Irritable Bowel Syndrome - An Irritating Condition

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Irritable Bowel Syndrome is a problem that afflicts millions, and it is vastly more common in women than men. But because of its embarrassing nature, many women don’t get the help they need to deal with this uncomfortable, to say the least, issue. Join Heather Ey, Family Nurse Practitioner specializing in Gastroenterology, as she discusses ways to adjust your lifestyle, adjust your diet, and get the treatment – and relief – you need.

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Irritable Bowel Syndrome - An Irritating Condition

  1. 1. IBS: Irritable Bowel Syndrome Heather Ey FNP-BC Springfield Clinic Department Of Gastroenterology
  2. 2. What is IBS? <ul><li>“ spastic colon” “functional bowel disease” “nervous colon” </li></ul><ul><li>IBS is an intestinal disorder that can cause a variety of symptoms such as: </li></ul><ul><ul><li>Cramping/abdominal pain </li></ul></ul><ul><ul><li>Gas </li></ul></ul><ul><ul><li>Bloating </li></ul></ul><ul><ul><li>Diarrhea, constipation or both </li></ul></ul><ul><ul><li>Mucous in the stool </li></ul></ul>
  3. 3. Types Of IBS <ul><li>IBS – D </li></ul><ul><ul><li>IBS with predominant diarrhea </li></ul></ul><ul><ul><ul><li>Frequent/urgent loose to watery stools </li></ul></ul></ul><ul><ul><li>IBS – C </li></ul></ul><ul><ul><ul><li>IBS with predominant constipation </li></ul></ul></ul><ul><ul><ul><ul><li>Hard to pass stools or infrequent stools </li></ul></ul></ul></ul><ul><ul><ul><li>IBS – Mixed </li></ul></ul></ul><ul><ul><ul><ul><li>IBS with both diarrhea and constipation </li></ul></ul></ul></ul>
  4. 4. IBS <ul><li>IBS affects 20% of people or 1 in 5 </li></ul><ul><li>One of the most commonly diagnosed conditions </li></ul><ul><li>Affects more women than men </li></ul><ul><li>50% of people are diagnosed before age 35 </li></ul><ul><li>Symptoms may last for a few months to life long </li></ul><ul><li>70% of people with IBS are not receiving treatment </li></ul>
  5. 5. Causes of IBS <ul><li>Unknown – Many theories </li></ul><ul><ul><ul><li>Sensitive colon </li></ul></ul></ul><ul><ul><ul><li>Immune system </li></ul></ul></ul><ul><ul><ul><li>Gluten Sensitivity </li></ul></ul></ul>
  6. 6. Not IBS <ul><li>IBS will never cause </li></ul><ul><ul><li>Weight loss </li></ul></ul><ul><ul><li>Bleeding </li></ul></ul><ul><ul><li>Fever </li></ul></ul><ul><ul><li>Severe persistent abdominal pain </li></ul></ul>
  7. 7. Pain with IBS <ul><li>Abdominal pain or discomfort for 12 weeks with in the last 12 months </li></ul><ul><ul><li>Pain is relieved by having a bowel movement </li></ul></ul><ul><ul><li>Pain changes how often you have a bowel movement or </li></ul></ul><ul><ul><li>Pain changes the form of the stool or how it looks </li></ul></ul>
  8. 8. Diagnosis of IBS <ul><li>Blood test – Promethius IBS diagnostic </li></ul><ul><li>Stool test – to rule out infections or other conditions </li></ul><ul><li>Colonoscopy </li></ul><ul><li>*** Diagnosis by exclusion </li></ul>
  9. 9. Triggers for IBS <ul><li>Eating large meals </li></ul><ul><li>Stress or emotional issues </li></ul><ul><li>Lack/loss of sleep </li></ul><ul><li>Gas/bloating </li></ul><ul><li>Medications </li></ul><ul><li>Wheat, barley, rye </li></ul><ul><li>Chocolate </li></ul><ul><li>Alcohol </li></ul><ul><li>Caffeine </li></ul>
  10. 10. Treatment of IBS <ul><li>Dietary changes </li></ul><ul><ul><li>High fiber diet: Increase slowly by only 2 to 3 grams per day to prevent bloating and gas </li></ul></ul><ul><ul><li>Small frequent meals </li></ul></ul><ul><ul><li>Drink 6 to 8 glasses of water per day </li></ul></ul><ul><ul><li>Low fat diet </li></ul></ul><ul><ul><li>Avoid carbonated beverages </li></ul></ul><ul><ul><li>Lactose? </li></ul></ul>
  11. 11. Treatment of IBS <ul><li>Antibiotics </li></ul><ul><ul><li>Flagyl/Metronidazole </li></ul></ul><ul><ul><li>Xifaxan/Rifaxamin </li></ul></ul><ul><ul><li>Fiber </li></ul></ul><ul><ul><ul><li>Metamucil </li></ul></ul></ul><ul><ul><ul><li>Benefiber </li></ul></ul></ul><ul><ul><ul><li>Fiber Con </li></ul></ul></ul>
  12. 12. Treatment of IBS <ul><li>Stress reduction </li></ul><ul><ul><li>Relaxation training such as meditation </li></ul></ul><ul><ul><li>Counseling and support </li></ul></ul><ul><ul><li>Regular exercise </li></ul></ul><ul><ul><li>Adequate sleep </li></ul></ul><ul><ul><li>Acupuncture </li></ul></ul><ul><ul><li>Anti-diarrhea medications </li></ul></ul><ul><ul><ul><li>Imodium </li></ul></ul></ul><ul><ul><ul><li>Lomotil </li></ul></ul></ul>
  13. 13. Treatment of IBS <ul><li>Anti-Spasmotics </li></ul><ul><ul><li>Levsin/Hyoscyamine </li></ul></ul><ul><ul><li>Bently/Dicyclomine </li></ul></ul><ul><ul><li>Librax/Chlordiazepoxide Hydrochloride & Clidinium Bromide </li></ul></ul><ul><ul><li>Anti-Depressants </li></ul></ul><ul><ul><ul><li>Amitriptyline </li></ul></ul></ul>
  14. 14. Treatment of IBS <ul><li>Lotronex - Women with IBS-D </li></ul><ul><li>Amitiza – Women with IBS-C </li></ul><ul><li>Probiotics </li></ul><ul><ul><li>Align </li></ul></ul><ul><ul><li>Phillips Colon Health </li></ul></ul><ul><ul><li>Culturelle </li></ul></ul><ul><ul><li>Florastor </li></ul></ul><ul><ul><li>Acidophilus </li></ul></ul><ul><ul><li>Sustenex </li></ul></ul><ul><ul><li>Lactobacillus </li></ul></ul>
  15. 15. Treatment of IBS <ul><li>Stool Softeners </li></ul><ul><ul><li>Colace </li></ul></ul><ul><ul><li>Miralax/Polyethalene Glycol </li></ul></ul><ul><ul><li>Laxatives </li></ul></ul><ul><ul><ul><li>Milk of Magnesia </li></ul></ul></ul><ul><ul><ul><li>Lactulose </li></ul></ul></ul><ul><ul><ul><li>Dulcolax/Bisacodyl </li></ul></ul></ul><ul><ul><ul><li>Senokot </li></ul></ul></ul>
  16. 16. IBS does NOT <ul><li>Cause permanent harm to the colon </li></ul><ul><li>Increase the risk of cancer </li></ul><ul><li>Lead to other conditions such as Crohn’s Disease or Ulcerative Colitis </li></ul>
  17. 17. Questions?

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