IBS: How to recognize it and what helps the other hand,

21 October 2017

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Diarrhea, constipation and bloating can not always be traced back to an infection or other physical causes. Sometimes infected even the so-called "Irritable bowel syndrome (RDS)" behind it, in short "irritable bowel", Although the symptoms of this condition can be very distressing, it is not usually dangerous.

In Germany, about 12 million people are affected by irritable bowel syndrome is estimated that women more often than men. It is not always the suffering manifests in severe pain, the symptoms are varied. Typical are:

The duration and frequency with which the symptoms occur are different from person to person. Many sufferers feel symptoms only special situations (About during or after stress and anger), some permanently.

What is irritable bowel syndrome?
The term irritable bowel syndrome (IBS) is a set of different, recurring discomfort that usually over several months or years and no identifiable physical cause to have. Often the food transport is Large intestine (colon) disturbed. Therefore, doctors call irritable bowel syndrome as irritable bowel syndrome. But the entire digestive tract, including the small intestine and stomach can be affected with irritable bowel syndrome.

When irritable bowel appear the individual symptoms very characteristic. Taken as a whole, however, they are almost typical of the disease.

In most cases, an irritable bowel by symptoms such as stinging or crampy abdominal pain and flatulence (wind called.) Expresses. Often feels the greatly overinflated stomach and tense, since air or gas in the intestines is collected (so-called. meteorism). In an irritable bowel symptoms such as Pain occur at various points in the abdomen. call some people with irritable bowel constipation, other diarrhea as the main symptom. In others, the two states alternate. Often the chair mucus added, but typically no blood.

Affected feel the evacuation of the bowels irritable bowel often as painful and incomplete. A large proportion of people with irritable bowel reported that symptoms such as abdominal pain and other symptoms usually improve after a bowel movement.

In summary, are considered widespread irritable bowel symptoms:

For some people with irritable bowel and symptoms that are typical of the stomach irritation, such fullness after eating or pain in the upper abdomen. In addition to these complaints other symptoms of irritable bowel may occur, for example, menstrual cramps or headaches. 

Irritable bowel syndrome is typically no obvious organic causes. Since the function of the gut is impaired, although this has no pathological changes, medical denote suffering as functional disorder.

For a disorder of intestinal function may numerous possible explanations give. Doctors suggest the following:

Of the intestinal muscles comes in digesting a central task: they must ensure that the digested food passes through the digestive tract at the right pace. If she works overzealous and food too fast transported through the intestines, it can not in time to escape the water the slurry - the result is Diarrhea. Works the muscles on the other hand too slow, the digested food stays too long in the intestines and it comes to Constipation.

Also the intestinal mucosa plays an important role for healthy digestion. It forms the inner lining of the intestine and contains cells that take up nutrients from the intestine into the blood and, to ward off immune cells, pathogens. Pain or cramps may occur when the mucous too sensitive responds to food components or other stimuli - these hypersensitivity could irritable bowel syndrome cause, suggests physicians.

psyche and Digestion are closely linked, but the numerous interactions between gut and brain research has long yet not fully explored. What is known is that the digestive tract is crossed by a network of hundreds of millions of nerve cells, called the enteric nervous system (ENS). It allows the intestines to communicate with the brain. Conversely, the brain can send stimuli to the enteric nervous system. That could explain why irritable bowel syndrome often occurs in or after stressful situations and often in people who have suffered a trauma or psychological distress such as depression are suffering.

Medical guidelines require that the following three points must be met in order to make the diagnosis in irritable bowel:

Examples of other diseases are chronic inflammatory bowel diseases such as ulcerative colitis and benign or malignant neoplasms such as colon polyps or colon cancer. Celiac disease (sprue) can cause symptoms similar to those of irritable bowel.

The doctor has several options to exclude these and other physical disorders as causes for the existing symptoms. The most important step in order to make a diagnosis at an irritable bowel, is primarily a detailed conversation with the person (history). This should describe as detailed as possible, under which complaints suffers and since when, so the doctor can make the correct diagnosis in conversation.

After the conversation follows a physical examination. The doctor scans and listens to the abdomen. There is suspicion of a disease of the intestine, it may scans the rectum with the finger (rectal examination).

One possibility is that blood in the urine (known. Urinalysis) and the chair to investigate. The blood test results show whether inflammation is present. These are parameters such as the erythrocyte sedimentation rate or the value of C-reactive protein (CRP) is important. In addition, the liver and kidney function can be determined and thus rule out possible diseases of these organs in the blood. The chair (blood in the stool) and blood stains - especially if diarrhea is - tested for pathogens.

If necessary, the doctor also assigns one or more of these activities for irritable bowel diagnostics to:

Affected with irritable bowel may furthermore diary lead, a register in which, for example, time, duration and severity of the symptoms. This facilitates the physician may the irritable bowel diagnosis and also helps to assess the success of treatment.

Irritable bowel syndrome for a long time were the so-called Rome criteria important for diagnosis. Met her, it was assumed that there is an irritable bowel. As of today, the Rome criteria play in the diagnosis of irritable bowel syndrome in adults not matter much more.

but the Rome III criteria are still valid for at Children and adolescents to diagnose irritable bowel syndrome. The criteria call for this is that

Here, these symptoms have before at least six months have begun and at least two Furthermore, the following facts associated:

The exact causes of irritable bowel syndrome are not known. Therefore, treatment is mainly aimed at the relieve discomfort. Since different symptoms can stand in the foreground from person to person, there is no standardized irritable bowel treatment, which further helps everyone.

For those affected, it is important to find out in which situations of irritable bowel increasingly causing problems. The treatment also insisted trigger concentrates - the so-called trigger - that enhance the problems to identify in order to avoid this in the future. Possible triggers include:

drugs and psychological support can help to better manage the symptoms under control concerned. The irritable bowel treatment may also in the nutrition begin. 

Whether and what drugs the doctor recommends for irritable bowel syndrome, can be individually adapted to the complaints:

Constipation can often with exercise, high-fiber diet and adequate liquid to get a grip. If these simple measures do not work, gentle laxatives can help. Common ingredients include:

However, this should not be taken over a longer period and only in consultation with the doctor.

Diarrhea drug loperamide can be used for a short time - it inhibits the intestinal movement. Loperamide should not be taken more than two days without medical advice. Even drugs like cholestyramine, probiotics, soluble fiber and plant preparations can be helpful.

In irritable bowel symptoms such as abdominal pain and cramps different drugs for therapy are suitable:

In some cases, antidepressants are to treat severe pain. Whether this option is eligible, but only the doctor can decide.

Against bloating and distension of the intestinal probiotics and the locally applied antibiotic rifaximin can help. In addition, the bloating diminish simultaneously by the treatment of an existing diarrhea or constipation.

In some people, the symptoms of irritable bowel syndrome will be more pronounced when they have stress or going through conflicts. Therefore, it makes sense to involve the psyche with them into treatment. In some studies it has been shown that relaxation techniques could be beneficial. Also, certain types of psychotherapy (eg cognitive behavioral therapy) have proven to be helpful in studies.

If there is a mental illness in addition to the irritable bowel syndrome, sometimes also come medications that affect the psyche (psychotropic drugs: antidepressants and serotonin reuptake inhibitors) are used.

In addition, it is recommended to see if the symptoms worsen after certain meals. So it is better some patients when they are so called to the FODMAP Diet hold. This provides for the waiver of fermentable oligo-, di- and monosaccharides and polyols in front. These are sugars, which include Fructose, lactose and sugar alcohols such as erythritol, isomalt, xylitol and sorbitol count, which often stuck as a sweetener in sugar-free foods. For the bowel, these substances can be stressful because they are poorly absorbed in the small intestine and thus unchanged pass into the large intestine where they fermented by bacteria become. The bacteria produce gases doing what bloating can cause.

Although the FODMAP diet helps some sufferers, it is controversial among doctors. For example, criticize some experts that this diet is a risk of malnutrition poses: Who wants to do without fructose and lactose, has a number of fruits and vegetables and dairy products from his diet stress, and thus has quite possibly small amounts of certain vitamins and nutrients.

A woman sits smiling in front of a plate of spaghetti. © Jupiterimages / Stockbyte

Eat what you tolerate well: When irritable bowel applies to the diet!

Some IBS patients experience less discomfort when they more roughage to eat. These food components, where mainly plant foods are especially rich, the body can digest only a small proportion or not. but they stimulate bowel activity and promote digestion and thus prevent blockages.

As the causes are not clear, you do not know what measures are useful for the prevention of irritable bowel. Basically, it is essential for healthy digestion, to drink enough to move daily, high fiber food and eat large amounts at once.

German Society of Digestive and Metabolic Disease-profit organization that was founded in 1913 by specialists in internal medicine and published guidelines on individual diseases, provides high quality links, u.v.m.

Dt. IBS Self Help e.V. The German irritable bowel self-help has the support of interested parties as concerns and provides a database of doctors, who are very familiar with the irritable bowel syndrome


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