- Women’s Health
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- Nurse Barb
This is a sponsored post. Salix Pharmaceuticals compensated me for this post. All opinions are my own.
A few months ago Alana* came to see me for an annual physical. As we reviewed her health history over the last year, she shook her head in frustration as she recounted her recurrent and unpredictable diarrhea, bloating and gas. She underwent a multitude of tests and diet changes that ultimately led to her being diagnosed with irritable bowel syndrome with diarrhea (IBS-D).
Alana was working on completing her teacher’s credential, which meant commuting to her own classes and to the schools where she was gaining experience. Though there were always bathrooms nearby, she couldn’t predict when her symptoms would hit and she would need to find a bathroom immediately. She was worried about what her mentor teachers would say about her time spent away from teaching. She felt very alone and overwhelmed by her symptoms.
Like Alana, many people with IBS-D may:
A Closer Look at IBS-D
Earlier this year, I attended a talk by leading gastroenterologist, Dr. Mark Pimentel and learned about the complexities of our GI system’s microbiota. It was not only fascinating, but it’s also helped me understand how disruptions in the healthy bacteria in our intestines can contribute to IBS symptoms.
IBS-D Up Close
I also found a new website, IBSDUpClose.com that was launched to provide information for patients and for health care providers about IBS-D.
As I took a closer look at what IBS-D is, I found that irritable bowel syndrome (IBS) is a common intestinal disease associated with unpredictable bowel movements. People with IBS usually have stomach (abdominal) pain at least 1 day a week, for at least 3 months. If more than 25% of their bowel movements are loose or watery and less than 25% are hard or lumpy, they could have IBS-D.
A Closer Look at IBS Stats:
There is no cure for IBS, but there are treatments that address the symptoms
A Closer Look at the Possible Causes of IBS-D:
I also liked that the IBS-D Up Close site has links to 2 different on-line patient support groups: Patients Like Me and Irritable Bowel Syndrome Self Help and Support Group.
I found the site very helpful. I did refer Alana to a GI specialist who is treating her and seeing her for regular follow-ups. As a health care provider focused in women’s health, I know that I am not an expert in other areas such as gastrointestinal issues; however, I do try to point my patients in the right direction for further evaluation and care. I think IBSDUpClose.com is a good resource for both patients and providers. I hope you also find it helpful.
I received compensation from Bayer Consumer Health, makers of Phillips’® Colon Health® to write this post. All opinions are entirely my own.
When my patients come to see me for their annual exam, I always ask about nutrition and digestive issues including whether they are experiencing any occasional bloating, gas, constipation and/or diarrhea. Many times my patients answer yes, but aren’t sure what to do about their symptoms. They are so used to living with the symptoms and inconvenience, they don’t take that next step for relief. And yet, with a few questions, we can often get to the root of the problem and then together come up with some solutions.
Are Donuts A Food Group?
I saw a patient, who I’ll call Karen (not her real name) who had a combination of occasional diarrhea, gas and bloating and constipation. As we talked about what she had eaten over the last 2 days, she started recognizing how a few things might be contributing to her symptoms.
A self-described picky eater, who didn’t like vegetables, Karen laughed and asked me if donuts and coffee could be considered a real food group. That’s because she stopped at her favorite Donut shop on the way to work for a few glazed donut holes and an extra large black coffee for the stressful 45 minute morning commute. By the time she pulled into her parking spot at work, she was invariably bloated and though she was a little reluctant to admit it, she sometimes had diarrhea.
I also noticed that Karen’s typical lunches and dinners consisted of mostly breads, potatoes, pasta and some protein with very few vegetables or dairy. She liked to snack on bananas and peanut butter pretzels in the afternoon with another cup of coffee. It was difficult to know exactly what was causing Karen’s digestive symptoms because they can be caused by stress, our food and beverage choices or a combination of factors. (more…)