I was invited to attend an event about IBS-D by Salix Pharmaceuticals and am working with them to help get information out about how to talk about IBS-D symptoms and treatment options. Salix provided me with a stipend and paid for my travel and accommodations related to the event; however, all opinions are my own.
I really like this photo of models who’ve had their tummies painted to represent what it’s like to have Irritable Bowel Syndrome with diarrhea (IBS-D). Between the cramping, bloating, pain and let’s face it, the frequent and unpredictable trips to the bathroom, if you have IBS-D, this might be exactly how you feel.
Could you have IBS-D? Take Nurse Barb’s Quiz
If you answered yes to these questions, then you should talk to your healthcare provider and ask if you could be like the up to 16 million Americans with IBS-D. Your HCP should evaluate your clinical history, perform a physical examination, ensure diagnostic criteria for IBS-D are met and that alarm features are absent before making a diagnosis.
Experts weigh in on IBS-D – It’s unpredictable
Recently I attended an informational event with Dr. Mark Pimentel, Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai Medical Center in Los Angeles, California.
Dr. Pimentel explained that living with IBS can be enormously frustrating and that people with IBS-D don’t often know when they’re going to need to visit the bathroom, which can cause people to limit their lives for fear of not being able to find a restroom.
Imagine getting up and not knowing if you’ll visit the bathroom once or let’s say 12 times that day and not knowing when the urgent need to use the restroom will come up.
If you have IBS-D, then you don’t have to imagine this, you may know what it’s like to not know when you have stop what you’re doing and find a bathroom––Quickly. No wonder people start to stay home and skip doing the things they love.
And, despite a lot of well-meaning advice about what foods to eat and which ones to avoid, people with IBS-D may find that they are unable to predict if they will experience symptoms on any given day. It can be frustrating and depressing.
Quick Facts on IBS
• Some people with IBS experience constipation in more than 25% of bowel movements and diarrhea in more than 25% of bowel movements, this is known as mixed IBS.
What Causes IBS-D
– Aha! Could this information help us find effective treatments?
– Stay tuned.
Find a Gastrointestinal specialist
If you think that you might have IBS-D, then DO find a gastrointestinal specialist, known as a GI specialist, who has experience with IBS-D. Your primary care provider may not be as familiar with the latest research and treatments.
I know that this may be embarrassing to talk about, but the talk doesn’t have to be as uncomfortable as the symptoms. I really like this website: LetsTalk-2 that has resources and a list of questions for you to talk to your health care provider about.
My tips for preparing to talk to your health care provider about your symptoms
Questions about IBS-D for your health care provider
Treatment options for IBS-D
Dr. Pimentel presented data about a treatment option for IBS-D that has helped provide significant relief of both abdominal pain and diarrhea. Click here to learn more about an IBS-D treatment option.
Have you been treated for a Bladder Infection? In addition to taking the prescribed antibiotics, it’s also been shown that a healthy dose of probiotics can help reduce the risk of having a recurrent infection.
For the dehydration that comes from Stomach Bugs, I’ve got some tried and true, road tested tips.
We use this to help people get re-hydrated. Wait at least 30 minutes after throwing up to even try to get some liquids. Then, mix water with clear juice or tea and whatever you do, DO NOT give more than a teaspoon at a time and wait 5 minutes between small sips. The liquids will be absorbed in the mouth and esophagus before they reach a very irritated stomach, so are less likely to come back up.
I know someone who I speak to regularly about the regularity of their trips to the bathroom. It seems that they’ve been having quite a bit of difficulty regulating this aspect of their life which causes quite a bit of distress. This particular person would be aghast if they knew that I was writing about them here and I’m taking pains to disguise their identity. (more…)
I recently received a very disturbing question from a mom. It stopped me in my tracks. She wrote to me because her 16 month old child had been treated repeatedly for worms. (more…)